Northern Cape Province Budget Presentation Northern Cape Province National Health Portfolio Committee – Wednesday 06th April 2005

Vision Health care excellence for all.

Mission Empowered by the Peoples’ Contract, our caring and multi-skilled staff are committed to provide comprehensive quality services using, evidence-based care-strategies to promote a healthy society in which we care for one another.

Review of 2004 / 2005

Deficit Analysis

Deficit Analysis – cont. Budget pressure areas Pharmaceuticals Food Supplies Fuel Lab services

Expenditure by Programme

Revenue

Budget Allocation and Distribution

Budget

Programme Distribution

Programme Distribution - cont

Personnel vs Non – Personnel

Capital vs Current

GFS Classification

Conditional Grants

Programme 1: ADMINISTRATION Office of the MEC Management

Sub-programme 1.1: Office of the MEC Key Strategic Objectives To provide strategic political leadership To provide the administrative framework and support function to allow the MEC for Health to discharge his duties. To support public accountability and participation.

Sub- Programme 1.2: Management Human Resource Management Implementation of the rural and scarce skills allowance. 13 Matriculants awarded bursaries and commenced studies towards MBCHB with University of Free State. 27 Community Service Doctors signed contract with department to work back years equal to the duration of studies through settlement of their debts. 200 learnerships are undergoing training in the department.

Community Service and Cuban doctors 20 Cuban doctors employed in the department 48 doctors are doing community service Increase in number of Allied Health workers doing community service on an annual basis

Allied Health Professionals- Community Service Post Description 2003 2004 2005 Physiotherapists 7 12 10 Speech Therapists 1 2 6 Occupational Therapists 8 Clinical Psychologists 3 4 Radiographers 15 Environmental Health Practitioners 11 9 Dieticians 5

Sub- Programme 1.2: Management Communication Departmental Newsletter to be published quarterly Community health information sessions to be held. Legislative reforms Northern Cape Health Bill Northern Cape Circumcision Bill Nursing Education and Administration

Strategic Planning New strategic plan framework – improved reporting Provincial Health Summit 26th & 27th May Provincial Health 2014 document being finalised

Quality Assurance Quality Assurance committees in all districts Red flag tool to beimplemented as part of clinic supervision manual. System will be piloted in Siyanda, Karoo & Frances Baard districts.

Programme 2: DISTRICT HEALTH SYSTEM District Management Priority Programmes Support Services

Programme 2: District Health Services Integrated PHC Services Clinic supervisors appointed in Frances Baard District 2 trucks to be donated BHP Billiton – mobile clinics New clinics to be build will include home based care and counseling services.

Gordonia Hospital Sonar & CTG machines procured New equipment for casualty procured. Twinning agreement signed with a hospital from France. Ten additional doctors appointed.

Gordonia Hospital

Priority Programmes Communicable Diseases – HIV and AIDS

Priority Programmes Communicable Diseases – HIV and AIDS

Priority Programmes Communicable Diseases – HIV and AIDS 2nd Provincial AIDS Council launched Anti-Retroviral Treatment Launched on 26th July 2004 5 treatment sites Kimberley Hospital Gordonia Hospital De Aar CHC Springbok Hospital Kuruman Hospital 50 assessments Patients on ART program 3077 HIV+ assessed 635 being treated 1175 with CD4 count >200

Priority Programmes Communicable Diseases – HIV and AIDS Training 760 doctors, nurses & allied health professionals trained on ART 880 health care professionals trained in AIDS management short course 420 lay counselors in VCT & ART adherence counseling Voluntary, Counseling & Testing Medical sites to be increased to 159 sites Non-medical sites to be increased to 8 sites

Priority Programmes Communicable Diseases – TB 1’948 TB cases 1’315 on DOTS programme 633 self supervised 90 MDR TB patients

Priority Programmes Communicable Diseases – TB

Priority Programmes Communicable Diseases – HCBC 42 HCBC organizations 1009 caregivers HCBC support consortium in all 5 districts

Priority Programmes Health Promotion Health promotion manager appointed The Department is in the process of filling 13 posts including District Health Promoters Health promotion strategy being implemented

Priority Programmes Mother, Child & Womens Health Reduction in maternal mortality 214/100’000 per year (2003) 200/100’000 per year (2004) Critical equipment to improve antenatal services to be procured Teenage pregnancy rate 11,1 (2003) 8,3 (2004)

Priority Programmes Mental Health Suicides

Priority Programmes Mental Health Information Management Mental Health Act Hospital Review Board to be appointed 72hr psychiatric observation facility piloted at Kimberley Hospital Information Management District Information officers in process of being appointed

Priority Programmes Integrated Nutrition Programme Incidence of severe malnutrition decreased from 1,5% (2003) to 1,1% (2004) 833 people are on the food supplement scheme at all clinics Food parcels issued quarterly to all bedridden and chronically ill 10’000 parcels distributed in Feb 2005 11’200 parcels distributed in Mar 2005

Programme 3: EMERGENCY MEDICAL SERVICE

Emergency Medical Services Three- year replacement policy is well underway 30 new state of the art ambulances procured in 2004/05. Ambulances fitted with latest technology and air conditioning at the back for patient comfort 99 Emergency Care Practitioners were appointed across the province.

Emergency Medical Services 2005/06 Plans 55 new ambulances, including ten 4x2 off- road vehicles for farm areas and 5 rapid response vehicles to be purchased at a cost of R12m Air transportation of emergency patients is being investigated. A pilot to air lift emergencies from a 1000km in Springbok and 800km in Calvinia to Kimberley will commence in April 2005.

Programme 4: PROVINCIAL HOSPITAL Kimberley Hospital Complex

Kimberley Hospital Satellite pharmacy was opened 01 Nov 2004 serving patients from specialised clinics MRI machine was procured in 2004/2005. KH to be developed to full tertiary hospital Additional R150 million allocated in the MTEF to strengthen tertiary services.

Programme 5: HEALTH SCIENCES AND TRAINING Objectives Improve representation of disadvantaged groups and students of rural origin To reduce attrition rate per course per year for formal training To ensure capacity building for health managers

Health Sciences and Training 600 Auxiliary nurses commenced training in October 2004. Students are allocated mentors at the respective health facilities 300 Comprehensive Nursing Students to commence training in April 2005

Programme 6: HEALTH CARE SUPPORT SERVICES

Health Care Support Services Orthotic & Prosthetic Services 261 Wheelchairs handed over in 2004/05 350 Wheelchairs to be procured in 2005/06 to eliminate the backlog. Pharmaceuticals Depot manager to be appointed

Forensics Transfer of mortuaries Mortuary facilities audited in the Namakwa, Kgalagadi & Siyanda Districts in 2004/05 Transfer from SAPS to Department of Health planned for September 2005. Clinical Forensics Department intends to have at least 1 nurse per PHC facility

Programme 7: HEALTH FACILITIES MANAGEMENT

Facilities Management Hospital revitalization programme gaining momentum 2 Level I facilties completed Colesburg Calvinia Current Revitalization Projects Mental Health Facility – Kby (R250m) Barkly-West Hospital ( R40m) Upington Hospital (R230m) De Aar Hospital (R200m)

Facilities Management Current Infrastructure Projects - Garies Hospital Current Clinic Building Programme (2004/05) Phutanang clinic Recreation clinic Petrusville clinic Eurakaville clinic Kwazamuxolo clinic Prieska clinic

Facilities Management Clinic Building Programme (2005/06) Nonzwakazi Clinic (R1.3m) Breipal Clinic (R1.3m) Phillipstown Clinic (R1.3m) Platfontein Clinic (R0.7m) Upgrade Groblershoop Clinic Other projects Painting health facilities

Thank you