annual performance plan 2015/16 to...

Presentation to the Select Committee on

Social Services

Ms MP Matsoso

Director General

12 May 2015

Annual Performance Plan 2015/16 to 2017/18

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

2

NDP Goals 2030 MTSF Priorites NDoH Strategic Goals 2014- 2019Average male and female life expectancy at birth

increased to 70 years

HIV & AIDS and Tuberculosis prevented and successfully managed Maternal, infant and child mortality reduced

Prevent disease and reduce its burden, and promote health;

Tuberculosis (TB) prevention and cure

progressively improved;

Maternal, infant and child mortality reduced

Prevalence of Non-Communicable Diseases

reduced

Injury, accidents and violence reduced by 50%

from 2010 levels

Health systems reforms completed Improved health facility planning and infrastructure

delivery Improve health facility planning by implementing norms and

standards;

Health care costs reduced

Improve financial management by improving capacity, contract

management, revenue collection and supply chain management

Efficient Health Management Information System for improved decision making

Develop an efficient health management information system for

improved decision making;

Improved quality of health care Improve the quality of care by setting and monitoring national norms

and standards, improving systems for user feedback, increasing safety

in health care, and by improving clinical governance

Primary health care teams deployed to provide

care to families and communities

Re-engineering of Primary Health Care Re-engineer primary healthcare by: increasing the number of ward

based outreach teams, contracting general practitioners, and district

specialist teams; and expanding school health services;

Universal health coverage achieved Universal Health coverage achieved through

implementation of National Health Insurance Make progress towards universal health coverage through the

development of the National Health Insurance scheme, and improve

the readiness of health facilities for its implementation;

Posts filled with skilled, committed and

competent individuals

Improved health management and leadership

Improved human resources for health

Improve human resources for health by ensuring adequate training

and accountability measures.

Annual Performance Plan 2015/16

3

VISION

Outcome 2: Long and healthy life for all South Africans

MISSION

To 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 - Administration

Strategic Objective

Statement

Performance Indicator Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

Ensure effective financial

management and

accountability by

improving audit outcomes

Audit opinion from

Auditor General

Unqualified Audit

opinion Unqualified Audit opinion Unqualified Audit opinion Unqualified

Audit opinion

Audit opinion from

Auditor for Provincial

Departments of Health

3 Unqualified audit

opinions 3 Unqualified audit

opinions

4 Unqualified audit

opinions

4 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 Disaster

Ensure all Senior

Managers of NDoH are

able to access Domain

services at DR site.

(cells merged and

bulleted)

Ability to recover all

Email Data of NDoH in

the event of a Disaster

Ability to access all

domain services at the

DR site in event of a

Disaster

(cells merged and

bulleted)

ICT Service

continuity

plan fully

implemente

d

4

Programme 1 - AdministrationStrategic Objective

Statement


Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

Average

recruitment

process

turnaround time

will be 4 months

Average

recruitment

process

turnaround time

will be 3 months

Average recruitment

process turnaround

time will be 3

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

5


Strategic Objective Statement Performance Indicator Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

6


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 21 048

CORPORATE

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 12.00 154 053

FINANCIAL

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

7

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

Objective

Statement

Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2014/15 2015/16 2016/17

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

8

Objective Statement Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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..


9

Objective

Statement

Performance Indicator Estimated Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

Improve

contracting and

supply of

medicines

Improve

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


expiration of outgoing

tender

100% pharmaceutical

and medical related

tenders awarded at



tender

100% pharmaceutical

tenders and medical

related tenders are

awarded at least 8

weeks prior to


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


10

Objective

Statement

Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

Implement the

Strategy to address

antimicrobial

resistance (AMR)

Implement the

National AMR

strategy

Approved National

AMR Strategy

Appointment of the

MAC

Implementation 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


11


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

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

-

12

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


13

Objective

Statement

Performance

Indicator

Estimated

Performance

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 and

implement an

integrated

monitoring and

evaluation plan

aligned

to health outcomes

and outputs

contained in the

Health Sector

Strategy

Integrated

monitoring and

evaluation plan

implemented

Monitoring and

evaluation 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)


14

Objective

Statement

Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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


15



2014/15

Medium-term targets

2015/16 2016/17 2017/18

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


dispensing fee in

determining the

2017/2018 maximum

dispensing fee


dispensing fee in

determining the

2018/2019 maximum

dispensing fee

Publish and Implement

Single Exit Price

Adjustments Annually

Implementation of the

gazette 2014/15 Annual

Price Adjustment


gazette 2015/16 Annual

Price Adjustment


gazette 2016/17

Annual Price

Adjustment


gazette 2017/18

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

16



Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

17



2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

18


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

19

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

Strategic objective Performance Indicator Estimated

Performance Medium-term targets2014/15 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

20


Performance Medium-term targets2014/15 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%

N74 238 204 220 208 861 213 503

D87 111 232 068 232 068 232 068

Infant 1st PCR test positive

around 6 weeks rate

Ind2.0% 1.50% 1.40% 1.20%

N1 630 3 714 3 466 2 971

D

107 237 247 578 247 578 247 578


21


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 1 080

D 20 092 40 000 40 000 40 000

Child under 5 years

pneumonia case

fatality rate

Ind 3.2% 3% 2.75% 2.50%

N762 1200 1100 1 000

D23 641 40 000 40 000 40 000

Child 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


22



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 1 003 283

D 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 50 122

D 422 636 1 002 438 1 002 438 1 002 438

Measles 2nd dose

coverage

Ind 79% 83% 86% 88%

N 1 056 563 885 228 917 224 938 555

D 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%


23

Strategic

objective



2014/15 2015/16 2016/17 2017/18To protect girl

learners against

cervical cancer

HPV 1st dose coverage Ind 92% 80% 87% 88%

N 429 840 365 821 397 831 402 403

D 457 276 457 276 457 276 457 276

HPV 2nd dose coverage Ind 94% 80% 87% 88%

N 429 840 365 821 397 831 402 403

D 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 treatmentTB 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%


24



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%


25



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

Strengthen

patient

retention in

treatment

and care

TB MDR client death

rate

Ind

18%

15% 12% 9%

N 978 783 587

D 6 523 6 523 6 523

TB MDR treatment

success rate

Ind

50%

55% 60% 65%

N 3 588 3 914 4 240

D 6 523 6 523 6 523

TB/HIV co-infected

client on ART rate Ind 70% 75% 80% 85%


26


Strategic Objective Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

Distributed600m 700m 800m 800m

Female Condoms

Distributed15.2m 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

27



Performance 2014/15

Medium-term targets

2015/16 2016/17 2017/18

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


each provincial DoH

Quarterly performance

reports produced with

feedback provided to each

provincial DoH

Quarterly performance

reports produced with


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


training plan monitored

with 9 provincial reports


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

28



Performance 2014/15

Medium-term targets

2015/16 2016/17 2017/18

Develop breast cancer PolicyNew Indicator

Breast cancer policy

guidelines

Developed and

disseminated to

facilities

Monitoring of the


new breast cancer

policy guidelines in all

provinces through

quarterly M&E

processes

Monitoring 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

29



2014/15

Medium-term targets

2015/16 2016/17 2017/18

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


reports on its

implementation

Monitor the

Implementation of

adherence guidelines


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

produced

Annual HIV

Conditional Grant

Report produced

4 x Quarterly HIV

conditional grant reports

within the required

timeframe produced

Annual HIV Conditional

Grant Report produced

4 x Quarterly HIV

conditional grant

reports within the

required timeframe

produced

Annual HIV Conditional

Grant Report produced

30



Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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



One Ministerial Polio

committee meeting



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

31



Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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 convened

CoMMiC Interim Report

produced

4 x Quarterly

CoMMiC meetings

convened

Triennial 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 screening30% 60% 75% 85%

Number of community members in 6

Peri mining districts screened for TB 134,400 462,000 462,000 462,000

32


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

33

Programme 4 – Primary Health Care

Strategic Objective Performance

Indicator

Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

40 Districts with

uniform

management

structures

52 Districts with

uniform

management

structures

Number of

primary health

care facilities with

functional clinic

committees

Implementatio

n plan

approved and

Monitoring

and evaluation

system

developed

1000 health care

facilities with

functional clinic

committees

2000 health care

facilities with

functional clinic

committees

2800 health care

facilities with

functional clinic

committees

Improve access to

community based PHC

services

Number of

functional

WBPHCOTs

1500 functional

WBPHCOTs

2000 functional

WBPHCOTs

2500 functional

WBPHCOTs

3000 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

34


Strategic Objective Performance Indicator Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

20

municipalities 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

35



Performanc

e 2014/15

Medium-term targets

2015/16 2016/17 2017/18

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 and

smoking in indoor and

outdoor public places

Developed

New

indicator

Tobacco Act

amended

Tobacco Act

amended


labelling and packaging

of tobacco products

(plain packaging)

published


smoking in indoor and

outdoor public places

36


Strategic

Objective


Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

8 million 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

37


Strategic

Objective


Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

30 % of 16.5%

(prevalence) people

screened for

mental disorders

30 % 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

30 % of 16.5%

(prevalence) people

treated for mental

disorders

30 % 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

18% of mental

health inpatient

units attached to

designated district

and regional

hospitals

20% 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

38



Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

Improve access to

disability and

rehabilitation services

through 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

1 500 operations

per million un-

insured population

1 500 operations

per million un-

insured population

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

0.2 malaria cases

per 1000

population at risk

0.2 malaria cases

per 1000 population

at risk

0.2 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

5 malaria targeted

districts reporting

malaria cases

within 24 hours of

diagnosis

7 malaria targeted

districts reporting


24 hours of

diagnosis

7 malaria targeted

districts reporting


24 hours of

diagnosis

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

39



Performance

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

40



Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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

2016 National

Antenatal HIV

prevalence Report

produced

2017 National

Antenatal HIV

prevalence Report

produced

41

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 17 462

NON-COMMUNICABLE

DISEASES 25 718 9.88 28 259 3.23 29 171 1.16 29 510

HEALTH 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

42

Objective

Statement

Performance

Indicator

Estimated

Performance

2014/15

Medium Term Targets

2015/16 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

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

43


Objective Statement Performance Indicator Estimated

Performance

2014/15

Medium-term targets

2015/16 2016/17 2017/18

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


for District and specialised

hospitals approved.


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

44


Performance 2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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 educators

completed

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


45

Objective

Statement


2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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 Infrastructur

e Monitoring

System fully

developed

and tabled at

NHC

Infrastructur

e Monitoring

System

approved by

NHC and

implemented

Not

Applicable


46


Indicator

Estimated

Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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


47


Indicator

Estimated

Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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.


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


and PHC Facility

managers benefitting

from the knowledge

hub.

100% of Hospital

CEOs and PHC Facility

managers benefitting

from the knowledge

hub


48


2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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


49


2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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

80 additional

facilities designated

200 additional

facilities designated

Number of Regional Training

Centre established

3 RTCs established 5 RTCs established 9 RTCs established 9 RTCs

established


50


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 4 009

HEALTH 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 0.00 120 419

VIOLENCE, 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

51

Programme 6: Health Regulation and Compliance Management


Performance 2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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

52


Objective Statement Performance Indicator Estimated Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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

53



Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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


and 6 statutory

health professional

councils


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

54


Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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


55


Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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


56


Performance

2014/15

Medium Term Targets

2015/16 2016/17 2017/18

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

Standardised reporting

template developed

and implemented for

Departmental

representatives serving

on boards

Standardised

reporting template

developed and

implemented for

Departmental

representatives

serving on boards


57


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 4 127 -11.07 3 670 5.56 3 874 4.93 4 065

FOOD CONTROL 7 512 30.43 9 798 3.81 10 171 4.19 10 597

PHARMACEUTICAL

TRADE & PRODUCT

REGULATION 120 340 3.72 124 816 8.05 134 862 4.02 140 281

PUBLIC ENTITIES

MANAGEMENT 666 619 110.01 1 399 991 5.51 1 477 122 1.44 1 498 355

COMPENSATION

COMMISSIONER FOR

OCCUPATIONAL

DISEASES &

OCCUPATIONAL HEALTH 55 912 4.89 58 644 5.11 61 643 5.55 65 064

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

58


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'000

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

NATIONAL HEALTH

INSURANCE, HEALTH

PLANNING & SYSTEM

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

HIV & AIDS, TB, MATERNAL

& CHILD HEALTH 13 049 923 10.67 14 442 144 10.81 16 002 675 12.31 17 972 937

PRIMARY HEALTH CARE

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

HOSPITALS, TERTIARY

HEALTH SERVICES &

HUMAN RESOURCE

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

HEALTH REGULATION &

COMPLIANCE

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

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

59

Conditional Grants

(Budget – MTEF)

Schedules Conditional Grants

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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

Schedule 4A Health Prof. Training & Dev Grant 2,321,788 2,374,722 2.3 2,476,725 4.3 2,631,849 6.3

National Tertiary Services Grant 10,168,235 10,398,035 2.3 10,846,778 4.3 11,526,145 6.3

Schedule 5A Comprehensive HIV/AIDS Grant 12,311,322 13,737,312 11.6 15,466,603 12.6 17,440,333 12.8

Health Facility Revitalisation Grant 5,239,981 5,275,762 0.7 5,472,680 3.7 5,817,010 6.3

National Health Insurance Grant 70,000 72,042 2.9 75,433 4.7 80,157 6.3

Schedule 6A National Health Grant 1,574,862 1,411,250 (10.4) 1,221,024 1,347,002

National Health Insurance 395,000 298,100 (24.5) 267,942 (10.1) 318,053 18.7

Health Facility Revitalisation 979,862 913,150 (6.8) 953,082 4.4 1,028,949 8.0

Human Pappiloma Virus 200,000 200,000 - - (100.0) - -

31,686,188 33,269,123 5.0 35,559,243 6.9 38,842,496 9.2

2014/15 2015/16 - 2017/18

Total Sector Conditional Grants

(13.5) 10.3

60

Narratives: Schedule 4 A & 5A

Comprehensive HIV/AIDS Grant - Allocations are based onantenatal HIV prevalence, estimated share of AIDS cases,populations post-demarcation

Health Facility Revitalisation Grant - Allocations are project based

Health Professions Training Grant and National Tertiary ServicesGrant –Allocations are based on historical allocations andspending patterns. Criteria is under review and will be finalisedonce the technical work has been finalised and gazetted.

National Health Insurance - Each district is allocated the sameamount

61

Narratives: Schedule 6A

National Health Grant

National Health Insurance ComponentHealth facilities with the greatest need for health practitioners and where health practitioners are willing to work in the facility are prioritizedThe alternative chronic care medication dispensing and distribution model will be implemented across the country in the ten NHI pilot districts, with priority given to previously disadvantaged areas

Health Facility Revitalisation Component Allocations for 2015/16 are project and performance based

Human Pappilomavirus Component Allocations based on the number of grade 4 girls and schools

with grade 4 from the Education Management Information System in each province

62

Eastern Cape (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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

Health Professions Training Grant 199,874 204,430 2.3 213,212 4.3 226,566 6.3

National Tertiary Services Grant 786,007 803,770 2.3 838,458 4.3 890,973 6.3

Comprehensive HIV/AIDS Grant 1,449,237 1,577,065 8.8 1,775,590 12.6 2,002,178 12.8

Health Facility Revitalisation Grant 599,231 592,073 (1.2) 533,068 (10.0) 559,721 5.0

National Health insurance 7,000 7,204 2.9 7,543 4.7 8,016 6.3

Total 3,041,349 3,184,542 4.7 3,367,871 5.8 3,687,454 9.5

Provinces

2014/15 2015/16 - 2017/18

63

Free State (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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


National Tertiary Services Grant 898,091 918,387 2.3 958,021 4.3 1,018,025 6.3

Comprehensive HIV/AIDS Grant 843,026 911,946 8.2 1,026,745 12.6 1,157,770 12.8

Health Facility Revitalisation Grant 448,962 564,950 25.8 492,698 (12.8) 492,698 -


Total 2,343,498 2,552,243 8.9 2,641,196 3.5 2,842,480 7.6

Provinces

2014/15 2015/16 - 2017/18

64

Gauteng (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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




Health Facility Revitalisation Grant 671,033 313,630 (53.3) 697,868 122.5 841,234 20.5


Total 7,615,616 7,651,594 0.5 8,594,627 12.3 9,446,821 9.9

Provinces

2014/15 2015/16 - 2017/18

65

KwaZulu Natal (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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




Health Facility Revitalisation Grant 1,162,469 1,229,775 5.8 1,047,521 (14.8) 1,099,898 5.0


Total 6,223,725 6,887,036 10.7 7,264,366 5.5 7,985,087 9.9

Provinces

2014/15 2015/16 - 2017/18

66

Limpopo (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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



Comprehensive HIV/AIDS Grant 978,132 1,056,975 8.1 1,190,031 12.6 1,341,893 12.8



Total 1,891,938 1,707,751 (9.7) 2,059,725 20.6 2,291,088 11.2

Provinces

2014/15 2015/16 - 2017/18

67

Mpumalanga (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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



Comprehensive HIV/AIDS Grant 818,836 927,214 13.2 1,043,934 12.6 1,177,153 12.8



Total 1,361,749 1,419,133 4.2 1,548,562 9.1 1,739,699 12.3

Provinces

2014/15 2015/16 - 2017/18

68

Northern Cape (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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



Comprehensive HIV/AIDS Grant 342,789 371,253 8.3 417,987 12.6 471,327 12.8

Health Facility Revitalisation Grant 421,428 593,591 40.9 380,727 (35.9) 378,727 (0.5)


Total 1,146,641 1,355,970 18.3 1,206,733 (11.0) 1,283,629 6.4

Provinces

2014/15 2015/16 - 2017/18

69

North West (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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



Comprehensive HIV/AIDS Grant 936,938 1,012,984 8.1 1,140,501 12.6 1,286,043 12.8



Total 1,771,909 2,065,187 16.6 2,011,362 (2.6) 2,178,216 8.3

Provinces

2014/15 2015/16 - 2017/18

70

Western Cape (1)

Budget

(Original)

Budget

Allocation -

2015/16

Growth

Rate

Budget

Estimates -

2016/17

Growth

Rate

Budget

Estimates -

2017/18

Growth

Rate

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






Total 4,714,901 5,034,417 6.8 5,096,508 1.2 5,459,977 7.1

Provinces

2014/15 2015/16 - 2017/18

71

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.

72

annual performance plan 2015/16 to...

Documents