national health department hiv, aids and tb programme report to the national health portfolio...
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NATIONAL HEALTH DEPARTMENT
HIV, AIDS and TB PROGRAMME
REPORT TO THE NATIONAL HEALTH PORTFOLIO COMMITTEE
CAPETOWN, 31 MAY 2004
DR N SIMELELA
Financial Report 2003/04
• Original Budget R665 721 000• Add:
– Roll-over R 10 650 000– Adjustment :Compre. Care R 90 000 000
• Total Budget R766 371 000
Financial Report 2003/04
• Total Budget R766 371 000
• Expenditure to date R691 107 681
• Unit spend 90 % (including R90m ) and 95% (excluding R90 m)
• Increased by 67% (R766.3m) from 2002/03(R458.6)
Conditional Grant Exp. FY 03/04
Province Budget R’000 Expenditure R’000 %
EC 38,834 38,713 99
FS 30,144 29,904 99
GP 55,275 53,246 83
KZN 85,591 160,394 187
LP 28,296 27,588 95
MP 26,287 22,278 66
NC 11,268 11,268 100
NW 32,891 35,529 108
WC 24,204 19,157 79
TOTAL 333,556 398,827 114
Financial Report on R90m
• R20m transferred to NHLS to procure diagnostic equipment & training
• Transferred R2,3m ( MEDUNSA- ensure safe use of medicines & assess burden of drug-related morbidity) , R2.3m(UFS- safe use in paediatrics & establish national pregnancy register ) & R1m ( UCT) for the establishment of Pharmacovigilance Units
• R6.5 transferred to MRC to provide Research component of ARV plan
• Transferred R7m to GCIS for communication
Financial Report on R90m cont.
• Training for the amount of R800 000– Development of training module for Nutrition
Supplementation– Conducted training on Nutrition
Supplementation in Mpumalanga & Northern Cape
– Conducted Conference on African Traditional Medicine
Financial Report on R90m cont.
• Training – Workshop on Curriculum Development on
Compr. Care Plan– Workshop with NCCMED , prov. Assessors to
update on ARV therapy & new development
• Computers & Equipment– Purchased server & software for the Siamed
system
Underspending
• Savings Global funds(committed) R5.9m
• SANAC R10m
• Condoms ( committed) R10.6m
• Different Units R6.9m
• Comprehensive Care (Committed) R41.7
• Total under spending R75.1m
Budget 2004/05
• Original Budget R855 968 000
• Add:
–Comprehensive Care R58 200
–Compre. Grant R300 000
• Less:
–Love life Games R 2 000 000
–Total Budget R1 212 168 000
• Increase by 42%
Budget for the National HIV, AIDS & TB programme
Cost Center 2004/05
Core budget of HIV/AIDS &TB Directorate 55,006
Conditional Grants 781,612
HIV/AIDS NGO’s 43,050
Comprehensive Care Management Plan 64,200
Partnership Support 8,420
HIV/AIDS:UN Global Fund Contrib. 20,000
GAAP 60,880
Condoms 132,000
Life Line 12,000
Love Life 25,000
South African Aids Initiative 10,000
Total 1,212,168
Comprehensive HIV & AIDS Grant FY 04/05
Province Enhanced HIV&AIDS R,000
ARV R,000 Total
EC 58,193 40,777 98,970
FS 40,843 29,126 69,969
GP 87,629 46,602 134,231
KZN 122,270 64,079 186,349
LP 42,479 34,951 77,430
MP 38,364 15,479 53,840
NC 17,318 14,463 31,881
NW 41,855 29,126 70,981
WC 34,881 23,081 57,962
TOTAL 481,612 297,684 781,612
Compliance with the DORA in 2003/4
• Business Plans
• All provinces submitted their plans for enhanced budget ( VCT , HBC , PEP, PMTCT , Step Down & HTI
• Addendum for ARV plan still outstanding from the following provinces:
• KZN, EC, FS, MP & NW
Budget 2004/05
• Total Budget R1 212 168 000 Add: Roll-over R56,6mTotal R1,268,793,000Roll-over will be spent on the following: Comprehensive Care R40,1m
R20m to be transferred to NHLS for infrastructureR5.6m to be transferred to HST to strengthen health system systemR13.5 to be transferred to MRC to provide Research component of
ARV plan Soul City & Condoms R16,5
Production of 7th TV series,first batch of 30 episodes & printing booklet on the comprehensive treatment , care & support
Settle order for condoms for R10,6m
Achievements in the 2003/04 FY• HIV Prevention
– Distributed 302m male condoms & 194 000 female condoms- health facilities & non traditional outlets
– Elimination of stocks out through Logistics Management Information System (LMIS)
– Marketing of public sector condom & new branded product to be launched on 16 June 2004
– Conducted an audit of existing HTA programme in the country
– Conducted a rapid assessment on the Traditional Health Practice
– Developed tender specifications for distance learning short courses on HIV, AIDS, STI& TB management
– Commissioned the the Neisseria Gonorrhea drug resistance study-monitor ciproloxacin resistance
Achievements in the 2003/04 FY...
• Voluntary Counselling and Testing • Over 1000 more service point were added in 2003/4 bringing the
total number to 2 582.
• Establishment of stand-alone service points in process.
• 2 877 counsellors trained and providing services at service points.
• A tender for the procurement of rapid and confirmatory tests currently in second year. Training on new rapid tests completed in all provinces.
Achievements in the 2003/04 FY...
• Home/Community based Care (HCBC)
Number of Projects countrywide: 892
Training: 2 003 care-givers trained
Care kits distributed: 1 430
Adult beneficiaries: over 90 000
Number targeted: 50% of chronically ill adults.
Beneficiaries of HCBC by province: 2003 compared to 2002
Home based care beneficiaries
3079157032562333
18989
16918
52741380
8864
44885367
11470
960
50265
19702
13308
4419
14435
0
10000
20000
30000
40000
50000
60000
Eastern Cape Free State Gauteng KwaZulu-Natal
Mpumalanga NorthernCape
Limpopo North West WesternCape
2002 2003
Provincial distribution of HCBC projects in South Africa 2002 to 2003
466
892
73
160
37
124
4383 65
142
79116
1623 21 44112
162
20 38
0
100
200
300
400
500
600
700
800
900
SouthAfrica
FreeState
Kw aZulu-Natal
NorthernCape
NorthWest
Number of HCBC projects
2002 2003
Achievements in the 2003/04 FY...
PMTCTBy the end of 2003 over 204 hospitals and more than 1055 clinics and CHCs are providing PMTCT in South Africa
1. In addition, the Health Systems Trust completed a second independent evaluation of the programme. This report is being presented to Cabinet in June 2004. Results from the first cohort are expected in August 2004
Achievements in the 2003/04 FY...Treatment, Care and Support• Operational Plan for the Comprehensive HIV and AIDS Care,
Management and Treatment in South Africa. The implementation of this plan also places a significant emphasis on health system strengthening.
a. A toolkit for People Living With HIV and AIDS has been finalised, will soon be launched. Other documents and toolkits developed in 2003/4:
b. Palliative Care guidelinesc. Comprehensive Care, Management and Treatment guidelines for adults
and paediatricsc.Siyamkela toolkit for measuring Stigma and Discrimination
Achievements in the 2003/04 FY...
• National TB Control Programme Review of the management of TB patient in 7 provinces. Deloitte and Touche’s forensic audits of SANTA hospitals New TB treatment regimen introduced in all provinces and training
conducted. Training for private sector practitioners
Advocacy and Social Mobilisation Plan launched. The Unit funded 6 NGOs in TB activities in 2003/4 for R 1 368 172.
Achievements in the 2003/04 FY...
• NGO funding and co-ordination• Provincial visits to verify details of the organisations
recommended for funding (85 in total). • A tender awarded in 2003/4 to assist provinces and NGOs with
basic financial management skills. Workshops in 5 provinces.• Establishment of a National Funding cycle• Strengthening of accountability for expenditure of funds
transferred to organisations• Development and improvement of capacity through the
mentorship programme
Achievements in the 2003/04 FY...• GAAP• First Health Worker Excellence award ceremony•
Promotion on radio and TV of 3 Khomanani campaigns:
Specific mass mobilisation activities (STI Week, World TB Day, World AIDS Day with donations of clothes, toys and non-perishable foods atl Pick ‘n Pay outlets, and distributed to NGOs and CBOs, The Partnership Against AIDS 5th anniversary celebration
Sector mobilisation (Men, Women, Faith based organisations, Transport industry,,etc.)
Achievements in the 2003/04 FY...
SANAC Facilitating sector meetings and workshops
•· Sector representation and participation on World Aids Day•· Consolidation of the Sector progress reports•· Appointment of Task Team to deal with HIV Testing in SANDF and special circumstances•· Signing up ceremony for the Global Fund •· Submission of the 4TH Round Global Fund Proposal• Strengthening of the SANAC Secretariat •· Drafting of SANAC Trust Standard Operating Procedures
Plans for 2004/5
• Strengthen current interventions and improve M&E• Increase access to all services (VCT, PMTCT,
HCBC, STI treatment including the package of the compr.care, management and treatment plan)
• Strengthen co-ordination activities through SANAC and NGOs
• Improve integration of TB related activities and strengthen control related interventions
• Refine mass communication and sector participation