90 STRATEGIC PLAN 201011-201213

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                                                                                        PRO-
              NHS PRIORITIES            OBJECTIVES
                                                                 EXPECTED               GRAMME                                   BASELINE      TARGET             TARGET             TARGET
SUB-PROGRAMME (10 POINT PLAN            FOR 2010/11-                                                      INDICATORS
                                                                 OUTCOMES               OUTPUTS                                  2009/10       (2010/11)          2011/12            2012/13
              2009-2014)                2012/13

HEALTH FINANCIAL Introduce National     The establishment        An equitably           A National In-    A National Insurance Comprehen- Detailed imple-         Establishment      Implementation of
PLANNING &       Health Insurance       of a National Health     finance health         surance Fund      Fund Established     sive costing mentation             of structures      the NHI system in-
ECONOMICS        (NHI) System           Insurance Fund           system that pro-       Established by                         work for      plan for the         and institutions   cluding population
                                                                 motes the pro-         2012/13                                the National introduction of       of the national,   registration and pilot
                                                                 gressive realisation                                          Health Insur- the a National       provincial and     testing exercise
                                                                 of the right to                                               ance con-     Insurance System     district health
                                                                 health care for all                                           ducted        developed            insurance fund
                                        Investigate and de-      Availability of        DRG Algorithm     DRG Algorithm suit-    None          Options for the    DRG Algorithm      DRG Algorithm for
                                        velop and alternative    a Grouper for          for South Af-     able for use as a                    DRG Algorithm      for the South      the South African
                                        reimbursement struc-     reporting and          rica developed    reporting tool and                   for South Africa   African market     market tested in par-
                                                                                                                                                                                                              STRATEGIC PLAN 2010/11-2012/13




                                        tures for use in the     reimbursement          and tested by     for the reimburse-                   investigated by    developed          allel to the current
                                        implementation of        purposes accept-       2012/13           ment of hospitals                    March 2011                            RPL based fees.
                                        the NHI.                 able to all stake-                       produced
                                                                 holders

                   Provide strategic    Publish a Reference      Improved regula-       Reference Price Reference Price Lists    Publish RPL   Publish RPL 2011 Publish RPL 2012 Publish RPL 2013
                   leadership and       Price Lists for all      tion of                List for medical that guide prices for   2010
                   create a social      healthcare providers     private health sec-    devices pub-     medical services
                   compact for better   in the private health-   tor prices through     lished annually
                   health outcomes      care sector .annually    benchmarking of
                                        within the regulated     tariffs
                                        timelines


                   Overhauling the      Implement a turn         Improved man-          Business Plan  Draft customized          None          Business Plan      Business plan      Report on the Review
                   health care system   around strategy for      agement and            for improving  business plan                           finalised by Janu- implemented in     of the Implementa-
                   and improving its    improving the man-       accountability for     the manage-                                            ary 2011 and ac- all 9 Provinces      tion of the Business
                   management           agement of the ter-      the National Ter-      ment of the                                            cepted by NDoH                        Plan
                                        tiary services           tiary Service Grant    NTSG accepted                                          and Treasury
                                                                 (NTSG)                 by NDoH and
                                                                                        National Trea-
                                                                                        sury by Janu-
                                                                                        ary 2011, and
                                                                                        implemented in
                                                                                        Provinces
                                                                                        NTSG is re-       Grant Schedule of      NTSG is a     NTSG is resched- Assessment and       Assessment and re-
                                                                                        scheduled in      NTSG as per the        schedule 4    uled to Schedule review of per-       view of performance
                                                                                        the Division of   DORA                   grant         5 grant          formance under       under schedule 5
                                                                                        Revenue Act                                                             schedule 5
                                                                                        (DORA)
              NHS PRIORITIES                OBJECTIVES                               PROGRAMME
                                                                   EXPECTED                                                BASELINE           TARGET    TARGET          TARGET
SUB-PROGRAMME (10 POINT PLAN                FOR 2010/11-                             OUTPUTS              INDICATORS
                                                                   OUTCOMES                                                2009/10            (2010/11) 2011/12         2012/13
              2009-2014)                    2012/13
HEALTH FINANCIAL   Overhauling the health   Develop a sustain-     Effective rev-    9 Provinces comply   Number of        National Rev-      National     Revenue      Revenue model
PLANNING &         care system and im-      able revenue model     enue manage-      with a National      Provinces that   enue Model         Revenue      model im-    implemented in
ECONOMICS          proving its manage-      which includes tar-    ment              Revenue Model by     comply with a    not developed      Model de-    plemented    9 Provinces
                   ment                     rifs, collection and                     2012/13              National Rev-    PFMA               veloped      in 7 Prov-
                                            debt management        Increase in                            enue Model                                       inces
                                                                   revenue to aug-                                         National Trea-
                                                                   ment Provincial                                         sury Regula-       Revenue
                                                                   Budgets                                                 tions and Pub-     model im-
                                                                                                                           lic Audit Act in   plemented
                                                                                                                           place              in 3 Prov-
                                                                                                                                              inces
                                                                                                                                                                                         Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                         73
                                                                                                                                                            74


SUB-             NHS                 OBJECTIVES          EXPECTED          PROGRAMME INDICATORS                  BASELINE   TARGET      TARGET    TARGET
PROGRAMME        PRIORITIES          FOR 2010/11-        OUTCOMES          OUTPUTS                               2009/10    (2010/11)   2011/12   2012/13
                 (10 POINT           2012/13
                 PLAN 2009-
                 2014)
PHARMACEUTICAL Accelerate            Management of       Availability of an Adequate stock   Reported % stock       12%       < 5%           0%        0%
PLANNING AND   implementation        procurement and     efficient          levels           outs
MANAGEMENT     of the HIV and        distribution of     procurement        of medicines     out of total
               AIDS and Sexually     medicines and       system for                          number of
               Transmitted           medical related     essential                           Antiretroviral
               Infections and        items on contract   medicines.                          medicines on
               increase focus        (Drug Supply                                            tender (45)
               on TB                 Management).                                            measured
                                                                                                                                                            STRATEGIC PLAN 2010/11-2012/13




                                                                                             in 9 provinces
                 Review of Drug                                                              (405)
                 Policy                                                                      Reported % stock-     21.8%     < 5%%           0%        0%
                                                                                             outs out of
                 Improving the                                                                total number
                 quality of health                                                           of TB medicines
                 services                                                                    on tender (35)
                                                                                             measured in 9
                 Mass                                                                        provinces (315)
                 mobilization for
                 better health for
                 the population
                 NHS PRIORITIES OBJECTIVES                                       PROGRAMME
                                                          EXPECTED                                                              BASELINE   TARGET    TARGET    TARGET
SUB-PROGRAMME    (10 POINT PLAN FOR 2010/11-                                     OUTPUTS                INDICATORS
                                                          OUTCOMES                                                              2009/10    (2010/11) 2011/12   2012/13
                 2009-2014)     2012/13
PHARMACEUTICAL   Improve the quality Review of Stan-      Rational selection     Review of Hospital     % of book reviewed      30%        80%      100%
PLANNING AND     of health services  dard                 and use of essen-      Level STG/EML for
MANAGEMENT                           Treatment Guide-     tial medicines         Paediatrics com-
                                     lines and                                   pleted by 2011/12




                                    Review the Essen- Improved avail-            Hospital                                       30%        80%      100%
                                    tial Medicines Lists ability of Essential    Level STG/EML for
                                                         Medicines for Pri-      Adults completed
                                                         mary level facilities   by 2011/12
                                                         and Hospitals           90% of Tertiary and    % of drugs reviewed                75%      90%        90%
                                                                                 quaternary             out of a total number   0%
                                                                                 EML list               of motivations
                                                                                 compiled by            received
                                                                                 2012/13
                                                                                 60% of PHC             % of book reviewed      0%         0%       10%        60%
                                                                                 STG/EML 5th edi-
                                                                                 tion reviewed by
                                                                                 2012/13
                                    Licensing of prem- Access to safe and 80% of pharmacy               Percentage of phar-   69%          80%      80%        80%
                                    ises for pharma-   effective medicines premises licensed            macy license ap-
                                    cies in terms of                       by 2012/13                   plications finalized
                                    the Pharmacy Act,                                                   out of total number
                                    1974                                                                of applications that
                                                                                                        meet requirements for
                                                                                                        licensing received in
                                                                                                        a quarter, (Compliant
                                                                                                        with legislation)
                                    Licensing of Public                          90% of eligible Au-    Percentage of dispens- 82%         90%      90%        90%
                                    & Private Sector                             thorised prescribers   ing
                                    authorised                                   licensed to dispense   licence applications
                                    prescribers to dis-                          by 2012/13             finalized out of total
                                    pense medicines                                                     number of applica-
                                    in terms of                                                         tions that meet re-
                                    Section 22C of the                                                  quirements for licens-
                                                                                                                                                                         Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13




                                    Medicines and Re-                                                   ing received in
                                    lated Substances                                                    in a quarter. (Compli-
                                    Act, 1965                                                           ant to legislation).
                                                                                                                                                                         75
                                                                                                                                                                                   76


              NHS PRIORI-
              TIES                  OBJECTIVES                           PROGRAMME
                                                 EXPECTED                                                        BASELINE    TARGET    TARGET                TARGET
SUB-PROGRAMME (10 POINT             FOR 2010/11-                         OUTPUTS             INDICATORS
                                                 OUTCOMES                                                        2009/10     (2010/11) 2011/12               2012/13
              PLAN 2009-            2012/13
              2014)
PHARMACEUTICAL   Improving          Inspection in       Access to safe   15% of premises     Percentage of
PLANNING AND     the quality of     terms of legis-     and effective    of                  premises of licensed 0%         5%            10%.              15%
MANAGEMENT       health services.   lation of the       medicines        licensed dispens-   dispensers inspected
                                    premises of                          ing
                                    licensed autho-                      authorised pre-
                                    rised prescribers                    scribers
                                    to determine                         inspected by
                                    compliance                           2012/13
                                                                                                                                                                                   STRATEGIC PLAN 2010/11-2012/13




                                    to legislation
                 Mass mobiliza-     Institutionaliza-   Policy of ATM    Policy on ATM       Signed Policy on    Policy on   Publication   Translation of    Translation of the
                 tion for better    tion of African                      produced and        ATM                 ATM         of ATM        the Policy into   policy into other 5
                 health for the     Traditional                          translated into                                     Policy        5 languages       languages
                 population         Medicine (ATM)                       10 languages by
                                    into the national                    2012/13
                                    Health Care Sys-
                                    tem
            Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13                        77



EXPENDITURE ESTIMATES

TABLE: HEALTH PLANNING AND MONITORING

Subprogramme                                                             Adjusted
                                        Audited outcome              appropriation       Medium-term expenditure
                                                                                               estimate
R million                           2006/07    2007/08    2008/09         2009/10        2010/11       2011/12 2012/13
Health Information Research
and Evaluation                        233.4      251.4      266.4            278.1         304.0         321.0       335.5
Financial Planning and Health
Economics                              27.6       16.0       24.4             62.4          36.4          24.4        25.3
Pharmaceutical Policy and
Planning                               11.9       14.4       13.9             14.9          15.5          17.0        17.6
Office of Standards Compliance
                                       28.4       27.3       37.4             41.1          51.0          63.8        75.8
Total                                 301.3      309.1      342.1           396.4          406.9         426.1       454.2

Change to 2009 Budget estimate                                                39.4          24.1          28.0        36.1



                                                                          Adjusted
                                         Audited outcome              appropriation       Medium-term expenditure
                                                                                                  estimate
R million                           2006/07    2007/08     2008/09         2009/10        2010/11     2011/12 2012/13
Economic classification
Current payments                       68.7       78.3        94.8           105.5          126.0         130.7      145.1
Compensation of employees
                                        38.5       43.2       50.0             56.2          64.6          71.5       80.3
Goods and services
                                        30.2       35.0       44.7             49.4          61.4          59.3       64.9
of which:
Administrative fees
                                         0.0        0.0        0.1              0.2           0.2           0.2        0.3
Advertising
                                         1.3        1.3        1.4              0.9           1.1           1.1        1.3
Assets less than the
capitalisation threshold                 0.6        0.5        0.7              1.2           1.5           1.5        1.8
Bursaries: Employees
                                          –          –           –              0.1           0.1           0.1        0.1
Catering: Departmental activities
                                         0.2        0.2        0.4              0.5           0.7           0.7        0.8
Communication
                                         0.8        0.8        0.9              1.6           2.1           2.1        2.4
Computer services
                                         0.4        2.8        1.8              4.1           5.2           5.2        6.1
Consultants and professional
service: Business and advisory
services                                 8.7       13.0        8.4             10.6          12.6          12.4        9.0
Consultants and professional
service: Laboratory service               –         0.0          –                   –             –             –       –
Consultants and professional
service: Legal costs                      –         0.0        1.0              0.1           0.1           0.1        0.1
Contractors
                                         1.6        0.1        1.6              0.8           1.0           1.0        1.2
Agency and support /
outsourced services                       –          –         4.5              7.3           9.2           7.3        8.8
Entertainment
                                         0.0        0.0        0.0              0.2           0.3           0.3        0.3
Inventory: Materials and
supplies                                 0.0        0.0        0.0              0.1           0.1           0.1        0.1
Inventory: Medical supplies
                                         0.1        0.1          –              0.0           0.1           0.1        0.1
Inventory: Other consumables
                                         0.0        0.0        0.0              0.1           0.2           0.2        0.2
Inventory: Stationery and
printing                                 3.4        2.5        2.4              3.7           4.7           4.7        5.6
Lease payments
                                         0.3        0.3        0.5              0.7           0.8           0.8        1.0
Transport provided:
Departmental activity                    0.0        0.0          –                   –             –             –       –
78   STRATEGIC PLAN 2010/11-2012/13


                                                                        Adjusted
                                        Audited outcome             appropriation   Medium-term expenditure
                                                                                            estimate
 R million                        2006/07    2007/08      2008/09        2009/10    2010/11     2011/12 2012/13

 Venues and facilities                 0.4       1.1          0.3            1.6        2.0        2.0      2.3
 Transfers and subsidies             230.0     229.6        245.3          288.2      277.8      292.1    305.6
 Provinces and municipalities                      –            –           30.0          –          –        –
                                       0.0
 Departmental agencies and
 accounts                            227.5      226.9       242.7           255.4     274.9      289.0    302.4
 Non-profit institutions               2.4        2.5         2.6             2.8       2.9         3.1     3.3
 Households                            0.1        0.2         0.0               –         –          –        –
 Payments for capital assets           2.6        1.2         2.0             2.8       3.1        3.3      3.4
 Machinery and equipment                                                      2.8
                                       2.6        1.2         2.0                       3.1         3.3     3.4
 Software and other intangible                                  –               –         –           –       –
 assets                                0.0        0.0
 Payments for financial assets         0.0        0.0         0.1               –         –          –        –
 Total                               301.3     309.1        342.1          396.4      406.9      426.1    454.2



                                                                        Adjusted
                                       Audited outcome              appropriation   Medium-term expenditure
                                                                                           estimate
 R million                         2006/07   2007/08     2008/09         2009/10    2010/11 2011/12 2012/13
 Details of selected transfers and
 subsidies
 Provinces and
 municipalities
 Provinces
 Provincial Revenue Funds
 Current                                 –         –            –           30.0          –         –         –
 2010 World Cup Health                   –         –            –           30.0          –         –         –
 Preparation Strategy Grant
                                         –         –            –               –         –         –         –
 Capital                                 –         –            –               –         –         –         –
                                         –         –            –               –         –         –         –
                                         –         –            –               –         –         –         –
 Provinces and
 Municipalities
 Municipal bank accounts
 Current                                           –            –               –         –         –         –
                                       0.0
 Regional Services Council levies                  –            –               –         –         –         –
                                       0.0
 Departmental agencies and
 accounts
 Departmental agencies (non-business
 entities)
 Current
                                     227.5     226.9        242.7           255.4     274.9     289.0     302.4
 Council for Medical Schemes                                                  3.9
                                      15.0       3.3          6.2                       4.0        4.2      4.3
 Medical Research Council                                                   251.1
                                     212.1     223.3        236.1                     270.5     284.4     297.6
 National Health Laboratory                                                   0.4
 Services (cancer register)            0.3       0.4          0.4                       0.4        0.4      0.5
 Non-profit institutions
 Current                               2.4       2.5          2.6             2.8       2.9       3.1       3.3
                                         –         –            –               –         –         –         –

 Health Systems Trust                  2.4       2.5          2.6             2.8       2.9        3.1      3.3
                   NHS PRIORI-
                                   OBJECTIVES                            PRO-
                   TIES
SUB-PRO-                           FOR                EXPECTED           GRAMME INDICA-                BASELINE         TARGET           TARGET TARGET
                   (10 POINT
GRAMME                             2010/11-           OUTCOMES           OUTPUTS TORS                  2009/10          (2010/11)        2011/12 2012/13
                   PLAN 2009-
                                   2012/13

                                                                                                                                                                        Programme.
                   2014)
HUMAN              Improved Hu-    Coordinate the     Revise National    Review of      Revised        Framework        Revised Na-      Implemen-     Implemen-
RESOURCES POLICY   man Resources   review of the      HRH Plan pro-      National       National       for the review   tional HRH       tation of     tation of
PLANNING AND       Planning, De-   national HRH       duced and          planning       HRH plan       of the HRH       plan drafted     National      National HRH
RESEARCH           velopment and   plan and ensure    implemented by     framework      produced       Plan devel-      by 2010          HRR plan      plan moni-
                   Manage-ment     alignment with     March 2011                        and imple-     oped                              moni-         tored
                                   the 10 Point                                         mented                                           tored and     and reported
                                   Plan                                                                                                  reported      annually
                                                                                                                                         annually

                                   Increase enrol- Improved man-         240/400        Number         140/400          150/400          200/400       240/400
                                   ment of Chief     agement of hos-     CEOs en-       of hospital
                                   Executive Of-     pitals              rolled in to   managers
                                   ficers (CEO) into                     the Hospital   enrolled for
                                   Hospital Man-                         Manage-        a hospital
                                   agement Train-                        ment Train-    manage-
                                   ing Programme                         ing Pro-       ment train-
                                   annually.                             gramme by      ing pro-
                                                                         2012/13        gramme
                                   Commission         Comprehensive      Comprehen- Audit reports      Audit of         Business         First phase   Second phase
                                   audit of public    review of pro-     sive audit   finalized        nursing col-     plans devel-     of revital-   of revitalisa-
                                   and private        duction of nurs-   reports on                    leges com-       oped for the     ization of    tion of nurs-
                                   nursing colleges   ing personnel in   production                    menced in        revitalization   nursing       ing colleges
                                   and schools in     the country        of nursing                    October          of public sec-   colleges      implemented
                                   the country                           personnel in                  2009             tor nursing      imple-
                                                                         the country                                    colleges.        mented
                                                                         produced by                                    Resources.
                                                                         2010/11
                                                                         and
                                                                         business
                                                                         plans for
                                                                         the revital-
                                                                         ization of
                                                                         public sec-
                                                                         tor colleges
                                                                                                                                                                                                                                                                          PROGRAMME 4: HUMAN RESOURCES MANAGEMENT AND DEVELOPMENT




                                                                         developed
                                                                                                                                                                        The tables below summarise the key measurable objectives, indicators and three-year targets for
                                                                                                                                                                        the various sub-programmes funded from the Human Resources Management and Development
                                                                                                                                                                                                                                                                                                                                    Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13




                                                                         by 2011/12
                                                                                                                                                                                                                                                                                                                                    79
                                                                                                                                                                                            80


              NHS PRIORI-
                                  OBJECTIVES
              TIES                                                     PROGRAMME
                                  FOR              EXPECTED                                                  BASELINE         TARGET              TARGET             TARGET
SUB-PROGRAMME (10 POINT                                                OUTPUTS   INDICATORS
                                  2010/11-         OUTCOMES                                                  2009/10          (2010/11)           2011/12            2012/13
              PLAN 2009-
                                  2012/13
              2014)
HUMAN RESOURCES improved Human     Establish a     Enhanced man-       Management          Management        Manangement      Feasibility Study   Bench-mark-        First intake of stu-
POLICY PLANNING Resources Plan-   Management       agement and         and Leadership      and Leadership    and Leadership   for the Manag-      ing exercise       dents into the Man-
AND RESEARCH    ning, Develop-    and Leadership   leadership skills   Academy accred-     Academy estab-    Academy con-     ment and Lead-      completed          agement and Lead-
                ment and Man-     Academy for      among health        ited by the Coun-   lished and stu-   ceptualised      ership Academy      and report         ership Academy by
                agement           Health Manag-    managers            cil for Higher      dents enrolled                     completed by        produced           February 2013
                                  ers                                  Education (CHE)                                        March 2011
                                                                       and South Africa                                                           Training stan-     Commencement
                                                                       Qualifications                                         Business Plan       dards devel-       of management
                                                                                                                                                                                            STRATEGIC PLAN 2010/11-2012/13




                                                                       Authority (SAQA)                                       for the Man-        oped               training and capac-
                                                                       in 2011/12, and                                        agement and                            ity development by
                                                                       first intake of                                        Leadership          Curricula de-      February 2013
                                                                       students enrolled                                      Academy pro-        veloped for
                                                                       in 2012/13                                             duced and cost-     different train-
                                                                                                                              ed by March         ing levels
                                                                                                                              2011, and used
                                                                                                                              to mobilize re-     Accreditation
                                                                                                                              source              for Manage-
                                                                                                                                                  ment and
                                                                                                                                                  Leadership
                                                                                                                                                  Academy ob-
                                                                                                                                                  tained from
                                                                                                                                                  CHE and
                                                                                                                                                  SAQA by
                                                                                                                                                  March 2012
                  NHS PRIORITIES        OBJECTIVES             EXPECTED            PROGRAMME            INDICATORS              BASELINE      TARGET           TARGET         TARGET
SUB-PROGRAMME     (10 POINT PLAN        FOR 2010/11-           OUTCOMES            OUTPUTS                                      2009/         (2010/11)        2011/12        2012/13
                  2009-2014)            2012/13                                                                                 10
HUMAN RESOURCES   Improved Human      Strengthen human         Improved clini-     180 Clinical As-     Number of clinical      99            125              125            180
MANAGEMENT AND    Resources Planning, resource capacity        cal skills mix in   sociates enrolled    associates enrolled
DEVELOPMENT       Development and     in district hospitals    support of family   within the dre-      within
                  Management                                   physicians          gree programme       the degree pro-
                                                                                   by 2012/13 .         gramme

                                        Strengthen human        Increase access    Increase pro-        Number of colleges      8             5 additional     6 additional   7 additional
                                        resource capacity      to Emergency        duction of           offering the ECT                      colleges         colleges       colleges
                                        for the delivery of    Medical Services    Emergency Care       programme
                                        emergency care                             Technicians ECT’s
                                        services                                   in provincial col-
                                                                                   leges
                                        Finalise and imple-    Improved recruit-   Agreement            OSD Agreement for       OSD Agree-    OSD Agree-
                                        mentation of Oc-       ment and reten-     reached by           diagnostic, thera-      ment          ment signed
                                        cupation Specific      tion of Thera-      2010/11 in the       peutic and related      tabled by     by government
                                        Dispensation (OSD)     peutic Diagnostic   Public Health and    allied health profes-   government    and organised
                                        for Therapeutic, Di-   and Allied health   Social Develop-      sionals signed in the   in the PHS-   labour, and
                                        agnostic and Allied    professionals in    ment Sectoral        PHSDSBC                 DSBC          implemented by
                                        health professionals   the public sector   Bargaining Coun-                             in October    March 2011
                                                                                   cil (PHSDSBC)                                2009
                                                                                   about implemen-
                                                                                   tation of OSD
                                                                                   for Therapeutic,
                                                                                   Diagnostic and
                                                                                   Allied health pro-
                                                                                   fessionals
                                                                                                                                                                                             Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                             81
                                                                                                                                                                                         82


                                                                                                                           BASE-
              NHS PRIORITIES          OBJECTIVES                           PROGRAMME
                                                             EXPECTED OUT-                                                 LINE          TARGET         TARGET        TARGET
              (10 POINT PLAN          FOR 2010/11-                         OUTPUTS   INDICA-TORS
SUB-PROGRAMME                                                COMES                                                         2009/         (2010/11)      2011/12       2012/13
              2009-2014)              2012/13
                                                                                                                           10
SECTOR          Improved Human        Manage disputes        Improved manage-   Improved pro-       Percentage of mu-      75%           75% by     75% by            75% by March
LABOUR          Resources Planning,   between organised      ment of disputes   portion of mu-      tual interest disputes               March 2011 March             2013
RELATIONS AND   Development and       labour and the em-     between organised  tual                lodged at the                                   2012
PLANNING        Management            ployer in the Public   labour and the     interest disputes   PHSDSBC managed
                                      Health and             Public Health and  between orga-       and finalised
                                      Social Development     Social Develoment  nized
                                      Sectoral Bargaining    Sector             labour and em-
                                      Council (PHSDSB)                          ployer
                                                                                at the PHSDSBC
                                                                                                                                                                                         STRATEGIC PLAN 2010/11-2012/13




                                                                                managed and
                                                                                finalised
                                                             Labour peace and Six (6) collective    Number of collective   Two collec-   Two collec-    Two collec-   Two collective
                                                             improved relations agreements con-     agreements tabled      tive agree-   tive           tive agree-   agreements
                                                             between organized cluded for imple-    for negotiation over   ments         agreements     ments         tabled for nego-
                                                             and the employer   mentation           3 years                tabled for    tabled         tabled for    tiation
                                                                                in the PHS-                                negotia-      for negotia-   negotia-
                                                                                DSBC by March                              tion          tion           tion
                                                                                2012/13
                                                                                Progress reports    Number of              4 quarterly 4 quarterly      4 quarterly 4 quarterly re-
                                                                                produced on          progress reports      reports     reports          reports     ports
                                                                                implementation      produced on
                                                                                of                  implementation of
                                                                                collective agree-   collective agree-
                                                                                ments               ments
                                                                                concluded           concluded
                                                                                at PHSDSBC and      at PHSDSBC and
                                                                                PSCBC               PSCBC
                NHS PRIORI-     OBJECTIVES                             PRO-
                TIES            FOR        EXPECTED                    GRAMME                                            TARGET               TARGET                TARGET
SUB-PROGRAMME   (10 POINT                                                              INDICATORS BASELINE
                                2010/11-   OUTCOMES                    OUTPUTS                    2009/10                (2010/11)            2011/12               2012/13
                PLAN 2009-      2012/13
                2014)
SECTOR          Improve Hu-     Manage dis-       Collective           Collective      Twelve PHSDS-   Four collective   Four PHSDSBC         Four PHSDSBC col-     Four PHS-
LABOUR          man Resources   putes between     bargaining initia-   agreements      BC collective   agreements        collective agree-    lective agreements    DSBC collective
RELATIONS AND   Planning, De-   organised         tives at national    concluded at    agreements      reviewed,         ments                reviewed, their ef-   agreements
PLANNING        velopment and   labour and        and provincial       the PHSDSBC     reviewed and    their efficacy    reviewed,            ficacy assessed for   reviewed,
                Management      the employer      level improved       reviewed, as-   their           assessed for      their efficacy as-   amendment             their efficacy
                                in the Public                          sessed for      efficacy as-    amendment         sessed                                     assessed for
                                Health and                             efficacy and    sessed                            for amendment                              amendment
                                Social Develop-                        amended over    for amend-
                                ment Secto-                            a period of 3   ment
                                rial Bargain-                          years
                                ing Council
                                (PHSDSB)
                                                                                                                                                                                      Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                      83
84   STRATEGIC PLAN 2010/11-2012/13


 EXPENDITURE ESTIMATES

 TABLE: HEALTH HUMAN RESOURCES MANAGEMENT AND DEVELOPMENT

 Subprogramme                                                    Adjusted
                                      Audited outcome        appropriation Medium-term expenditure estimate
 R million                        2006/07    2007/08 2008/09      2009/10   2010/11   2011/12       2012/13
 Human Resources Policy,
 Research and Planning                3.3         3.9       7.5          19.8         8.9         9.6        10.0
 Sector Labour Relations and
 Planning                             1.9         2.0       2.9           6.0         3.5         3.8         4.0
 Human Resources              1 570.7     1 607.7     1 695.0         1 773.1 1 884.7     1 998.2         2 097.8
 Development and
 Management
 Total                       1 576.0      1 613.6     1 705.3 1 799.0         1 897.1     2 011.7       2 111.8
 Change to 2009 Budget estimate                                          12.8         2.9         3.9          3.6

                                                                 Adjusted
                                      Audited outcome        appropriation Medium-term expenditure estimate
 R million                        2006/07    2007/08 2008/09      2009/10   2010/11   2011/12       2012/13
 Economic classification
 Current payments                    13.5       17.2      26.1           38.5        31.1       33.8         35.1
 Compensation of employees            8.9       11.9      13.8           17.0        17.2       17.8         18.7
 Goods and services                   4.6        5.3      12.3           21.4        13.9       16.0         16.3
 of which:
 Administrative fees                    –       (0.0)         –           0.0           –           –            –
 Advertising                          0.2         0.2       0.5           1.0         0.5         0.7          0.7
 Assets less than the                 0.3         0.1       0.1           0.8         0.1         0.1          0.1
 capitalisation threshold
 Catering: Departmental               0.2        0.2        0.1           0.7         0.2         0.2          0.2
 activities
 Communication                        0.1        0.1        0.1           0.4         0.1         0.1          0.1
 Computer services                    0.1        0.0        6.2           0.1         6.0         7.1          7.5
 Consultants and professional         0.8        0.2        0.1          11.0         0.1         0.1          0.1
 service: Business and advisory
 services
 Contractors                          0.1        0.1        0.5           0.1         0.6         0.7          0.7
 Agency and support /                   –          –                      0.0                                  0.0
 outsourced services                                        0.0                       0.0         0.0
 Entertainment                        0.0        0.0                      0.1                                  0.0
                                                            0.0                       0.0         0.0
 Inventory: Materials and               –          –                      0.0           –           –           –
 supplies                                                   0.0
 Inventory: Other consumables           –          –                      0.1           –          –            –
                                                            0.0
 Inventory: Stationery and            0.5        1.4        0.5           1.2         0.6         0.7          0.7
 printing
 Lease payments                       0.2        0.3        0.2           0.5         0.3         0.3          0.3
 Transport provided:                  0.0        0.0          –             –           –           –            –
 Departmental activity
 Travel and subsistence               1.6        2.0        3.0           4.0         3.4         3.5          3.1
 Training and development             0.3        0.2        0.1             –         0.1         0.1          0.2
 Operating expenditure                0.2        0.2        0.7           0.4         0.8         0.9          1.0
 Venues and facilities                0.1        0.2        0.1           1.1         1.2         1.4          1.5

 Transfers and subsidies          1 520.2    1 596.2 1 679.1          1 759.8    1 865.4     1 977.3      2 076.2
 Provinces and municipalities     1 520.2    1 596.2    1 679.1       1 759.8     1 865.4     1 977.3     2 076.2
 Households                           0.0        0.0        0.0             –           –           –           –
          Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13                                       85


                                                                 Adjusted
                                    Audited outcome          appropriation Medium-term expenditure estimate
R million                       2006/07     2007/08 2008/09       2009/10     2010/11     2011/12     2012/13
Payments for capital assets 42.3        0.2        0.2      0.7           0.5         0.6         0.6


Machinery and equipment       0.5              0.2             0.2           0.7             0.5             0.6             0.6
Software and other intengible
                              41.8             -               -             -               -               -               -
assests
Payments for financial                   0.0            0.0             –                –               –               –               –
assets
Total                                1 576.0         1 613.6 1 705.3               1 799.0         1 897.1         2 011.7         2 111.8


Details of selected transfers and
subsidies
Provinces and
municipalities
Provinces
Provincial Revenue Funds
Current                           1 520.2            1 596.2 1 679.1               1 759.8         1 865.4         1 977.3         2 076.2
Health professions training
                                     1 520.2         1 596.2       1 679.1         1 759.8         1 865.4         1 977.3         2 076.2
and development grant
Provinces and
municipalities
Municipalities
Municipal bank accounts
Current                                                   –             –                –               –               –               –
                                         0.0
Regional Services Council                                 –             –                –               –               –               –
levies                                   0.0
                                                                                                                                                                                                                                                                                                                        86


SUB-PRO-          NHS PRIORI-       OBJECTIVES EXPECTED OUT- PRO-    INDICA-                          BASELINE       TARGET              TARGET         TARGET
GRAMME            TIES              FOR        COMES         GRAMME TORS                              2009/10        (2010/11)           2011/12        2012/13
                  (10 POINT         2010/11-                 OUTPUTS
                  PLAN 2009-        2012/13
                  2014)
DISTRICT HEALTH   Overhaul the      Implement       Revised PHC pack-   New re-     PHC package PHC Pack-   Review of PHC   Revised PHC                 Revised PHC
SERVICES          health system     appropriately   age                 vised PHC   revised     age of 2000 Package commis- Package de-                 Package im-
                  and improve its   decentralised                       package                 available   sioned          veloped                     plementad in
                  management        and ac-                             produced by                                                                     all 9 provinces
                                    countable                           2012/13
                                    operational     Establish multidisci- PHC teams    PHC team       Nil            PHC team strate-    PHC teams      PHC teams
                                    management      plinary PHC teams established      strategy de-                  gy produced and     established    established in
                                    model           in the districts      in 9 Prov-   veloped                       approved by the     in 9 Prov-     9 Provinces
                                                                                                                                                                                                                                                                                                                        STRATEGIC PLAN 2010/11-2012/13




                                                                          inces by                                   National Health     inces
                                                                          2012/13                                    Council
                                                    Model developed     PHC model      PHC service Nil               PHC service         Revised PHC Revised PHC
                                                                        developed      delivery                      delivery model      model avail- model imple-
                                                                        by 2010/11     model devel-                  developed           able         mented
                                                                                       oped
                                                    Conduct PHC audit PHC au-          No of prov-    0              6                   3              Audit results
                                                                      dit report       inces where                                                      for all provinc-
                                                                      available by     PHC audit                                                        es available
                                                                                                                                                                                                                                                                                 PROGRAMME 5: HEALTH SERVICE DELIVERY




                                                                      2012/13          was con-
                                                                                       ducted
                                                    Improved utiliza-   Increased     PHC utiliza-    2.4 visits per 2.6 visits per per- 2.7 visits per 2.7 visits per
                                                    tion of the PHC     proportion tion rate          person per     son per capita      person per     person per
                                                    services by the     of patients                   capita                             capita         capita
                                                    communities         utilising PHC
                                                                        services.
                                                                                                                                                                           various sub-programmes funded from the Health Service Delivery Programme.
                                                                                                                                                                           The tables below summarise the key measurable objectives, indicators and three-year targets for the
              NHS PRIORI-
              TIES                  OBJECTIVES                                PROGRAMME                                                                            TARGET
                                                         EXPECTED                                                          BASELINE      TARGET        TARGET
SUB-PROGRAMME (10 POINT             FOR 2010/11-                              OUTPUTS              INDICATORS
                                                         OUTCOMES                                                          2009/10       (2010/11)     (2011/12)
              PLAN 2009-            2012/13                                                                                                                        (2012/13)
              2014)
DISTRICT HEALTH   Overhaul the      Implement ap-        Improved             52 functional Dis-   No of Districts with    31            52            52          52
SERVICES          health system     propriately de-      decentralized        tricts annually      full complement of
                  and improve its   centralised and      management of                             DMT
                  management        accountable opera-   health districts     52 DHP’s received    No of Districts with  25              52            52          52
                                    tional management    for local ac-        annually             District Health Plans
                                    model                countability.                             (DHP’s) received from
                                                                                                   provinces
                                                         Improved man- 52 District Man-            No of DMT’s with        36            52            52          52
                                                         agement of       agement Teams            written delegations
                                                         health districts with delegations
                                                                          in Finance, HR,
                                                                          SCM
                                                         Trained District     52 District Man-   No of Districts where     10            20            35          52
                                                         Management           agement Teams      Management Teams
                                                         Teams                trained by 2012/13 are trained in district
                                                                                                 management pro-
                                                                                                 grammes
                                                         PPHC services        PPHC provincialised Number of Provinces      4             7             9           9
                                                         rendered             in all 9 provinces  where PPHC
                                                         effectively          by 2012/13          services has been
                                                         under a single                           provincialised.
                                                         authority.
                                                         Improved             Strategy on 18       No of quarterly         18 priority   18 priority   52          52
                                                         performance          priority Districts   performance reports districts         districts
                                                         of the all 52        implemented and      received from districts
                                                         districts starting   expanded to 52
                                                         with 18 priority     districts
                                                         districts
                                                         Improved             52 District          No of District Health   43            52            52          52
                                                         community            Health Councils      Councils established
                                                         participation in     established in       and functional.
                                                         the governance       2011/12
                                                         of health
                                                         Districts
                                                                                                                                                                               Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13




                                                                              52 Trained of        No of district health   None          52            52          52
                                                                              Districts Health     councils trained
                                                                              Council annually
                                                                                                                                                                               87
                                                                                                                                                                   88


            NHS
            PRIORITIES    OBJECTIVES                             PROGRAMME
SUB-                                        EXPECTED                                                                    BASELINE   TARGET      TARGET    TARGET
            (10 POINT     FOR 2010/11-                           OUTPUTS                  INDICATORS
PROGRAMME                                   OUTCOMES                                                                    2009/10    (2010/11)   2011/12   2012/13
            PLAN 2009-    2012/13
            2014)
DISTRICT    Overhaul      Implement         Improved             Establishment of PHC No of Districts with                         52          52        52
HEALTH      the health    appropriately     community            facilities committees PHC Facilities where             11
SERVICES    system and    decentralised     participation in                           Committees are
            improve its   and accountable   the governance                             established and
            management    operational       of PHC facilities.                         functional.
                          management                             Training of PHC          No of districts where         11         52          52        52
                          model                                  facilities committees    committees have been
                                                                                          trained
                                                                                                                                                                   STRATEGIC PLAN 2010/11-2012/13




                                            Improved             Facilities visited and   % of PHC facilities visited   70%        80%         100%      100%
                                            supervision and      supervised in line       by a supervisor once a
                                            management of        with the manual          month
                                            PHC facilities.
                                            Improved expen- Increased funding of PHC per capita expendi-                R300       R350        R380      R400
                                            diture PHC ser-   PHC services.      ture per district.
                                            vices per capita.
SUB-PROGRAMME       NHS PRIORITIES         OBJECTIVES              EXPECTED           PROGRAMME INDICATORS BASELINE                          TARGET                 TARGET             TARGET
                    (10 POINT PLAN         FOR 2010/11-            OUTCOMES           OUTPUTS              2009/10                           (2010/11)              2011/12            2012/13
                    2009-2014)             2012/13
HOSPITAL SERVICES   Implement compre- Accelerate revi-             Improving Hos-     4 additional      Number of         54 hospitals are   18 additional          18 additional      18 additional hospitals
                    hensive revitalisation talisation of health    pital Services     hospitals in-     health facilities currently funded   hospitals to be        hospitals to       to be accepted (5 hos-
                    of physical infra-     facilities              through func-      cluded in the     accepted in       from the HRP       accepted (5 tertiary   be accepted        pitals through PPP and
                    structure                                      tional and de-     Hospital Revi-    the program                          hospitals construct-   (5 hospitals       13 from the Hospital
                                                                   signed improved    talisation Pro-   per financial                        ed or refurbished      through PPP        Revitilsation Project
                                                                   infrastructure     gramme (HRP)      year                                 through PPPs: one      and 13 from
                                                                                      annually                                               tertiary hospital in   the Hospital
                                                                                                                                             the Eastern Cape,      Revitilsation
                                                                                                                                             Dr George Mukhari      Project
                                                                                                                                             Hospital and Chris
                                                                                                                                             Hani Baragwa-
                                                                                                                                             nath Hospital in
                                                                                                                                             Gauteng, King
                                                                                                                                             George VIII Hospi-
                                                                                                                                             tal in KwaZulu-Na-
                                                                                                                                             tal, and Limpopo
                                                                                                                                             Academic Hospital
                                                                                                                                             and 13 from the
                                                                                                                                             Hospital Revitilsa-
                                                                                                                                             tion Project)
                                           Determine infra-        Improving Hos-     Availability of   NHC approved Nil                     Draft Cost Norms       Area and Cost      Area and Cost norms
                                           structure area and      pital Services     an NHC ap-        Area and Cost                        policy document        norms imple-       implemented in 9 prov-
                                           cost norms for          through func-      proved Area       norms policy                         submitted to           mented in 5        inces
                                           health facilities       tional, well de-   and Cost          document                             NHC for approval,      provinces
                                           based on approved       signed improved    Norms policy                                           (based on NHC
                                           National Policies       infrastructure     document by                                            approved Norms
                                                                                      2010/11                                                Policy document.)



                                           Determine infra-        Improving Hos-     Availability of   Provinces       Nil                  Implementation on      Implementa-        Implementation Plans
                                           structure standards     pital Services     preventative      target 3-5%                          Plans of preventa-     tion Plans of      for preventative main-
                                           for health facilities   through func-      maintenance       of Health                            tive maintenance       preventative       tenance monitored
                                           based on approved       tional, well de-   plans per per     operational                          developed by the       maintenance by     based on set target of
                                           National Policies       signed improved    province by       budget for                           provinces based on     developed the      3-5%
                                                                   infrastructure     2010/11           preventative                         set target of 3-5%     provinces based
                                                                                                        maintenance                                                 on set target of
                                                                                                        by 2013                                                     3-5%
                                                                                                                                                                                                                 Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                                                 89
                                                                                                                                                                                                 90


                    NHS PRIORITIES         OBJECTIVES                                      PROGRAMME
                                                                   EXPECTED OUT-                                                      BASELINE TARGET              TARGET      TARGET
SUB-PROGRAMME       (10 POINT PLAN         FOR 2010/11-                                    OUTPUTS               INDICATORS
                                                                   COMES                                                              2009/10 (2010/11)            2011/12     2012/13
                    2009-2014)             2012/13
HOSPITAL SERVICES   Revitalisation of      Strengthen Health       Improve delivery of     Availability of ap-   Number of health Nil             Develop, ap-     5 prov-     9 provinces are
                    physical infrastruc-   infrastructure delivery infrastructure and      proved infrastruc-    department imple-                proved and       inces are   implementing
                    ture                   capacity in provinces health facilities main-   ture delivery model   menting Infra-                   pilot the        imple-      the improved
                                                                   tenance                 which is imple-       structure Delivary               Infrastructure   ment-       Infrastruc-
                                                                                           mented in 9 Prov-     Model                            Delivery Mod-    ing the     ture Delivery
                                                                                           inces by 2012/13                                       el in 3 prov-    improved    Model.
                                                                                                                                                  inces health     Infra-
                                                                                                                                                  departments      structure
                                                                                                                                                                   Delivery
                                                                                                                                                                   Model
                                                                                                                                                                                                 STRATEGIC PLAN 2010/11-2012/13




                    Improve the quality Develop & implement Effective manage-              Availability of a     Number of prov-      Nil             3                  7         9
                    of health services  disaster management ment of disasters              National Disaster     inces implement-
                                        policy                                             management            ing disaster man-
                                                                                           policy implemented    agement policy
                                           Implement Hospital                              in 9 Provinces by
                                           Emergency Prepared- Improved hospital           2012/13
                                           ness Plan           emergency prepared-
                                                               ness                45% of hospitals
                                                                                   implementing hos-             % of hospitals    Nil             15%             40%         45%
                                                                                   pital emergency               implementing hos-
                                                                                   preparedness by               pital emergency
                                                                                   2012/13                       preparedness



                                           Development and         Improved quality of     9 Provinces imple-    No of Provinces    Nil           4                8           9
                                           implementation of a     data management         menting a stan-       implementing a
                                           National Information    systems                 dardized (uniform)    standardised [uni-
                                           Management system                               data management       form] data man-
                                                                                           system by 2012/13     agement system
                                           Provide strategic and   Effective and efficient Improved qual-        No of Provinces            Nil   4                8           9
                                           technical support to    emergency medical       ity of emergency      complying with
                                           emergency services      services                medical services      Emergency medi-
                                                                                                                 cal services Norms
                                                                                                                 and standards
                     NHS PRIORITIES                                             PROGRAM OUT-          INDICA-
                                            OBJECTIVE        OUTCOMES                                              BASELINE      TARGET              TARGET         TARGET
 SUB-PROGRAMME       (10 POINT PLAN                                                 PUT                TORS
                                                                                                                                 (2010/11)           2011/12        2012/13
                       2009-2014)

HOSPITAL SERVICES   Overhauling the       Development       Equitable ac-       HT Planning Strat-    Planning     Nil           HT Planning         National HT    Comprehensive
                    healthcare system     of the Health     cess to & distri-   egy and Stan-         standards                  structures es-      Planning       HT Plans, Stan-
                    and improving its     Technology        bution of HT        dards developed       and                        tablished at Dis-   Strategy and   dards and Plan-
                    management            (HT) Planning                         by 2011/12 and        relevant                   trict, Provincial   Standards      ning Tools (EHTP,
                                          System                                HT Tools pro-         tools                      and National        developed      Essential Equip-
                    Introduction of NHI                                         duced by 2012/13                                 levels of the       and imple-     ment List)
                                                                                                                                 health system       mented
                                                                                                      % prov-
                                                                                                      inces                      Essential Health
                                                                                                      comply-                    Technology
                                                                                                      ing with                   Packages (EHTP)
                                                                                                      the stan-                  updated
                                                                                                      dards

                                          Development       Containment         Restructured HT       Restruc-     No coher-     HT Value Chain      Strategic      HT Acquisition
                                          of a National     of spiraling HT     Acquisition Sys-      tured        ent na-       Analysis (includ-   sourcing       System (esp Pric-
                                          HT Acquisition    cost                tem in place by       HT Ac-       tional HT     ing pricing and/    and national   ing) Restructured
                                          system                                2012/13               quisition    Acquisition   or cost drivers,    tendering
                                                                                                      System in    system        supply and de-      mechanism      Implementation
                                                                                                      place                      mand) complet-      implement-     of “knowledge-
                                                                                                                                 ed and report       ed             able buyer” con-
                                                                                                                                 produced                           cept



                                          Develop a         Improved HT         100% of Hospi-         % of        No GMtP       GMtP Standards      50% of         100% of Hos-
                                          National HT       Safety and Ef-      tals complying        hospitals    standards     developed by        Hospitals      pitals (386/386)
                                          Management        ficacy              with Good Man-        comply-      enforced      March 2011          (193/386)      complying with
                                          System                                agement Practice      ing to the                                     complying      GMtP Standards
                                                                                (GMtP) Standards      standards                                      with GMtP
                                                                                by 2012/13                                                           Standards
                                          Establishment     Evidence-based      National HT As-       Number       Nil           HTA Strategy        National HT    HTA assessment
                                          of a National     introduction of     sessment Agency       of prov-                   approved by the     Assessment     institutionalised in
                                          Health Technol-   new HT in the       established by        inces                      National Health     Agency es-     5/9 Provinces
                                          ogy Assessment    health system       2011/12 and HTA       that have                  Council             tablished
                                          (HTA) System                          assessment insti-     institu-
                                                                                tutionalised in 5/9   tionalized
                                                                                Provinces             HTA
                                                                                                                                                                                           Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13




                    Improving quality     Implement HT      Affordable, safe    Development &         HT Regu-     Draft HT      Final HT regula-    Final HT       HT Regulations
                    of care               Regulations       & equitably         Implementation        lations      regulations   tions published     Regulations    implemented
                                                            distributed HT      of HT Regulations     finalised    published     for public com-     gazetted
                                                                                                                                                                                           91




                                                                                                                                 ment
                                                                                                                                                                                      92


              NHS PRIORITIES         OBJECTIVES                                    PROGRAMME
                                                            EXPECTED                                                        BASELINE     TARGET         TARGET         TARGET
SUB-PROGRAMME (10 POINT PLAN         FOR 2010/11-                                  OUTPUTS                 INDICATORS
                                                            OUTCOMES                                                        2009/10      (2010/11)      2011/12        2012/13
              2009-2014)             2012/13
HOSPITAL       Improve the quality   To support the         Improved               Availability            % of hospitals   Nil          20% of the     50% of the     100% of
SERVICES       of health services    implementation         performance and        of Hospital             implementing                  hospitals      hospitals      hospitals
                                     of Hospital            effective quality of   Improvement Plan        the Hospital                  implementing   implementing   implement-
                                     Improvement Plan       care                   project reports.        Improvement                   the Hospital   the Hospital   ing the plan
                                                                                                           Plan.                         Improvement    Improvement
                                                                                                                                         Plan.          Plan.

               Overhaul the health Improve the capacity     Improved               100% of hospital        Percentage of   10%           80%            95%            100%
               system and improve of Hospital Board         community              boards trained by       hospital boards
               its management      members through          participation in       2012/13                 trained.
                                                                                                                                                                                      STRATEGIC PLAN 2010/11-2012/13




                                   the development of       Public Sector
                                   a National training      matters
                                   manual
                                     Develop framework Improved service            Availability of         Percentage       6/9 Provinces 100%          100%           100%
                                     for the delegation of delivery in Public      frameworks for          of CEO’s who     have assigned
                                     authorities to CEO’s. hospitals.              delegations of          have signed      delegation to
                                                                                   authorities to CEO’s.   delegation of    hospital CEOs
                                                                                                           authorities.
              NHS PRIORITIES         OBJECTIVES                                 PROGRAMME OUT-
                                                         EXPECTED OUT-                                                          BASELINE   TARGET      TARGET    TARGET
SUB-PROGRAMME (10 POINT PLAN         FOR 2010/11-                               PUTS                     INDICATORS
                                                         COMES                                                                  2009/10    (2010/11)   2011/12   2012/13
              2009-2014)             2012/13
ENVIRONMENTAL    Provision           Strengthen          Well functioning       100% of District and     Number of
HEALTH, HEALTH   of strategic        Environmental and   Environmental and      Metro Municipalities     District and Metro
PROMOTION AND    leadership and      Municipal Health    Municipal Health       rendering Municipal      Municipalities
NUTRITION        creation of a       Services            Services               Health Services          rendering Municipal       20 %       100 %      100 %     100 %
                 social compact                                                                          Health Services
                 for better health
                 outcomes


                                     Strengthen Port     Implementation         9 Provinces complying    Number of Provinces
                                     Health Manage-      International Health   with the International   implementing the
                                     ment                Regulations at Ports   Health Regulations by    International Health
                                                         of Entries             2010/11                  Regulations
                                                                                                                                    3           9          9         9




                                     Implementation of   Well supported and 9 Provinces imple-           Number of Provinces Nil
                                     NEMA                guided implementa- menting the NEMA by          implementing the
                                                         tion of NEMA       2010/11                      NEMA
                                                                                                                                                9          9         9
                                                                                                                                                                           Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                           93
                                                                                                                                                                                            94


                 NHS PRIORITIES     OBJECTIVES                                PROGRAMME
                                                       EXPECTED                                                        BASELINE         TARGET          TARGET            TARGET
SUB-PROGRAMME    (10 POINT PLAN     FOR 2010/11-                              OUTPUTS                INDICATORS
                                                       OUTCOMES                                                        2009/10          (2010/11)       2011/12           2012/13
                 2009-2014)         2012/13
ENVIRONMENTAL    Improved Human     Strengthen         Allocation of          45 Municipalities      Number of         5/6              27 (Metro-      36                45
HEALTH, HEALTH   Resources          Human resource     Community Service      accepting              municipalities    Metropolitan     politan and     (Metropolitan     (Metropolitan
PROMOTION AND    Management         capacity           Environmental          Community Service      accepting         Municipalities   District Mu-    and District      and District
NUTRITION                                              Health Practitioners   Environmental          community         accepting        nicipalities)   Municipalities)   Municipalities)
                                                       (EHPs) to Provinces    Health Practitioners   service           Community
                                                       and Municipalities     ((EHPs) by 2012/13     Environmental     Service EHPs
                                                                                                     Health
                                                                                                     Practitioners
                                                                                                                                                                                            STRATEGIC PLAN 2010/11-2012/13




                 Mass mobilization Support districts   Improved health        All 52 districts       No of districts   None             52 districts    52 districts      52 districts
                 for better health and in the          awareness and          implementing           implementing
                 for all           implementation      enhance health         healthy lifestyle      the 5 pillars
                                   of the Health       literacy               programmes             of the healthy
                                   promotion                                                         lifestyles
                                   Strategy with                                                     programme
                                   (special focus
                                   on the 5 pillars
                                   of the Healthy
                                   lifestyles
                                   programme)
SUB-PRO-         NHS PRIORITIES OBJECTIVES                       EXPECTED OUT-           PROGRAMME              INDICATORS          BASELINE     TARGET         TARGET       TARGET
GRAMME           (10 POINT PLAN FOR 2010/11-                     COMES                   OUTPUTS                                    2009/10      (2010/11)      2011/12      2012/13
                 2009-2014)     2012/13
ENVIRONMENTAL Improve the quality     Implement an inte-       Reduction in case fa-     200 district hospi-    Number of district 84 district   118 district   152 district 200 district
HEALTH, HEALTH of health services     grated strategy on the tality rate and under       tals implementing      hospitals imple-    hospitals    hospitals      hospitals    hospitals
PROMOTION AND                         management of severe 5 mortality rate              the WHO ten steps      menting the WHO
NUTRITION                             malnutrition in district                           in Management of       ten steps for the
                                      hospitals                                          severe malnutrition    management of
                                                                                                                severe malnutrition



                                      Improve infant feed-       Reduced infant and      20% of infants 0-6     Percentage of in-   8%           10%            15%          20%
                                      ing practices for in-      child morbidity and     months who are         fants 0-6 months
                                      fants younger than six     mortality rate          exclusively breast-    who are exclusively
                                      months                                             fed by 2012/13         breastfed
                 Accelerated          Provide nutritional care   Improved nutritional    90% primary            Percentage of        50%         65%            80%          90%
                 implementation of    and support to people      status of people        health care            primary health care
                 the HIV and AIDS     living with HIV, AIDS      living with HIV, AIDS   facilities providing   facilities providing
                 strategic plan and   and TB                     and TB                  nutritional care and   nutritional care and
                 an increased focus                                                      support to people      support to people
                 on TB and other                                                         living with HIV,       living with HIV,
                 communicable                                                            AIDS and TB by         AIDS and TB
                 diseases                                                                2012/13
                                                                                                                                                                                            Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                            95
                                                                                                                                                                                                 96


SUB-PRO-         NHS PRIORITIES       OBJECTIVES              EXPECTED OUT-        PRO-               INDICATORS
GRAMME           (10 POINT PLAN       FOR 2010/11-            COMES                GRAMME                                     BASELINE         TARGET           TARGET       TARGET
                 2009-2014)           2012/13                                      OUTPUTS                                    2009/10          (2010/11)        2011/12      2012/13

ENVIRONMENTAL    Accelerated imple-   Improve quality of      Reduced infant       70% of pri-        Percentage of           55%              60%              65%          70%
HEALTH, HEALTH   mentation of the     care of HIV exposed     mortality due HIV    mary care          primary care
PROMOTION AND    HIV and AIDS stra-   infants younger         and AIDS             level facilities   level facilities with
NUTRITION        tegic plan and an    than six months by                           with Infant        health care pro-
                 increased focus on   increasing the pro-                          and Young          viders trained on
                 TB and other com-    portion of primary                           Child Feeding      Infant and Young
                 municable diseases   care level facilities                        trained health     Child Feeding in
                                      with health care                             care provider      the context of HIV
                                      providers trained in                         by 2012/13         and AIDS
                                                                                                                                                                                                 STRATEGIC PLAN 2010/11-2012/13




                                      infant and Young
                                      Child Feeding in the
                                      context of HIV and
                                      AIDS
                 Mass mobilization    Increase routine        Reduced infant       80% of chil-       % coverage of           50% of chil-     60% of           70% of       80% of children
                 for better health    coverage of Vitamin     morbidity and mor-   dren 12-59         Vitamin A supple-       dren 12-59       children 12-     children     12-59 months
                 for the population   A supplementation       tality               months receiv-     mentation in chil-      months receiv-   59 months        12-59        receiving 2 doses
                                      among children 12-                           ing 2 doses of     dren aged 12 – 59       ing 2 doses of   receiving 2      months       of Vitamin A
                                      59 months                                    Vitamin A          months                  Vitamin A        doses of Vita-   receiving
                                                                                                                                               min A            2 doses of
                                                                                                                                                                Vitamin A
SUB-PRO-          NHS PRIORITIES OBJECTIVES                    EXPECTED OUT-       PROGRAMME          INDICATORS        BASELINE   TARGET      TARGET    TARGET
GRAMME            (10 POINT PLAN FOR 2010/11-                  COMES               OUTPUTS                              2009/10    (2010/11)   2011/12   2012/13
                  2009-2014)     2012/13
OCCUPATIONAL      Improve quality of   Increase numbers of    Improved access to   28 000 number of   Number of ex-mine 20 000        23 000    26 000     28 000
HEALTH SERVICES   health services      ex-mine workers who BMEs for ex-mine        ex-mine workers    workers who un-
                                       undergo Benefit Medi- workers               undergo benefit    dergo BMEs
                                       cal Examination (BMEs)                      medical examina-
                                                                                   tion (BME) by
                                                                                   2012/13



                                        Expand Compre-         Improved access to   Comprehensive     Number of district 50/264    70/264      100/264   150/264
                                       hensive Occuptional     Occupational Health Occupational       hospitals with com-
                                       Health Units (OHU) in   Services            Health Units (OHU) prehensive OHU
                                       District Hospitals                          established in 150
                                                                                   district hospitals
                                                                                                                                                                    Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                    97
98   STRATEGIC PLAN 2010/11-2012/13


EXPENDITURE ESTIMATES

TABLE: HEALTH SERVICES

Subprogramme                                                                     Adjusted
                                            Audited outcome                  appropriation   Medium-term expenditure estimate
R million                             2006/07       2007/08       2008/09         2009/10      2010/11     2011/12      2012/13
District Health Services                  6.7           7.9          11.7            30.3         34.7        30.3         27.4
Environmental Health Promotion           18.2          18.7          26.6            19.0         20.2        22.5         23.2
and Nutrition
Occupational Health                      20.3          24.9          27.3            30.5         32.5        35.2         36.6
Hospitals and Health Facilities             6             7             8              10           11          11     12 594.6
Management                              521.5         414.4         884.3           006.3        441.4       995.5
Total                                 6 566.7       7 465.8       8 949.9        10 086.1     11 528.8    12 083.5           12
                                                                                                                          681.7
Change to 2009 Budget estimate                                                       187.2       139.8         1.7         (4.1)

Economic classification
Current payments                                                                                                          104.2
                                         51.7          63.1          75.8            93.6        103.1       104.9
Compensation of employees                29.9          32.2          35.9            39.7         43.9        46.2         48.6
Goods and services                       21.8          30.9          39.9             54.0        59.2        58.7         55.7
of which:
Administrative fees                       0.0           0.1           0.0              0.2         0.2         0.2          0.2
Advertising                               4.7           6.4           0.7              1.9         2.1         2.2          2.4
Assets less than the capitalisation       0.4           0.3           0.6              1.2         1.4         1.4          1.5
threshold
Audit cost: External                      0.5           0.7           0.6              0.8         0.9         0.9          1.0
Bursaries: Employees                        –             –             –              0.0         0.0         0.0          0.0
Catering: Departmental activities         0.3           0.3           0.3              0.8         0.9         1.0          1.0
Communication                             1.4           1.3           1.5              1.6         1.8         1.9          2.0
Computer services                         0.0           0.1           0.4              2.2         2.4         2.5          2.7
Consultants and professional              1.9           4.9           3.9             19.8        21.5        18.8         13.7
service: Business and advisory
services
Consultants and professional              0.7           0.9             –                –           –           –              –
service: Laboratory service
Consultants and professional                –             –             –              0.1         0.1         0.1          0.1
service: Legal costs
Contractors                               0.2           0.2           3.6              1.6         1.7         1.8          1.9

Agency and support / outsourced                 –             –        0.5             1.6          1.8         1.9         2.0
services
Entertainment                              0.0             0.0         0.0             0.1          0.1         0.1         0.1
Inventory: Fuel, oil and gas                 –               –           –             0.0          0.0         0.0         0.0
Inventory: Materials and supplies          0.0             0.1                         0.1          0.1         0.1         0.1
                                                                       0.0
Inventory: Medical supplies                0.1             0.1                         0.1          0.1         0.1         0.1
                                                                       0.0
Inventory: Other consumables               0.0             0.0                         0.7          0.8         0.8         0.9
                                                                       0.3
Inventory: Stationery and printing         0.7             0.7                         3.2          3.6         3.8         4.0
                                                                       2.0
Lease payments                             0.2             0.2         0.4             0.4          0.5         0.5         0.5
Property payments                          0.0             0.0          –                –            –           –             –
Transport provided:                        0.0             0.1          –                –            –           –             –
Departmental activity
Travel and subsistence                     7.3             8.3       13.5             13.3         14.7        15.5        16.3
Training and development                   1.0             0.3        0.2              0.1          0.1         0.1         0.1
Operating expenditure                      1.2             3.9        8.7              2.3          2.6         2.7         2.9
Venues and facilities                      1.0             2.0        2.7              1.7          1.9         2.0         2.1

Transfers and subsidies                6 509.3        7 401.6     8 872.2          9 989.4     11 422.4    11 975.1    12 573.9

Provinces and municipalities           6 508.5         7 398.5     8 869.7         9 984.6     11 418.7    11 971.2    12 569.7
Departmental agencies and                  0.1             2.6         2.4             3.7          2.6         2.8         2.9
accounts
            Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13                  99


Subprogramme                                                                  Adjusted
                                              Audited outcome             appropriation   Medium-term expenditure estimate
R million                            2006/07          2007/08   2008/09        2009/10       2010/11     2011/12        2012/13
Non-profit institutions                   0.4             0.5         –             1.1          1.1         1.2             1.3
Households                                0.3             0.0                         –            –           –               –
                                                                    0.1
                                          2.4             1.0       1.9            3.1           3.2         3.4
Payments for capital assets                                                                                                  3.6
Machinery and equipment                   1.5             1.0       1.9             3.1          3.2         3.4             3.6
Software and other intangible             1.0             0.0         –               –            –           –               –
assets
Payments for financial assets             3.2             0.0         –              –             –           –              –


Total                                 6 566.7         7 465.8   8 949.9       10 086.1      11 528.8    12 083.5     12 681.7


Details of selected transfers and subsidies
Provinces and municipalities
Provinces
Provincial Revenue Funds
Current                               4 981.1         5 321.2   6 134.1        6 614.4       7 398.0     7 798.9        8 188.8
Hospital management and                       –             –         –              –             –           –              –
quality improvement grant
National tertiary services grant      4 981.1         5 321.2   6 134.1         6 614.4      7 398.0     7 798.9        8 188.8
Capital                               1 527.3         2 077.3   2 735.6        3 370.2       4 020.7     4 172.3        4 380.9
Hospital revitalisation grant         1 527.3         2 077.3   2 735.6         3 370.2      4 020.7     4 172.3        4 380.9
Provinces and municipalities
Municipalities
Municipal bank accounts
Current                                   0.0               –         –              –             –           –              –

Regional Service Council Levies           0.0               –         –              –             –           –              –
Departmental agencies and
accounts
Social security funds
Current                                       –           2.6       2.4            3.7           2.6         2.8             2.9

Compensation Commissioner                     –           2.6       2.4             3.7          2.6         2.8             2.9

                                                                            Adjusted
                                          Audited outcome               appropriation     Medium-term expenditure estimate
R million                            2006/07      2007/08       2008/09      2009/10        2010/11     2011/12      2012/13
Departmental agencies and
accounts
Departmental agencies (non-business
entities)
Current                                   0.1               –       0.0              –             –           –              –
Donation                                  0.1               –       0.0              –             –           –              –
Non-profit institutions
Current                                   0.4             0.5         –             1.1          1.1         1.2             1.3
Health Promotion: NGO                     0.4             0.5         –             1.0          1.0         1.1             1.2
Environmental Health: NGO                     –             –         –             0.1          0.1         0.1             0.1
Households
Social benefits
Current                                   0.3             0.0       0.0              –             –           –              –
Leave Gratuity                                –             –       0.0              –             –           –              –
Poverty Relief                                –             –         –              –             –           –              –
Leave Gratuity                            0.3             0.0         –              –             –           –              –
                                                                   PRO-
                NHS PRIORITIES      OBJECTIVES
                                                          EXPECTED GRAMME                                       BASELINE   TARGET    TARGET    TARGET
SUB-PROGRAMME   (10 POINT PLAN      FOR 2010/11-                                         INDICATORS
                                                          OUTCOMES OUTPUTS                                      2009/10    (2010/11) 2011/12   2012/13
                2009-2014)          2012/13

MULTILATERAL    Improved human      Contribute            Improved      45 Cuban         Number of Cuban        28         10       15         20
RELATIONS       resources plan-     towards post-         provision     health pro-      health professionals
                ning, development   conflict recon-       of health     fessionals       recruited to work in
                and management      struction & de-       services in   recruited        Rwanda and Sierra
                                    velopment             underserved   to work in       Leone under the
                                                                                                                                                         Regulation Programme.
                                                          areas.        Rwanda and       Trilateral Arrange-
                                                                        Sierra Leone     ments
                                                                        under the
                                                                                                                                                                                                                                                               PRODUCT REGULATION




                                                                        Trilateral Ar-
                                                                                                                                                                                                                                                                                                                                100 STRATEGIC PLAN 2010/11-2012/13




                                                                        rangements
                                                                        by 2013

                                    Strengthening         Improved      80 SA            Number of SA                      80       80         80
                                    bilateral relations   provision     students         students recruited
                                    with Africa and       of health     recruited and    and retained
                                    South-South-          services in   retained in      in the SA-Cuba
                                    countries.            underserved   the SA-Cuba      programme
                                                          areas.        programme
                                                                        per year.
                                                                                                                                                                                                                                                               PROGRAMMES 6: INTERNATIONAL RELATIONS, HEALTH TRADE AND HEALTH



                                                                                                                                                         various sub-programmes funded from the International Relations, Health Trade and Health Product
                                                                                                                                                         The tables below summarise the key measurable objectives, indicators and three-year targets for the
                NHS PRIORITIES           OBJECTIVES
                                                           EXPECTED OUT- PROGRAMME OUTPUTS                                          BASELINE TARGET     TARGET    TARGET
SUB-PROGRAMME   (10 POINT PLAN           FOR 2010/11-                                                          INDICATORS
                                                           COMES                                                                    2009/10 (2010/11)   2011/12   2012/13
                2009-2014)               2012/13
MULTILATERAL    Improving quality of     Strengthening     Reduction in        4 Cross border initiatives      Number of cross       1       2          3         4
RELATIONS       health services and      bilateral rela-   communicable        (HIV, malaria, surveillance     border initiatives
                accelerates imple-       tions and SADC    & non-commu-        and TB) to manage com-          facilitated to man-
                mentation of the HIV     integration       nicable diseases    municable diseases along        age communicable
                AIDS strategic plan      agenda            along cross bor-    border areas facilitated by     diseases along border
                and the increased                          der areas.          2013.                           areas.
                focus on TB and
                other communicable
                diseases.


                Provision of strategic   Contribute        Increased knowl-    5 Technical assistance          Number of Techni-    Nil      3          4         5
                leadership and cre-      towards post-     edge and skills     programmes (e.g. hospital       cal assistance pro-
                ation of a social com-   conflict recon-   on strengthening    infrastructure, health tech-    grammes facilitated
                pact for better health   struction &       health services     nology, quality assurance,      for the reconstruc-
                outcomes                 development.      in consolidating    hospital management,            tion & development
                                                           reconstruction of   telemedicine) facilitated for   of DRC, Zimbabwe,
                                                           DRC, Zimbabwe,      the reconstruction & de-        Sierra Leone, Rwanda
                                                           Sierra Leone,       velopment of DRC, Zimba-        and Burundi
                                                           Rwanda and Bu-      bwe, Sierra Leone, Rwanda
                                                           rundi.              and Burundi by 2013.
                                                                                                                                                                            Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                            101
                NHS PRIORITIES         OBJECTIVES                                PROGRAMME
                                                            EXPECTED                                                               BASELINE   TARGET      TARGET    TARGET
SUB-PROGRAMME   (10 POINT PLAN         FOR 2010/11-                              OUTPUTS                     INDICATORS
                                                            OUTCOMES                                                               2009/10    (2010/11)   2011/12   2012/13
                2009-2014)             2012/13
MULTILATERAL    Accelerates            Strengthening        Improvement          8 initiatives facilitated   Number of initiatives 5          6           7         8
RELATIONS       implementation         multilateral         of health            to share knowledge          facilitated to
                of the HIV & AIDS      relations (IBSA &    services within      and best practices on       strengthen health
                strategic plan and     SADC)                the developing       strengthening health        systems.
                the increased focus                         world.               systems (e.g. research on
                on TB and other                                                  production of vaccines &
                communicable                                                     microbicides) facilitated
                diseases.                                                        by 2013.
                Mass Mobilization for Facilitate the        The African          3 structured                Number of reports     Nil        2           3         4
                better health for the implementation        Union                interventions coordinated   on structured
                                                                                                                                                                              102 STRATEGIC PLAN 2010/11-2012/13




                population            of the African        Campaign on          in line with the African    interventions
                                      Union Campaign        Accelerated          Union Campaign on           essential for the
                                      on Accelerated        Reduction            Accelerated Reduction       promotion of
                                      Reduction             on Maternal          on Maternal Mortality in    the African
                                      on Maternal           Mortality            Africa (CARMMA)-            Union Campaign
                                      Mortality in Africa   in Africa                                        on Accelerated
                                      (CARMMA)-             (CARMMA)                                         Reduction on
                                      Towards meeting       launched and                                     Maternal Mortality in
                                      the MDG 5.            related activities                               Africa (CARMMA)
                                                            implemented in
                                                            S outh Africa.
                NHS PRIORITIES        OBJECTIVES                                   PROGRAMME
                                                                                                                      BASELINE   TARGET      TARGET    TARGET
SUB-PROGRAMME   (10 POINT PLAN        FOR 2010/11-      EXPECTED OUTCOMES          OUTPUTS              INDICATORS
                                                                                                                      2009/10    (2010/11)   2011/12   2012/13
                2009-2014)            2012/13
MULTILATERAL    Overhauling of     Mobilized ODA        Improved health services   10 agreements        Number of     4          7           10        10
RELATIONS       Health Services    resources (techni-   delivery; strengthened     with international   agreements
                                   cal and financial    health promotion pro-      partners signed to   signed and
                Improving Human assistance) for the     grammes; enhanced          mobilize support     implemented
                Resources Planning implementation of    research capacity and      for the 10 Point
                Development and the 10 Point Plan       improved relations with    Plan for 2009 -
                Management                              United Nations agen-       2014
                                                        cies and Development
                Mass Mobilization                       Partners(DP)
                for better health
                for the population

                Strengthening
                research and devel-
                opment
                                                                                                                                                                 Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                 103
                 NHS PRIORITIES        OBJECTIVES                              PROGRAMME
                                                             EXPECTED                              INDICA-                              TARGET            TARGET         TARGET
SUB-PROGRAMME    (10 POINT PLAN        FOR 2010/11-                            OUTPUTS                             BASELINE 2009
                                                             OUTCOMES                              TORS                                 (2010/11)         (2011/12)      (2012/13)
                 2009-2014)            2012/13
PHARMACEUTICAL   Improving the quality Improve the regis- Timely access        Registration        Registration    Registration         Registration      Registration   Registration
AND RELATED      of Health Services    tration                to medicines     timelines of 12     timelines for   timelines of 36      timelines of      timelines of   timelines of 12
PRODUCT                                of medicines and                        months for NCE      NCE             months for NCE       24 months for     12 months      months for NCE
REGULATION AND   Review of Drug Policy implement a short-                      and 6 months for    and             and 24 months        NCE and 18        for NCE        and 6 months for
MANAGEMENT                             er time to market                       Generics achieved   Generics        for Generics         months for Ge-    and 9months    Generics achieved
                                       for medicine, by                        by 2012/13                                               nerics achieved   for
                                       reducing the back-                                                                                                 Generics
                                       log on medicine                                                                                  Backlog of        achieved
                                       registrations, build                                                                             safety updates
                                       in house                                                                                         eliminated
                                                                                                                                                                                             104 STRATEGIC PLAN 2010/11-2012/13




                                       capacity, training
                                       and aggressive re-
                                       cruitment of evalu-
                                       ators, clinical trials
                                       management, and
                                       performing inspec-
                                       tions
                 Overhaul the health   Implementation of     Migration         EDMS live and       EDMS live       EDMS developed EDMS piloted            Fully opera-   Implement
                 system and improve    Electronic Docu-      from a system     fully operational   and fully                      &                       tional EDMS    regulation of
                 its management        ment Management       of manual         by 2011/12, and     operational                                                           complementary
                                       System (EDMS)         submission of     the regulation                                           EDMS                             medicines on to
                                       as an improved        all medicine      of complemen-                                            goes live                        EDMS
                 Review of drug policy tracking system for   applications to   tary medicines
                                       medicine applica-     an electronic     implemented by
                                       tions                 system            2012/13
                                       Establish the Phar-   Improved over-    Pharmaceutical      Pharma-         Ministerial Task     Legislation de- Legislation      Pharmaceutical
                                       maceutical and        sight over the    and Related Prod-   ceutical        Team appointed       veloped to      finalised        and Related Prod-
                                       Related Product       registration of   uct Regulation      and Related     to assist with the   support the                      uct Regulation
                                       Regulation and        Pharmaceutical    and Manage-         Product         establishment        establishment                    and Management
                                       Management Au-        and Related       ment Author-        Regulation      of the Pharma-       of the Pharma-                   Authority ap-
                                       thority               Product           ity appointed by    and Man-        ceutical and         ceutical and                     pointed by the
                                                                               the Minister by     agement         Related Product      Related Product                  Minister
                                                                               2012/13             Authority       Regulation and       Regulation and
                                                                                                   appointed       Management           Management
                                                                                                   by the Min-     Authority            Authority
                                                                                                   ister
                   NHS PRIORITIES    OBJECTIVES                                 PROGRAMME
                                                             EXPECTED                                                       BASELINE           TARGET               TARGET             TARGET
SUB-PROGRAMME      (10 POINT PLAN    FOR 2010/11-                               OUTPUTS                INDICATORS
                                                             OUTCOMES                                                       2009/10            (2010/11)            2011/12            2012/13
                   2009-2014)        2012/13
FOOD CONTROL    Improve quality of   Strengthening food      Prevention of       Nutrient profiling    Nutrient pro-        University of      Nutrient profiling    Nutrient           Evaluation
AND NON-MEDICAL health services      control risk man-       food safety        model finalized and    filing model         North West         model available      profile model      of health
HEALTH PRODUCT                       agement measures        and diet re-       implemented            available and        tasked by          and tested for       implemented        claims/non-
REGULATION                           related to develop-     lated illnesses,   to evaluate health     implemented to       industry to        final implementa-    to evaluate        essential
                                     ment/ publication/      harmonization      claims on foodstuffs   evaluate health      develop nutri-     tion                 health claims/     foodstuffs
                                     implementation of       of the Depart-     and listing            claims and           ent profiling                           non-essential      completed
                                     relevant national       ment’s legisla-    of non-essential       non essential        model - work                            foodstuffs
                                     legislation, based on   tion with FAO/     foodstuffs by          foodstuffs for       in progress
                                     international stan-     WHO Codex          2011/12                listing in regula-
                                     dards adopted by        Alimentarius                              tions
                                     the FAO/WHO Codex       standards and
                                     Alimentarius, where     improved im-
                                     applicable              plementation
                                                             of food con-       Participation in 12    Number of            12 Codex re-       12 Codex related     12 Codex re-        12 Codex
                                                             trol measures      Codex activities and   Codex related        lated activities   activities par-      lated activities   related ac-
                                                             at provincial      inclusion of FAO/      activities aimed     participated in    ticipated in and     participated in    tivities par-
                                                             and municipal      WHO Codex Alimen-      at adoption of       and inclusion      inclusion of stan-   and inclusion      ticipated in
                                                             levels             tarius standards in    standards par-       of standards in    dards in 4 sets of   of standards       and inclusion
                                                                                Department’s food      ticipated in and     4 sets of leg-     legislation of the   in 4 sets of       of standards
                                                                                legislation, (where    inclusion thereof    islation of the    Department           legislation of     in 4 sets of
                                                                                applicable) annually   in Department’s      Department                              the Depart-        legislation of
                                                                                                       legislation                                                  ment               the Depart-
                                                                                                                                                                                       ment
                                                                                                                                                                                                        Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13
                                                                                                                                                                                                        105
                  NHS PRIORITIES       OBJECTIVES            EXPECTED            PROGRAMME       INDICATORS        BASELINE           TARGET           TARGET          TARGET
SUB-PROGRAMME     (10 POINT PLAN       FOR 2010/11-          OUTCOMES            OUTPUTS                           2009/10            (2010/11)        2011/12         2012/13
                  2009-2014)           2012/13
FOOD CONTROL      Improve quality of   Strengthening         Prevention of       Regulations      Final regula-     Development       Drafting of      Processes       Imple- ment
AND NON-MEDICAL   health services      food control risk     food safety and     related to      tions on health   of draft regula-   health claims/   comments,       new regula-
HEALTH PRODUCT                         management            diet related ill-   health claims   claims pub-       tions still to     listing of       prepare and     tions iro
REGULATION                             measures related      nesses, harmo-      on foodstuffs   lished            commence,          non-essential    publish final   evaluation/
                                       to development/       nization of the     developed and                     awaits finaliza-   foodstuffs       regulations     approval of
                                       publication/          Department’s        finalised                         tion of nutrient   regulations                      health claims/
                                       implementation        legislation with                                      profiling model    for publica-                     listing of non
                                       of relevant na-       FAO/WHO                                                                  tion for pub-                    essential food-
                                       tional legislation,   Codex Alimen-                                                            lic comment                      stuffs
                                       based on inter-       tarius standards
                                                                                                                                                                                         106 STRATEGIC PLAN 2010/11-2012/13




                                       national stan-        and improved
                                       dards adopted         implementation
                                       by the FAO/WHO        of food control
                                       Codex Alimen-         measures at
                                       tarius, where         provincial and
                                       applicable            municipal levels
         Measurable Objectives, Indicators, Targets and Budgets STRATEGIC PLAN 2010/11-2012/13          107

EXPENDITURE ESTIMATES
TABLE : INTERNATIONAL RELATIONS, HEALTH TRADE AND HEALTH PRODUCT
REGULATION

Subprogramme                                                          Adjusted
                                      Audited outcome             appropriation    Medium-term expenditure
                                                                                          estimate
R million                        2006/07   2007/08      2008/09        2009/10    2010/11   2011/12   2012/13
Multilateral Relations                                                    45.1       50.7      57.1       58.6
                                    31.4      36.7         61.5
Food Control and Non-medical
                                     3.5       4.3          6.4             6.5       7.2       7.8        8.1
Health Product Regulation
Pharmaceutical and Related
Product Regulation and              24.8      23.3         28.7            38.7      46.6      47.4       51.7
Management
Total                               59.7      64.3         96.6           90.2      104.5     112.4      118.5
Change to 2009 Budget estimate                                              3.3       3.7      (1.4)      (0.9)

Economic classification
Current payments                    58.3      63.8         96.1           89.4      103.7     111.5      117.6
Compensation of employees           30.7      32.6         35.9           39.6       42.8      45.1       47.4
Goods and services                  27.6      31.2         60.2           49.8       61.0      66.4       70.3
of which:
Administrative fees                  0.0       0.0          0.5             0.5       0.6       0.6        0.6
Advertising                          0.3       0.3          0.8             1.0       1.2       1.2        1.3
Assets less than the                 0.6       0.3          0.2             1.9       2.4       2.4        2.6
capitalisation threshold
Catering: Departmental               0.3       0.3          0.2             1.0       1.3       1.3        1.4
activities
Communication                        0.5       0.4          0.4             1.1       1.3       1.4        1.5
Computer services                      –       0.0          0.3             7.5       9.3      12.8       12.1
Consultants and professional         0.3       0.1          5.5             1.8       2.2       2.3        2.5
service: Business and advisory
services
Consultants and professional           –       0.0            –             0.1         –         –          –
service: Legal costs
Contractors                          0.3       0.1          2.3             0.1       0.2       0.2        0.2
Agency and support /                   –         –          0.0             0.8       0.1       0.1        0.1
outsourced services
Entertainment                        0.0       0.0          0.0             0.3         –         –          –
Inventory: Materials and             0.0       0.0          0.0             0.0         –         –          –
supplies
Inventory: Medical supplies          0.0         –            –               –         –         –          –
Inventory: Other consumables           –       0.0          0.0             0.0       0.0       0.0        0.0
Inventory: Stationery and            1.1       1.0          1.1             2.1       2.5       2.6        2.8
printing
Lease payments                       1.0       2.0          2.5             1.5       1.9       1.9        2.1
Transport provided:                  0.0       0.0            –               –         –         –          –
Departmental activity
Travel and subsistence              13.5      15.5         30.1            18.4      22.0      23.3       25.3
Training and development             0.4       0.3            –               –         –         –          –
Operating expenditure                5.4      10.1         14.7            11.5      14.3      14.6       15.8
Venues and facilities                3.7       0.7          1.7             0.3       1.7       1.8        1.9

Transfers and subsidies              0.1       0.1          0.1               –         –         –          –
Provinces and municipalities         0.0         –            –               –         –         –          –
Households                           0.1       0.1          0.1               –         –         –          –

Payment of capital assets            1.3       0.4          0.4             0.9       0.8       0.8        0.9
108 STRATEGIC PLAN 2010/11-2012/13



                                                                               Adjusted
                                           Audited outcome                 appropriation      Medium-term expenditure
                                                                                                     estimate
 R million                           2006/07      2007/08       2008/09            2009/10   2010/11   2011/12   2012/13
 Mechinary and equipment                 1.3          0.4           0.4                0.9       0.8       0.8        0.9
 Software and other intengible             -          0.0             -                  -         -          -         -
 assets
 Payments for financial                   0.0             –            –                 –         –         –          –
 assets
 Total                                   59.7         64.3          96.6              90.2     104.5     112.4      118.5

 Table 17.10 International Relations, Health Trade and Health Product Regulation
                                                                               Adjusted
                                           Audited outcome                 appropriation      Medium-term expenditure
                                                                                                    estimate
 R million                         2006/07        2007/08       2008/09            2009/10   2010/11   2011/12   2012/13
 Details of selected transfers and
 subsidies
 Provinces and
 municipalities
 Municipalities
 Municipal bank accounts
 Current                               0.0                –            –                 –         –         –          –
 Regional Service Council Levies       0.0                –            –                 –         –         –          –
 Households
 Social benefits
 Current                                 –                –          0.1                 –         –         –          –
 Leave Gratuities                        –                –          0.1                 –         –         –          –