1 / 83

Gauteng Department of Health Presentation to the national Health portfolio Committee

Gauteng Department of Health Presentation to the national Health portfolio Committee. 23 August 2005. Presented by Dr A Rahman (Acting HOD) and Ms T Majaja (CFO). Overview. Strategic overview Departmental achievements highlights and key priorities for the MTEF period Strategic Focus Areas

bhafer
Télécharger la présentation

Gauteng Department of Health Presentation to the national Health portfolio Committee

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Gauteng Department of Health Presentation to the national Health portfolio Committee 23 August 2005 Presented by Dr A Rahman (Acting HOD) and Ms T Majaja (CFO)

  2. Overview • Strategic overview • Departmental achievements highlights and key priorities for the MTEF period • Strategic Focus Areas • Key Challenges • Financial Highlights • Conclusion

  3. Strategic Overview

  4. Vision Health for a better life

  5. Mission • The Gauteng Health Department aims to promote and protect the health of our people, especially those most vulnerable to illness and injury • Through innovative leadership and management we provide quality health services and strive to: • Ensure a caring climate for service users • Implement best practice health care strategies • Create a positive work environment of staff • Provide excellent and appropriate training for health workers • Listen to, and communicate with our communities and staff • Establish management systems for effective decision making • Forge partnerships with others • Obtain the greatest benefit from public monies

  6. Mission (continued) • Our work is reflected in the enhanced well being of our clients and staff, the social and economic development of our province and a more just society

  7. Health Strategic Goals • Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors • Effective implementation of the comprehensive HIV and AIDS strategy • Strengthen the district health system and provide caring, responsive and quality health services at all levels • Implement the people’s contract through effective leadership and governance • Become a leader in human resource development and management for health • Operate smarter and invest in health technology, communication and management information systems

  8. 2004/05 and 2005/06 1st quarter achievements Highlightsand Key priorities for the MTEF priod (2006-09)

  9. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors • Health promotion implementation framework approved and health promoters trained • Mindset Health Channel launched and 58 sites operational (DSTV channel 82) • Provincial Infections Control initiative

  10. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… • Bana Pele launched in June 2005 • Integrated management of childhood illnesses: important strategy for improving child health • Mass immunisation campaign in 2004 • 2 million doses of polio and measles administered with overall 90% coverage in the first round • Contribute to the goal of declaring South Africa ‘Polio-free’ by the year 2005 • 85% immunisation coverage first Quarter 2005/06 • WHO investigation and implementation of recommendations

  11. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… • Youth friendly services increased from 34 in 2003/04 to 40 in 2005/06 financial year • Youth Summit with 560 participants held in June 2005 • Launched third edition of Classroom Health Guide for Teachers as part of Bana Pele launched in June 2005 • More than 150 000 learners were screened for obstacles of learning • More than 2 000 received spectacles school health guidelines

  12. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… • 8 facilities accredited with WHO/UNICEF Baby Friendly Hospital Initiative in the province • Vitamin A supplementation supplied to children and post-partum women in all facilities • 1 695 crèches funded benefiting 58 219 children

  13. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… • Maternal and neonatal clinical care unit established • Perinatal Problem Identification Programme (PPIP) implemented at 20 sites in the province • 17 Kangaroo Mother Care units operational in the province • Campaign for Cervical and Breast cancer targeting farm areas conducted in October 2004 • Cervical Cancer screening increased from 24 204 in 2001/02 to 50 033 in 2004/05

  14. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… • 53 health facilities provide post-exposure prophylaxis for HIV • 56% of facilities provide 24 hour service • Benefited 28 181 clients since the inception of the programme • Provided 3 541 assistive devices in 2004/05 • 1 793 Wheelchairs increasing • 1 244 Hearing aids • 504 Artificial limbs

  15. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… Key Priorities for the MTEF Period • Implementation of strategies for reducing avoidable deaths • Maternal and Neonatal care unit implementing recommendations from the saving mothers’ report • Health implementation of Bana Pele programme • Interventions for Immunisation and polio count-down for Gauteng and outcomes

  16. Goal 1: Promote health, prevent and manage illnesses or conditions with emphasis on poverty, lifestyle, trauma and violence and psychosocial factors cont… Key Priorities for the MTEF period • Implementation of the WHO model for integrated diseases surveillance and response • Increasing TB cure rate • Provision of capacity, • HIV/TB collaboration • Provincialisation of TB beds • Implementation of health promotion and prevention illnesses • Non communicable diseases • Healthy lifestyles

  17. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • HIV sero-prevalence rate among pregnant women in Gauteng shows 3% increase, from 29.6% in 2003, to 33.1% in 2004 • Syphilis rate decrease from .1% in 2003 to 0.9% in 2004

  18. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • A joint health and treasury national task team was set up in September 2002 to investigate feasibility of introducing ART as a component of treatment • Report was presented to National Cabinet on 8th August 2003 • Request to compile a national operational plan for implementation of comprehensive HIV and AIDS includingART programme • Gauteng prepared a provincial operational plan aligned with the national plan • Implementation of comprehensive HIV and AIDS including ART programme commenced on 1st April 2004 in 5 facilities Comprehensive HIV and AIDS plan

  19. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • Currently a comprehensive treatment and care programme, including anti-retroviral treatment (ART) implemented in 27 health facilities • More than 200 000 clients assessed • More than 20 000 on treatment • 1 078 health professional trained on comprehensive HIV and AIDS including ARV in 2004/05 • 11 000 Philani food supplements for adults and 3 000 children distributed to patients with TB and HIV and AIDS in 2004/05 • No drug stock outs have been reported

  20. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Monitoring of side effects • Pharmacovigilance system being implemented to monitor side effects from patients receiving ART • Out of more than 20 000 patients on treatment since the inception of the programme approximately 75 patients experienced side effects such as • Skin Rash, Diarrhoea, Anaemia; • Fatigue, Headache, Lactic Acidosis, Loss of Weight/Appetite; • Abdominal pains, Nausea, Vomiting; • Lipoatrophy, Peripheral Neuropathy and IRS • Training of monitoring and evaluation for comprehensive HIV and AIDS programme conducted in July 2005

  21. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Accredited facilities implementing comprehensive treatment and care programme, including ART • Johannesburg Metro (09) Sub-District • Johannesburg Hospital (TH) SUB 8 • Chris Hani Baragwanath Hospital (TH) SUB 10 • Helen Joseph Hospital (RH) SUB 4 • Coronation Hospital (RH) SUB 4 • Discoverer Clinic (CHC) SUB 5 • Hillbrow (CHC) SUB 8 • Lillian Ngoyi (CHC) SUB 10 • Zola (CHC) SUB 6 • Sizwe Tropical Disease Hospital (SP) SUB 7

  22. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Accredited facilities implementing comprehensive treatment and care programme, including ART • West Rand (03) Sub-district • Leratong Hospital (RH) Mogale City • Carletonville Hospital (DH) Mogale City • Khutsong Main (CHC) Mogale City • Ekurhuleni Metro ( 06) • Natalspruit Hospital (RH) Ekurhuleni • Tembisa Hospital (RH) Ekurhuleni Far East • Rand Hospital (RH) Ekurhuleni Daveyton • Main (CHC) Ekurhuleni • Tambo Memorial Hospital (RH) Ekurhuleni • Pholosong Hospital (DH) Ekurhuleni

  23. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Accredited facilities implementing comprehensive treatment and care programme, including ART • Sedibeng District (05) Sub-District • Sebokeng Hospital (RH) Emfuleni • Kopanong Hospital (DH) Emfuleni • Empilisweni Clinic (CHC) Emfuleni • Heidelberg Hospital (RH) Lesedi • Levai Mbata (CHC) • Tshwane / Metsweding (04) • Pretoria Academic Hospital (TH) Central) Tshwane • Kalafong Hospital (RH) Central) Tshwane • Dr George Mukhari Hospital (TH) North) Tshwane • Laudium CHC South) Tshwane

  24. ARV Facilities Staff compliment Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Staffing for ART sites

  25. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • Prevention of Mother to Child Transmission (PMTCT) implemented in 100% of hospitals and CHCs and 71% (144) of all other clinics • Outcome of the PMTCT programme • Out of 112 490 women enrolled on the programme from April to December 2004, 17 315 of these women received Nevirapine and 12 495 babies were born from these women • Out of 12 355 babies who received Nevirapine, 1 427 babies were tested after 12 months and only 12% (171) of these babies tested HIV positive

  26. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • Voluntary Counselling and testing (VCT) sites increased from 202 sites in 2003 to 320 sites to date • Average of 11 million male and distributed per month in 2005/06 • Average of 30 000 female condoms distributed per month in 2004/05 and 19 000 for 1st quarter • Syndromic management of sexually transmitted infections implemented in 97% of health facilities Free condoms

  27. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy • Funded 132 NGOs for home based care and 236 hospice beds in 23 hospices • NGOs cared for 51 994 homebound patients • Cared for 2 854 terminally ill patients in hospices

  28. Goal 2: Effective implementation of the comprehensive HIV and AIDS strategy Key Priorities for the MTEF period • Reducing of HIV new infections focusing on prevention • Expansion of sites for distribution of female condom • Expansion of comprehensive HIV and AIDS including ARV to • 45 sites and 25 000 patients on treatment by March 2006 • Monitoring implementation of AIDS strategy including ARV programme • Implementation of strategies to reduce the impact of HIV and AIDS in hospitals and clinics • Implementation of step down beds • Strengthening the HR capacity through partnerships and recruitment strategies

  29. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels • Final draft of SLA with City of JHB • Implementation of full clinic supervisory manual in each sub-districts • Extension of hours in 65% of sub-districts • Phola Park and Esangweni Maternity Midwife Obstetric Unit opened • Monitoring of MOU’s and joint District Health Plans on quarterly basis

  30. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels • EMS Public awareness campaign through radio • 104 EMS vehicles replaced since 2004/05 • Trained ambulance staff attend more than 420 000 incidents and transport more than 430 000 patients in 2004/05 • 65% reduction in the surgical backlog since 2004/05 • 670 Joint (hip and knee) • 582 cardiac • 208 spine • 4 398 cataract

  31. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels • Stabilisation of selected hospitals that meet risk identification criteria • Standard criteria • Management support and intervention • Critical post filling • Equipment • Monitoring and evaluation • Expansion of centres of excellence in the province • Breast disease services consolidated at Helen Joseph hospital • New hand surgery unit at Chris Hani Baragwanath in partneship with leading mining and engineering companies nearing completion

  32. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels • New Mental Health Care Act implemented • Mental Health Review Boards Operational • 10 bed child and adolescent beds opened at Sterkfontein • Implementation of Pharmacy Act • Rational Pharmacy Management Survey completed and shows 27 hospitals are between 70% and 90% compliant • Training of Pharmacist assistants, Doctors and nurses

  33. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels cont… • Six hospitals fully accredited • Complaints hotline functional 24 hours, including weekends and public holidays: 0800 203 886 • Continue to excel in the Premier’s Service Excellence Awards and others • Won both the Gold and the Silver award for the Face of Government awards • silver award for the Service Delivery Innovation award • Best Practice and Batho Pele programme being implemented in four hospitals and all Tshwane Clinics • Initiated staff satisfaction survey

  34. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels cont… Key Priorities for the MTEF period • Implementation of the Service Improvement Plan with special focus on modernization of tertiary services • Improving efficiency indicators • Establishment of Gateway Clinics • Primary Health Services • Changing model of primary health care service provision • Provincialisation of District Health Services • Ensure optimal functioning and • Taking pressure from hospitals

  35. Goal 3: Strengthen the district health system and provide caring, responsive and quality health services at all levels cont… Key Priorities for the MTEF period • Extension of extended hours of service at sub district levels • Provincialisation of Emergency Medical Services • Implementation of the new National Health Act • Implementation of quality assurance programme focusing on • Service excellence • Improving frontline services • Improving clinical care • Management accountability • Reduce the unequal power relations between service users and providers i.e true meaning of Batho Pele • Accreditation of all facilities

  36. Goal 4: Implement the people’s contract through effective leadership and governance • All hospitals have functional hospital boards • 1 000 Community Health Care workers trained and another 208 commenced training in May 2005 • Various partnerships e.g. • Sanofi Aventis and Sizwe hospital, TB free centre • Mining sector and hand unit at Chris Hani Baragwanath • Italian cooperation in information systems • Mandela Foundation • Other • Commended by Public Service Commission in State of the Public Service Report on community participation model • MECs 28 sub- districts imbizos and visits • MEC’s 14 monthly roving meetings in districts since April 2005

  37. Goal 4: Implement the people’s contract through effective leadership and governance Key Priorities for the MTEF period • Rollout of the CEO training and development programme including training of middle managers • Improve functioning of community participation structures • Community health workers (CHW) expansion programme • Building partnerships including Public Private Partnerships (PPPs) • Ensuring compliance with the Pharmacy Act, New Mental Health Act and New national Act

  38. Goal 5: Become a leader in human resource development and management for health • Gauteng trains 1/3 of country’s doctors and 25% of country nurses • 5 024new employees in past year • Aggressive recruitment drive through block advertisement • Recruitment of retired nurses

  39. Goal 5: Become a leader in human resource development and management for health • 1 840 people in learnership/ internship programme 2004/05 • 1 589 1st quarter 2005/06 • Uniform allowance implemented • Launched wellness programme in 2004 being extended • 61% of staff participate in provincial Employee Assistance Programme with 16% utilisation rate

  40. Goal 5: Become a leader in human resource development and management for health Key Priorities for the MTEF period • Ensure recruitment & training of personnel in line with the SIP with emphasis on health professionals • Implementation of retention strategy focusing on • Reducing attrition rate of doctors and nurses • Retention of community service professionals • Increasing the production of nurses by 20% in each year of the MTEF period • Building partnerships with Universities for Emergency Medical Services and production of nurses

  41. Goal 5: Become a leader in human resource development and management for health Key Priorities for the MTEF period • Expansion of teaching platform to include Family Medicine in district health services • Mainstreaming of Gender and Disability as part of the Employment Equity Plan • 5 100 beneficiaries on Learneships and internships programme by 2009 • Strengthening implementation of Performance Management System • Expansion of Employee Wellness Programme • Strengthening capacity development

  42. Goal 6: Operate smarter and invest in health technology, communication and management information systems • Came within budget in 2004/05 • Unqualified audit report for 2004/05 for medical supplies Depot • 12.5% increase of revenue from previous year • Implementation of BAUD Asset Management System • Launched an internal newsletter addressing staff issues Rands and cents

  43. Goal 6: Operate smarter and invest in health technology, communication and management information systems • Two PPP projects for procurement of equipment approved • New Pretoria Academic Hospital • New Radiation Oncology for Johannesburg Hospital • Bought or ordered more than R100 million worth of medical equipment • CT scanners at Johannesburg, Pretoria Academic • Coronation, Sebokeng, Helen Joseph and Kalafong hospitals • MRI scanners at Chris Hani Baragwanath, Pretoria Academic and Johannesburg hospitals • Gamma cameras at Dr George Mukhari, Pretoria Academic and Johannesburg hospitals • Radiological equipment at Pretoria Academic, Far East Rand, Heidelburg, Tembisa and Mamelodi hospitals • Linear accelerators at Pretoria Academic and Johannesburg hospitals

  44. Goal 6: Operate smarter and invest in health technology, communication and management information systems Key Priorities for the MTEF period • Strengthen control and management of Budget and Expenditure including conditional Grants • Strengthen institutional capacity on financial management • Revenue collection policies and strategies • CAPEX • Revitalisation of health infrastructure • Infrastructure improvement • Equipment • Strengthen monitoring of capital projects through SLA • Alignment of budget with expenditure for revitalisation and capital projects

  45. Goal 6: Operate smarter and invest in health technology, communication and management information systems Key Priorities for the MTEF period • Investigate , develop and implement models of PPP’s in accordance with prescribed BBBEE polices • Implementation of the BBEE strategy • Monitoring and implementation of the Supply Chain Management guidelines • Implementation of IM/IT strategy including Roll out MEDICOM to other facilities • Implementation of external and internal communication strategy • Alignment of planning, implementation monitoring and evaluation

  46. Strategic focus areas

  47. Management of Tuberculosis (TB) • Signed SLAs with three Gauteng Anti-Tuberculosis Association (SANTA) hospitals and three Life Care hospitals (total of 6) • Cure rate increased from 58% end of 2004/05 to 62.4% in 1st quarter of 2005/06 • TB Free Centre launched in partnership with National Department of Health, Sanofi-Avertis and Nelson Mandela Foundation in 2004 at Sizwe Hospital • TB/HIV collaboration programme implemented in all sub-districts

  48. Management of Tuberculosis (TB) • 89% (35 330) of TB patients with DOTS support • 15 879DOT patients in clinics • 20 642DOT patients in the Community • 3 176DOT patients at workplace • 4 367DOT patients self supervised • All sub districts have started using TB electronic register • TB advocacy • Developed integrated social mobilisation and advocacy plan • Collaboration with all role players • Established TB focal point in all provincial hospitals • Adherence to National TB control programme guidelines and protocols

  49. Management of other chronic diseases • Implementation of national policy guidelines and protocols in all facilities • Availability of EDL chronic medication in all facilities • Provision of fast queues for older patients in all community Health Centres • Implement chronic registers for follow up of defaulting patients in all facilities • Support groups established in all sub districts • Conduct healthy lifestyles awareness campaigns annually • Public Private Partneship with NGOs and pharmaceutical companies

  50. Management of other chronic diseases • Patients with Chronic Obstructive Airway Diseases are benefiting fromLong term domiciliary oxygen therapy • Flue Vaccine is made available to all state subsidies old age homes and to the facilities for the older persons and debilitating conditions • Treated over 2.5 million patients with chronic conditions in 2004/05 • Sight restored to 8 221 people through cataract surgery in 2004/05 • 3297 from public hospitals • 207 for World Sight Day • 4 717 from private hospitals

More Related