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Annual Performance Plan for 2012-13

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Annual Performance Plan for 2012-13 f Mpumalanga Department of Health ANNUAL PERFORMANCE PLAN FOR 2012/13 Date of Tabling 02 April 2012 1 MPUMALANGA DEPARTMENT OF HEALTH ANNUAL PERFORMANCE PLAN 2012/2013 TO 2014/2015 1. TABLE OF CONTENTS PAGE ACRONYMS 6 1 INTRODUCTION 9 2. BACKGROUND 9 3.1 FOREWORD BY THE MEC FOR HEALTH 10 3.2 STATEMENT BY THE HEAD OF DEPARTMENT (HOD) 11 3.3 OFFICIAL SIGN OFF BY THE CHIEF FINANCIAL OFFICER, HEAD OF STATEGIC PLANNING, 13 HEAD HEALTH AND MEC FOR HEALTH PART A 4. STRATEGIC OVERVIEW 14 4.1 VISION 4.2 MISSION 4.3 VALUES 4.4 STRATEGIC GOALS 15 4.5 SITUATION ANALYSIS 16 4.5.1 Population Profile 4.5.2 Socio-Economic Profile 4.5.3 Epidemiological Profile 4.6 PROVINCIAL SERVICE DELIVERY ENVIRONMENT 31 4.6.1 National Health Systems (NHS) Priorities for 2009-2014: The 10 Point Plan 4.6.2 Mpumalanga Department of Health Priorities 4.6.3 Mpumalanga Contribution towards Health Sector Negotiated Service Delivery Agreement (NSDA) 4.7 PROVINCIAL ORGANISATIONAL ENVIRONMENT 48 4.8 LEGISLATIVE MANDATES AND NEW POLICY INITIATIVES 50 4.9 OVERVIEW OF THE 2011/12 BUDGET AND MTEF ESTIMATES 54 4.9.1 Expenditure Estimates 4.9.2 Relating Expenditure Trends to Specific Goals 2 1. TABLE OF CONTENTS PAGE PART B – PROGRAMME AND SUB PROGRAMME PLANS 59 1. BUDGET PROGRAMME 1: ADMINISTRATION 59 1.1 Programme Purpose 1.2 Priorities 1.3 Situational Analysis and Projected Performance for Human Resources 1.4 Provincial Strategic Objectives and Targets for Administration 1.5 Quarterly Targets for Administration 1.6 Reconciling Performance Targets with Expenditure Trends and Budgets 1.7 Performance and Expenditure Trends 1.8 Risk Management 2. BUDGET PROGRAMME 2: DISTRICT HEALTH SERVICES (DHS) 75 2.1 Programme Purpose 2.2 Priorities 2.3 Specific Information for DHS 2.4 Situation Analysis Indicators for District Health Services 2.4.1 Provincial Strategic Objectives, Performance Indicators and Annual Targets for DHS 2.4.2 Quarterly and Annual Targets for District Health Services 2.5 SUB PROGRAMME: DISTRICT HOSPITALS 2.5.1 Provincial Strategic Objectives Performance Indicators and Annual Targets for District Hospitals 87 2.5.2 Quarterly and Annual Targets for District Hospitals 2.6 SUB PROGRAMME: HIV & AIDS, STI AND TB CONTROL (HAST) 2.6.1 Provincial Strategic Objectives, Performance Indicators and Annual Targets for HAST 91 2.6.2 Quarterly and Annual Targets for HAST 2.7 SUB PROGRAMME: MATERNAL, CHILD AND WOMEN’S HEALTH AND NUTRITION (MCWH&N) 2.7.1 Provincial Strategic Objectives, Performance Indicators and Annual Targets for MCWH & N 98 2.7.2 Quarterly and Annual Targets for MCWH & N 2.8 SUB PROGRAMME: DISEASE PREVENTION AND CONTROL (DPC) 2.8.1 Provincial Strategic Objectives, Performance Indicators and Annual Targets for DPC 103 2.8.2 Quarterly and Annual Targets for DPC 2.9 Reconciling Performance Targets with Expenditure Trends 2.10 Performance and Expenditure Trends 106 2.11 Risk Management 3. BUDGET PROGRAMME 3: EMERGENCY MEDICAL SERVICES 3.1 Programme Purpose 109 3.2 Priorities 3.3 Situation Analysis Indicators for EMS 3 1. TABLE OF CONTENTS PAGE 3.3.1 Provincial Strategic Objectives, Performance Indicators and Annual Targets for EMS 3.3.2 Quarterly and Annual Targets for EMS 3.4 Reconciling Performance Targets with Expenditure Trends and Budgets 113 3.5 Performance and Expenditure Trends 3.6 Risk Management 4. BUDGET PROGRAMME 4: PROVINICAL HOSPITALS (REGIONAL AND SPECIALISED) 4.1 Programme Purpose 115 4.2 Priorities 4.3 Provincial Strategic Objectives, Performance Indicators & Annual Targets for Regional Hospitals 4.4 Quarterly and Annual Targets for PHS 4.5 Provincial Strategic Objectives, Performance Indicators & Annual Targets for Specialised Hospitals 4.6 Reconciling Performance Targets with Expenditure Trends and Budgets 4.7 Performance and Expenditure Trends 4.8 Risk Management 5. BUDGET PROGRAMME 5: TERTIARY HOSPITALS 5.1 Programme Purpose 124 5.2 Tertiary Hospitals 5.2.1 Priorities 5.2.2 Provincial Strategic Objectives, Performance Indicators and Annual Targets for Tertiary Hospitals 5.2.3 Quarterly and Annual Targets for THS 5.4 Reconciling Performance Targets with Expenditure Trends and Budgets 5.5 Performance and Expenditure Trends 5.6 Risk Management 6. BUDGET PROGRAMME 6: HEALTH SCIENCES AND TRAINING (HST) 6.1 Programme Purpose 6.2 Priorities 130 6.3 Provincial Strategic Objectives, Performance Indicators and Annual Targets for HST 6.4 Quarterly and Annual Targets for HST 6.5 Reconciling Performance Targets with Expenditure Trends 6.6 Performance and Expenditure Trends 6.7 Risk Management 7. BUDGET PROGRAMME 7: HEALTH CARE SUPPORT SERVICES (HCSS) 7.1 Programme Purpose 137 7.2 Priorities 7.3 Provincial Strategic Objectives, Performance Indicators and Annual Targets for HCSS 7.4 Quarterly and Annual Targets for HCSS 7.5 Reconciling Performance Targets with Expenditure Trends 4 1. TABLE OF CONTENTS PAGE 7.6 Performance and Expenditure Trends 7.7 Risk Management 5 1. TABLE OF CONTENTS PAGE 8. BUDGET PROGRAMME 8: HEALTH FACILITIES MANAGEMENT (HFM) 8.1 Programme Purpose 146 8.2 Priorities 8.3 Provincial Strategic Objectives, Performance Indicators and Annual Targets for HFM 8.4 Quarterly and Annual Targets for HFM 8.5 Reconciling Performance Targets with Expenditure Trends 8.6 Performance and Expenditure Trends 8.7 Risk Management PART C: LINKS TO OTHER PLANS 9. LINKS TO LONG TERM INFRASTRUCTURE & OTHR CAPITAL PLANS 153 10. CONDITIONAL GRANTS 11. PUBLIC ENTITIES 12. PUBLIC-PRIVATE PARTNERSHIPS (PPPs) 13. CONCLUSIONS 14. INDICATOR DEFINITIONS – ANNEXURE E 6 ACRONYMS AIDS Acquired Immune Deficiency Syndrome ALOS Average Length of Stay APP Annual Performance Plan ART Antiretroviral Treatment AZT Zidovudine BANC Basic Antenatal Care BAS Basic Accounting System BOD Burden of Disease BOR Bed Occupancy Rate CDC Community Day Centre CEO Chief Executive Officer CFM Clinical Forensic Medicine CFO Chief Financial Officer CHC Community Health Centre CHWs Community Health Workers CPIX Consumer Price Index CTOP Choice of Termination of Pregnancy DHC District Health Council DHER District Health Expenditure Review DHS District Health Services DHIS District Health Information System DOH Department of Health DORA Division of Revenue Act DOTS Directly Observed Treatment Sort Course DPC Disease Prevention and Control DPWR&T Department of Public Works, Roads and Transport DR Drug Resistant ETR.net Electronic TB Register EDL Essential Drug List EMS Emergency Medical Services FPS Forensic Pathology Services HAART Highly Active Antiretroviral Therapy HAST HIV & AIDS, STI and TB Control HBC Home Based Care HCSS Health Care Support Services HCT HIV Counselling and Testing HFM Health Facilities Management HIS Health Information System HIV Human Immuno-deficiency Virus HOD Head of Department HPCSA Health Professions Council of South Africa HPTDG Health Professional Training and Development Grant 7 ACRONYMS HR Human Resources HRD Human Resource Development HRM Human Resource Management HST Health Sciences and Training HTA High Transmission Area IDP Integrated Development Plan IHPF Integrated Health Planning Framework ICT Information, Communication Technology IMCI Integrated Management of Childhood Illnesses IT Information Technology IPT Isoniazid Preventive Therapy KZN Kwazulu-Natal LAN Local Area Network MCWH&N Maternal, Child, Women’s Health and Nutrition MDGs Millennium Development Goals MDR Multi-drug Resistant MEC Minister of Executive Council MESH Management Economic Social and Human Resource MISP Master Information Systems Plan MMC Male Medical Circumcision MOP Medical Orthotic and Prosthetic MTEF Medium-term Expenditure Framework MTSF Medium-term Strategic Framework NDOH National Department of Health NGO Non-governmental Organisation NHA National Health Act NHI National Health Insurance NHLS National Health Laboratory Services NHS National Health Systems NIMART Nurse Initiating & Management of Antiretroviral Therapy NPO Non-profit Organisation NSDA Negotiated Service Delivery Agreement NTSG National Tertiary Services Grant NVP Nevirapine OPD Outpatient Department OSD Occupational Specific Dispensation PAAB Patient Administration and Billing System PCR Polymerase Chain Reaction (a laboratory HIV detection Test) PCV Pneumococcal Vaccine PDE Patient Day Equivalent PDOH Provincial Department of Health PDMS Performance Development and Management System PEP Post Exposure Prophylaxis 8 ACRONYMS PFMA Public Finance Management Act PHC Primary Health Care PHS Provincial Hospital Services PMTCT Prevention of mother-to-child Transmission PPP Public/Private Partnership PPT Planned Patient Transport PTB Pulmonary Tuberculosis QIP Quality Improvement Plan QPR Quarterly Performance Report RSA Republic of South Africa RTC Regional Training Centre RV Rota Virus SADHS South African Demographic Health Survey SALGA South African Local Government Agency SLA Service Level Agreement SMS Senior Management Service SQL Structured Queried Language STATS SA Statistics South Africa STC Step Down Care STP Service Transformation Plan TB Tuberculosis THS Tertiary Hospital Services VCT Voluntary Counselling and Testing WHO World Health Organisation 9 1. INTRODUCTION POLITICAL AND LEGISLATIVE MANDATES ALIGNMENT WITH GOVERNMENT STRATEGIC PRIORITIES The production of the Annual Performance Plan (APP) for each financial year, is a legal requirement in terms of the National Health Act (NHA) of 2003. Section 25 (3) of the NHA of 2003 requires the Head of the Provincial Department of Health to “prepare health plans annually and submit to the Director General for approval”. Also, Section 25 (4) of the NHA of
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