ANNUAL REPORT DEPARTMENT OF HEALTH PROVINCE OF MPUMALANGA 2019/2020 FINANCIAL YEAR Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 DEPARTMENT OF HEALTH PROVINCE OF MPUMALANGA VOTE NO. 10 ANNUAL REPORT 2019/2020 FINANCIAL YEAR 3 Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 TABLE OF CONTENTs PART A: GENERAL INFORMATION 1. LIsT OF ABBREVIATIONs/ACRONYMs .........................................................................................................................7 2. FOREWORD BY THE MEC ............................................................................................................................................12 3. REPORT OF THE ACCOUNTING OFFICER ..................................................................................................................15 4. sTATEMENT OF REsPONsIBILITY AND CONFIRMATION OF ACCURACY FOR THE ANNUAL REPORT ................21 5. sTRATEGIC OVERVIEW .................................................................................................................................................22 a. Vision ................................................................................................................................................................................22 b. Mission .............................................................................................................................................................................22 c. Values ...............................................................................................................................................................................22 6. LEGIsLATIVE AND OTHER MANDATEs ........................................................................................................................22 7. ORGANIsATIONAL sTRUCTURE ...................................................................................................................................25 8. ENTITIEs REPORTING TO THE MINIsTER/MEC ..........................................................................................................25 PART B: PERFORMANCE INFORMATION 1. AUDITOR GENERAL’s REPORT: PREDETERMINED OBJECTIVEs ............................................................................27 2. OVERVIEW OF DEPARTMENTAL PERFORMANCE ......................................................................................................27 2.1 service Delivery Environment ..........................................................................................................................................27 2.2 service Delivery Improvement Plan .................................................................................................................................28 2.3 Organisational environment ..............................................................................................................................................30 2.4 Key policy developments and legislative changes ...........................................................................................................32 3. sTRATEGIC OUTCOME ORIENTED GOALs .................................................................................................................32 4. PERFORMANCE INFORMATION BY PROGRAMME PROGRAMME 1: ADMINIsTRATION ...............................................................................................................................33 PROGRAMME 2: DIsTRICT HEALTH sERVICEs (DHs) ................................................................................................38 PROGRAMME 3: EMERGENCY MEDICAL sERVICEs...................................................................................................50 PROGRAMME 4: PROVINCIAL HOsPITAL sERVICEs ..................................................................................................53 PROGRAMME 5: TERTIARY HOsPITAL sERVICEs .......................................................................................................57 PROGRAMME 6: HEALTH sCIENCE AND TRAINING ....................................................................................................59 PROGRAMME 7: HEALTH CARE sUPPORT sERVICEs (HCss) ..................................................................................62 PROGRAMME 8: HEALTH FACILITY MANAGEMENT (HFM) .........................................................................................65 5. TRANsFER PAYMENTs ..................................................................................................................................................70 6. CONDITIONAL GRANTs ................................................................................................................................................72 7 DONOR FUNDs ..............................................................................................................................................................81 8. CAPITAL INVEsTMENT ..................................................................................................................................................81 4 Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 PART C: GOVERNANCE 1. INTRODUCTION ..............................................................................................................................................................84 2. RIsK MANAGEMENT ......................................................................................................................................................84 3. FRAUD AND CORRUPTION ............................................................................................................................................84 4. MINIMIsING CONFLICT OF INTEREsT ..........................................................................................................................85 5. CODE OF CONDUCT ......................................................................................................................................................85 6. HEALTH sAFETY AND ENVIRONMENTAL IssUEs ......................................................................................................85 7. PORTFOLIO COMMITTEEs ............................................................................................................................................86 8. sCOPA REsOLUTIONs ...................................................................................................................................................150 9. PRIOR MODIFICATIONs TO AUDIT REPORTs .............................................................................................................155 10. INTERNAL CONTROL UNIT ...........................................................................................................................................156 11. INTERNAL AUDIT AND AUDIT COMMITTEEs................................................................................................................156 12. AUDIT COMMITTEE REPORT ........................................................................................................................................159 PART D: HUMAN REsOURCE MANAGEMENT 1. INTRODUCTION ..............................................................................................................................................................162 2. OVERVIEW OF HUMAN REsOURCEs ..........................................................................................................................162 3. HUMAN REsOURCEs OVERsIGHT sTATIsTICs .........................................................................................................164 PART E: FINANCIAL INFORMATION 1. REPORT OF THE AUDITOR GENERAL ..........................................................................................................................209 2. ANNUAL FINANCIAL sTATEMENTs ...............................................................................................................................219 5 Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 PART A: GENERAL INFORMATION 6 Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 LIST OF ABBREVIATIONS/ACRONYMS ACRONYMS AIDs Acquired Immune Defciency Syndrome APP Annual Performance Plan ARI Acute Respiratory Infections ART Anti-retroviral Treatment BANC Basic Antenatal Care BOD Burden of Disease CARMMA Campaign on Accelerated Reduction of Maternal and Child Mortality in Africa CCMDD Central Chronic Medication Dispensing and Distribution CDC Community Day Centre CEO Chief Executive Offcer CHC Community Health Centre CHWs Community Health Workers CMR Child Mortality Rate CoE Compensation of Employees CPIX Consumer Price Index CsR Cataract surgery Rate DHER District Health Expenditure Review DHP District Health Plan DHs District Health services DHIs District Health Information system DHMIs District Health Management Information system DoE Department of Education DOH Department of Health DORA Division of Revenue Act DOTs Directly Observed Treatment sort Course DPC Disease Prevention and Control DPsA Department of Public service and Administration DR Drug Resistant DsD Department of social Development DPWRT Department of Public Works Roads and Transport 7 Department of Health: Mpumalanga Province, Annual Report for 2019/20 Financial Year Vote No 10 ACRONYMS DOTs Directly