presentation to the portfolio committee on health 17 april 2015 annual performance plan 2015/16 to...

Presentation to the Portfolio Committee on Presentation to the Portfolio Committee on Health Health

17 April 201517 April 2015

Annual Performance Plan 2015/16 to 2017/18Annual Performance Plan 2015/16 to 2017/18

Alignment between NDP 2030 – MTSF 2014-2019 NDoH Strategic Plan and Annual Performance Plan

2

Annual Performance Plan 2015/16

3

VISIONOutcome 2: Long and healthy life for all South Africans

MISSIONTo improve health status through the prevention of illnesses and the promotion of healthy lifestyles and to consistently improve the health care delivery system by focusing on access, equity, efficiency, quality and sustainability.

Programme 1 - AdministrationStrategic Objective

StatementPerformance Indicator Estimated

Performance

2014/15

Medium-term targets2015/16 2016/17 2017/18

Ensure effective financial management and accountability by improving audit outcomes

Audit opinion fromAuditor General

Unqualified Audit opinion




Audit opinion from Auditor for Provincial Departments of Health

3 Unqualified audit opinions




Number of provinces that submit reports against defined set of non-negotiable items on a monthly basis

9 9 9 9

Fully implement the Departmental Information Communication Technology (ICT) Service Continuity Plan by the 31st of March 2018

Establish ability to access domain services outside the NDoH premises

Ability to recover all Email Data of NDoH in the event of a DisasterEnsure all Senior Managers of NDoH are able to access Domain services at DR site.

Ability to recover all Email Data of NDoH in the event of a DisasterAbility to access all domain services at the DR site in event of a Disaster

ICT Service continuity plan fully implemented

Programme 1 - AdministrationStrategic Objective Statement

Performance Indicator

Estimated Performance

2014/15


Provide support for effective communication by developing an integrated communication strategy and implementation plan

Develop an integrated communication strategy and implementation plan

Integrated communication Strategy and implementation Plan developed

Communication Toolkit developed to integrate messages

Provincial Communication Strategies aligned to National Integrated Communication Strategy

Measure the impact of the Integrated Communication Strategy and Implementation Plan and review the Strategy and Plan

Ensure efficient and responsive Human Resource Services through the implementation of efficient recruitment processes and responsive Human Resource support programmes

Average Turnaround times for recruitment processes

Average recruitment process turnaround time will be 5 months




Develop and Implement Employee Health and wellness programme that comply with Public Service Regulations (PSR) and Employee Health and Wellness Strategic Framework (EHWSF)

None EHW induction programme to Port Health Employees

Implementation of EHW pillars

Monitoring and evaluation of the EHW programme

Programme 1 - AdministrationStrategic Objective Statement



2014/15


Ensure efficient and responsive Human Resource Services through the implementation of efficient recruitment processes and responsive Human Resource support programmes

NDoH vacancy rate 5.08% 5 % 5 % 5 %Percentage of Senior Managers that have entered into Performance agreements with their supervisors

98% 98% 99 % 100%

A National Health Litigation Strategy developed and fully implemented

Develop National Health Litigation Strategy

The Medico -Legal Workshop and summit held with Provincial Departments of Health, State Attorney and other relevant stakeholders

The National Litigation Strategy developed, and approved

Implement the National litigation strategy

Review the National litigation strategy

Programme 1 - Administration

Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth

from 2015/16

to 2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

MINISTRY 31 046 2.81 31 917 1.59 32 425 4.27 33 810

MANAGEMENT 16 387 19.86 19 641 2.73 20 177 4.32 21 048CORPORATE SERVICES 184 647 15.61 213 467 -4.19 204 514 6.62 218 046

OFFICE ACCOMMODATION 105 825 18.88 125 810 9.33 137 547 12.00 154 053FINANCIAL MANAGEMENT 51 745 28.02 66 243 -7.47 61 295 6.20 65 095

TOTAL 389 650 17.30 457 078 -0.25 455 958 7.92 492 052

Economic Classification

2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to

2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

Compensation of Employees 156 131 13.44 177 115 4.98 185 933 4.99 195 207

Goods and Services 226 330 19.45 270 360 -2.57 263 418 10.08 289 979

Transfers 1 397 40.94 1 969 5.38 2 075 5.01 2 179

Capital 5 792 31.80 7 634 -40.63 4 532 3.42 4 687

TOTAL 389 650 17.30 457 078 -0.25 455 958 7.92 492 052

Programme 1 - Administration

PROGRAMME 1: ADMINISTRATION

1.Job grading and backpay of Assistant and Deputy Directors during current financial year. Will have a carry thru over the MTEF;

2.Maintenance and repairs of security systems in Civitas and information systems will run over two years (2014/15 and 2015/16);

3.Backlog in payments of office accommodation to be addressed during 2015/16. This could amount to about R50 million;

4.AG fees also grow with about 10% per annum

Programme 2 - National Health Insurance, Health Planning and Systems Enablement

PurposeImprove access to quality health services through the development and implementation of policies to achieve universal coverage, health financing reform, integrated health systems planning, reporting, monitoring and evaluation and research.


Objective Statement



2014/15


Achieve Universal Health Coverage through the phased implementation of the National Health Insurance(NHI)

White Paper on NHI

Draft White Paper on NHI

Finalise and publish White Paper on NHI Legislation for

NHI Draft White Paper on NHI

Publication of legislation and regulations

Publication of legislation and regulations

Establishment of the National Health Insurance Fund

Draft conceptual document prepared

Funding Modality for the National Health Insurance Fund including budget reallocation for the district primary health care

NHI fund created and arrangements for the contracting and purchasing of defined services initiated

NHI fund purchasing services and the scope of services purchased expanded

Objective Statement



2014/15


Establish A national stock management surveillance centre to improve medicine availability

Implement an Electronic system for the early detection of stock outs of medicines at hospitals

Electronic system developed

Electronic stock management system implemented and functional at 10 central hospitals. and 17 Tertiary hospitals and 25 regional hospitals.

Electronic stock management system implemented and functional at 21 regional hospitals and 50 district hospitals

Electronic stock management system implemented and Functional at 100 District Hospitals

Implement an Electronic system for the early detection of stock outs of medicines at PHC Facilities

Electronic stock management system functional in 600 PHC facilities

Electronic stock management system functional in 1200 PHC facilities.

Electronic stock management system functional in 1800 PHC facilities.

Electronic stock management system functional in 2400 PHC facilities

Establish a national surveillance centre to monitor medicine availability

Business plan for the a national surveillance centre developed

National surveillance centre functional and reporting stock availability at 10 central hospitals, and 1200 PHC facilities.

National surveillance centre functional and reporting stock availability at 10 Central,17 Tertiary hospitals and 46 regional hospitals., and 1800 PHC facilities..

National surveillance centre functional and reporting stock availability at 10 Central,17 Tertiary, 46 regional and 100 District hospitals., and 2400 PHC facilities..


Objective Statement

Performance Indicator Estimated Performance 2014/15


Improve contracting and supply of medicinesImprove contracting and supply of medicines

Establish Provincial Control Towers for the management of direct delivery of medicines

Control towers have been established in Limpopo and Gauteng.

Control towers implemented in Free State and Eastern Cape DoH

Control towers implemented in North-West and KZN DoH.

Control towers implemented in Mpumalanga DoH

Number of patients receiving medicines through the centralised chronic medicine dispensing & distribution system

200,000 patients 500,000 patients 750,000 patients 1,000.000 patients

Contracts are available at least 8 weeks prior to expiration of outgoing tender

ARV Tender awarded 3 months prior to expiry

100% pharmaceutical tenders awarded at least 8 weeks prior to expiration of outgoing tender

100% pharmaceutical and medical related tenders awarded at least 8 weeks prior to expiration of outgoing tender

100% pharmaceutical tenders and medical related tenders are awarded at least 8 weeks prior to expiration of outgoing tender

Establish Provincial Control Towers for the management of direct delivery of medicines

Control towers have been established in Limpopo and Gauteng.

Control towers implemented in Free State and Eastern Cape DoH

Control towers implemented in North-West and KZN DoH.

Control towers implemented in Mpumalanga DoH


Objective Statement



2014/15


Implement the Strategy to address antimicrobial resistance (AMR)

Implement the National AMR strategy

Approved National AMR Strategy

Appointment of the MACImplementation plan for AMR strategy developed

Antimicrobial stewardship Policy identified in AMR strategy developed and implemented

Surveillance system monitoring resistance developed

Regulate African Traditional Practitioners

Establish Council for Traditional Practitioners

Interim Council for Traditional Practitioners established and meets quarterly

Council for Traditional Practitioners and Registrar appointed

Staff for Council for Traditional Practitioners appointed

Not Applicable

Strengthen Revenue collection by incentivising hospitals to maximise revenue generation.

Develop and implement a Revenue Retention Model (RRM) at central hospitals

Identified two provinces (WC and FS) that have existing Revenue Retention Models.

A discussion paper on revenue retention models developed and presented to NHC, and Financial and Fiscal Committee (FFC)

Implement RRM at 4 central hospitals

Implement the RRM at 7 Central Hospitals



Objective Statement



2014/15


Implement eHealth Strategy of South Africa through the development of the system design of patient information systems and implantation

Develop a complete System design for a National Integrated Patient based information system

Basic Health Information Exchange architecture conceptualised

Basic Health Information Exchange developed to conduct a reference implementation of eHealth interoperability norms and standards

System , Technology and Data architecture developed and incorporated into the Health Information Exchange for integrating Patient Based Information Systems

System , Technology, and Data architectures integrated for a National Integrated Patient Based Information System developed

Number of PHC health facilities with required IT Hardware for the reference implementation eHealth project

698 PHC Facilities received required IT Hardware for the reference implementation of the eHealth Programme

Additional 1400 PHC Facilities received required IT Hardware for the reference implementation of the eHealth Programme

Additional 1400 PHC Facilities received required IT Hardware for the reference implementation of the eHealth Programme

-

Objective Statement Performance Indicator Estimated Performance 2014/15

Medium-term targets

2015/16 2016/17 2017/18

Implement eHealth Strategy of South Africa through the development of the system design of patient information systems and implantation

Number of health facilities implementing improved patient administration and web based information systems

50 PHC Facilities implementing improved patient administration and web based information systems

Additional 700 Facilities implementing improved patient administration and web based information systems

Additional 1400 PHC Facilities implementing improved patient administration and web based information systems

Additional 1400 PHC Facilities implementing improved patient administration and web based information systems


Objective Statement



2014/15

Medium-term targets

2015/16 2016/17 2017/18

Develop and implement a national research strategic plan

National health research plan developed and implemented

Draft national research plan developed

National Health Research strategic plan approved

Costed National Health Research implementation plan implemented

National Health Research priority research evidence generated

Develop andimplement an integratedmonitoring andevaluation plan alignedto health outcomes and outputs contained in the Health Sector Strategy

Integratedmonitoring andevaluation plan implemented

Monitoring andevaluation plan for health developed

Fully defined comprehensive list of indicators and data elements approved At least one national evaluation conducted

Data collections systems established for revised indicators list At least one national evaluation conducted

Monitoring & Evaluation system strengthened At least two national evaluations conducted (on health programme and health systems)


Objective Statement



2014/15


Domestication of international treaties and Implementation of multilateral cooperation on areas of mutual and measurable benefit

number of International treaties and multilateral frameworks implemented

International treaties and multilateral frameworks implemented

Three International treaties and multilateral frameworks implemented

Four International treaties and multilateral frameworks implemented

Four International treaties and multilateral frameworks implemented

Implementation of bilateral cooperation on areas of mutual and measurable benefit

Number of Bilateral projects implemented

Two strategic bilateral projects implemented

Five strategic bilateral projects implemented

Seven strategic bilateral projects implemented

Eight strategic bilateral projects implemented





Review Annual dispensing fee.

Systematic survey for the dispensing fee completed for 2015/16 cycle

Review of the 2015/16 dispensing fee in determining the 2016/17 maximum dispensing fee



Publish and Implement Single Exit Price Adjustments Annually

Implementation of the gazette 2014/15 Annual Price Adjustment




Review Criteria for the approval of Pharmacy Licences

Criteria for the approval of Pharmacy Licences drafted

Criteria for the approval of Pharmacy licences are finalised, and published for implementation

Criteria for the approval of Pharmacy licenses Implemented

Not Applicable

Develop Regulations pertaining to Uniform Patient Fee Schedule (UPFS)

UPFS regulations drafted

UPFS regulations gazetted and implemented

UPFS regulations implemented

UPFS regulations implemented


Performance Indicator Estimated Performance

2014/15


Develop a Central Repository for the funded and unfunded patients

Develop the specifications of the Central Repository in collaboration with CMS.

A repository containing funded patients established by Council for Medical Schemes

A repository containing funded patients integrated with Health Patient Registration System

A repository containing funded and unfunded patients operational

Percentage of the review process of the PHC Essential Medicines List (EML) and Standard treatment Guidelines (STGs) completed

100% 20% 50% 100%

Percentage of the review process of the Hospital Level Paediatric Essential Medicines List (EML) and Standard treatment Guidelines (STGs) completed

20% 50% 100% 20%

Percentage of the review process of the Hospital Level Adult Essential Medicines List (EML) and Standard treatment Guidelines (STGs) completed

50% 100% 20% 50%

Number of medicines reviews conducted for the Tertiary and Quaternary EML

12 reviews 12 reviews 12 reviews 12 reviews




Number of Provincial Annual Performance Plans (APPs) aligned to the National Health System Priorities

9 Provincial APPs reviewed and feedback provided

9 Provincial APPs reviewed and feedback provided to ensure APPs and DHPs sector plans are aligned to the National Health System (NHS) Priorities

9 Provincial APPs reviewed and feedback provided to ensure health sector plans are aligned to the National Health System (NHS) Priorities

9 Provincial APPs reviewed and feedback provided to ensure health sector plans are aligned to the National Health System (NHS) Priorities

Implement Patient Quality of care survey tool

Patient Quality of care survey protocol and tool developed

Patient Quality of care survey tool tested and piloted

Patient Quality of care survey tool fully implemented

Patient Quality of care survey tool reviewed

Conduct a National Survey to measure Patient Quality of Care

New Indicator A national survey conducted to measure patient quality of care at all PHC Facilities

A national survey conducted to measure patient quality of care at all Hospitals

A evaluation of Patient Quality of Care conducted


Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17% Growth

from 2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

OFFICE OF THE DDG 2 989 1.04 3 020 5.53 3 187 4.96 3 345

TECHNICAL POLICY & PLANNING 22 929 -13.35 19 869 27.36 25 306 6.97 27 071

HEALTH INFORMATION MANAGEMENT, MONITORING & EVALUATION 55 725 2.79 57 280 3.41 59 233 11.43 66 003

SECTOR-WIDE PROCUREMENT 22 987 29.33 29 729 2.26 30 401 5.38 32 036

HEALTH FINANCING & NATIONAL HEALTH INSURANCE 487 210 -14.95 414 388 -5.88 390 017 23.78 482 762

INTERNATIONAL HEALTH & DEVELOPMENT 52 257 21.56 63 521 7.78 68 464 3.60 70 928

TOTAL 644 097 -8.74 587 807 -1.91 576 608 18.30 682 145



2014/15

% Growth

from 2014/15

to 2015/16

2015/16

% Growth from

2015/16 to

2016/17

2016/17

% Growth

from 2016/17

to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 485 348 -19.22 392 080 -5.20 371 710 25.54 466 649

Transfers 77 000 26.05 97 062 3.85 100 797 5.27 106 105

Capital 2 617 -1.11 2 588 5.91 2 741 6.06 2 907

TOTAL 644 097 -8.74 587 807 -1.91 576 608 18.30 682 145

Programme 2: NHI, Health Planning and System Enablement

1.Budget cut on National Health Insurance Grant (Indirect Grant) of about R115 million.

2.Set up of Health Attachè’s Office in Cuba as well as increase in exchange rate for annual contribution to the World Health Organisation during 2014 and 2015.

3.Additional funds to Sector-Wide Procurement for Research.

4.Funds were received for the Demographic Health Survey of about R30 million whilst the need is in excess of R80 million.

Programme 3: HIV / AIDS, TB and Maternal and Child Health

PurposeTo decrease the burden of disease related to the HIV and TB epidemics; to minimise maternal and child mortality and morbidity; and to optimise good health for children, adolescents and women. This is done through the three overarching strategies of setting policies, guidelines, norms, standards and targets; supporting the implementation of these; and monitoring and evaluating the outcomes and impact of this implementation.


Strategic objective Performance Indicator Estimated Performance Medium-term targets

2014/15 2015/16 2016/17 2017/18

To reduce the maternal mortality ratio to under

100 per 100 000 live births

Antenatal 1st visit before 20 weeks rate

Ind 55.5% 60% 65% 70%

N 235 811 661 752 716 898 772 044

D 454 231 1 102 920 1 102 920 1 102 920

Mother postnatal visit within 6 days rate

Ind 77.3% 85% 90% 95%

N 301 448 803 274 850 525 897 777

D 405 613 945 028 945 028 945 028

Maternal mortality in facility ratio (annualised)

Ind 134.5 120 115 110

N 535 1 126 1 079 1 032

D 397748 938 073 938 073 938 073

To reduce the neonatal mortality rate to under 6

per 1000 live births

Inpatient Neonatal death rate (annualized)

Ind 12.4 10 9 8

N 46536 37 574 33 817 30 060

D 3748328 3 757 448 3 757 448 3 757 448

To improve access to sexual and reproductive

health services by expanding the availability of

contraceptives

Couple year protection rate Ind 55% 60% 65% 70%

N 2 322 300 8 832 727 9 568 787 10 304 848

D 14 870 108 14 721 211 14 721 211 14 721 211

Cervical cancer screening coverage

Ind 54.9% 60% 64% 68%

N 281 804 871 679 929 791 987 903

D 6 166 420 14 527 991 14 527 991 14 527 991


2014/15 2015/16 2016/17 2017/18

Expand the PMTCT coverage to pregnant

women by ensuring all HIV positive Antenatal clients are placed on ARVs and

reducing the positivity rate to below 1%

Antenatal client initiated on ART rate

Ind 85.22% 88% 90% 92%

N 74 238 204 220 208 861 213 503

D 87 111 232 068 232 068 232 068

Infant 1st PCR test positive around 6 weeks rate

Ind 2.0% 1.50% 1.40% 1.20%

N 1 630 3 714 3 466 2 971

D107 237 247 578 247 578 247 578


Strategic objective Performance Indicator Estimated Performance

Medium-term targets 2014/15 2015/16 2016/17 2017/18

To reduce under-five

mortality rate to less than 23 per 1,000 live

births by promoting early

childhood development

Child under 5 years diarrhoea case fatality rate

Ind 3.6% 3.20% 3.00% 2.70%N 719 1 280 1 200 1 080D 20 092 40 000 40 000 40 000

Child under 5 years pneumonia case fatality rate

Ind 3.2% 3% 2.75% 2.50%N

762 1200 1100 1 000D

23 641 40 000 40 000 40 000Child under 5 years severe acute malnutrition case fatality rate

Ind 11.0% 10% 9% 8%

N900 1 500 1 350 1 200

D7 931 15 000 15 000 15 000

Confirmed measles case incidence per million total population Ind

< 4/ 1,000,000 < 3/1,000,000

< 2/1,000,000

< 1/1,000,000



2014/15 2015/16 2016/17 2017/18

To reduce under-five

mortality rate to less than 23 per 1,000 live

births by promoting early

childhood development

Immunisation coverage under 1 year (Annualised)

Ind 86.39% 90% 92% 93%N 381 443 970 919 992 495 1 003 283D 1 059 660 1 078 799 1 078 799 1 078 799

DTaP-IPV/Hib 3 - Measles 1st dose drop-out rate

Ind 7% 6% 6% 5%N 21 368 60 146 60 146 50 122D 422 636 1 002 438 1 002 438 1 002 438

Measles 2nd dose coverage

Ind 79% 83% 86% 88%N 1 056 563 885 228 917 224 938 555D 5 282 815 1 066 540 1 066 540 1 066 540

Infant exclusively breastfed at HepB 3rd dose rate Ind 44.5% ≥50% 60% 65%


Strategic objective

Performance Indicator Estimated Performance Medium-term targets

2014/152015/16 2016/17 2017/18

To protect girl learners against cervical cancer

HPV 1st dose coverage Ind 92% 80% 87% 88%N 429 840 365 821 397 831 402 403D 457 276 457 276 457 276 457 276

HPV 2nd dose coverage Ind 94% 80% 87% 88%N 429 840 365 821 397 831 402 403D 457 276 457 276 457 276 457 276

Undertake a massive TB screening campaign

TB client 5 years and older screened at health facilities for TB symptoms rate

Ind 15% 50% 75% 85%

Improve Access to treatment

TB client 5 years and older initiated on treatment rate

Ind New Indicator 85% 90% 95%

TB Rifampicin Resistant clients treatment initiation rate

Ind New Indicator 80% 85% 90%



2014/15 2015/16 2016/17 2017/18

Strengthen patient

retention in treatment and care

TB Client loss to follow up rate

Ind

6%5% 4% 3%

N 17 696 14 158 10 618D 353928 353928 353928

TB Client death rate

Ind7%

6% 5% 4%N 21 236 17 697 14 158D 353,928 353,928 353,928

TB MDR client loss to follow up rate

Ind18%

16% 14% 12%N 1 044 913 783D 6 523 6 523 6 523

TB new client treatment success rate Ind 79% 83% 84% 85%



2014/15 2015/16 2016/17 2017/18

Strengthen patient

retention in treatment and care

TB MDR client death rate

Ind18%

15% 12% 9%N 978 783 587D 6 523 6 523 6 523

TB MDR treatment success rate

Ind50%

55% 60% 65%N 3 588 3 914 4 240D 6 523 6 523 6 523

TB/HIV co-infected client on ART rate Ind 70% 75% 80% 85%



Strategic Objective Performance Indicator


2014/15


To scale up combination of prevention interventions to reduce new infections including HCT, male medical circumcision and condom distribution

Number of client 15 Years and older tested for HIV

8 million 10 million 14 million 17 million

Number of medical male circumcisions conducted

550 000 1 600 000 800 000 650 000

Male Condoms Distributed

600m 700m 800m 800m

Female Condoms Distributed

15.2m 16.5m 17.5m 18.5m

Increase the numbers of HIV positive people on ARVs

Total clients remaining on ART (TROA) at the end of the month

3.0 million 3.8 million 4.8 million 6.0 million




Monitor implementation of Maternal, Neonatal and Woman’s health programmes using the standardised dashboard reports

2 reports produced and implementation feedback provided to all provincial DoH

Quarterly performance reports produced with feedback provided to each provincial DoH



Develop Training manual for the implantation of Contraception and Fertility Planning (CFP) Policy

CFP Policy training manual drafted

CFP policy training manual finalized disseminated, and training commenced

Implementation of the training plan monitored with 9 provincial reports

Implementation of the training plan monitored with 9 provincial reports

Develop Pharmacovigilance system for adverse events for contraceptive implants

New Indicator Pharmacovigilance information system for adverse events developed and implemented in All Provincial DoH

Quarterly reports on functionality of pharmacovigilance information system for each province drafted

Adverse events monitored in each province with quarterly reports

Develop cervical cancer control Policy New Indicator Cervical cancer control

policy guidelines finalised and disseminated to facilities

Monitoring of the implementation of policy guidelines in all provinces through quarterly M&E processes

Monitoring of the implementation of revised/updated policy guidelines in all provinces through quarterly M&E processes




Develop breast cancer PolicyNew Indicator

Breast cancer policy guidelines Developed and disseminated to facilities

Monitoring of the implementation of the new breast cancer policy guidelines in all provinces through quarterly M&E processes

Monitoring of the implementation of the new breast cancer policy guidelines in all provinces through quarterly M&E processes

Developprovincial reports to track progress on the eliminations of mother-to-child transmission of HIV

New Indicator 9 Provincial visits conducted and reports with recommendations produced

9 Provincial visits conducted and reports with recommendations produced

9 Provincial visits conducted and reports with recommendations produced

Develop and implement the HIV Counselling and Testing (HCT) policy

New Indicator HCT policy finalised and approved

Implement and monitoring of policy

Implement and monitoring of policy

Monitor implementation of the HIV and AIDS Programme

New indicator Quarterly reports produced

Quarterly reports produced

Quarterly reports produced




Develop and implement HIV prevention strategy

New indicator Strategy Developed and Approved and produce 9 provincial reports on its implementation

Monitor Implementation of the HIV prevention strategy and produce 9 provincial reports

Monitor Implementation of HIV prevention strategy and produce 9 provincial reports

Develop and implement adherence guidelines for health programmes

New indicator Guidelines developed and approved and produce 9 provincial reports on its implementation

Monitor the Implementation of adherence guidelines and produce 9 provincial reports on its implementation

Monitor the Implementation of adherence guidelines and produce 9 provincial reports on its implementation

Facilitate development of district plans to support NDoH male and female condom distribution strategy

New indicator 52 district distribution plans for male and female condoms developed and implemented with 9 provincial progress reports

Monitor implementation of the district plans and produce 9 provincial reports

Monitor implementation of the district plans and produce 9 provincial reports

Monitor the implementation of the HIV and AIDS Conditional grant

New indicator 4 x Quarterly HIV conditional grant reports within the required timeframe producedAnnual HIV Conditional Grant Report produced

4 x Quarterly HIV conditional grant reports within the required timeframe producedAnnual HIV Conditional Grant Report produced

4 x Quarterly HIV conditional grant reports within the required timeframe producedAnnual HIV Conditional Grant Report produced



2014/15


Develop and Distribute EPI Disease Surveillance Manual

New indicator EPI Disease Surveillance Manual developed, printed distributed and implemented with 9 provincial progress reports produced

Orientate and capacitate province on diseases surveillance guidelines for implementation with 9 provincial progress reports produced

Monitoring and Mentoring with 9 provincial progress reports produced

Develop and Distribute EPI Cold Chain Manual

New indicator EPI Cold Chain Manual developed, printed and distributed to 9 Provincial DoH with 9 province progress reports produced

Orientate and capacitate provinces on Cold Chain Guidelines for implementation with 9 province progress reports produced

Monitoring and Mentoring with 9 province progress reports produced

Convene quarterly meetings of Ministers Polio Committees

New indicator One Ministerial Polio committee meeting convened per quarter, and Annual Report produced

One Ministerial Polio committee meeting convened per quarter, and Annual Report produced

One Ministerial Polio committee meeting convened per quarter, and Annual Report produced

Develop and Distribute Guidelines for the management of common childhood illness in district hospitals printed and disseminated

New indicator Guidelines printed and disseminated to all district hospitals

Implementation of guidelines monitored and 9 provincial reports produced

Implementation of guidelines monitored and 9 provincial reports produced



2014/15


Convene Morbidity and Mortality in Children under 5 years (COMMiC) Committee quarterly meetings

New indicator 4 x Quarterly CoMMiC meetings convened CoMMiC Interim Report produced

4 x Quarterly CoMMiC meetings convenedCoMMiC Interim Report produced

4 x Quarterly CoMMiC meetings convenedTriennial CoMMiC report drafted

Develop Adolescent and Youth health policy and implementation guidelines

New indicator Adolescent and Youth health policy and guidelines finalised, printed and distributed

Adolescent and Youth health policy implementation in all provinces

Adolescent and Youth health policy implementation in all districts

Monitor implementation of child health programmes using the standerdised dashboard reports

New indicator Quarterly report developed and implementation feedback provided

Reports sent to provinces each quarter

Reports sent to provinces each quarter

Percentage of inmates screened for TB annually

50% 75% 80% 85%

Percentage of mines providing routine TB screening

30% 60% 75% 85%

Number of community members in 6 Peri mining districts screened for TB

134,400 462,000 462,000 462,000


Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

OFFICE OF THE DDG 3 609 1.19 3 652 5.53 3 854 4.96 4 045

HIV & AIDS 12 784 418 10.84 14 170 753 12.42 15 930 874 12.34 17 896 977

TUBERCULOSIS 26 442 5.03 27 771 -0.32 27 683 4.26 28 862

WOMEN'S MATERNAL & REPODUCTIVE HEALTH 17 058 10.08 18 778 -0.11 18 758 9.43 20 527

CHILD, YOUTH & SCHOOL HEALTH 218 396 1.28 221 190 -90.28 21 506 4.74 22 526

TOTAL 13 049 923 10.67 14 442 144 10.81 16 002 675 12.31 17 972 937



2014/15

% Growth

from 2014/15

to 2015/16

2015/16

% Growth

from 2015/16

to 2016/17

2016/17

% Growth

from 2016/17

to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 468 712 0.49 471 006 -35.73 302 719 -7.24 280 811

Transfers 12 515 080 11.07 13 900 399 12.41 15 625 467 12.73 17 613 994

Capital 1 727 4.34 1 802 -2.22 1 762 0.28 1 767

TOTAL 13 049 923 10.67 14 442 144 10.81 16 002 675 12.31 17 972 937

Programme 3: HIV and AIDS, TB, Maternal and Child Health

1.Increase in transfer for HIV and AIDS conditional grant over the MTEF.

2.Funds for Human Papiloma Virus Vaccination are available for only 2014/15 and 2015/16. The grant will revert back to the Provinces for 2016/17.

Programme 4 – Primary Health Care

Purpose Develop and oversee implementation of

legislation, policies, systems, and norms and standards for a uniform district health system, environmental health, communicable and non-communicable diseases, health promotion, and nutrition.


Strategic Objective Performance Indicator


2014/15


Improve district governance and strengthen management and leadership of the district health system

Number of Districts with uniform management structures

Uniform management structures for Districts

15 Districts with uniform management structures



Number of primary health care facilities with functional clinic committees

Implementation plan approved and Monitoring and evaluation system developed

1000 health care facilities with functional clinic committees



Improve access to community based PHC services

Number of functional WBPHCOTs

1500 functional WBPHCOTs




Improve quality of services at primary health care facilities

Number of primary health care facilities in the 52 districts that qualify as Ideal Clinics

New Indicator 500 primary health care facilities in the 52 districts qualify as Ideal Clinics

1000 primary health care facilities in the 52 districts qualify as Ideal Clinics

1500 primary health care facilities in the 52 districts qualify as Ideal Clinics


Strategic Objective Performance Indicator Estimated Performance 2014/15


Improve environmental health services in all 52 districts and metropolitan municipalities in the country

Number of municipalities that meet environmental health norms and standards in executing their environmental health functions

Environmental Health strategy developed

20municipalities meet environmental health norms and standards in executing their environmental health functions

35 municipalities meet environmental health norms and standards in executing their environmental health functions

45municipalities meet environmental health norms and standards in executing their environmental health functions

Hand hygiene campaign rolled out in all 9 (nine) provinces

Hand hygiene campaign launched

A national Hand hygiene strategy developed

3 provinces implementing hand hygiene campaign targeting commuters, early childhood development centres and schools

6 provinces implementing hand hygiene campaign targeting commuters, early childhood development centres and schools

Health Care Risk Waste Regulations Developed

Regulations developed and published in the government gazette for public comment

Health care risk waste regulations finalised and tools for audit implementation developed

50 public health facilities audited

150 health facilities audited


Strategic Objective Performance Indicator Estimated Performance 2014/15


Establish a National Health Commission to address the social determinants of health

National Health Commission established

New Indicator

Operating framework for National Health Commission developed

Operating framework for National Health Commission approved and resourced

National Health Commission established

Reduce risk factors and improve management for Non Communicable Diseases (NCDs) by implementing the Strategic Plan for NCDs 2012-2017

Number of National government Departments oriented on the National guide for healthy meal provision in the workplace

New Indicator

20 National Departments

30 National Departments

All National Departments

Regulations relating to Labelling and packaging of tobacco products andsmoking in indoor and outdoor public places Developed

New indicator

Tobacco Act amended

Tobacco Act amended

Regulations relating to labelling and packaging of tobacco products (plain packaging) publishedRegulations relating to smoking in indoor and outdoor public places


Strategic Objective


2014/15


Reduce risk factors and improve management for Non Communicable Diseases (NCDs) by implementing the Strategic Plan for NCDs 2012-2017

Number of people screened for high blood pressure as part of comprehensive health screening

500 000 people screened for high blood pressure

8 million people screened for high blood pressure



Number of people screened for raised blood glucose levels as part of comprehensive health screening

500 000 people screened for raised blood glucose levels

8 Million people screened for raised blood glucose levels

8 million people screened for raised blood glucose levels

8 million people screened for raised blood glucose levels

Awareness on risk factors relating to excessive salt intake, excessive sugar intake, physical inactivity and , alcohol related harm created

New Indicator Content of campaign finalised and ready for implementation

Visible media campaign conducted

Visible media campaign conducted

Random Monitoring of salt content in foodstuffs conducted.

New Indicator Random samples from each of 13 regulated food category tested, reported on and corrective action taken

Random samples from each of 13 regulated food category tested, reported on and corrective action taken

Random samples from each of 13 regulated food category tested, reported on and corrective action taken


Strategic Objective


2014/15


Improve access to and quality of mental health services in South Africa

Percentage people screened for mental disorders

Information system and baseline established

28 % of 16.5% (prevalence) people screened for mental disorders



Percentage of people treated for mental disorders

Information system and baseline established

28 % of 16.5% (prevalence) people treated for mental disorders



Percentage of mental health inpatient units attached to designated district and regional hospitals

14.2% (39/274) of mental health inpatient units attached to designated district and regional hospitals

16% of mental health inpatient units attached to designated district and regional hospitals



Mental health teams established in each district

Zero Strategy for establishment of specialist mental health teams approved by the TechNHC

5 specialist mental health teams established

20 specialist mental health teams established


Strategic Objective Performance Indicator Estimated Performance

2014/15


Improve access to disability and rehabilitation services through the implementation of the framework and model for rehabilitation and disability services

Number of Districts implementing the framework and model for rehabilitation services

Draft Framework and Model approved and costed

Resources allocated for the approved Framework and Model

5 Districts implementing the framework and model for rehabilitation services

15Districts implementing the framework and model for rehabilitation services

Prevent avoidable blindness

Cataract Surgery Rate

1 500 operations per million un-insured population




Eliminate Malaria by 2018, so that there is zero local cases of malaria in South Africa

Malaria Incidence per 1000 population at risk

0.3 malaria cases per 1000 population at risk




Number of districts targeted for malaria elimination reporting malaria cases within 24 hours of diagnosis

3 malaria targeted districts reporting malaria cases within 24 hours of diagnosis




[1]Targeted districts: Pre-elimination: Vhembe District Elimination: Mopani , Waterberg, Capricorn, Sekhukhune, Ehlanzeni, Nkangala, UMkhanyakude, Zululand, uThungulu



2014/15

Medium-term targets

2015/16 2016/17 2017/18

Strengthen preparedness and core response capacities for public health emergencies in line with International Health Regulations

Number of Provincial Outbreak Response Teams capacitated to respond to zoonotic, infectious and food-borne diseases outbreaks

New indicator 9 Provincial Outbreak Response Teams capacitated to respond to zoonotic disease outbreaks

9 Provincial Outbreak Response Teams capacitated to respond to food-borne disease outbreaks

9 Provincial Outbreak Response Teams capacitated to respond to infectious disease outbreaks

Improve South Africa’s response with regard to Influenza prevention and control

Number of high risk population covered by the seasonal influenza vaccination

750 000 high risk individuals covered with seasonal influenza vaccination

800 000 high risk individuals covered with seasonal influenza vaccination

1 000 000 high risk individuals covered with seasonal influenza vaccination

1 000 000 high risk individuals covered with seasonal influenza vaccination



2014/15


Establish a coordinated disease surveillance system for Notifiable Medical conditions (NMC)

A strategy and plan for the integration of disease surveillance systems for NMC Developed and Implemented

Draft strategy for the integration of disease surveillance systems for NMC developed

Strategy for the integration of disease surveillance systems for NMC approved and implementation plans developed

First Phase implementation commenced

Second Phase implementation commenced

Conduct Annual National HIV Antenatal Prevalence Survey

Annual National HIV Antenatal Prevalence Survey conducted

2014 National Antenatal Sentinal HIV and Herpes Simplex Type 2 prevalence Report produced

2015 National Antenatal HIV prevalence Report produced



Programme 4 – Primary Health Care Services

Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17% Growth

from 2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

OFFICE OF THE DDG 3 007 2.93 3 095 5.53 3 266 4.96 3 428

DISTRICT HEALTH SERVICES 23 762 3.03 24 481 31.68 32 237 -1.31 31 814

ENVIRONMENTAL AND PORT HEALTH SERVICES

- 130 095 3.93 135 213 7.08 144 789

COMMUNICABLE DISEASES 13 553 22.11 16 550 1.04 16 722 4.43 17 462NON-COMMUNICABLE DISEASES 25 718 9.88 28 259 3.23 29 171 1.16 29 510HEALTH PROMOTION & NUTRITION 21 768 3.48 22 525 0.59 22 658 9.41 24 790

TOTAL 87 808 156.25 225 005 6.34 239 267 5.24 251 793

Programme 4 – Primary Health Care Services


2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth

from 2015/16

to 2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 35 116 23.21 43 268 11.23 48 128 5.42 50 737

Transfers 2 438 18.99 2 901 4.65 3 036 4.41 3 170

Capital 1 345 72.86 2 325 -19.10 1 881 25.20 2 355

TOTAL 87 808 156.25 225 005 6.34 239 267 5.24 251 793

Programme 4: Primary Health Care Services

1.Transfer of Port Health Services from Provincial Health Departments amounting to R118 million.

2.Some subprogrammes were underfunded in Compensation of Employees during previous budget cycle, which are now addressed.

Programme 5: Hospital, Tertiary Health Services and Human Resource Development

PURPOSEto develop policies, delivery models and clinical protocols for hospitals and emergency medical services. Ensure alignment of academic medical centres with health workforce programmes, training of health professionals and to ensure the planning of health infrastructure to meet the health needs of the country.

Objective Statement



2014/15

Medium Term Targets2015/16 2016/17 2017/18

Increase capacity of central hospitals to strengthen local decision making and accountability to facilitate semi-autonomy of 10 central hospitals

Number of central hospitals with full delegated authority.

0 10 central hospitals with full delegated authority

6 Central Hospitals with reformed management and governance structures implement decentralised accounting systems

10 Central Hospitals with reformed management and governance structures implement decentralised accounting systems

Ensure equitable access to tertiary service through implementation of the National Tertiary services plan

Number of gazetted Tertiary hospitals providing the full package of Tertiary1 Services

5 gazetted tertiary hospitals providing the full package of Tertiary 1 services

4 additional tertiary hospitals (Pietersburg, Frere, Kimberly and Ngwelezana) providing the full package of Tertiary 1 services

4 additional gazetted tertiary hospitals (Mankweng, Rob Ferreira, Kalafong, Kerksdorp / Tshepong complex) providing the full package of Tertiary 1 services

4 additional gazetted tertiary hospitals (Witbank, Port Elizabeth, Pelonmi, JST), providing the full package of Tertiary 1 services



Objective Statement Performance Indicator Estimated Performance

2014/15


Ensure quality health care by improving compliance with National Core Standards at all Central, Tertiary, Regional and Specialised Hospitals

Number of Hospitals that comply fully with the National Core Standards.

Varying degrees of compliance with the National Core Standards in 5 Central Hospitals

Full compliance with the National Core Standards in 8 Central hospitals and 5 Tertiary Hospitals

Full compliance with the National Core Standards in 10 Central, 17 Tertiary, 25 Regional Hospitals

Full compliance with the National Core Standards in 10 Central, 17 Tertiary, 40 Regional Hospitals

Develop health workforce staffing norms and standards.

Develop guidelines for HRH norms and standards using the WISN methodology

Determine norms for PHC. Orientate District Hospital managers

Guidelines for HRH Norms for District and specialised

hospitals developed.Tertiary, Regional and

Central Hospital managers oriented on WISN tool and

methodology

Guidelines for HRH Norms for District and specialised hospitals approved.Guidelines for HRH Norms for Regional, Tertiary and Central Hospitals developed

Guidelines for HRH Norms for Regional, Tertiary and Central Hospitals approved

Number of facilities benchmarked against PHC staffing normative guides

New indicator 1000 2400 3507

Objective Statement Performance Indicator

Estimated Performance 2014/15


Professionalise Nursing Training and Practice through implementation of the objectives of the Nursing Strategy.

Public Nursing colleges offering new Nursing programmes (inline with National Qualifications Framework)

A scope of requirements for the implementation of the nursing strategy developed

A national policy for nursing education developed in the context of bedside training

3 Public Nursing Colleges piloting new nursing programmes

10 Public Nursing Colleges offering new nursing Programmes

Develop a Nursing and midwifery educators’ training and development programme

Audit of capacity of nurse educatorscompleted

a Nursing and midwifery educators’ training and development programme developed

a Nursing and midwifery educators’ training and development programme piloted (at 3 Public Nursing colleges) and approved

a Nursing and midwifery educators’ training and development programme piloted at 10 Public Nursing colleges

Develop a standerdised Nursing leadership structure for Provincial DoH

A national nursing services leadership structure established

A provincial Nursing structures to give authority over nursing and midwifery services tabled at NHC

Provincial nursing structures established and Functional

Not Applicable


Objective Statement



To improve quality of health infrastructure in South Africa

Number of facilities maintained, repaired and/or refurbished in NHI Districts

94 maintenance projects for health facilities in NHI Districts

198 facilities 192 facilities 212 facilities

Number of facilities maintained, repaired and/or refurbished outside NHI pilot Districts

249 maintenance projects for health facilities outside NHI pilot Districts

310 facilities 320 facilities 335 facilities

Number of clinics and Community Health Centres constructed or revitalised

72 clinics and community health centres constructed

35 46 42

Number of hospitals constructed or revitalised

7 hospitals constructed or revitalised

2 8 8

Number of new facilities that comply with gazetted infrastructure Norms & Standards.

100% from date of gazetting

37 new facilities

54 new facilities

50 new facilities

Strengthen Monitoring of Infrastructure projects

Develop a Infrastructure Monitoring System

New Indicator Infrastructure Monitoring System fully developed and tabled at NHC

Infrastructure Monitoring System approved by NHC and implemented

Not Applicable




2014/15


Ensure access to and efficient effective delivery of quality Emergency Medical Services (EMS)

Number of provinces that are compliant with the EMS regulations

Draft EMS Regulations developed

EMS Regulations and compliance checklist gazetted for implementation

3 provinces (WC, GP and LP) compliant with EMS Regulations

3 provinces (FS, NW, NC) compliant with EMS Regulations

To eliminate the backlog of blood alcohol and toxicology tests by 2016

Number of Blood Alcohol reports produced

7500 reports per lab per quarter( 4 FCLs)

120 000 Backlogs Eliminated, and 120 000 blood alcohol reports issued

Backlogs Eliminated, and 120 000 blood alcohol reports issued

Number of Toxicology reports produced

375 reports per lab( 3 FCLs)

4 500 Backlogs Eliminated, and 4 500 toxicology reports issued

Backlogs Eliminated, and 4 500 toxicology reports issued

To provide food analysis services

Number of food tests performed

500 per lab per quarter( 2 FCLs)

4 000 4 000 4 000




2014/15


Improve management of health facilities at all levels of care through the Health Leadership and Management Acadamy.

Establish a coaching mentoring and training programme for health managers

New indicator Coaching mentoring and training programme developed and piloted

20% of Hospital CEOs and PHC Facility Managers benefiting from the coaching and mentoring programme.

40% of Hospital CEOs and PHC Facility Managers benefiting from the coaching and mentoring programme.

Develop a knowledge hub which includes a web based interactive information system

New Indicator Framework for knowledge hub developed and approved

60% of Hospital CEOs and PHC Facility managers benefitting from the knowledge hub.

100% of Hospital CEOs and PHC Facility managers benefitting from the knowledge hub




Publish Policy on education and training of EMS Personnel published for implementation

Policy on education and training of EMS Personnel drafted

Policy on education and training of EMS Personnel published

3 EMS Colleges implementing the policy on education and training of EMS Personnel published

Additional 3 EMS Colleges implementing the policy on education and training of EMS Personnel published

Develop regulations for Emergency Care Centres

None Regulations on Emergency Care Centres Drafted

Publish Regulation on Emergency Care Centres for public comment and implementation

Regulations implemented by 9 Provinces

Publish Regulations for EMS in Mass Gatherings

Regulations on EMS in mass gatherings developed

EMS in mass gatherings published for public comment and implementation

Regulations implemented by 9 Provinces

9 Provinces compliant with regulations

Develop a monitoring system to effectively measure turnaround time of tests conducted at Forensic Chemistry Laboratories

New Indicator A standardised workflow and monitoring system developed for all 3 tests and implemented at 4 forensic chemistry laboratories

Baselines established using the new monitoring system

Not Applicable




Regulations for the Rendering of Forensic Pathology Services promulgated

New indicator Regulations on for the Rendering of Forensic Pathology Services reviewed and Published for public comment

Publish Regulation on for the rendering of Forensic Pathology Services for implementation

Not Applicable

Publish Scope of Practice Guidelines for the rendering of Forensic Pathology Services

New indicator Review and Finalise the Scope of Practice Guidelines for the rendering of Forensic Pathology Services and Publish for Implementation

Implement the scope of practice guidelines in 9 provinces

9 provinces compliant with the scope of practice guidelines

Number of Health Facilities that are designated to render services for the management of sexual and related offences

40 additional facilities were designated

60 additional facilities designated



Number of Regional Training Centre established

3 RTCs established 5 RTCs established 9 RTCs established 9 RTCs established



Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17% Growth

from 2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000

OFFICE OF THE DDG 3 570 1.37 3 619 5.55 3 820 4.95 4 009HEALTH FACILITIES INFRA-STRUCTURE MANAGEMENT 6 275 300 -0.69 6 231 739 3.82 6 469 521 6.51 6 890 866

TERTIARY HEALTH CARE PLANNING & POLICY 10 171 405 2.26 10 401 067 4.32 10 850 156 6.26 11 529 705

HOSPITAL MANAGEMENT 5 426 -4.87 5 162 3.74 5 355 6.16 5 685

HUMAN RESOURCES FOR HEALTH 2 344 652 2.29 2 398 385 4.30 2 501 591 6.26 2 658 129

NURSING SERVICES 2 531 95.22 4 941 -37.22 3 102 5.00 3 257

FORENSIC CHEMISTRY LABORATORIES 122 896 -12.92 107 019 12.52 120 421 0.00 120 419VIOLENCE, TRAUMA & EMS 3 707 92.42 7 133 3.76 7 401 6.47 7 880

TOTAL 18 929 487 1.21 19 159 065 4.19 19 961 367 6.31 21 219 950



2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to

2016/17

2016/17

% Growth

from 2016/17

to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 83 144 314.31 344 477 5.28 362 669 4.71 379 744

Transfers 17 730 004 1.80 18 048 519 4.14 18 796 183 6.27 19 975 005

Capital 1 009 959 -35.64 650 032 4.62 680 091 8.32 736 657

TOTAL 18 929 487 1.21 19 159 065 4.19 19 961 367 6.31 21 219 950

Programme 5: Hospitals, Tertiary Health Services & HR Development

1.Some subprogrammes were underfunded in Compensation of Employees during previous budget cycle, which are now addressed.

2.Shifting some of the capital budget to goods and services and budget cut regarding the indirect Health Facility Revitalization grant of about R107,8 million.

3.Set up of Chief Nursing Services Office in 2015.

Programme 6: Health Regulation and Compliance Management

PURPOSERegulate the procurement of medicines and pharmaceutical supplies, including food control, and the trade in health products and health technology. Promote accountability and compliance by regulatory bodies and public entities for effective governance and quality of health care.




Establish the South African Health Product Regulatory Authority (SAHPRA)

Establish SAHPRA as a public entity

National Portfolio Committee on Health deliberates over the bill

SAHPRA Act (Bill 6 of 2014) Promulgated , and transitional plan from MCC to SAHPRA developed

SAHPRA established

Board, CEO and Committees Appointed

SAHPRA Operational and functional

Establish Institute of Regulatory Science (IRS)

Institute of Regulatory Science (IRS) providing training

New Indicator Project Team appointed with Business Plan drafted and approved

Incorporate virtual university within SAHPRA

IRS functional with training provided

To develop the policy and legislative framework for occupational health and compensation

Review occupational health legislative framework

1 consultative meeting on amendments to the Occupational Diseases in Mines and Works Act, 1973

Draft amendments to the Occupational Diseases in Mines and Works Act, 1973 gazetted

Gazette legislation on amendments to the Occupational Diseases in Mines and Works Act, 1973

Implementation of legislative amendments to the Occupational Diseases in Mines and Works Act, 1973




To establish an occupational health cluster

occupational health cluster established and functional

Discussion document on integration of the governance and management of the occupational health units (NIOH, CCOD and MBOD)

Consultation on discussion document and approval of structure, organogram and activities of the occupational health cluster by NHC

Reorganisation of occupational health cluster and middle management structures

New structure for occupational health cluster implemented

To provide occupational health and compensation services through the development of One Stop Service centres in provinces

Number of provinces with One Stop Service Centres to deliver occupational health and compensation services

One Stop Service Centre for occupational health and compensation services in one health facility in Eastern Cape and Gauteng province established

One Stop Service Centre for occupational health and compensation services in one health facility in Northern Cape and Limpopo Established

One Stop Service Centre for occupational health and compensation services in one health facility in North West and Free State Established

One Stop Service Centre for occupational health and compensation services in one health facility in Mpumalanga and KZN established

To establish the National Public Health Institutes of South Africa (NAPHISA) for disease and injury surveillance

Develop legal framework to establish National Public Health Institutes of South Africa (NAPHISA)

Report on conceptual framework and business case for NAPHISA

Gazetted legislation on NAPHISA

Assessment of other business units within the National Department of Health that are transferred to NAPHISA

Consolidation of other business units into NAPHISA


Objective Statement Performance Indicator Estimated Performance

2014/15


Improve oversight and Corporate Governance practices by establishing effective governance structures, policies and tools

Number of Health entities’ and Statutory Health professional Councils with fully functional and compliant to good Governance practices (structures, Finance, HR , Supply Chain Management policies) and also respond to health sector priorities

2 health entities fully functional

4 health Entities’ and 6 statutory health professional councils



Develop and implement a performance management system for board members

Non standardised performance management system

A standardised performance management system for board members developed and piloted

A standardised performance management system for board members fully implemented

A standardised performance management system for board members fully implemented


2014/15


Regulate Medical devices, IVDs, cosmetics and expand on regulation of Complementary medicines (CAMS)

New indicator Develop draft regulations and guidelines for Medical devices and IVDs

Call up specific high risk categories of CAMS for registration purposes

Promulgate Regulations for Medical Devices and IVDs and call up high risk Medical Devices and IVDs

Call up additional categories of CAMS

Call up additional Medical Devices and IVDs

Call up additional categories of CAMS

Improve registration turnaround times of ARV’s, TB, oncology and vaccines to treat and prevent high burden of diseases

New indicator 50 % of priority medicine registered NCE = 22 months Generics = 18 months

55 % of priority medicine registered NCE = 36 months; Generics = 28 months

60 % priority medicine registered NCE = 36 months; Generics = 28 months

Establish a MOU with Department of Agriculture, Fisheries and Forestry’s (DAFF)`

40 additional facilities were designated

Draft MOU MOU Signed between DoH and DAFF

DAFF Laboratories testing Food Samples



2014/15


Develop Regulations for Cosmetic products

Draft Regulations produced

Regulations gazetted for public comments

comments reviewed and final regulations gazette

Regulations fully implemented

Number of applications certified at MBOD as compensable disease claims

7000 8000 10000 12000

Number of compensable disease claims paid by CCOD other than pensioners

2700 3000 3300 6000

Number of newly appointed boards inducted and trained

1 new public entity board (Council for Medical Schemes) with 10 members appointed inducted and trained

3 new boards appointed, inducted and trained

(Health Professions Council of South Africa; National Health Laboratory Service and the Interim Traditional Health Practitioners Council of South Africa)

3 new boards appointed, inducted and trained

(MRC; OO H SC and AHPCSA)

1 new board appointed, inducted and trained

(Council for Medical Schemes Inducted



2014/15


Develop and implement Dashboard to monitor entities performance and compliance to legislative prescripts

New Indicator 10 Dashboards developed and piloted (1 per entity or statutory council)

10 Dashboards fully implemented (1 per entity or statutory council)

10 Dashboards fully implemented (1 per entity or statutory council)

Develop a reporting template to enable feedback to the executive authority.

No standardised Feedback mechanism available for Departmental representatives serving on boards

Standardised reporting template developed and implemented for Departmental representatives serving on boards





Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to

2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000OFFICE OF THE DDG 4 127 -11.07 3 670 5.56 3 874 4.93 4 065FOOD CONTROL 7 512 30.43 9 798 3.81 10 171 4.19 10 597PHARMACEUTICAL TRADE & PRODUCT REGULATION 120 340 3.72 124 816 8.05 134 862 4.02 140 281PUBLIC ENTITIES MANAGEMENT 666 619 110.01 1 399 991 5.51 1 477 122 1.44 1 498 355COMPENSATION COMMISSIONER FOR OCCUPATIONAL DISEASES & OCCUPATIONAL HEALTH 55 912 4.89 58 644 5.11 61 643 5.55 65 064TOTAL 854 510 86.88 1 596 919 5.68 1 687 672 1.82 1 718 362



2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth

from 2015/16

to 2016/17

2016/17

% Growth from

2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 87 004 -33.03 58 268 9.19 63 624 2.87 65 449

Transfers 660 926 111.47 1 397 643 5.55 1 475 150 1.44 1 496 350

Capital 3 595 0.06 3 597 5.28 3 787 4.96 3 975

TOTAL 854 510 86.88 1 596 919 5.68 1 687 672 1.82 1 718 362


1.Conversion of Office of Health Standards Compliance to a transfer payment during 2015.


SUMMARY FOR DEPARTMENT

Subprogramme2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17% Growth

from 2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000ADMINISTRATION 389 650 17.30 457 078 -0.25 455 958 7.92 492 052NATIONAL HEALTH INSURANCE, HEALTH PLANNING & SYSTEM ENABLEMENT 644 097 -8.74 587 807 -1.91 576 608 18.30 682 145HIV & AIDS, TB, MATERNAL & CHILD HEALTH 13 049 923 10.67 14 442 144 10.81 16 002 675 12.31 17 972 937PRIMARY HEALTH CARE SERVICES SERVICES 87 808 156.25 225 005 6.34 239 267 5.24 251 793HOSPITALS, TERTIARY HEALTH SERVICES & HUMAN RESOURCE DEVELOPMENT 18 929 487 1.21 19 159 065 4.19 19 961 367 6.31 21 219 950HEALTH REGULATION & COMPLIANCE MANAGEMENT 854 510 86.88 1 596 919 5.68 1 687 672 1.82 1 718 362TOTAL 33 955 475 7.40 36 468 018 6.73 38 923 547 8.77 42 337 239

SUMMARY FOR DEPARTMENT

Economic Classification2014/15

% Growth from

2014/15 to 2015/16

2015/16

% Growth from

2015/16 to 2016/17

2016/17% Growth

from 2016/17 to 2017/18

2017/18

R'000 % R'000 % R'000 % R'000


Goods and Services 1 385 654 13.99 1 579 459 -10.59 1 412 268 8.57 1 533 369

Transfers 30 986 845 7.94 33 448 493 7.64 36 002 708 8.87 39 196 803

Capital 1 025 035 -34.83 667 978 4.01 694 794 8.28 752 348

TOTAL 33 955 475 7.40 36 468 018 6.73 38 923 547 8.77 42 337 239

Budget Pressures

• Additional budget cut in goods & services of R70.4 million for 2015/16 to 2016/17.

• Office Accommodation - ± R20 million.

• Audit fees - ± R6 million.

• Maintenance and repair of security systems.

• SA Demographic Health Survey – R50 million.

• Port Health Services – insufficient Goods and Services budget.

• Intake of MbChb students at Universities

• KZN Forensic Chemistry lab.

• No funds received for carry-through cost for MCC.

Conditional Grants

Schedules

Conditional Grants

Budget Allocation -

2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000Schedule 4A Health Professions Training & Development Grant 2 374 722 2 476 725 2 631 850 National Tertiary Services Grant 10 398 035 10 846 778 11 526 145 Schedule 5A Comprehensive HIV/AIDS Grant 13 737 312 15 466 603 17 440 333 Health Facility Revitalisation Grant 5 275 762 5 472 680 5 817 010 National Health Insurance Grant 72 042 75 433 80 157 Schedule 6A National Health Grant National Health Insurance Component 298 100 268 000 348 564 Health Facility Revitalisation Component 273 953 285 913 308 748 Human Pappiloma Virus Component 200 000 0 0Conditional Grants transferred to provinces S4 & S5Conditional Grants kept at National HealthTotal Sector Conditional Grants 32 629 926 34 892 132 38 152 807

Health Professions Training Grant

Health Professions Training & Development Grant

Budget Allocation -

2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000

Eastern Cape 204 431 213 213 231 156

Free State 149 757 156 190 169 335

Gauteng 829 607 865 241 938 059

KwaZulu Natal 299 514 312 379 338 669

Limpopo 118 856 123 961 134 394

Mpumalanga 97 461 101 647 110 202

Northern Cape 78 446 81 816 88 701

North West 106 971 111 566 120 955

Western Cape 489 679 510 711 553 699Total 2 374 722 2 476 724 2 685 170

National Tertiary Services Grant

National Tertiary Services Grant

Budget Allocation -

2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000Eastern Cape 803 771 838 459 909 025

Free State 918 388 958 022 1 038 651

Gauteng 3 572 853 3 727 044 4 040 719

KwaZulu Natal 1 530 247 1 596 287 1 730 633

Limpopo 330 463 344 724 373 736

Mpumalanga 99 312 103 598 112 316

Northern Cape 305 478 318 662 345 480

North West 242 626 253 097 274 398

Western Cape 2 594 897 2 706 885 2 934 706

Total 10 398 035 10 846 778 11 759 664

Comprehensive HIV/AIDS Grant

Comprehensive HIV/AIDS Grant

Budget Allocation -

2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000

Eastern Cape 1 577 065 1 775 590 2 029 876

Free State 911 946 1 026 745 1 173 787

Gauteng 2 928 300 3 296 924 3 769 082

KwaZulu Natal 3 813 094 4 293 096 4 907 918

Limpopo 1 056 975 1 190 031 1 360 457

Mpumalanga 927 214 1 043 934 1 193 437

Northern Cape 371 253 417 987 477 847

North West 1 012 984 1 140 501 1 303 834

Western Cape 1 138 481 1 281 795 1 465 364

Total 13 737 312 15 466 603 17 681 602

Health Facility Revitalisation Grant

Health Facility Revitalisation Grant

Budget Allocation -

2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000

Eastern Cape 442 930

Free State 554 950

Gauteng 303 630

KwaZulu Natal 1 090 431

Limpopo 184 255

Mpumalanga 277 942

Northern Cape 446 407

North West 558 721

Western Cape 645 200

Unallocated 771 296 5 472 680 5 934 894

Total 5 275 762 5 472 680 5 934 894

National Health Insurance Grant

National Health Insurance Grant

Budget Allocation - 2015/16

Budget Allocation -

2016/17

Budget Allocation -

2017/18

R'000 R'000 R'000

Eastern Cape 7 204 7 544 8 178

Free State 7 205 7 544 8 178

Gauteng 7 204 7 544 8 178

KwaZulu Natal 14 408 15 083 16 356

Limpopo 7 205 7 544 8 178

Mpumalanga 7 204 7 544 8178

Northern Cape 7 203 7 543 8 179

North West 7 205 7 544 8 178

Western Cape 7 204 7 543 8 179

Total 72 042 75 433 81 872

CONCLUSION National DoH Annual Performance Plan 2015/16 to 2017/18 is

aligned to the National DoH Strategic Plan 2015/16-2019/20, which is founded on government’s 2030 vision outlined in the National Development Plan 2030.

National DoH Annual Performance Plan 2015/16 to 2017/18 reflects interventions to improve the health system and health outcomes for all South Africans.

The Department will continue to work towards improving equity, quality and access to healthcare through the introduction of the National Health Insurance, and other Health Sector reforms through various initiatives.

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presentation to the portfolio committee on health 17 april 2015 annual performance plan 2015/16 to...

Documents

effective communication

communication toolkit

annual performance plan

ndoh strategic plan

ehw programme programme

employee health

implementation plandevelop

wellness programme