Title: Presentation to the Health Portfolio Committee
1Presentation to the Health Portfolio Committee
- Presentation to Health
- Portfolio Committee
- Free State Department of Health
- 15 APRIL 2003
2Vision A Healthy and self-reliant Free State
community.
- Mission
- - Provide a quality, accessible and
comprehensive Health Care Services to the Free
State community. - - Optimally utilises health care resources to
provide a caring and compassionate services. - - Endeavours to empower and develop all
personnel and stakeholders to the best of their
potential.
3Corporate Goals
7. Accessible and quality services at all levels
2. Effective and efficient management of resources
1. Reduce burden of HIV/AIDS and TB
A Healthy and self-reliant Free State community
4. Effective marketing and communication of
Health Services.
3. Functional District Health System
6. Appropriate infrastructure
5. Developed and empowered personnel and
stakeholders
4Achievements on Strategic Objective
- Reduce burden of HIV/AIDS and TB
- Develop Home Based Care and step down facilities
in all districts in the Free State within 3years. - Manage 95 of HIV/AIDS and Tuberculosis (TB)
patients at Level1 facilities within 3 years. - Reduce prevalence of HIV/AIDS by 1 per year over
the next 3 years. - Increase Tuberculosis cure rate of the new
Tuberculosis cases to 85 within 3 years. - Effective and Efficient Management of resources
- Implement Public Finance Management Act (Act 1 of
1999 as amended by Act 29 of 1999) according to
the Treasury regulations within 3 years. - Improve the morale of staff within 3 years.
- Develop and implement an asset management and
maintenance and replacement system (facilities,
equipment and Information Technology) within 3
years. - Functional District Health System
- Implement District Health System according to
legislation within 3 years. - Develop functions in line with legislation within
3 years
5Achievements on Strategic Objective continue
- Effective Marketing and Communication of Health
Services - Develop and implement a services market plan
within 3 years. - Develop and implement an integrated,
comprehensive communications strategy within 3
years. - Developed and empowered personnel and
stakeholders - Ensure all occupational classes of staff are
trained in line with service needs within 3
years. - Ensure availability of health professionals at
appropriate service delivery levels within 3
years. - Train and empower stakeholders within 3 years.
- Appropriate Infrastructure
- Implement revitalisation of hospitals according
to approved plans within 3 years. - Implement clinic building and upgrading plans.
- Implement an electronic health information system
at all levels of care within 3 years. - Accessible and quality services at all levels
- Accredit 12 institutions (2 at Academic Health
Services Complex, 5 regional hospitals and 5
district hospital) by Council for Health service
Accreditation of Southern Africa (COHSASA) within
3 years. - Reduce the incidence of medico-legal incidents by
50 within 3 years. - Provide 100 access to 24-hours services within
Local Municipality Area within 3 years.
6STRATEGIC PLAN
- 10 POINT PLAN
- FREE STATE DEVELOPMENT PLAN
- PROVINCIAL STRATEGIC POSITION STATEMENT
- INFORMATION/DATA
- NATIONAL AND PROVINCIAL HEALTH AND OTHER
LEGISLATION - NATIONAL AND PROVINCIAL POLICIES
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8Expenditure 2002/2003
- Expenditure per Programme
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11Expenditure 2002/2003
- Expenditure per Standard Items
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17 MTEF
18 ALLOCATION
19 MTEF 2000-2006
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21Conditional Grants
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24Addressing Equity
25Equity
- At provincial level, The Department motivates its
needs to the Provincial Budget Management
Committee. - The Department received 18.5 of equitable share
and 22.3 of total revenue including conditional
grants. - This compares to the 23.3 average of Provincial
Health Departments in the country. - Two percent (2) of the budget on Academic
hospital level and Provincial hospital level were
shifted to Primary Health Care Services. - An equity review is done on an annual basis and
informs process towards intra-provincial equity. - All districts are undergoing DHER to look at
intra-district equity - District funding funds the district plans
approved by the PHA and managed amongst others
through S L A - The burden of inflation to the Health sector has
a huge impact,especially on replacement of
equipment and medical consumables, and therefore
equity.
26Achievements
- SUMMARY OF THE ACHIEVEMENTS OF THE MEC
DELIVERABLES FOR 2002/03
27Challenges
- The mission of the Free State Provincial
Government is - Enhancing economic development and job creation.
- Providing and facilitating sustainable
infrastructure development. - Investing in the development of people of the
Province. - Ensure a safe and secure environment.
- To support these, the thrust on the Free State
Department of Health remain - Strengthening the Primary Health Care services.
- Implementation of district Health System.
- Improvement of quality care in all facilities.
- Decisively dealing with HIV/ AIDS and other
communicable diseases. - Efficient and effective management of resources
including personnel.
28Challenges continue
- External and Internal factors affecting Health
Care delivery within the province - The poor socio-economic status of the majority of
the Free State population poses major challenges
to the delivery of appropriate health care
services. - Cross border flow and inappropriate self
referrals affect the health budget. - HIV/ AIDS epidemic requires sustainable and
effective intervention if significant cost
implications are to be managed. - The District Health system should form the
foundation for the delivery of health care. - A monitoring mechanism is required, to ensure
that public health resources are aligned with
Primary Health Care priorities. - 24 hour Primary Health Care facilities are needed
to enable treatment at the clinically appropriate
level. - Completion of the transformation of Emergency
Medical Services and Patient transport system to
support referral systems. - Current Human Resources policy needs to be
reviewed. - Marketing of health services
- Provision of quality health care
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