Presentation to the Health Portfolio Committee

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Presentation to the Health Portfolio Committee

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

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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.

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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
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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

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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.

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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

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Expenditure 2002/2003

• Expenditure per Programme

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Expenditure 2002/2003

• Expenditure per Standard Items

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• Departmental Receipts

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MTEF

• An Overview

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ALLOCATION
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MTEF 2000-2006

• GRAPH

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Conditional Grants
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Addressing Equity

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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.

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Achievements

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

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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.

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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

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• Thank You