NORTHERN PROVINCE
PRESENTATION TO THE NATIONAL PORTFOLIO
COMMITTEE ON HEALTH
14 May 2002
9:00 – 10:00
1
Contents:
Introduction
Expenditure Trends: 1999/00 – 2004/05
Expenditure Trends: 2001/02 – 2004/05
Achievements on Strategic Service Areas
Priorities for the 2002/03 Financial Year
2
DEMOGRAPHY
TOTAL POPULATION = 5.8 Million (DWAF, CWSS
POPULATION DISTRIBUTION
Study, 2000)
EC NP
15.5% 12.1% 89% OF THE POPULATION LIVE IN RURAL AREAS.
WC 54.3% 0F THE POPULATION ARE WOMEN
9.7%
36.9% 0F THE POPULATION AGED
GP
NC LITERACY RATE FOR 20 YRS & OLDER PEOPLE
18.1%
8.3%
WAS 63.1 % IN 1996
MP 46% UNEMPLOYMENT RATE
6.9%
FS GDP CONTRIBUTION = 4.2 % IN 1996
KZN NC 6.5%
20.7% 2.1% 6 DISTRICTS
44 HOSPITALS & 477 CLINICS
3
HEALTH STATUS INDICATORS
MORTALITY RATES
INFANT MORTALITY RATE DECREASED FROM 57 IN 1994 TO 37.2 PER 1 000 LIVE BIRTHS IN 2001
UNDER FIVE MORTALITY RATE DECREASED FROM 83 IN 1994 TO 53 PER 1 000 LIVE BIRTHS IN 2001
MATERNAL MORTALITY RATE = DROPPED FROM 53 TO 30 PER 100 000 LIVE BIRTHS IN SAME PERIOD
HIV PREVALENCE RATE INCREASED FROM 3.04 % IN 1994 TO 13.2 % IN 2001
MORBIDITY RATES
REPORTED CASES OF TB = 40 PER 100 000 POPULATION
REPORTED CASES OF MALARIA=65 PER 100 000 POPULATION
REPORTED CASES OF TYPHOID = 1.7 PER 100 000 POPULATION
REPORTED CASES OF MEASLES= 5.6 PER 100 000 POPULATION
REPORTED CASES OF VIRAL HEPATITIS= 2.7 PER 100 000 POPULATION
NUTRITIONAL STATUS
WASTING = CHANGED FROM 3.8 IN 1994 TO 7.5 IN 2001
STUNTING = CHANGED FROM 34.2 IN 1994 TO 23.1 % IN 2001
UNDER WEIGHT INCREASED FROM 10.4 TO 15.0 IN THE SAME PERIOD
IMMUNISATIN COVERAGE INCRESED FROM 50 % IN 1994 TO 60 % IN 2001.
4
VISION
“A CARING AND DEVELOPMENTAL HEALTH AND
WELFARE SYSTEM WHICH PROMOTES WELL
BEING, SELF RELIANCE AND A HUMAN SOCIETY
IN WHICH ALL PEOPLE IN THE NORTHERN
PROVINCE HAVE ACCESS TO AFFORDABLE AND
GOOD QUALITY SERVICES!”
5
MISSION STATEMENT
‘THE DEPARTMENT IS COMMITTED TO PROVIDING
COMPREHENSIVE, INTEGRATED AND EQUITABLE
HEALTH AND WELFARE SERVICES WHICH ARE
SUSTAINABLE, COST EFFECTIVE AND FOCUS ON
THE DEVELOPMENT OF HUMAN POTENTIAL IN
PARTNERSHIP WITH RELEVANT
STAKEHOLDERS’
6
Core Functions
· Provide Regional and Specialised hospital services & Academic Health
Services
· Render and co-ordinate Medical Emergency Services
· Render Medico-legal services.
· Quality control of all health services and facilities.
· Formulate and implement provincial health policies, norms, standards and
legislation.
· Develop & Manage District Health Services
· Provide technical and logistical support to health districts.
· Render specific provincial services programmes, e.g. TB programme.
· Provide non-personal health services.
· Provide and maintain Health Care Technologies.
• Research on, monitor and evaluate health services/programmes.
7
Strategic Priorities
• TB/STD/HIV/AIDS & other Ccommunicable diseases
• Maternal, Child, Women, Youth & Adolescence Health
• Integrated Poverty Alleviation
• Health Promotion
• District Health Development & Primary Health Care
• Hospital Revitalisation
• Health Planning, Logistics & Support Services
• Quality of Care
• Mental, Chronic, Disabilities & Geriatric Health
• Communication, Collaboration & Community Participation.
• Development of a Medical School
8
Summary of Expenditure & Estimates 1999 - 2004/05
Programme 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05
Actual Actual Est.. actual Voted MTEF MTEF
Health Admin 127,810 170,337 191,581 189,477 195,450 201,733
District Health 1,249,439 1,392,991 1,476,902 1,596,526 1,728,813 1,885,011
Reg. & Special. 514,152 600,209 631,042 655,618 687,172 741,580
Hospitals
Health Sciences 58,896 73,617 98,310 107,360 118,026 138,914
Health Care Support 141,273 165,190 168,428 178,370 189,410 201,476
Health Facilities 128,944 163,516 125,638 186,072 190,212 225,701
Total 2,220,514 2,565,860 2,718,901 2,913,422 3,109,083 3,394,415
9
Summary of Expenditure & Estimates by Std Items 1999 – 2004/05
Standard Item 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05
Personnel Expenditure 1,505,003 1,626,285 1,698,956 1,876,366 2,048,436 2,186,935
Administrative Expendit. 55,797 88,062 1 03,246 110,011 111,401 154,169
Stores & Livestock 251,488 283,467 295,263 312,230 325,420 378,572
Equipment Current 31,435 35,635 43,855 44,340 37,093 40,079
Equipment Capital 10,690 76,990 100,442 74,596 74,014 69,159
Land & Buildings: Current 8,000 8,404 8,640 9,332
Profess. & Special Serv: Cur 159,612 199,268 211,221 229,272 236,435 249,036
Prof. & Special Serv: Capt 127,736 150,860 140,638 152,072 156,212 191,701
Transfer Payment: Current 54,294 91,549 113,848 106,000 108,000 112,000
Transfer Payment: Capital 1,208
Miscellaneous 23,272 13,778 3,432 3,131 3,432 3,432
Total Current 2,080,904 2,338,044 2,477,821 2,689,754 2,878,857 3,133,555
Total Capital 227,850 241,080 223,668 230,226 260, 860
139,634
Total Standard Items 2,220,538 2,565,894 2,718,901 2, 913,422 3,109,083 3,394,415
10
Equitable Share & Conditional Grants
Revenue 99/00 2000/01 2001/02 2002/03 2003/04 2004/05
Actual Actual Est. Actual Voted MTEF MTEF
R’000
Equitable
Share 1,955,739 2,287,474 2,384,551 2,573,075 2,758,705 2,993,881
Conditional 264,775 278,386 334,350 309,627 350,373 400,534
Grants
Total
Revenue 2,220,514 2,565,860 2,718,901 2,913,422 3,109,083 3,394,415
11
Departmental Revenue Collection 1999 – 2004/05
Revenue 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05
R’000 Actual Actual Est. Actual Voted MTEF MTEF
Revenue
Current - - - - - -
Non-Tax
Revenue 35,357 63,742 48,200 51,257 54,429 58,100
Capital
Revenue - - - - - -
Total
Revenue 35,357 63,742 48,200 51,257 54,429 58,100
12
Personnel v/s Non-Personnel Expenditure Trends
Item 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05
Pers. Exp. 1,505,003 1,626,285 1,698,956 1,876366 2,048,436 2,186,935
Non - PE 450,736 661,189 685,596 696,709 710,269 806,946
Cond. GNTS 264, 775 278,386 334,350 309,627 350,373 400,534
TOTAL 2,220,514 2,565,860 2,718,901 2,913,422 3,109,083 3,394,415
Non-Personnel Expenditure for service delivery items has been declining
in real terms whilst nominal increase has been below inflation rate.
Nominal growth of Non-PE between 2000/01 and 2001/02 was 3.70 %
Nominal growth of Non – PE between 2001/02 and 2002/03 was 1.62 %
Nominal growth of Non – PE between 2002/03 and 2003/04 is 1.95 %
13
Fiscal Equity Issues
The Budget for PHC: increased from 49.2 % in 1996/97 to
54.3 % in 2001/02
Population served by Public Sector:
• By 1999, NP had 92.4 % people without Medical Aids Cover.
Per capita Health Expenditure:
• NP showed an average decline of – 15.7% from 1996 – 1999/00
• NP is the second lowest.. By 1999, NP had R483/person, which was about half
of Gauteng’s R913/person (SA Health Review, 2000)
• By 1997, NP was spending R24/person on medicines compared to the
National average of R42/person & currently NP spends
R35.60/person which = 3 times less than that of Gauteng.
14
Fiscal Equity Issues
Percentage Growth of the Health Budget:
• Has been consistently lower than National norm
• The department gets 16 % of the Social Cluster Budget compared to
Education’s 44 %
• 16% is inflated as it includes Capital Works & is less than 19% national average
• The Budget shows nominal increases while in real terms it is
declining as the bulk goes to Personnel Expenditure which
increased from 53.59 % in 1995/96 to 64.62 in 2001/02 while actual staff
Numbers are declining (from 24085 in 1998/99 to 23 310 in 2001/02)
• The Actual growth is experienced in Conditional Grants.
• Equity within NP and between Provinces still need to
improve as demonstrated by the above Tables & notes.
15
SUMMARY OF BUDGET AND EXPENDITURE PER
PROGRAMME FOR 2001/02 TO 2004/05
PROGRAMME BUDGET EXPENDITURE VARIANCES BUDGET BUDGET BUDGET
FOR FOR FOR FOR FOR FOR
2001/02 2001/02 2001/02 2002/03 2003/04 2004/05
1 2 3 4 5 7 8
EXPENDITURE R'000 R'000 R'000 R'000 R'000 R'000
1. HEALTH ADMIN. 172,682 153,148 19,534 189,477 195,450 201,733
2. DISTRICT HEALTH SERV. 1,480,801 1,460,487 20,314 1,596,525 1,728,813 1,885,011
3. REG. & SPEC. HOSP 633,855 617,674 16,181 655,618 687,172 741,580
4. HEALTH SCIENCES 95,497 77,064 18,433 107,360 118,026 138,914
5. HEALTH CARE SUPPORT 183,428 176,237 7,191 178,370 189,410 201,476
6. HEALTH FAC, DEV. & M 152,638 179,919 -27,281 186,072 190,212 225,701
TOTAL EXPENDITURE 2,718,901 2,664,529 54,372 2,913,422 3,109,083 3,394,415
16
SUMMARY OF BUDGET AND EXPENDITURE PER
STANDARD ITEM FOR 2001/02 TO 2004/05
STANDARD ITEM BUDGET EXPENDITURE VARIANCES BUDGET BUDGET BUDGET
FOR FOR FOR FOR FOR FOR
2001/02 2001/02 2001/02 2002/03 2003/04 2004/05
1 2 3 4 5 7 8
EXPENDITURE R'000 R'000 R'000 R'000 R'000 R'000
1. PERSONNEL EXP. 1,719,530 1,737,623 -18,093 1,876,363 2,048,436 2,186,935
2. ADMINISTRATIVE 110,000 95,040 14,960 110,011 111,401 154,169
3. STORES & LIVESTOCK 296,900 273,619 23,281 312,230 325,420 378,572
4. EQUIPMENT 116,312 67,804 48,508 115,936 111,107 109,238
5. LAND & BUILDINGS 8,500 6,475 2,025 8,404 8,640 9,332
6. PROFESSIONAL SER 341,622 390,473 -48,851 381,344 392,647 440,737
7. TRANSFER PAY 124,657 92,578 32,079 106,000 108,000 112,000
8. MISCELLANEOUS 1,380 917 463 3,131 3,432 3,432
TOTAL EXPENDITURE 2,718,901 2,664,529 54,372 2,913,422 3,109,083 3,394,415 17
REVENUE ESTIMATES
BUDGET COLLECTED VARIANCES BUDGET BUDGET BUDGET
FOR FOR FOR FOR FOR FOR
DISCRIPTIONS 2001/02 2001/02 2001/02 2002/03 2003/04 2004/05
1 2 3 4 5 6 7
EXPENDITURE R'000 R'000 R'000 R'000 R'000 R'000
1. HOSPITAL FEES 42,209 41,787 -422 40,492 42,910 46,317
2. OTHER SOURCES 15,000 16,235 1,235 10,765 11,219 11,783
TOTAL REVENUE 57,209 58,022 813 51,257 54,129 58,100
18
CONDITIONAL GRANTS
BUDGET EXPENDITURE VARIANCES BUDGET BUDGET BUDGET
FOR FOR FOR FOR FOR FOR
DISCRIPTIONS 2001/02 2001/02 2001/02 2002/03 2003/04 2004/05
1 2 3 4 5 6 7
EXPENDITURE R'000 R'000 R'000 R'000 R'000 R'000
1. Intergrated Nutrition Prog 124,331 103,539 20,792 106,032 106,032 112,394
2. Redistributive Grant 79,008 50,250 28,758 44,838 45,116 45,545
3. Training and Research 33,551 23,483 10,068 34,113 41,827 58,041
4. Hospital Rehabilitation Grant 88,000 82,179 5,821 92,000 96,140 101,908
5. HIV/AIDS 7,458 2,275 5,183 15,371 28,228 43,050
6. Improv. Financial Management 4,000 2,882 1,118 9,000 12,000 12,720
TOTAL EXPENDITURE 336,348 264,608 71,740 301,354 329,343 373,658
19
Expenditure Variances Analysis for 2001/02
Programme 1: Health Admin
Savings of R19,534m accrued from Austerity Measures placed on Non-
Personnel & a moratorium on Appointment of Staff aimed at bailing out
projected over-expenditure in Personnel Expenditure.
Programme 2: District Health & PHC
Saving of R20,314m is due to late transfer of rollovers of Cond. Grants (CGs) &
unspent Cond. Grants resulting from failure to get Tenders out in time for
delivery of goods & payment before the end of the Financial Year (FY).
20
Expenditure Variances Analysis for 2001/02
Programme 3: Regional & Specialised Hospitals:
Saving of R16,181m is due to late transfer of rollovers of Cond. Grants (CGs) &
unspent budgets resulting from failure to get Tenders out in time for delivery
of goods & payment before the end of the Financial Year (FY).
Programme 4: Health Sciences Services
Saving of R18,433m is due to late transfer of rollovers of Prof. Training &
research Grant & unspent budgets resulting from failure to get Tenders out
in time for delivery of goods & payment before the end of the Financial Year
(FY).
21
Expenditure Variances Analysis for 2001/02
Programme 5: Health Care Support Services
Savings of R7,191m accrued due to the Tender Board failing to approve
Specifications for the EMS Vehicles. The Tender will now be re-advertised.
Programme 6: Health Facilities Development & Maintenance
An over-expenditure of R27,281m occurred as a result of a process whereby
the Provincial Treasury suspended an allocation of R27,404m from the budget
earmarked for Professional Services under this progreamme in order to ‘bail
out’ budget pressures elsewhere in the province.
22
Expenditure Variances Analysis for 2001/02
Revenue Collection:
There is an under-collection (variance) of R422m in Patient Fees compared to a set
target of R42,209m. The under-collection is related to late payment by Health Funders
for private Patients & MVA Claims as the private patients are the main pool of UPFS (New
Hospital Tariffs). Other fees showed a variance of R1,235m as they are from sources
which the department is able to control.
Conditional Grants: Saving accrued in all CGs are mainly due to:
Late arrival and delayed access to Conditional Grants.
Delays in Tender Processes especially Public Works Department & Tender
Board delays in approving Specifications and Contracts.
Delays lead to purchase orders being released late thus delaying delivery &
payments of goods and services received before the end of FY in March.
23
Service Implications for the 2002/03 Budget
HR Mx: there is a R117m shortfall & this will limit the filling of critical Posts
DHS: has a R190m short fall; limiting improvement of security at clinics
EMS: has a R61m shortfall; limiting purchase of EMS Vehicles & Expnasion of
New Stations to Rural Districts.
Hospital Revitalisation & Clinic Upgrading: Almost no Funds for
New Projects
Pharmaceuticals: possibility of over-spending due to Opportunistic
Infections related to HIV/AIDS & hiking prices of medicines
Revenue Collection: need to strengthen PPP to attract Private Patients
& effective management of Debtors Book.
24
Achievements on Strategic Service Areas
Programme 1: Health Administration
Draft HR, Master Fraud Prevention & Vehicle Replacement Plans are in place.
Cost Centre Responsibility Managers have HR & Financial Delegations
Policies are being finalised for 8 identified areas
Compliance with EEA: have achieved ratios of male/female of 70/30 at Sen. Mx.;
58/42 at Mid. Mx.; 23/77 at Supervisory and 42/58 at lower levels.
Constraints/challenges: Need more funding for:
R120m for Filling critical Posts- Clinics & Hospitals (approved posts = 37 906 & 61 % filed)
R20m for Rank & Leg Promotions
Creation of incentives for retaining Staff in Limpopo.
Training & retention of PHC Nurses, Doctors & Allied Health Professionals.
25
Achievements on Strategic Service Areas
Programme 2: District Health Services & PHC
Devolution: Consultation taking place with LG, DoH & other stakeholders.
6 Health District have aligned their boundaries with those of the District Councils.
The Budget for PHC: increased from 49.2 % in 1996/97 to 54.3 % in 2001/02
Number of clinics has increased from 302 to 477; 160 clinics have been
upgraded & 183 clinics offer 24 hour service while the rest offer 8 – 12 hours.
Clinics are being designated as Cost Centres to improve efficiency in care
TB Cure Rates have increased from 33 % in ‘94 to 57 % in 2001
TB Treatment Failure Rate has decreased from 5 % in ’94 to 1.1 % in 2001
Routine Immunisation Coverage increased from 50 % in ’94 to 60 % in 2001
Immunisation Campaigns: Polio = 91% ; Measles = 100% in 2001
28 Institutions are doing TOP & 4 447 TOPs were done from 1997 – 2001
127 Clinics are implementing IMCI & 510 Nurses trained in IMCI Policy
26
Achievements on Strategic Service Areas
HIV/AIDS: a Full Directorate has been established.
A Provincial AIDS Council has been formed; Districts are finalising theirs.
Lessons are being learnt from the 2 PMTCT Pilot Sites for future planning
A Draft PMTCT Expansion Plan is under consideration by Management
Have hosted the Ministerial Meeting to brief NP about recent Cabinet Decision
on HIV/AIDS. Superintendents , Matrons & District Managers benefited from these inputs
About 8 million Condoms were distributed in 2001/02
Funding is discussed under Budget trends and Statistics are shown at
the back
27
PMTCT Data from August 2001 to March 2002
For both Mankweng & Siloam Pilot Sites:
Of the 7 047 Women who attended PMTCT Clinics, 3 273 (46 %)
consented to Volnt. Counselling & 1 489 (45 %) did Voluntary Testing
290 (19%) tested positive; 1 196 (80 %) tested negative
1 196 had post – counselling; 72 Mothers received Nevirapine;
Number of Live Births was 432 ; 75 babies were given Nevirapine
42 mothers excluded breastfeeding and 45 excluded Formula
Feeding.
28
Achievements on Strategic Service Areas
Impact of Nutrition Conditional Grant:
PSNP is accessed by 2 649 Schools & 1.17 million children are
benefiting from feeding schemes.
121 Poverty Alleviation Projects have been established
Challenges/Constraints:
Critical posts for Clinics to be filled & Devolution of services
R89m needed to improve Security Services at Clinics.
Transport for PHC Services
29
Achievements on Strategic Service Areas
Programme 3: Regional & Specialised Hospitals:
A Hospital Revitalisation Plan is being implemented to: decentralise
hospital management & improve quality of care
Hospital CEOs are being appointed. Community Service Health
Professionals are improving access to services
HIS: 38 Hospital have live Unicare Hosp. Information System
PPP: 6 Regional Hospital & few district hospital are ready to admit Private
Patients
RECONSTRUCTION AND REHABILITATION GRANT
424 projects to the value of R70,4m have been completed.
30
Achievements on Strategic Service Areas
Training & Research Grant:
Skills of Health Professionals are being developed
Research Projects are being initiated on various health issues
Redistribution of Specialised Services Grant:
Development of Tertiary Services is going well
HPCSA has accredited the Tertiary Complex for training of some specialities
Referrals of patients to Gauteng has decreased by 50 %.
Constraints/Challenges:
R42.2m needed to address Capital Works Backlogs
Need to focus on improving Quality of Services & Health Technology
Management
31
Achievements on Strategic Service Areas
Programme 4: Health Science Services
A full Nursing Directorate has been established to oversee quality of services
Former homelands Nursing Colleges have been rationalised into one.
A NP College of EMS has been established for training Emergency Care Staff
60 more new Ambulances, 11 Rescue Vehicles and 6 Response Cars have
been purchased in 2001/02.
Constraints/Challenges:
Decentralisation of PHC Traininf from HSDU to other Districts
Decentralisation of EMS Stations to Rural Sub-districts
Find a solution to poor management of EMS Fleet.
32
Achievements on Strategic Service Areas
Programme 5: Health Care Support Services
Procurement & distribution of medicines has been out-sourced.
Distribution by a central Depot ensures 95 % medicines availability at
hospitals.
Presence of Community Service Professionals improve access to
services.
Constraints/Challenges:
Low Per Capita spending on Medicines.
Increased utilisation of medicines for HIV Opportunistic Infections.
Recruitment & retention of Allied Health Professionals
Slow process for Rationalisatipn of Laboratory Services into the
National Laboratory Organogram.
33
Achievements on Strategic Service Areas
Programme 6: Health Facilities Development
424 Hospital projects have been completed.
160 Clinics have been upgraded
Constraints/Challenges:
A backlog of 132 Clinics that need upgrading at 20 Clinics costing
about R42m per year.
Completion of Phase II of Hospital Capital Projects
34
HIV PREVALENCE FROM 1990-2000
NORTHERN PROVINCE VERSUS NATIONAL HIV PREVALENCE
25
22.8 23.5
22.4
20
16.01
PREVALENCE
15 14.17
13.2
11.4 11.43
10 10.44
7.57 7.96 8.2
4.25
5 2.56 4.89
0.76 1.35 4.1 3.04
2.42
0 0.53 0.55
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
YEARS
N PROV NAT IONAL 35
ANNUAL ANTENATAL HIV
SEROPREVALENCE SURVEY RESULTS
1998 vs 1999 Provincial HIV Prevalences
35 32.5
32.5
30
30 27.3 27.9
23.9
25 22.5 22.8 22.8
22.4
21.3
% P re v a l e nc e
20 18 18
1998
1999
15
11.5
11.4
9.910.1
10 7.1
5.2 5.9
5
0
FS
C
AL
P
W
C
EC
ZN
P
GP
N
M
W
N
N
N
K
IO
AT
N
36
Provinces
ANNUAL ANTENATAL HIV
SEROPREVALENCE SURVEY RESULTS
2000 HIV/SYPHILIS SEROPREVALENCE SURVEY RESULTS BY REGION
20
17.5
18 16.3 15.9
16 14.3
14 13.2
% PREVALENCE
11.9
12 10.3 10.3
10
8
6
4
2
0
E
D
RN
RN
RN
CE
LD
L
DG
EL
RA
HE
HE
VE
TE
IN
V
RI
NT
OV
ES
SH
RT
UT
W
CK
CE
LO
PR
W
NO
SO
BU
BU
SH
BU
37
REGIONS
ANNUAL ANTENATAL HIV
SEROPREVALENCE SURVEY RESULTS
1999 VS 2000 HIV PREVALENCE
16
13.7 13.6
14
12.6
12 11.2 11.3
10.5
% PREVALENCE
10 9.1
8
5.6
6
4
2
0
NO EDUCATION GRADE 1-7 TGRADE 8-12 TERTIARY
1999 2000 38
ANNUAL ANTENATAL HIV SEROPREVALENCE SURVEY
RESULTS
1999 vs 2000 HIV PREVALNCE BY REGION
20
17.3
18
16 16.1 16 15.9
16 14.3 14.3
14 13.2
% PREVALENCE
11.9 11.4
12 11
10.3 10.2
9.6 1999
10 9
2000
8 7
6
4
2
0
E
D
RN
RN
RN
CE
LD
L
DG
EL
RA
HE
HE
VE
TE
IN
V
RI
NT
OV
ES
SH
RT
UT
W
CK
CE
LO
PR
W
NO
SO
BU
BU
SH
39
BU
REGIONS
TERMINATION OF PREGNANCY
SERVICES
2500
2000 1924 1843
1500
929
1000
500 419
0
1997 1998 1999 2000
40
TOP 5 PREVALENT DISEASES
5000
4573
4500
4000
3500 3139
3000
2500
2000
1500
1000
352
500 96 113
0
A
IS
OD
S
S
RI
LE
SI
IT
I
LA
AS
LO
PH
AT
MA
ME
CU
EP
TY
H
ER
AL
B
R
TU
VI
41
Priorities for 2002/03: Program. 1
Planned Activities Targets & Time Frames Budget
1. Identification of Policies needing Review Complete Five Policies by the
& Development end of 2002
2. Implementation of HR Skills Audits Complete by June 2002 2m
3. Implementation of Fleet Audits Complete by June 2002 15m
4. Development of Procurement Guidelines To be completed August 2002
Implement Computirised Assets Mx. To be completed by July 2002 1m
Implementation of UPFS Tariffs Cover all Facilities by end F Y
Development of Standards for Customer Publish Standards by July 0,5m
Care 2002
42
Priorities for 2002/03: Program. 2
Planned Activities Targets & Time Frames Budget
1. Implementation of HIV/AIDS/STIs/TB Reach 100% of targeted 25m
Public Awareness Campaigns communities by the end of 2002
2. Expansion of PMTCT to Reg. Hospitals Complete rollout by March 2003
3. Implementation of MCWH All clinics to offer MCWH & 10 303,000
more Dist. Hosps. To offer TOP
4. Strengthening of Health Promotion 30 HP Campaigns by end of 2002 0,5m
5. Increase Clinics offering 24 hour 200 Clinics to offer 24 h service 202m
Service by March 2003
6. Review & Development of DHS Complete Devolution Guidelines 50,000
Devolution Guidelines by end of October 2002
7. Expansion of EMS to Rural Districts Establish 3 extra EMS Stations 39m
43
Priorities for 2002/03: Program. 3
Planned Activities Targets & Time Frames Budget
1. Development of Infrastructure to Complete Phase II of capital
improve access to services Works by the end of 2002/03
2. Implementation of a Referral 20 % reduction of district hospital
System at all levels of care patients at Reg. Hosps. End of 2002
3. Improvement of Quality of Care 50 % reduction of referrals to
Gauteng; reduction of Waiting
Period to 3 Hours Hospitals. End FY
4. Adoption of 2 Hospitals as Best Mx. Province to support the 2 100,000
Practice Models for province Hospitals throughout 2002/03
5. Finalise Appointment of Hosp. CEOs Complete process by August 2002
6. Improvement of Health Technology Complete development of
Management in the Province Provincial HT Guidelines by end FY
44
Priorities for 2002/03: Program. 4
Planned Activities Targets & Time Frames Budget
1. Provision of adequate Nursing Human Curriculum Documents for Level 1 52m
Resources to address the needs Study to implemented by March
2003.
Fully utilise the capacity of the
Nursing College by end of 2002
2. Increase of EMS Practitioners 72 candidates to successfully 4.5m
complete training by March 2003
45
Priorities for 2002/03: Program. 5
Planned Activities Targets & Time Frames Budget
1. Implementation of Mechanisms to Availability of EDLs to be as 177m
ensure adequate availability of follows: at Central Warehouse =
Medicines at all Facilities at all times 95 %; Hospitals = 95 % & Clinics
= 95 % by March 2003
2. Preparations for Community Service for All identified Health Facilities to
Allied Health Professionals be ready for deployment of
Community Service Personnel
by December 2002.
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Priorities for 2002/03: Program. 6
Planned Activities Targets & Time Frames Budget
1. Implementation of Clinic Upgrading 20 clinics to be upgraded by 40m
Plan March 2003
2. Provision of reliable and quality water 40 clinics to have water
and electricity supply to clinics supply and 65 clinics to be
electrified by March 2003
3. Completion of Capital Works projects Phase II Projects to be 112m
completed by March 2003
4. Implementation of Facilities All facilities to be maintained 34m
Maintenance Policy by end of 2002/03
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Requested v/s Actual Allocated Budget For
2002/03 Financial Year
BUDGET ITEM 2001/02 2002/03 2002/03 2002/03
ADJUSTED REQUESTED ALLOCATED VARIANCE
R’000 R’000 R’000 R’000
Personnel R1,666,809 R1,993,002 R1,876,366 R - 116,636
Cond. Grant R0 R0 R6,400 R6,400
Equitable R1,666,809 R1,993,002 R1,869,966 R – 123,036
Non-Person. R1,065,794 R1,258,750 R1,037757 R – 220,993
Cond. Grant R336,348 R287,695 R289,954 R2,259
Equitable R729,446 R971,055 R747,803 R – 223,252
Personnel R2,732,603 R3,251,752 R2,914,123 R – 337,629
Cond. Grant R336,348 R 287,695 R296,354 R8,659
Equitable R2,396,255 R2,964,057 R2,617,769 R – 346,288
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THE END
I
Thank
You
49