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Health Portfolio Committee NHLS as a Provider of Public Health Laboratory Services

Health Portfolio Committee NHLS as a Provider of Public Health Laboratory Services John Robertson CEO. Purpose. Provide cost-effective health laboratory services Provide training for health science education Support health research. Offices. Head Office & NICD. NHLS Sites. Structure.

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Health Portfolio Committee NHLS as a Provider of Public Health Laboratory Services

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  1. Health Portfolio Committee NHLS as a Provider of Public Health Laboratory Services John Robertson CEO

  2. Purpose Provide cost-effective health laboratory services Provide training for health science education Support health research

  3. Offices

  4. Head Office & NICD

  5. NHLS Sites

  6. Structure

  7. NHLS Services Community Clinics Community Hospitals Regional Hospitals Tertiary Hospitals National Institute for Communicable Diseases National Institute for Occupational Health

  8. Facilities Laboratories 265 laboratories across nine provinces Personnel 3800 Total personnel +1000 KZN 1530 Technologists and Technicians 138 Pathologists 137 Registrars

  9. NHLS Service Model Fee for Service Sole Provider Training Research

  10. Financial Dimensions Income 0.5% Derived from teaching 2.0% Research grants 5.8% Derived from govt grants 91.1% Derived from fees 0.6% Other income  Expenditure 7% Teaching and Research 3% Occupational Health 5% Surveillance & Epidemiology 74% Laboratory Services 11% Administration

  11. Laboratory Services Expenditure by Province 04-05

  12. Provincial Spend and per Capita Spend

  13. Provincial Vote and % Spend on Laboratory Services

  14. Tariff Development

  15. Financial Impact of extension of services

  16. Summary of Group Results

  17. Financial Structure NHLS • At inception • Post Retirement liabilities measured at fair value Employees transferred from Provincial Departments of Health were transferred without funding for post retirement benefits • Retirement age of employees were not uniform • Assets were acquired at no or low historical cost • Actions • Acturial valuation of post retirement medical aid liability • Revaluation of Land & Buildings • Negotiate uniform conditions of service • Obtain approval of stakeholders and legislative authorities

  18. Annual Report

  19. Creation of a culture of growth & accountability Continuous organisational development and empowerment Attraction, retention and development of highly talented people Respect for human values, diversity and relations NHLS People Management Philosophy

  20. Human ResourcesOverview • Headcount: • March 2003: 3 509 • March 2004: 3 797 • March 2005: 3 880 • Payroll: • March 2003: R 489 971 million • March 2004: R 559 358 million • March 2005: R 584 932 million

  21. Human ResourcesAchievements 2003 to 2005 • Developed and implemented comprehensive Human Resources Strategic Plan (2003 to 2006). • Developed, consulted and implemented a wide range of new Human Resources Management policies and collective agreements. • Developed and implemented macro organisational structure. • Completed transfer and absorption of all designated staff (excluding KZN).

  22. Human Resources Achievements 2003 to 2005 • Single set of conditions of employment implemented for all staff • Development and implementation of single job grading, career advancement and remuneration systems • Implementation of performance scorecards for Executive Management • Employment Equity Plan negotiated with unions in the Labour Forum and implemented

  23. Workforce Profile

  24. Workforce Profile

  25. Workforce Profile

  26. Workforce Profile

  27. Workforce Profile

  28. Workforce Profile

  29. Workforce Profile

  30. Workforce Profile

  31. Skills Development

  32. Skills Development

  33. Training Affiliated to 9 Medical Universities Affiliated to 11 Technikons 50 HoD’s Training Under & Post Graduate Graduate 25 Pathologists annually  Graduate 100 Technologists annually

  34. Training Dimensions Income R 5m Universities R 50m NHLS R 55m Total Expenditure R 32m Heads of Department R 23m Principal, Senior & Registrars R 55m Total

  35. Internal Trainees Pathology Service Delivery Technicians Technologists Specialists Sub specialists Medical scientists Lab support services National Health Laboratory Service

  36. External Trainees Health Care Delivery Medical students Specialists Dental students Nurses Subspecialists Biomedical HCW National Health Laboratory Service

  37. Research 6 MRC units 1 NRF Centre of Excellence Cancer Registry 183 Scientists 400 Research publications annually

  38. Research Dimensions Income R 17m NHLS R 50m Funding Agencies R 67m Total Expenditure R 67m HIV, TB, Malaria, Cancer etc R 67m Total

  39. NATIONAL INSTITUTE FOR COMMUNICABLE DISEASE • Surveillance & monitoring of communicable diseases • Outbreak response & management • Communication & consultation • International • Research – applied & operational • Academic & training • Quality assurance & reference

  40. GAP • SURVEILLANCE & MONITORING OF COMMUNICABLE DISEASES - MEASLES

  41. 1. SURVEILLANCE & MONITORING OF COMMUNICABLE DISEASES - MEASLES 2003 2004 2005

  42. 1. SURVEILLANCE & MONITORING OF COMMUNICABLE DISEASES - POLIO

  43. 1. SURVEILLANCE & MONITORING OF COMMUNICABLE DISEASES - POLIO

  44. SURVEILLANCE & MONITORING OF COMMUNICABLE DISEASES - MALARIA

  45. OutNet A Laboratory Based Outbreak Network for South Africa Dr Gillian de Jong Epidemiology Unit National Institute for Communicable Diseases (NICD) 2. OUTBREAK RESPONSE & MANAGEMENT

  46. 3. COMMUNICATION & CONSULTATION

  47. 4. INTERNATIONAL • WORLD HEALTH ORGANIZATION • Collaborating Centres • Regional Reference Laboratory (AFRO) • Training Courses (AFRO) • EQA Programmes (AFRO) • Expert Advisory Committee • CDC (USA) • RESEARCH COLLABORATIONS

  48. Full length HIV genome phylogenetic tree G_NG083 J_SE9280-9 G_HH8793 G_G6165 E_TH253 J_SE9173_3 E_CM240 H_VI991 E_E4002 100 B_MN Ib_IbNG Ib_DJ263 B_LAI B_D31 Ib_DJ264 B_896 A_U455 B_OYI 100 100 A_UG037 B_SF2 100 A_Q43 B_CAM1 100 A_SE6594 D_Z2Z6 100 96 96BW15B03 D_ELI 100 D_NDK 100 100 100 D_ZR85 97TZ05 82 97 100 D_UG114 98za151du 100 South Africa 98za422du 100 98za179du 100 100 F_VI850 98ZACTN2 F_F9363 84 100 100 96BW1626 100 K.CM.MP535 100 96BW16D14 100 96BW16B01 96BW17B05 96BW17B03 K.ZR.EQTB1 96BW01B22 100 C_BR025 96BW0504 100 96BW0502 Subtype C C_ETH2220 93IN999 97TZ04 93IN301904 95IN21068 96BW0402 93IN905 94IN11246 96BW0409 96BW0407 India 96BW1210 96BW1106 .10 96BW1104 J van Harmelen, et al, 2001 5. RESEARCH - APPLIED & OPERATIONAL

  49. 5. RESEARCH – APPLIED & OPERATIONAL KEY AREA :Scaling Up Access for Infant Diagnosis for HIV: Dried Blood Spots (DBS) Plus Automation A simple protocol using DBS to identify HIV infection status in infants and children less than 1.5 yrs of age

  50. 6. ACADEMIC & TRAINING

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