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Presentation to the Health Portfolio Committee

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Title: Presentation to the Health Portfolio Committee


1
Presentation to the Health Portfolio Committee
  • Presentation to Health
  • Portfolio Committee
  • Free State Department of Health
  • 15 APRIL 2003

2
Vision 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.

3
Corporate 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
4
Achievements 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

5
Achievements 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.

6
STRATEGIC 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

7
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8
Expenditure 2002/2003
  • Expenditure per Programme

9
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10
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11
Expenditure 2002/2003
  • Expenditure per Standard Items

12
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13
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14
  • Departmental Receipts

15
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16
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17
MTEF
  • An Overview

18
ALLOCATION
19
MTEF 2000-2006
  • GRAPH

20
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21
Conditional Grants
22
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23
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24
Addressing Equity

25
Equity
  • 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.

26
Achievements
  • SUMMARY OF THE ACHIEVEMENTS OF THE MEC
    DELIVERABLES FOR 2002/03

27
Challenges
  • 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.

28
Challenges 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

29
  • Thank You
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