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VOTE 03 DEPARTMENT OF HEALTH Department of Health Department: Health Vote 03 To be appropriated by Vote in 2014/15 R 8 184 022 000 Responsible MEC MEC for Health Administrating Department Department of Health Accounting Officer Deputy Director General of the Department of Health 1. Overview • Vision Healthy self-reliant communities in the North West Province • Mission To render accessible, equitable and integrated quality health • Values In rendering such services the department shall observe values contained in the following: • Batho Pele Principles • Patients' Rights Charter • Victims Rights Charter • Children’s Rights Charter • Disability Rights Charter • Older Persons Pledge • Public Service Principles • Accountability and Transparency • Community participation • Excellence • Caring • Access, human dignity and respect Core functions of the department The department is responsible for the delivery of primary health care services, hospital services, forensic pathology services and emergency medical rescue services. The main purpose of the department is to develop and implement a sustainable, co-ordinated, integrated and comprehensive health system based on the primary health care approach, which encompasses promotive, curative, rehabilitative, supportive and palliative care. This is guided by the principles of accessibility, equity, community participation, appropriate technology, inter-governmental and inter-sectoral co-operation. The department provides health services primarily to the uninsured population which comprises about 88 per cent of the province’s total population. In addition, the department is required to provide tertiary health services to people beyond the provincial boundaries. The following four main categories of health services are provided by the department: Primary health care services Primary health care services are rendered at community / household level and in fixed clinics. These services focus on the prevention of illness and the provision of basic curative health services. The services include immunization, communicable disease control, environmental health, oral and dental health, rehabilitation support, occupational health and chronic disease support. Focus is on Primary Health Care re- engineering which is core to the Annual Performance Plan. Hospital services District hospitals render hospital services at a general practitioner level, while provincial hospitals render hospital services at a specialist level. Specialised hospitals render specialised hospital services for patients with tuberculosis (TB), psychiatric illnesses and those patients requiring long-term or chronic step- down/rehabilitative care. Tertiary services in the province are rendered by three hospitals viz. Klerksdorp, 59 2014/15 Estimates of Provincial Revenue and Expenditure Mafikeng and Job Shimankana Tabane; such services are still at developmental stage and are rendered at specialist level, providing facilities and expertise needed for sophisticated medical procedures. Forensic pathology services These are directed at ensuring impartial professional evidence for the criminal justice system concerning death due to unnatural causes. The department is currently deliberating on demands for and expected changes in the services and the resources available to match them and information on external activities and events relevant to budget decisions. Quality assurance is a critical key area of health service delivery The Department is improving on Drug supply and the maintenance budget has been moved to the districts to facilitate maintaining of our facilities. Emergency medical services The aim of this function is to provide emergency care and transport for victims of trauma, road traffic accidents, and emergency medical and obstetric conditions. Planned patient transport is provided for inter- hospital transfer, while indigent patients are transported between clinics and hospitals. Main services that the department intends to deliver Overview of the successes and challenges in service delivery and health outcomes for the previous financial year – the focus is on priority health programmes, quality of care provision etc. the service delivery environment is also futuristic in a sense it takes into consideration the need to implement the National development plan which is a blue print from the 2014/15 financial year going forward. Sub-Outcome Key Actions Provincial Strategies and Interventions Prevent and reduce the 1. Improve access to ART Ø Strengthening MCWH programmes disease burden and 2. Implement essential interventions to promote health reduce HIV mortality Ø In the plight of reducing maternal and 3. Expansion of Medical Male Circumcision child morbidity and mortality, the (MMC) as part of male sexual and province is implementing the reproductive health programme recommendations of the following: 4. Improve TB treatment outcomes 5. Implement interventions to reduce TB • Saving mothers mortality • Saving babies 6. Reduce the HIV Mother-to-Child- • Saving children Transmission (MTCT) rate • Tshwane declaration on support 7. Improve the implementation of Basic for breastfeeding Antenatal Care (BANC) • Campaign on accelerated 8. Provision of Preventative services, and reduction of maternal and child improve growth monitoring mortality 9. Expansion and strengthening of school health services Ø Promoting healthy lifestyles 10. Cervical cancer prevention and • Healthy lifestyles campaigns screening were established throughout the 11. Improve intersectional collaboration with province. The department a focus on 6 pillars of healthy lifestyle to implemented the training strategy reduce NCDs for health promotion. 12. Prevent blindness through increased • The department further organized cataract surgeries promotional campaigns and 13. Coordinate a comprehensive and events integrated with health intersectoral response by government to programmes. The department violence and injury, and to ensure action maintained functional school health services in all the districts to strengthen health promoting schools. In strengthening youth structures six (6) sessions on life skills for the youth was conducted. } TB Management The department is implementing the 60 Department of Health Sub-Outcome Key Actions Provincial Strategies and Interventions TB turnaround strategy to improve the outcomes in the province. This is monitored on a quarterly basis. Intensified Case finding implemented in all districts for early indication and treatment initiation to prevent mortality of TB cases. } HIV, AIDS and STI management The new National Strategic Plan (NSP) and Provincial Strategic Plan (PSP) 2012-2016 inform implementation of HIV and AIDS interventions. There are four key areas in the plan that are: • Address social and cultural barriers to HIV, STI and TB • Access to treatment care and support • Human rights and access to justice • Maintain health and wellness Health Facility 14. Conclude development and commence } Strengthening Physical Infrastructure: Planning with implementation of long term health The department continues to plans progress towards building of new 15. Implement Norms and Standards for facilities and upgraded the old ones. Health Facilities Infrastructure The facilities maintenance audit was 16. Strengthen and expand teams of completed, and under the hospital engineers in the built industry revitalization project Moses Kotane and Vryburg hospitals are completed. Most of the equipment has been procured. The construction of Bophelong hospital has started with the first phase that is now complete. Phase 2 started in November 2012 and the progress on site is satisfactory. The tender documents for the extension and upgrades of Mmabatho and Excelsius Nursing Colleges are ready for tendering. } Towards strengthening PHC infrastructure and provision of equipment, the Department increased both equipment budget provided to PHC and hospital facilities. However, the maintenance budget may have to be increased for an improved implementation of NHI. Improved financial 17. Improve Audit findings from Auditor- The department is continuously management in the General of South Africa monitoring the AG improvement health sector plans as set from the Audit report. This will ensure that the department does not receive repeat queries from the AG. Efficient health 18. Develop a National integrated patient The Premier’s office has taken a lead management based information system in accordance in assisting the department to information system for with the Normative Standards improve their information systems. improved decision Framework This will ensure that more health making facilities get access to the internet; thus the ability to utilize departmental web-based health information systems 61 2014/15 Estimates of Provincial Revenue and Expenditure Sub-Outcome Key Actions Provincial Strategies and Interventions Improved quality of 19. Operational Office of Health Standards } Facility Quality Improvement & care Compliance Certification: 20. Improve compliance with National Core National Core Standards Standards implementation is supported at 21. Strengthen the input from patients on all health facilities in their effort their experience of the health services to become fully compliant and certified under the National Health Insurance system. } Customer Care and Complaints Management: Complete documentation is required of all customer complaints in facility based complaints registers, while at the same time ensuring that all complaints are resolved
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