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District Health Plans 2015/2016

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District Health Plans 2015/2016 DISTRICT HEALTH PLAN 2015/2016 ILEMBE KWAZULU-NATAL ILEMBE DISTRICT HEALTH PLAN 2014/15 1. ACKNOWLEDGEMENTS Initials and Rank Component Institution Surname Mrs. R. Sahadeo Deputy District Manager Planning, Monitoring and iLembe District Office Evaluation. Mrs. N. N. Khumalo Specialist PHC District Clinical Specialist Team iLembe District Office Dr. N. Phakathi Medical Manager Medical Untunjambili Hospital Miss. S. Dube District Facility Information Officer Planning, Monitoring and iLembe District Office Evaluation Mr. R. Phahla Deputy Manager Human Resource Planning, Monitoring and iLembe District Office Management Evaluation Mrs. N. E. Hlophe District Service Delivery Planning Planning, Monitoring and iLembe District Office Evaluation MS. B. Ndlela Public Relations Officer Transversal and Clinical Support iLembe District Office Mrs. S. Moodley Operational Manager – Quality Planning, Monitoring and iLembe District Office Evaluation Mr. M. Mbali Operational Manager – TB Integrated Public Health iLembe District Office Miss. M. Banda Operational Manager – HAST, Integrated Public Health iLembe District Office MMC, HCT and ARV Mrs. N. Mkhize Operational Manager – Nutrition Integrated Public Health iLembe District Office Mr. K. Mthunzi Operational Manager- Chronic Integrated Public Health iLembe District Office Dr. D. Pansegrouw Specialist Paediatrics District Clinical Specialist Team iLembe District Office Miss. S. Dube Planning, Monitoring and iLembe District Office District FIO Evaluation Mrs. M. Rambally Operational Manager –Infection, Planning, Monitoring and iLembe District Office Prevention and Control Evaluation Mrs. T. Radebe Specialist Paediatrics District Clinical Specialist Team iLembe District Office Mrs. Z. Ngcamu District Manager iLembe District Kheth’Impilo Dr. Bon Egubjie HSS Manager Clinical Kheth’Impilo Dr. O. Oydayi National Program Manager Clinical Kheth’Impilo Dr. M. Khayinda MNCWH Clinical Kheth’Impilo Ms. L. Moncaith National Pharmacist Clinical Kheth’Impilo Dr. S. Allie Health Improvement Officer Clinical Kheth’Impilo Mr. K. Ramaseer Designated Specialist Team Clinical Kheth’Impilo Pharmacist Mrs. K. Moodley Designated Specialist Team Clinical Kheth’Impilo Pharmacist Dr. E. Mothibi Chief Operations Manager National Manager Kheth’Impilo 2 | Page ILEMBE DISTRICT HEALTH PLAN 2014/15 2. OFFICIAL SIGN OFF It is hereby certified that this District Health Plan: Was developed by the District Management Team of iLembe District with the technical support from the provincial district development directorate and the strategic planning unit. Was prepared in line with the current Strategic Plan and Annual Performance Plan of the Department of Health of KZN 3 | Page ILEMBE DISTRICT HEALTH PLAN 2014/15 4 | Page ILEMBE DISTRICT HEALTH PLAN 2014/15 3. TABLE OF CONTENTS 1. ACKNOWLEDGEMENTS ............................................................................................ 2 2. OFFICIAL SIGN OFF .......................................................................................................... 3 3. TABLE OF CONTENTS ....................................................................................................... 5 4. LIST OF ACRONYMS ......................................................................................................... 7 5. EXECUTIVE SUMMARY BY DISTRICT MANAGER .......................................................... 10 6.2 SOCIAL DETERMINANTS OF HEALTH ............................................................................................................. 13 7. DISTRICT SERVICE DELIVERY ENVIRONMENT ......................................................................... 18 7.1 DISTRICT HEALTH FACILITIES ........................................................................................................................... 18 8. DISTRICT PROGRESS TOWARDS THE ACHIEVEMENT OF THE MDG’S ....................................... 24 9. PROVINCIAL AND DISTRICT CONTRIBUTION TOWARDS THE HEALTH SECTOR NEGOTIATED SERVICE DELIVERY AGREEMENT (NSDA) .................................................................................. 26 10. SUMMARY OF MAJOR HEALTH SERVICE CHALLENGES AND PROGRESS MADE FOR THE PREVIOUS THREE FINANCIAL YEARS ......................................................................................... 28 10.1 INTRA- DISTRICT EQUITY IN THE PROVISION OF SERVICES ................................................................... 28 11. ORGANISATIONAL ENVIRONMENT .................................................................................... 34 11.1 Organisational Structure of the District Management Team .......................................................... 34 11.2 Human Resources ............................................................................................................................................ 34 12. DISTRICT HEALTH EXPENDITURE .......................................................................................... 37 PART B - COMPONENT PLANS .................................................................................... 40 13. SERVICE DELIVERY PLANS for district health services .............................................. 40 13.1 SUB-PROGRAMME: District Health Services ........................................................................................... 40 STRATEGIC CHALLENGES ........................................................................................................ 40 a. Sub-Program: District Hospitals ................................................................................................................... 49 14. HIV & AIDS & TB CONTROL (HAST) ........................................................................ 58 14.1 PROGRAMME Overview ............................................................................................................................... 58 CHALLENGES ................................................................................................................................................................ 58 14.2 HIV & AIDS, STI & TB CONTROL (HAST): Strategies/ Activities to be implemented 2015/16 . 66 15. MATERNAL, NEONATAL, CHILD AND WOMEN’S HEALTH AND NUTRITION ....... 67 15.1 PROGRAMME Overview ............................................................................................................................... 67 5.2 STRATEGIC CHALLENGES ............................................................................................. 68 15.2 STRATEGIES/ Activities to be implemented 2015/16 ........................................................................... 81 16. DISEASE PREVENTION AND CONTROL (Environmental Health Indicators) ........... 82 16.1 PROGRAMME Overview ............................................................................................................................... 82 16. 2 Strategies/ Activities to be implemented 2015/16 ......................................................................... 86 17. INFRASTRUCTURE, EQUIPMENT AND OTHER SUPPORT SERVICES ............................ 87 18. SUPPORT SERVICES ...................................................................................................... 89 18.1 PHARMACEUTICAL SERVICES ....................................................................................................................... 89 STRATEGIC CHALLENGES: ....................................................................................................................................... 92 STRATEGIES AND ACTIVITES: .............................................................................................. 92 18.2 EQUIPMENT AND MAINTENANCE .............................................................................................................. 92 18.3 EMERGENCY MEDICAL SERVICES (EMS) ................................................................................................. 94 STRATEGIC CHALLENGES .................................................................................................... 94 STRATEGIES AND ACTIVITIES ................................................................................................ 96 19. HUMAN RESOURCES ................................................................................................... 98 20. DISTRICT FINANCE PLAN ........................................................................................... 101 PART C: LINKS TO OTHER PLANS ..................................................................................... 103 21. CONDITIONAL GRANTS (Where applicable) ......................................................... 103 5 | Page ILEMBE DISTRICT HEALTH PLAN 2014/15 22. PUBLIC-PRIVATE PARTNERSHIPS (PPPs) and PUBLIC PRIVATE MIX (PPM)............. 104 PART E: INDICATOR DEFINITIONS ................................................................................... 105 6 | Page ILEMBE DISTRICT HEALTH PLAN 2014/15 4. LIST OF ACRONYMS A AIDS Acquired Immune Deficiency Syndrome ANC Ante Natal Care APP Annual Performance Plan ART Anti-Retroviral Therapy ARV Anti-Retroviral B BAS Basic Accounting System BLS Basic Life Support BUR Bed Utilisation Rate C CARMMA Campaign on Accelerated Reduction of Maternal and Child Mortality in Africa CCG’s Community Care Givers CEO(s) Chief Executive Officer(s) CHC(s) Community Health Centre(s) COE Compensation of Employees D DCST(s) District Clinical Specialist Team(s) DHER(s) District Health Expenditure Review(s) DHIS District Health Information System DHP(s) District Health Plan(s)
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