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Gps) to Assist in Managing Our HIV Implementation of the Revised Staff Establishment of and AIDS Clinics

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Gps) to Assist in Managing Our HIV Implementation of the Revised Staff Establishment of and AIDS Clinics DEPARTMENT OF HEALTH ANNUAL REPORT 2005/2006 PR 143/2006 ISBN 0-621-36722-2 GAUTENG DEPARTMENT OF HEALTH ANNUAL REPORT 2005/2006 In terms of the Public Finance Management Act and Rule 9.4(1) of the Gauteng Legislature Standing Rules August 2006 Publisher: Gauteng Department of Health Private Bag X085 Marshalltown 2107 South Africa DEPARTMENT OF HEALTH DEPARTMENT Tel: (011) 355 3503 Fax: (011) 838 3613 PR:143/2006 ISBN: 0-621-36722-2 I ANNUAL REPORT 2005/2006 II Contents Page SECTION 1: Executive Summary 1 1.1 Foreword from the MEC: Health: Mr Brian Hlongwa 1 1.2 Foreword by the Acting Head of Department: Dr. A Rahman 3 SECTION 2: Departmental Overview 5 2.1 Organisation of the Department 5 2.2 Constitutional, Natiional and Provincial Legislative Mandates 5 2.3 Good Governance Legislative Reponsibilities 6 2.3.1 Inter-governmental Structures 6 2.3.2 Commumity Participation 6 2.4 Strengthening Accountability to Stakeholders 6 2.4.1 Stakeholders 7 2.4.2 Functions and Monitoring Mechanisms and 8 Implementation of the Mandate by Key Actors SECTION 3: Report on Performance in Budget Programmes 11 3.1 Programme 1: Administration 11 3.2 Programme 2: District Health Services 29 3.3 Programme 3: Emergency Medical Services 64 3.4 Programme 4: Provincial Hospital Services 70 3.5 Programme 5: Central Hospital Services 81 3.6 Programme 6: Health Training and Sciences 87 3.7 Programme 7: Health Care Support Services 95 3.8 Programme 8: Health Facilities Management 99 3.9 Programme 9: Financial Information 2005/2006 Financial Year 108 SECTION 4: Summary on Departmental Key Performance at a glance 112 SECTION 5: Outlook for the comming year 114 SECTION 6: Financial Requirements 117 Audited Annual Financial Statements 145 DEPARTMENT OF HEALTH DEPARTMENT ADENDUM A: Medical Supplies Depot 203 ADENDUM B: Human Resource Oversight Report 227 ADENDUM C: Service Excellence Awards, Mental Health Services and Mandates 279 III AKNOWLEDGEMENTS The information in this annual report has been compiled from inputs received from the management and staff of the Gauteng Department of Health, from various internal reports. We thank the many individuals who helped in the production of the annual report and a special mention to Ms Sellinah Dumela and her team including Mr Zolani Mnqibisa as well as Mr Philemon Nzimande for their efforts in co-coordinating the compilation and printing of the annual report. We are indebted to Niran Singh and the staff of Shereno printers who have ensured that the schedules for design and publication are met. We also thank Patrick Cockayne for the editorial assistance. We would like to thank our key stakeholders and strategic partners for their valuable contributions to the provision of quality health services to the people of Gauteng. ANNUAL REPORT 2005/2006 IV with Members of the Mayoral Committee (MMC) for Health, the Emergency Medical Services for the three Metropolitan Councils to ensure cooperative governance and delivery of integrated health and emergency medical services. We have established a Provincial Health Council Technical Committee and are in the process of establishing District Councils. Our health professionals in hospitals and clinics still see far too many women survivors of sexual assault and physical abuse and women continue to carry a disproportionate burden of HIV and Aids. The department will continue to work with civil society, the private sector and community organisations to find lasting solutions. Gauteng is a key province in the national drive to curb the growth of Tuberculosis (TB) and to spread the message that this disease can be cured. In the current budget the amount allocated to HIV and Aids has been increased by 47.8% and we have set ourselves targets to raise our immunisation coverage to 90% by the end of the year. SECTION 1: The 10% increase in the budget allocation over the EXECUTIVE SUMMARY previous year, is a clear indication of the Gauteng Government’s view that health issues should be a 1.1 Foreword from the MEC: Health: priority in the future social and economic development Mr Brian Hlongwa of our province and a key element of our strategy to alleviate poverty and create a better life for all our It is an honour for me to table to the house the Annual people. Report of the Gauteng Department of Health for the financial year 2005/2006, when the country is This Annual Report provides a detailed overview of the celebrating three key milestones in our history: critical programmes and projects that are being • In June we commemorated the thirtieth anniversary of implemented in the department. the June 16 Uprising, the catalyst for our freedom; • In May we celebrated 10 years since the adoption of An amount of R922 million has been allocated our Constitution, our fundamental mandate for towards capital projects including machinery and improving the lives of our people. equipment. One of the highlights of the coming year • In August we celebrated the Golden Anniversary of the will be the official opening of the new Pretoria Women’s march to the Union Building in 1956. This is Academic Hospital. a celebration of the extra-ordinary sacrifices made by women in the struggle for liberation and justice the OF HEALTH DEPARTMENT The World Health Organisation has declared 2006 the Gauteng Health Department is placing emphasis on year where special attention be given to the global crisis programmes to improve the health status of women. in the health workforce. According to the most recent WHO survey there is an estimated world-wide shortage The past year has seen significant progress in the of 4.3 million doctors, nurses, midwives and other Gauteng Department of Health’s commitment to provide health support workers. We in Gauteng have not quality health services to the people of the province. escaped this global trend. We have put in place human resource strategies to meet the current challenges and In line with the National Health Act of 2005, we have future demands. established the Provincial Health Council, where our Member of Executive Council (MEC) meets regularly 1 To deliver on this mandate, we have set ourselves a by the overwhelming number of health care target of increasing the number of nurses produced by professionals and support staff in our province. our colleges by 20% annually. In the last financial year we admitted 3 651 student nurses of all categories into This Department has committed itself to follow a the education programme, which is exceeds our target people-centred approach to health care provision. For by 600. us the needs of the public and our patients come first and we are continuously evaluating our services from Public requirement of our services continue to grow. their perspectives. Patient visits to primary health care facilities in Gauteng have increased from 10.4 million in 2002 to 14.1 million The coming year will present us with new challenges. I in 2005/2006. To meet the demand for these essential am confident that we will continue to meet these services we will soon open new Primary Health Care challenges as we move towards our objective to build a facilities in nine more areas. healthy, skilled and productive people ñ and ensuring a better health for all in Gauteng. The rising demand can directly be attributed to the success of the Gauteng Health Departmentís efforts to In conclusion I want to thank the leadership and support make health care facilities accessible to the entire of the Premier, our Minister of Health, the National and population. We are the most urbanised province in the the Provincial Health Councils, the Portfolio country and are consistently drawing new migrants in Committees on Health and Finance for the constructive search of economic opportunities. role they play in policy formulation and implementation. My sincere appreciation also goes to the acting Director This is the first annual report that has been produced General and the senior leadership cadre in the since my appointment as MEC for Health in Gauteng. In department for their contribution towards the successes my short tenure at the department I have been of the past year. impressed by the dedication and commitment displayed ANNUAL REPORT 2005/2006 2 The shortage of health professionals continues to pose a formidable challenge for the Department. Whilst acknowledging that this is an international phenomenon, our recruitment and retention strategy is beginning to yield results. Despite the fact that the attrition rate is still high, we managed to attract 2,950 health professionals for the period under review, with significant gains when compared to 2004/2005. We also continued to make strides in revenue collection. Over the past five years revenue has increased by 62%, from R157 million in 2001/2002 to R254 million in the 2005/2006 financial year. For the current financial year, revenue collection has increased by 16% over that of the previous financial year, excluding donations. Patient fees alone amounted to R204 million. Free primary health care has improved access to health care services. Patient visits have increased from 10.4 million in 2002 to 14.1 million in the year under review. Tuberculosis (TB) and HIV/AIDS remain the major challenge of the era we live in. The TB cure rate for the 1.2 Foreword by the Acting Head of year under review remained at 64%, falling below the Department: Dr. A. Rahman national target of 70%. In the coming financial year we will launch a Provincial TB Crisis Plan, whereby we will In my capacity as an Acting Accounting Officer for the focus on creating awareness of the curability of TB Gauteng Department of Health, it is my pleasure and amongst the population within the Johannesburg privilege to submit to you the Department’s Annual Metropolitan.
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