mpumalanga department of health report on comprehensive hiv and aids grant
DESCRIPTION
Mpumalanga Department of Health report on Comprehensive HIV and AIDS Grant. Quarter 1 expenditure as per economic classification. Allocation for 2011/12 Comprehensive HIV and AIDS grant budget allocation for 2011/12 is R 489,615,000 First quarter data trends in transfers 2011/12 - PowerPoint PPT PresentationTRANSCRIPT
Mpumalanga Department of Health report on Comprehensive HIV and AIDS Grant
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Quarter 1 expenditure as per economic classification
Financial year Budget allocation Actual Expenditure % Expenditure
Compensation of Employees 68 041 000 3 922 000 6
Goods and services 390 415 000 72 828 000 18
Capital 1 360 000 130 000 10
Transfers 30 550 000 4 478 000 15
Total 489 615 000 81 358 000 17
Allocation for 2011/12
Comprehensive HIV and AIDS grant budget allocation for 2011/12 is R 489,615,000
First quarter data trends in transfers 2011/12
Monthly expenditure trend for the first quarter 2011/12
APRIL MAY JUNE QRT 1 TOTAL
R 7,782,000 R 48,834,000 R 24,742,000 R 81,358,000
APRIL MAY JUNE QRT 1 TOTAL
R 44,712,000 R 44, 712,000 R 44,712,000 R 134,136,000
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Quarter 1 expenditure as compared to previous financial year
Financial year
Budget allocation Actual Expenditure
Variance % Expenditure
2010/11 R 383,646,000 R 94,540,000 R 289,106,000 25
2011/12 R 489,615 ,000 R 81,358 ,000 R 408,257,000 17
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List of Programmes identified for financial year 2011/12
NO PROGRAMME/
PROJECTPRIORITY/OBJECTIVE BUDGET
ALLOCATION QUARTER 1 EXPENDITURE
% QUARTER 1 EXPENDITURE
VARIANCE
1 High Transmission Areas
To increase and support STI intervention at High Transmission Areas sites.
8,410,000
0
0
8,410,000
2 Condom Logistics
To prevent new HIV infections by distributing condoms
15,817,000 0
0
15,817,000
3 HIV Counseling and Testing
To promote HIV awareness and encourage HIV testing
32,550,000
0
0
32,550,000
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List of Programmes identified for financial year 2011/12
NO PROGRAMME/PROJECT
PRIORITY/OBJECTIVE BUDGET ALLOCATION
QUARTER 1 EXPENDITURE
% QUARTER 1 EXPENDITURE
VARIANCE
4 Post Exposure Prophylaxis
To provide Post Exposure Prophylaxis to health care workers and post victims of sexual assault
788,000
O
0
788,000 5 Prevention of
mother to child Transmission of HIV
Reduce mother to child transmission of HIV infections.
11,042,000
6,784,000
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4,258,000
6 Medical Male Circumcision
Prevent HIV through male circumcision and promote HCT.
19,500,000
16,000
0
19,484,000
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List of Programmes identified for financial year 2011/12
NO PROGRAMME/PROJECT
PRIORITY/OBJECTIVE BUDGET ALLOCATION
QUARTER 1 EXPENDITURE
% QUARTER 1 EXPENDITURE
VARIANCE
7 Anti Retroviral treatment
To increase ART services and strengthen district health system effectiveness
339,628,000 72, 257,000 21 267, 371,000
8 Programme Management
Coordination, monitoring and evaluation of the programme functioning.
21,955,000 1,463,000 7 20,492,000
9 Regional Training Centre
To strengthen provision and coordination of quality HAST training
28,373,000 668,000 2 27, 705,000
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List of Programmes identified for financial year 2011/12
NO PROGRAMME/PROJECT
PRIORITY/OBJECTIVE BUDGET ALLOCATION
QUARTER 1 EXPENDITURE
% QUARTER 1 EXPENDITURE
VARIANCE
10 Step Down Care
Provide care to patients who no longer require acute nursing but are not ready for full discharge from hospital.
6,705,000 111,000 2 6, 594,000
11 Home community Based Care
Provision of health services by formal and informal care givers in the home in order to promote health.
5,635,000
59,000 1 5, 576,000
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
High Transmission Areas
Number of High Transmission Area (HTA) Sites.
Number of sites
64
cumulative
1 1 0
Condom Logistics Male
condom distribution rate
Number of male Condoms distribution rate
14 13.5 15.7 2 Good teams at sub-district level
Medical Male Circumcision
Number of male clients medically circumcised
Number of circumcisions
38 970 9 724 6 702 3 040 Shortage of staff in the MMC sites
Step Down Care
Number of Step Down care facilities
Number of facilities
( cumulative)
7 1 1 0
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
Condom Logistics Male
condom distribution rate
Number of male Condoms distribution rate
14 13.5 15.7 2 Good teams at sub-district level
Number of condoms distributed
Number on male condoms distributed
30,800,300 7,700,075 3,087,763 4,612,402 Stock was received from the National Department of Health for the 1st quarter
Number of female condoms distributed
40 000 10 000 0 10 000 Stock was not received from the National Department of Health for the 1st quarter
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
HIV Counseling and Testing
Number of clients tested for HIV
Number of clients tested
1,095 823
15 months HCT target
219 164 212 589 6, 575 Shortage of teams to do outreach to hard to find communities e.g. farms
HCT Testing rate
Testing rate 100% 100% 97% 3% Shortage of teams to do outreach to hard to find communities e.g. farms
Number of clients screened for TB
Number of clients
1,095 823
15 months HCT target
223 744 223 800 56
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
Prevention of mother to child Transmission of HIV
Proportion of pregnant women tested through
Health care PICT
Proportion of pregnant women testing for HIV
100% 100% 99.4% 0.6% Missed opportunities by clients visiting facility 1st time when in labour. and by a facility during post delivery care.Antenatal
client initiated on AZT during antenatal care rate.
AZT uptake rate
100% 100% 95.4% 4.6%
Baby Nevirapine uptake rate.
Baby NVP uptake rate
100% 100% 96% 4%
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PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
Anti Retroviral treatment
Number of facilities providing ART (Services Sustained)
Number of hospitals
33 33 33 0
Number of clinics
283 84 84 0
Number of patients remaining on ART
Number of adults
(Cumulative figure )
124 070 102 492 112 508 9 016 Increased number of ART facilities improved access to service delivery.
Number of children
(Cumulative figure)
13,785 8 912 9 302 390
Performance indicator and targets 1st quarter 2011/12
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
Post Exposure Prophylaxis
Number of facilities offering PEP services
% of hospitals
100% 100% 100% 0
% of PHC clinics offering PEP services
100% 100% 100% 0
Home community Based Care
Number of active community caregivers receiving stipends
Number of stipends paid
2 273 2 273 2 273 0
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Performance indicator and targets 1st quarter 2011/12
PROJECT NAME
PERFORMANCE INDICATOR
MEASUREMENT UNIT
ANNUAL TARGET
QUARTERLY TARGET
ACTUAL PERFORMANCE
VARIANCE EXPLANATION
Programme Management
Number of management positions filled .
Posts filled 24 24 2 20 Slow recruitment processes
Regional Training Centre
Number of staff trained on HIV&AIDS and other related programmes
Number of staff trained
6 800 1 700 1 234 466 Difficulties in getting targeted group due to shortage of staff in facilities.
Number of nurses trained on NIMART
Number of nurses trained
600 100 70 30 Difficulties in getting targeted group due to shortage of staff in facilities.
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Challenges and Remedial Steps.
CHALLENGES REMEDIAL STEPS
Delays in appointment of personnel for the Medical Male Circumcision, High Transmission Areas and for programme management support in the districts and sub-districts.
Fast track appointments.
Non delivery of condoms to the province due to slow registration of condom suppliers on the provincial data base.
Follow up registration of six Condom Suppliers on the provincial data base with Supply Chain. Only one supplier is successfully registered currently.
Under expenditure on ART drugs and test kits due to donations.
Savings will be shifted to needy programmes within the grant.
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Monitoring and Evaluation
• Monthly and quarterly reports required in compliance with DoRA have been submitted to National department of Health on time according to DoRA report time frame.
• The provincial office receives confirmation of receipt from National Department of Health.
• The province conducts quarterly reviews of the programme and is also supported by the National Department of Health teams.
• Sub- programme managers conduct support visits to the facilities
Deviation from business plan
None.
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Thank you.