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

2. Vision
Health care excellence for all.

3. 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.

4. Review of 2004 / 2005

5. Deficit Analysis

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

7. Expenditure by Programme

8. Revenue

9. Budget Allocation and Distribution

10. Budget

11. Programme Distribution

12. Programme Distribution - cont

13. Personnel vs Non – Personnel

14. Capital vs Current

15. GFS Classification

16. Conditional Grants

17. Programme 1: ADMINISTRATION
Office of the MEC
Management

18. 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.

19. 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.

20. 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

21. 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

22. 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

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

24. 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.

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

26. 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.

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

28. Gordonia Hospital

29. Priority Programmes
Communicable Diseases – HIV and AIDS

30. Priority Programmes
Communicable Diseases – HIV and AIDS

31. 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

32. 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

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

34. Priority Programmes
Communicable Diseases – TB

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

36. 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

37. 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)

38. Priority Programmes
Mental Health
Suicides

39. 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

40. 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

41. Programme 3: EMERGENCY MEDICAL SERVICE

42. 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.

43. 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.

44. Programme 4: PROVINCIAL HOSPITAL
Kimberley Hospital Complex

45. 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.

46. 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

47. 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

48. Programme 6: HEALTH CARE SUPPORT SERVICES

49. 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

50. 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

51. Programme 7: HEALTH FACILITIES MANAGEMENT

52. 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)

53. 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

54. 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

55. Thank you