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PORTFOLIO REPORT 2002/3

PORTFOLIO REPORT 2002/3. DEPARTMENT OF HEALTH NORTH WEST PROVINCE. TEAM. Dr Hugh Gosnell : HOD(DDG) Ms Rebecca Hlabatau: CF0 Mr O Mongale : CD Corporate Services Dr M Saasa-Modise : CD Strategic Health Programs Mr Molefi Mosenogi : Director Policy and Planning

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PORTFOLIO REPORT 2002/3

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  1. PORTFOLIO REPORT2002/3 DEPARTMENT OF HEALTH NORTH WEST PROVINCE

  2. TEAM • Dr Hugh Gosnell : HOD(DDG) • Ms Rebecca Hlabatau: CF0 • Mr O Mongale : CD Corporate Services • Dr M Saasa-Modise : CD Strategic Health Programs • Mr Molefi Mosenogi : Director Policy and Planning • Mr. F P Netshipale: Director: CD

  3. OUTLINE • Provincial Health Services Overview/Background • Health Services Performances(Strategic Plans) • Budgetary Allocations • Capital Projects including Revitilisation Projects • Responses to Portfolio Committee Questions

  4. POPULATION :3.4 MILLION DISTRICTS:4 SUB-DISTRICTS:22

  5. STRATEGIC OVERVIEW(CONT..) • 2 provincial (level 2) hospital complexes (2 provide specialist psychiatric services as well) and 1 provincial hospital • 20 district hospitals • 12 community hospitals • 327 fixed clinics and health centres • 77 mobile clinics.

  6. PHC facilities Number Average population per facility Province wide 327 11,009 Bophirima (least served health district in terms of access) 81 8,000 Bojanala (best served health district in terms of access) 134 12,375 Southern 34 19,058 Central (best served in terms of both access and average population per facility) 78 9,231 FIXED PUBLIC PRIMARY HEALTH CARE FACILITIES

  7. Hospital type Number Number of beds (Authorised) Beds per 1000 people Beds per 1000 uninsured people (80% of population) District and community[1] 27 3 613 1.1 1.4 General (regional) 4 2 244 0.7 0.9 Central 0 0 0 0 Sub-total acute hospitals 31 5 857 1.75 2.2 Tuberculoses 0 0 0 0 Psychiatric [2] 2 1 520 0.5 0.6 Chronic medical and other specialised 0 0 Total 31 7 377 2.19 2.8 PUBLIC HOSPITALS

  8. STAFF ESTABLISHMENT 2002/3

  9. Vision • Optimum health for all individuals and communities in the North West Province.

  10. Mission • To ensure access to affordable, equitable, quality, caring health services for all in the North West Province through: • Community involvement and partnerships; • Batho Pele Principles and the Patients’ Rights Charter; • Innovation driven performance; and • By valuing our people and their diversity.

  11. Strategic Goals • Providing quality health care • Providing accessible, equitable and affordable comprehensive primary health care services • Well functioning and competitive hospital services • Improving the health status of communities through implementation of integrated health programmes

  12. Strategic Goals • Well managed and effective District Health System • Competent, empowered and performance focused employees • Appropriate and effective organisational systems • Effective management of the Department’s finance and assets

  13. Demographic Indicators • < 15 years – 1.2 million • > 49 years – 430,000 • 15 – 49 years – 54% of total population • non-urban areas – 65% of population • only 36 people / sq. km. (Gauteng 468)

  14. Socio-economic Indicators • GDP per capita – 2/3 of country average • Official unemployment rate : 30.7% • Piped water inside houses: 21.7% of households • Using electricity for cooking : 33.8% • Infant mortality rate : 36/1000 Below national 45/1000 • Life expectancy at birth : 52.7 years

  15. NUTRITION

  16. HIV/AIDS/STI • Male urethral discharge incidence decrease from 3/1000 to 2.8/1000 • Syphilis prevalence rate remained at 4% (77% reduction from 1998 figure of 17%) • HIV prevalence rate among antenatal clinic at tenders increases from 22.9%in 2000 to 25.2% in 2001

  17. HIV/AIDS/STI(CONT..) • 322 VCT sites established & are functional • 1310 Nurses were trained in Rapid testing • 664 Nurses trained in counselling • PMTCT rollout district approach adopted • PMTCT sites increased from 2 to 89 • 392 HCW Prof nurses trained in PMTCT • 400 lay counselors appointed through NGO Approach • Out of eighty two(82) children tested for HIV at nine months(9), only 9 tested HIV positive

  18. HIV/AIDS/STI(CONT..) • R2.6 million was spent to fund 24 HBC NGO’s. • Assisted 51 other NGO’s with Home Based Care kits (refilled quarterly by Department) • HBC beneficiaries increased from 6,458 to 11,473 • NGO’s have conducted 28,366 visits as compared to 22,880 in 2001. • More than 1333 care givers were trained in HBC • Department adopted 36 affected children in circles of support/care

  19. HIV/AIDS/STI(CONT..) • 24 private doctors were trained in the syndromic management of STI, as well as 320 traditional healers. • 2,080 condom distribution points. • 22,208,331 male condoms and 210 837 female condoms were distributed during 2002(feb 2003). • Assisted in training 8,700 youth as Peer Educators in five sub‑districts.

  20. Year Bojanala Central Southern Bophirima Province True measles cases. 2000 37 (6 ) 4 56 (3) 13 110 9 2001 41 3 11 29 84 0 2002 31 3 1 13 48 0 NUMBER OF SUSPECTED AND TRUE MEASLES CASES BY REGION AND YEAR: 2000-2002

  21. YEAR BOJANALA CENTRAL SOUTHERN BOPHIRIMA PROVINCE RATE 2000 1 1 0 0 2 <1/1000 2001 0 1 0 0 1 <1/1000 2002 0 0 0 0 0 0 NUMBER OF NEONATAL TETANUS CASES REPORTED: 2000-2002

  22. TB

  23. PSYCHIATRIC COMMUNITY SERVICES

  24. PSYCHIATRIC HOSPITAL SERVICES

  25. MCWH • Antenatal visits per client increased from3.8 to 4.1 (higher than national norm of 3) • Caesarean section rate remained 14% for last 3 years • Decreased teenage pregnancy rate to 9% in 2002 from 11% in 2001 • Increased TOP by 64% from 2000 in 2001 to 3300 in 2002 • IMCI implementation – 85% of sub-districts • Implementation of CIC • 35% Maternal deaths due to HIV

  26. NUMBER OF MATERNAL DEATHS AND ESTIMATED RATE PER 100,000 WOMEN

  27. SERVICE PROVIDER PERIOD NUMBER OF CERVICAL SCREENING DONE Operation Blanket: Mafikeng district 2002/2003 8,274 Klerksdorp 2002/2003 9,224 Potchefstroom 2002/2003 1,500 Moses Kotane Cancer Association 2002/2003 151 Moretele 2002/2003 1,963 Schweizer-Reneke 2002/2003 233 Lichtenburg 2002/2003 840 Odi 2002/2003 1,491 Total 2002/2003 23 676 CERVICAL SCREENING PERFORMED 2002/3

  28. Assistive device Backlog Provided by Department Nov 2000 – December 2002 Walking Aids 91 679 Wheelchairs 1350 1127 Hearing Aids 563 385 Spectacles and IOL 1350 1034 NUMBER OF ASSISTIVE DEVICES ISSUED

  29. Year Number cataract operations done Estimated percentage increase 1996 1185 1997 1580 25%increase 1998 1975 25% increase 1999 1518 23% decrease 2000 1675 11% increase 2001 2208 32,5% increase 2002 1854 16% decrease NUMBEROF CATARACT OPERATIONS PER YEAR SINCE1996

  30. PSNP • Complete Decentralized PSNP Programme implemented • In 2002 85% of targeted children as opposed to 58% of 2001( out of 312 000, 263 693 were fed) • More than 660 women groups benefited from the initiative • This ensured income for 5000 women

  31. ORAL HEALTH SERVICES • 20 new fully equipped surgeries with state of the art equipments were opened between 2000 and 2002. 80% of them in rural areas. • Number of out reach clinic visits increased by 30 %Preventive services has increased by 35% • Conservative dentistry services by 30 % • Curative in other areas has increased by 100 % where we had no services before as new more clinics where opened.

  32. CAPITAL PROJECTS ACHIEVEMENTS • HR&R Projects • Doctors Residences in 3 district hospital i.e Schweizer Reneke, Ventersdorp and Jubilee • Medical/psychiatric Unit in Taung & maternity Units in Mafikeng Complex • Laundry /kitchen and boilers • HOSPITAL REVITILISATION • Business Cases completed for 4 hospitals

  33. CAPITAL PROJECTS ACHIEVEMENTS (CONTINUE…) • Clinics Projects Completed • 10 clinic/CHC’s (R25Million) • Clinics to be completed (R14million) • 16 clinics • Madibogo CHC completed in partnership with IDT(R13million). • Other 3 CHC’s to be built this year also by partnership with IDT worth R17Million.

  34. SOME CAPITAL PROJECTS PLANS 2003/4 • Differential amenities for 12 hospitals (total costs R18 million) • Revitilisation projects started • Swartruggens Hospital building started(R32m) • Vryburg and Moses Kotane Hospitals to be built • Ongoing projects in Mafikeng SPDU, Taung hospital Pharmacy, Laundry linen bank (R13Million) • Business Cases for Moretele and Brits to be developed

  35. QUALITY ASSURANCE ACHIEVEMENTS • Clinical Investigation Committee work • Investigates cases of neglect/clinical mismanagement and litigation matters • Cohsasa Programmes started in 21 hospitals • Clinic Supervision Tools work shopped and implemented • Mortality and Morbidity Meetings monthly • QA Unit established and functional

  36. Drug availability at various centres: District Hospitals Central 96.49% Bophirima 93.6% Southern 90.36% Bojanala 87% Central 85.125% Bophirima 86.6% Southern 89.6% Bojanala 80% qCommunity Health Centers and Clinics qProvincial Hospitals Average = 92.25%

  37. EXPENDITURE ON PHARMACEUTICALS & SURGICALS • 2001/2002 = R137,457,949,00 • 2002 /2003 = R170,589,542,00 • Projected exp 2003/04 R204,707,450 (20% increase)

  38. BUDGET AND EXPENDITURE PER CONDITIONAL GRANTS 2002/3

  39. BUDGET ALLOCATION & EXPENDITURE PER PROGRAMME

  40. FLAGSHIP PROGRAMME • FARM CHILD/COMMUNITY • NUTRITION/FOOD SECURITY • SOCIAL GRANT • ELCD • FAMILY/SEXUAL/OTHER VIOLENCE • SUBSTANCE ABUSE

  41. PRIORITY PROJECTS • HIV/AIDS &TB • EMS • QUALITY IMPROVEMENT -CLINIC SUPERVISION & HOSPITAL ACCREDITATION • ATTRACTING & RETAINING STAFF • HOSPITAL REVITALISATION & DIFFERENTIATED AMENITIES • DEVOLUTION OF PHC SERVICES • COMMUNITY DEVELOPMENT WORKERS

  42. NEXT RESPONSES

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