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Annual Performance Plan 2007/2008

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Annual Performance Plan 2007/2008 ANNUAL PERFORMANCE PLAN 2007/2008 Provincial Government of the Western Cape Department of Health Annual Performance Plan 2007/08 TABLE OF CONTENTS Foreword by the Western Cape Minister of Health: Mr Pierre Uys 6 Message from the Head of Department: Professor Craig Househam 7 PART A : STRATEGIC OVERVIEW Sectoral Situational Analysis 9 PART B : BUDGET PROGRAMMES AND SUB-PROGRAMMES Programme 1: Administration 40 Sub-programme . Office of the Minister .2 Management .2. Central management .2.2 Decentralised management Programme 2: District Health Services 49 Sub-programme 2. District management 2.2 Community Health Clinics 2.3 Community Health Centres 2.4 Community based services 2.5 Other community services 2.6 HIV/AIDS 2.7 Nutrition 2.8 Coroner services 2.9 District hospitals 2.0 Global Fund Programme 3: Emergency Medical Services 96 Sub-programme 3. Emergency transport 3.2 Planned patient transport Programme 4: Provincial Hospital Services 06 Sub-programme 4. General hospitals 4.2 TB Hospitals 4.3 Psychiatric hospitals 4.4 Chronic medical hospitals 4.5 Dental training hospitals Progarmme 5: Central Hospital Services 39 Sub-programme 5. Central hospital services 5.2 Provincial tertiary services Programme 6: Health Sciences and Training 55 Sub-programme 6. Nursing college 6.2 EMS Training college 6.3 Bursaries 6.4 Primary Health Care Training 6.5 SETA Programme 7: Health Care Support Services 7 Sub-programme 7. Laundry services 7.2 Engineering services 7.3 Forensic services 7.4 Orthotic & Prosthetic services 7.5 Medpas Trading Account Programme 8: Health Facilities Management 85 Sub-programme 8. Community health facilities 8.2 Emergency medical rescue 8.3 District hospital services 8.4 Provincial hospital services 8.5 Central hospital services 8.6 Other facilities 2 Annual Performance Plan 2007/08 INDEX OF TABLES AND FIGURES TABLE/FIGURE PAGE PART A: STRATEGIC OVERVIEW Table Projected population growth in the Western Cape 200 – 200 0 Table 2 Socio-economic conditions in the Western Cape compared to National figures 0 Table 3 Socio-demographic characteristics of the population Table 4 Leading 20 single causes of premature mortality burden (YLLs) by sex in the Western Cape 2000 2 Table 5 Trends in key provincial mortality indicators [A] 3 Table 6 Infant mortality rate per ,000 live births 3 Table 7 Top 10 causes of premature mortality (YLLs) for Cape Town and sub-districts for persons, 2004 4 Table 8 Expenditure per capita for primary care services 6 Table 9 Health Department budget as a percentage of the Provincial budget 7 Table 0 Funding sources of the Western Cape Health Department 7 Table Conditional grant allocation for 2005/06 8 Table 2 Cost of medical inflation in comparison to CPIX 8 Table 3 Trends in provincial service volumes [A2] 8 Table 4 Division of budget between the respective financial programmes since 2002/03 and for the MTEF period 9 Table 5 Tariff categories 2 Table 6 Millennium Development Goals 22 Table 7 The Western Cape progress on health related Millennium Development Goals 24 Table 8 National Department of Health five-year priorities 25 Table 9 Key priorities, activities, indicators, targets and progress: Annual National Health Plan 2006/07 28 Table 20 Trends in provincial public health expenditure (R million) [A3] 38 Figure Personnel numbers in Provincial health facilities from 998 to 2004 6 Programme 1 Table . Public health personnel in 2003/04 [HR] 42 Table .2 Situational analysis and projected performance for human resources (excluding health sciences and training) [HR3] 43 Table .3 Provincial objectives and performance indicators for Administration [ADMIN] 46 Table .4 Trends in provincial public health expenditure for Administration (R million) [ADMIN2] 47 Organisational chart 4 Programme 2 Table 2. Population distribution in the Western Cape 50 Table 2.2 District health services facilities by health district [DHS] 54 Table 2.3 Personnel in district health services by district [DHS2] 55 Table 2.4 Situation analysis indicators for district health services [DHS3] 56 Table 2.5 Situation analysis indicators for district hospitals sub-programme [DHS4] 57 Table 2.6 Policy and strategic framework 58 Table 2.7 Analysis of constraints and measures to overcome them 59 Table 2.8 Provincial objectives and performance indicators for District Health Services [DHS5] 60 Table 2.9 Performance indicators for District Health Services [DHS6] 6 Table 2.0 Performance indicators for district hospitals sub-programme [DHS7] 62 Table 2. Transfers to municipalities and non-government organizations [DHS8] 63 Table 2.2 Transfers to municipalities and non-government organizations for Personal Primary Health Care [DHS8] 64 Table 2.3 Transfers to municipalities and non-government organizations for Integrated nutrition [DHS8] 65 Table 2.4 Transfers to municipalities and non-government organizations for Global Fund [DHS8] 66 Table 2.5 Transfers to municipalities and non-government organizations for HIV and AIDS [DHS8] 67 Table 2.6 Trends in provincial health expenditure for District Health Services R’million [DHS9] 68 Table 2.7 Trends in provincial public health expenditure for District Hospitals R’million [DHS9] 69 Table 2.8 Situation analysis for HIV & AIDS, STIs and TB control [HIV] 73 Table 2.9 The three broad goals of the HIV and AIDS programme 74 Table 2.20 Analysis of constraints and measures to overcome them 75 Table 2.2 Provincial objectives and performance indicators for HIV and AIDS, STI and TB control [HIV2] 76 Table 2.22 Performance indicators for HIV & AIDS, STI and TB control [HIV3] 77 Table 2.23: Trends in provincial public health expenditure for HIV and AIDS conditional grant [HIV4] 78 Table 2.24: Situation analysis indicators for MCWH and Nutrition [MCWH] 80 Table 2.25: Analysis of constraints and measures to overcome them 8 Table 2.26: Provincial objectives and performance indicators for MCWH and Nutrition [MCWH2] 8 Table 2.27: Performance indicators for MCWH and Nutrition [MCWH3] 82 Annual Performance Plan 2007/08 3 Table 2.28: Past expenditure trends and reconciliation of MTEF projections with plan [MCWH4] 83 Table 2.29: Situation analysis indicators for disease prevention and control [PREV] 86 Table 2.30: Outputs: Number of learners to be trained through EPWP 89 Table 2.3: Analysis of constraints and measures to overcome them 89 Table 2.32: Provincial objectives and performance indicators for disease prevention and control [PREV2] 90 Table 2.33: Performance indicators for disease prevention and control [PREV3] 9 Table 2.34: Provincial objectives and performance indicators for Forensic Pathology Services 94 Table 2.35: Past expenditure trends and reconciliation of MTEF projections for 2006/07 – 2009/0 94 Figure 2: TB incidence and HIV prevalence for the Western Cape Province 997 – 2005 69 Programme 3 Table 3. Distribution of staff during 2005 and the projected model staff numbers required to meet performance targets 97 Table 3.2 Situational analysis indicators for EMS and Patient Transport [EMS] 98 Table 3.3 Performance indicators for EMS and planned patient transport [EMS3] 03 Table 3.4 Trends in provincial public health expenditure for EMS and patient transport (R million) [EMS4] 04 Programme 4 Table 4. Public hospitals by type [PHS] 07 Table 4.2 Public hospitals by level of care [PHS2] 07 Table 4.3 Situation analysis indicators for general (regional) hospitals [PHS3] 08 Table 4.4 Provincial objectives and performance indicators for general (regional) hospitals [PHS4] Table 4.5 Performance indicators for general (regional) hospitals [PHS5] 2 Table 4.6 Trends in public health expenditure for general (regional) hospitals (R million) [PHS6] 3 Table 4.7 Situation analysis indicators for TB hospitals [PHS3] 6 Table 4.8 Provincial objectives and performance indicators for TB hospitals [PHS4] 8 Table 4.9 Performance indicators for TB hospitals [PHS5] 9 Table 4.0 Trends in provincial public health expenditure for TB hospitals (R million) [PHS6] 9 Table 4. Situation analysis indicators for psychiatric hospitals [PHS3] 2 Table 4.2 Provincial objectives and performance indicators for psychiatric hospitals [PHS4] 26 Table 4.3 Performance indicators for psychiatric hospitals [PHS5] 27 Table 4.4 Trends in provincial public health expenditure for psychiatric hospitals(R million) [PHS6] 27 Table 4.5 Situation analysis indicators for chronic medical hospitals [PHS3] 28 Table 4.6 Provincial objectives and performance indicators for psychiatric hospitals [PHS4] 30 Table 4.7 Performance indicators for chronic medical hospitals [PHS5] 3 Table 4.8 Trends in provincial public health expenditure for chronic hospitals (R million) [PHS6] 3 Table 4.9 Service priorities for the oral health programme 33 Table 4.20 Measurable objectives and performance indicators: Academic Dental Services [PHS4] 36 Table 4.2 Trends in provincial public health expenditure for academic dental services (R million) [PHS6] 37 Programme 5 Table 5. Range of services and funded beds during 2006/07 40 Table 5.2 Numbers of beds in central hospitals by level of care 2006 [CHS] 4 Table 5.3 Situation analysis indicators for central/tertiary hospitals [CHS2] 45 Table 5.4 Situation analysis indicators for each central hospital [CHS2] 45 Table 5.5 Funding sources for Programme 5 46 Table 5.6 Personnel trends 2006/07 46 Table 5.7 Financial indicators for 2006/07 47 Table 5.8 Provincial objectives and performance indicators [CHS3] 52 Table 5.9 Performance indicators for central hospitals [CHS4] 52 Table 5.0 Trends in provincial public health expenditure for central
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