1. Strategic Plan & Budget Presentation To The Portfolio Committee
DEPARTMENT OF HEALTH
16 MARCH 2005

2. FLOW OF PRESENTATION The context Summary of progress, 2004/05
Challenges for 2005/06
Strategic objectives & key activities for 2005/06
Budget by budget programme
Concluding remarks

3. The context
Strategic planning process 2005/8 started before arrival of new DG
Forward planning cannot be divorced from challenges facing the Department
Did not have a DG for almost 16 months
Although there is a product reflecting a particular situation
It can be improved given sufficient space
Aligned to Treasury regulations
Form a good basis for performance management

4. SUMMARY OF PROGRESS, 2004/05

5. Overview of progress
Progress report and indicators of progress are preliminary
They will be verified through the Annual Report
Progress is not inclusive of all activities of the Department – but highlights

6. Immunisation coverage is 82% (up from 63.4% in 1998)
Child Health
Immunisation coverage is 82% (up from 63.4% in 1998)
On track to be declared polio free by December 2005
Integrated management of childhood illness
Trained PHC health providers

7. PROGRESS: YOUTH & ADOLESCENT HEALTH
212 health facilities accredited as youth friendly (up from 68)
Increase in percentage of health promoting schools (18%) & school health committees established
School-based water borne disease prevention programme piloted in 4 schools in ec & kzn (VIP toilets built & community members trained)

8. PROGRESS: COMMUNICABLE DISEASES
Stability in prevalence of HIV (pregnant women)
Syphilis rate is 2.7% (lower than 2001)
More than 1m condoms issued per day
113 sites accredited – at least one in 51 of 53 health districts (comprehensive plan)
3072 facilities provide VCT (double the 2003/04 figure)
893 HBC sites active

9. COMMUNICABLE DISEASE (CONTD)
TB programme being strengthened but number of cases increasing & cure rate still low
44 sub-districts have TB/HIV programmes
Diagnosis using smear microscopy improving
MDR units established in 8 provinces

10. COMMUNICABLE DISEASES (CONTD)
Most provinces show very low case fatality rate from cholera
Outbreak teams strengthened in all provinces with participation from DoH DWAF, dplg
Malaria cases dropped by 6% with low case fatality rate

11. NUTRITION Integrated nutrition programme implemented
104 maternity units declared baby friendly (22% of facilities)
Nutrition guidelines for people with chronic diseases implemented
Health providers in 4 provinces trained in use of guidelines to manage severe malnutrition

12. IMPROVEMENT IN QUALITY: PHC & HOSPITALS
More than 360 people trained in patients rights
National complaints centre established
Supervision at PHC level reviewed
District health planning guidelines implemented at district level
R37m of donor assistance used to strengthen PHC services in the rural nodes

13. QUALITY IMPROVEMENTS 30 Hospitals in revitalisation programme
9 hospitals completed in 2004/05
National guidelines on hospital governance (functioning of hospital boards) implemented in revitalisation hospitals
41 hospitals implementing cost centre accounting to improve financial management
Partnerships with UK and French hospitals to strengthen hospital management
(71 managers)
61 hospital managers enrolled into local capacity building programmes

14. MTEF Plan 2005/8

15. Ten Point Plan (2004 – 2009)
Improve governance and management of the national health system
Strengthen health promotion and prevention activities
Improve quality of care especially in provision of hospital care
Strengthen programmes to decrease morbidity and mortality from communicable and non-communicable diseases
Strengthen primary health care and quality of care
Strengthen Emergency Management Services to decrease response times especially in rural areas
Accelerate implementation of the revitalisation programme and strengthen hospital governance (hospital boards)

16. Ten Point Plan (2004 – 2009)
Strengthen support services – particularly laboratory services and provision of blood
Ensure adequately prepared and sufficient human resources for health
Ensure adequate planning and budgeting at all levels (medium & long term)
Ensure completion of legislative programme and implementation of legislation e.g. The National Health Act and the Mental Health Act in particular
Strengthen relations within SADC and Africa in particular

17. NHS PRIORITIES (TEN POINT PLAN), STRATEGIC OBJECTIVES &
And key activities for 2005/06

18. Improve Governance And Management Of the National Health System
Strengthen communication and collaboration between all spheres of government;
Strengthen corporate identity;
Strengthen governance and management structures and systems;
Strengthen governance and management structures and systems

19. Promote Healthy Lifestyles
Initiate & maintain healthy lifestyles campaign;
Implement programmes in communities and schools
Ratify the Framework for Tobacco Control (FCTC);

20. Improve quality of care especially in provision of hospital care
Strengthen community participation at all levels
Improve clinical management of care at all levels of delivery
Develop a national infection control policy
Develop a fully fledged national call centre

21. Communicable and non-communicable diseases
Reduce infant, child and youth morbidity
Strengthen TB control programme
Expand the implementation of the Comprehensive Plan on HIV and AIDS
Improve women’s health and reduce maternal and neonatal morbidity

22. Strengthen primary health care and quality of care

23. Strengthen primary health care, quality of care and Emergency Management Services
Improve Primary Health Care
Improve Emergency Management Services
Ensure effective hospital revitalisation programme
Strengthen hospital governance (hospital boards)

24. Strengthen support services
Strengthen NHLS
Ensure availability of blood throughout SANBTS
Ensure quality and affordable medicines

25. Ensure adequately prepared and sufficient human resources for health
Develop and implement strategies to strengthen human resources for health
Implement the National Health Worker Policy Framework

26. Strengthen health system planning and budgeting
Ensure adequate planning and budgeting at all levels (medium & long term)
Strengthen health system planning and budgeting
Strengthen use of information systems
Implement social health insurance

27. Ensure completion of legislative programme and implementation of legislation
Implement the National Health Act
Implement the Mental Health Act
Implement legislation to transform statutory councils
Implement key pieces of legislation

28. Strengthen relations within SADC and Africa in particular
Strengthen existing bilateral and multilateral relations
Strengthen SADC desk
Strengthen donor coordination

29. BUDGET BY BUDGET PROGRAMME
NATIONAL DOH MTEF ALLOCATION 2005/ /08 (R‘ 000)
BUDGET PROGRAMME
MTEF PERIOD
2005/06
2006/07
ADMIN R R R
STRATEGIC HEALTH PROGRAMMES R R R
HEALTH SERVICE DELIVERY R R R
HUMAN RESOURCES R R R
TOTAL R R R

30. CONCLUSION (BY THE DG)