presentation of national department of health strategic plan, 2004/05

PRESENTATION OF NATIONAL DEPARTMENT OF HEALTH STRATEGIC PLAN, 2004/05

8 JUNE 2005

presentation to ad hoc comm on health. May 2004

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FLOW OF PRESENTATION

OVERVIEW (DR KAMY CHETTY) ACTIVITIES PER BUDGET PROGRAMME

(DR YOGAN PILLAY) BUDGET (MR ANDRE VENTER) CONCLUDING REMARKS (DR KAMY

CHETTY)


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OVERVIEW

HAVE THE BENEFIT OF 10 YEARS OF PLANNING HEALTH SERVICES

NEED TO BUILD ON THE ACHIEVEMENTS OF THE PAST 10 YEARS

MUST STREGTHEN AREAS THAT PRESENT CHALLEGES WITH RESPECT TO CORE PRINCIPLES LIKE EQUITY, ACCESS, QUALITY, SUSTAINABILITY, COMMUNITY PARTICIPATION


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10 POINT PLAN (1999-2004)

REORGANISATION OF SUPPORT SERVICES

LEGISLATIVE REFORM IMPROVE QUALITY OF CARE REVITALISATION OF HOSPITALS SPEED UP DEVIVERY OF PHC SERVICES

THROUGH THE DISTRICT HEALTH SYSTEM


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10 POINT PLAN

DECREASE MORBIDITY AND MORTALITY THROUGH STRATEGIC INTERVENTIONS

IMPROVE RESOURCE MOBILISATION AND MANAGEMENT OF RESOURCES

IMPROVE HEALTH HUMAN RESOURCE DEVELOPMENT & MANAGEMENT


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10 POINT PLAN

IMPROVE COMMUNICATION & CONSULTATION WITHIN THE HEALTH SYSTEM & BETWEEN THE HEALTH SYSTEM & COMMUNITIES

STRENGTHEN CO-OPERATION WITH OUR PARTNERS INTERNATIONALLY


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SOME ACHIEVEMENTS

IMPROVEMENT IN IMMUNISATION COVERAGE FROM 63% IN 1998 TO 74% IN 2003

NO DEATHS FROM MEASLES SINCE 1999 IMPROVEMENT IN SURVEILLANCE:

SHOULD BE DECLARED POLIO FREE IN 2005 & MAINTAINED STATUS WITH REGARD TO ELIMINATION OF NEONATAL TETANUS


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SOME ACHIEVEMENTS

STRENGTHENED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS STRATEGY – ONE HEALTH WORKER PER FACILITY THAT TREATS CHILDREN TRAINED IN IMCI

2000 FACILITIES PROVIDE VCT HIV PREVALANCE IN WOMEN UNDER 20

SHOWS STABLISATION DECREASE IN YOUTH WHO ‘EVER SMOKED’


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SOME ACHIEVEMENTS

MALARIA CASES & DEATHS DECREASED: 1% CASE FATALITY (WHO TARGET REACHED)

85-90% OF ESSENTIAL DRUG LIST DRUGS AVAILABLE IN IN PHC FACILITIES AT ANY TIME

WILL BE ABLE TO ELIMINATE BACKLOG IN ASSISTIVE DEVICES (WHEEL CHAIRS AND HEARING AIDS BY END OF FINANCIAL YEAR


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SOME ACHIEVEMENTS

FURTHER EXPANSION OF COMMUNITY SERVICE

SCARCE AND RURAL ALLOWANCES A RANGE OF PUBLIC-PRIVATE

PARTNERSHIPS SUCCESSFULLY COMMISSIONED INKOSI

ALBERT LUTHULI & NELSON MANDELA COMPLEX


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CHALLENGES

BURDEN OF DISEASE FROM BOTH COMMUNICABLE AND NON-COMMUNICABLE DISEASES

NON-NATURAL CAUSES OF DEATH QUALITY OF CARE RETENTION OF HEALTH HUMAN

RESOURCES


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CHALLENGES

RELATIONSHIP BETWEEN THE PUBLIC AND PRIVATE HEALTH SECTORS

IMPROVE HEALTH INFORMATION SYSTEMS & TARGETTED SUPPORT TO PROVINCES TO ENSURE IMPLEMENTATION OF POLICIES

COMMUNICATION WITH COMMUNITIES FULFILLING SADC & NEPAD COMMITMENTS

FULLY


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FINANCING HEALTH SERVICES

SIGNIFICANT PROGRESS TOWARDS INTERPROVINCIAL EQUITY MADE SINCE1997/8 BUT EQUITY IN FINANCIAL ALLOCATION NOT ACHIEVED

THIS DOES NOT MEAN THAT HEALTH SERVICES ARE ADEQUATELY FUNDED

PER CAPITA FUNDING FOR PHC UNEVEN WITH SOME DISTRICTS SPENDING R300 PER PERSON PER YEAR AND OTHERS LESS THAN R50


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VISION OF THE NDOH

TO PLAY A ROLE IN SECURING A CARING & HUMANE SOCIETY IN WHICH ALL SOUTH AFRICANS HAVE ACCESS TO AFFORDABLE AND GOOD QUALITY HEALTH CARE


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MISSION

TO BUILD ON OUR ACHIEVEMENTS IN IMPROVING ACCESS TO HEALTH CARE FOR ALL AND TO FOCUS ON REDUCING INEQUITIES IN HEALTH CARE, IMPROVING THE QUALITY OF CARE PROVIDED AT ALL LEVELS OF THE HEALTH CARE SYSTEM WITH INCREASES IN THE EFFICIENCY OF SERVICE DELIVERY


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PROGRAMME 1: ADMINISTRATION

FUNDING FOR MINISTERIAL OFFICE AND MANAGEMENT

LEGISLATION COMMUNICATION STRATEGIC PLANNING HEALTH FINANCE


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LEGISLATION

IMPLEMENTATION OF THE NATIONAL HEALTH BILL ONCE ENACTED WITH REGULATIONS

PASSAGE AND IMPLEMENTATION OF THE TRADITIONAL HEALERS BILL

FINALISATION OF: NURSING BILL; TOBACCO PRODUCTS CONTROL AMENDMENT BILL; HEALTH PROFESSIONS AMENDMENT BILL; DENTAL TECHNICIANS AMENDMENT BILL; PHARMACY AMENDMENT BILL; ETC


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COMMUNICATION

STRENGTHEN COMMUNICATION STRATEGY TO IMPROVE FLOW OF INFORMATION WITHIN THE HEALTH SYSTEM AND BETWEEN THE HEALTH SYSTEM AND STAKEHOLDERS

BRIEFINGS, MEETINGS, ARTICLES, RADIO, TV


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STRATEGIC PLANNING

SUPPORT PROVINCIAL STRATEGIC PLANNING PROCESSES (3 AND 10 YEAR PLANS)

FACILITATE CLOSER LINKAGE BETWEEN PLANNING AND BUDGETTING PROCESS

COLLATE AND REPORT ON PROGRESS ON DELIVERY ON A QUARTERLY BASIS


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HEALTH FINANCING

COST PACKAGES OF CARE FOR EACH LEVEL OF CARE

REPORT ON INTER-PROVINCIAL EQUITY IN RESOURCE ALLOCATION

ASSIST PROVINCES TO ESTABLISH MECHANISMS FOR REVENUE GENERATION

DEVELOP & IMPLEMENT SOCIAL HEALTH INSURANCE PROPOSALS


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PROG 2: STRATEGIC HEALTH PROGRAMMES: DISTRICTS & DEVELOPMENT

FACILITATE FUNCTIONAL INTEGRATION IN EACH HEALTH DISTRICT

DEVELOP STRATEGIES TO IMPROVE SERVICE DELIVERY IN RURAL & URBAN NODES


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IHL

STRENGTHEN EXISTING & EXPAND BILATERNAL & MULTI-LATERAL RELATIONS WITH KEY PARTNERS

STRENGTHEN EXISTING & EXPAND MULTI-LATERAL RELATIONS

STRENGTHEN DONOR CO-ORDINATION


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HEALTH MONITORING & EVALUATION

STRENGHTEN THE NATIONAL HEALTH INFORMATION SYSTEM

STRENGTHEN THE HEALTH BROADCAST CHANNEL

CO-ORDINATE, SUPPORT & CONDUCT RESEARCH, MONITORING AND EVALUATION ACTIVITIES

STRENGTHEN THE DISEASE SURVEILLANCE SYSTEM


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MATERNAL, CHILD & WOMEN’S HEALTH & NUTRITION

REDUCE INFANT, CHILD & YOUTH MORBIDITY & MORTALITY

IMPROVE YOUTH & ADOLESCENT HEALTH

REDUCE MATERNAL MORBIDITY & MORTALITY

IMPROVE SCHOOL HEALTH SERVICES


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MENTAL HEALTH

STRENGTHEN INTEGRATION OF MENTAL HEALTH SERVICES INTO HEALTH SERVICES

IMPLEMENT STRATEGIES TO REDUCE SUBSTANCE ABUSE

IMPLEMENT THE MENTAL HEALTH CARE ACT IMPROVE QUALITY OF CARE IN MENTAL

HEALTH SERVICES


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HIV & AIDS

IMPROVE STRATEGIES TO DEAL WITH THE HIV AND AIDS EPIDEMIC SUCH AS:– INCREASE VCT– INCREASE CONDOM USE– INCREASE FACILITIES OFFERING PMTCT– IMPLEMENT THE COMPREHENSIVE PLAN

EFFECTIVE USE & MANAGEMENT OF CONDITIONAL GRANTS


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TB

ASSIST DISTRICTS TO DEVELOP SUPERVISION & MONITORING SYSTEMS FOR COMMUNITY DOTS

ENSURE IMPLEMENTATION OF DOTS STRATEY IN ALL DISTRICTS & IMPROVE THE QUALITY OF DOTS

ENSURE GOOD QUALITY TB LABORATORY SERVICES

SUPPORT PROVINCES TO DEVELOP PLANS TO REDUCE TREATMENT INTERRUPTION


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QUALITY OF CARE

IMPLEMENT STRATEGIES TO IMPROVE QUALITY OF CARE

– STRENGTHEN NATIONAL COMPLAINTS SYSTEM– DEVELOP NORMS & STANDARDS FOR EACH LEVEL

OF CARE FOR THE PUBLIC– DEVELOP SAQA ACCREDITED COURSE ON QA– DEVELOP STANDARDS FOR REGIONAL HOSPITALS


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PHARMACEUTICAL POLICY & PLANNING

IMPLEMENT STRATEGIES TO IMPROVE PHARMACEUTICAL PROCUREMENT, MANAGEMENT & USE

IMPLEMENT STRATEGIES TO STRENGTHEN FOOD CONTROL


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MEDICINES REGULATORY AUTHORITY

STRENGTHEN MECHANISMS TO ENSURE SAFETY OF MEDICINES SUCH AS:– IMPROVE REGISTRATION SYSTEM– DEVELOP CENTRE FOR EXCELLENCE FOR

GOOD MANUFACTURING PRACTICE FOR SADC & NEPAD


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PROGRAMME 3: HEALTH SERVICE DELIVERY

DISEASE PREVENTION & CONTROL

PREVENTION & CONTROL OF COMMUNICABLE DISEASES

EXPAND THE CATARACT SURGERY PROJECT

ELIMINATE BACKLOG IN ASSISTIVE DEVICES

EXPAND SERVICES IN NON-COMMUNICABLE CHRONIC DISEASES


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DISEASE PREVENTION & CONTROL

STRENGTHEN PREVENTION OF INTENTIONAL & UNINTENTIONAL INJURIES

IMPROVE & EXPAND SUPPORT SERVICES SUCH AS BLOOD TRANSFUSION, LABORATORIES, SAPS MORTUARIES

IMPLEMENT WATER FLUORIDATION IMPLEMENT THE NATIONAL ORAL HEALTH

STRATEGY


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HOSPITALS SERVICES & EMS

IMPLEMENT GUIDELINES FOR IMPROVED HOSPITAL PERFORMANCE

PLANNING & DESIGN GUIDELINES ADOPTED

AUTHORITY DELEGATED TO HOSPITAL MANAGERS

FACILITY & EQUIPMENT MAINTENANCE SYSTEMS IN PLACE


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HOSPITALS SERVICES & EMS

HEALTH TECHNOLOGY POLICY ADOPTED

EMS SERVICES IMPROVED DISASTER MANAGEMENT STRATEGIES

STRENGTHENED CONDITIONAL GRANTS FULLY &

APPROPRIATELY USED


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HUMAN RESOURCES

DEVELOP & IMPLEMENT STRATEGIES TO STRENGTHEN HUMAN RESOURCES FOR HEALTH, INCLUDING:– DEVELOP NATIONAL HR NORMS– STRENGTHEN HR PLANNING AT DISTRICT

LEVEL– STRENGTHEN HR PLANNING AT PROVINCIAL

LEVEL


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HUMAN RESOURCES

SCOPES OF PRACTICE FOR MID LEVEL WORKERS

IMPLEMENT EXPANDED CHW PROGRAMME ESTABLISH COUNCIL FOR TRADITIONAL

HEALTH PRACTITIONERS MONITOR AND REPORT ON NATIONAL

RECRUITMENT & RETENTION STRATEGY IMPLEMENT COMMUNITY SERVICE FOR

NURSES


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NON-PERSONAL HEALTH SERVICES

IMPROVE ENVIRONMENTAL HEALTH SERVICES

EXPAND OCCUPATIONAL HEALTH SERVICES

EXPAND HEALTH PROMOTION SERVICES (HEALTH PROMOTING SCHOOLS; PRIORITY HEALTH PROMOTION CAMPAIGNS)


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HEALTH & WELFARE BARGAINING COUNCIL & INDUSTRIAL RELATIONS

IMPROVE MANAGEMENT OF EMPLOYEE RELATIONS

IMPROVE EMPLOYMENT EQUITY IMPROVE WORKING CONDITIONS OF

EMPLOYEES


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BUDGET SLIDES

GO TO EXCEL


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CONCLUSION: MINISTER’S COMMITTMENT

“AS WE ENTER THE SECOND DECADE OF OUR FREEDOM AND DEMOCRACY WE WILL PROVIDE THE LEADERSHIP NECESSARY TO DELIVER ON THIS STRATEGIC PLAN SO THAT ALL THOSE WHO LIVE IN SOUTH AFRICA WILL HAVE ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE”

presentation of national department of health strategic plan, 2004/05

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