1

Decreasing morbidity and mortality rates through strategic interventions

Tackling HIV and AIDS An accreditation process to

evaluate the readiness of the sites was done in February 2004

Six sites were accredited. Two sites Shongwe and Witbank

Hospitals have rolled out on 1st June 2004

2

Managing Rehabilitation Services 30 electrical wheelchairs and 2471

wheelchairs issued 3 500 hearing aids issued 400 walking frames issued 3 400 aluminium crutches issued

Decreasing morbidity and mortality rates through strategic interventions

3

Managing Rehabilitation Services 350 quadropods issued 700 Other mobility assistive devices

issued The community Based Rehabilitation

Counselling programme implemented in partnership with Disabled People South Africa

Decreasing morbidity and mortality rates through strategic interventions

4

Decreasing morbidity and mortality rates through strategic interventions

The Department has renewed the agreement with the Mpumalanga Provincial Council for the blind

An independence training programme for the blind and partially sighted people living in the province has been initiated

The administrative system and communication plan for the implementation of free health services to people with disabilities living in the province has been developed

5

Decreasing morbidity and mortality rates through strategic interventionsImproving Mental Health Services

Identified and established sexual offence support rooms at 4 hospitals

80 Primary Health Care Nurses Trained in Integrated Mental Health Care

6

Decreasing morbidity and mortality rates through strategic interventionsImproving Mental Health Services

A mental Health awareness campaign was successfully conducted in Lekwa- Dipaleseng on the 15/11/2003 and was attended by 500 school going children

7

Decreasing morbidity and mortality rates through strategic interventions

Tuberculosis.

TB is managed according to the Direct Observed Treatment Strategy (DOTS). Executed in PHC Clinics the DOTS Programme has been effectively implemented in the Province

8

Decreasing morbidity and mortality rates through strategic interventions

Tuberculosis.

Patients who cannot be treated on an ambulatory basis are admitted in one of the SANTA Hospitals or the Provincial TB Hospital. TB registers are maintained in each of the hospitals for all patients admitted

9

Decreasing morbidity and mortality rates through strategic interventions

Tuberculosis.

TB Management has been identified as a National Priority and to that regard a Medium Term Strategy was launched

10

Decreasing morbidity and mortality rates through strategic interventions

Measles

A measles outbreak of adults ranging from 18 – 22 years broke out at Nkomazi area during Sept/Oct 2003

A measles campaign was carried at Tonga and Shongwe and the index case was from Mozambique

The outbreak was contained to 45 cases at the end of October 2003

11

Decreasing morbidity and mortality rates through strategic interventionsManaging Chronic Conditions

Situation Analysis conducted in Ehlanzeni District and Gert

Sibande

A Total of 32 Clinics were visited and recommendations given to site managers

12

Decreasing morbidity and mortality rates through strategic interventionsEye Care

2 000 cataract operations performed in the province

Trained 10 Ophthalmic Nurses to do refractions so as to enable them to screen, refract and supply spectacles to patients in the rural areas

13

Decreasing morbidity and mortality rates through strategic interventionsEye Care

Screened 20 000 people to detect various eye conditions

On 6 October 2003, the first day of the eye care awareness week, which was organised at Msogwaba Clinic, Ehlanzeni District, the eye care workers screened 604 patients and issued 156 pairs of spectacles free of charge

14

Decreasing morbidity and mortality rates through strategic interventionsEye Care

A primary eye care network has been established in all hospitals and several clinics in the Ehlanzeni district, at Embhuleni, Piet Retief and Bethal Hospitals in the Gert Sibande, and Witbank, Middelburg and Philadelphia in Nkangala

15

Decreasing morbidity and mortality rates through strategic interventions

Improving Emergency Medical Services

23 response vehicles purchased with the appropriate advance life support and immediate intervention extrication equipment

Inter-directorate arrangements were achieved with regards to the supply and purchase of surgical sundries and medical gases

16

Improving resource mobilisation and the management of resources

without neglecting the attainment of equity in resource allocation

Conducted District Health Expenditure Reviews in all three districts

Implemented Patient Administration and Billing (PAAB) system in 9 hospitals

3 Pilot sites identified for Designated Service Provider Network (DSPN)

17

Improving human resource development and management

Tuition provided to 425 students on nursing education

1074 health officials trained on PHC

588 learners enrolled on the ABET

329 bursaries provided

18

Improving human resource development and management

45 Ambulance Emergency Assistants trained

900 officials received generic training

Performance Management and Development System (PMDS) developed and implemented

19

Improving human resource development and management

Challenges Ensuring compliance with the PMDS

requirements e.g. Quarterly reports

Recruitment and retention of appropriately skilled staff

Improve mentoring and coaching to facilitate promotion of the staff internally

20

Improving communication and consultation within the health

system and between the health system and communities we serve

Community outreach programmes conducted

Meetings held with external stakeholders e.g. NGO’s and traditional healers

Quarterly departmental newsletter issued Departmental Website launched Patient hotline established and Functional

(0800 20 40 98)

21

Strengthening co-operation with our partners internationally

Developed an Action plan on general health matters as well as one on HIV and AIDS with the Maputo Province in Mozambique

Participate in the Lebombo Spatial Development Initiative to strengthen Malaria management

Identification of possible areas of cooperation with the Italian Corporation

22

Vision

Our Vision is a caring and humane society in which all people in Mpumalanga have access to

affordable and good quality health services

23

Mission · To provide and improve access to

quality health care within a Primary Health Care approach

·  Reduce inequity·  Strive for excellence at all levels of

the health care delivery system ·  Work in partnership with other

stakeholders

24

ValuesWe are a department that will always strive for:

Effectiveness, efficiency, accountability and commitment to all the principles enshrined in the Batho Pele policy and the Patient’s Rights Charter

25

Key priorities for the next 3 years

26

Reorganisation of support services

Health Information Systems To establish a fully functional and

integrated health information system linking facilities at all levels of care by 2007

Telemedicine Increase the number of PHC

telemedicine sites to 4 sites per districts Increase the number of Hospital

telemedicine sites to 3 sites per districts

27

Reorganisation of support services

Patient Administration and Billing System (PAAB) Fully functional system at all hospitals

(including ICD 10 coding) by 2006Uniform Patient Fee Structure

(UPFS) Fully implement at all hospitals by

2005

28

Reorganisation of support services

Integrated nutrition Strategy Establish an inter-sectoral plan so as

to develop an integrated food safety and control system by 2005

Increase the capacity of the provincial MDR unit by an additional 36 beds by January 2005

29

Reorganisation of support services

Ensure the take over of the management of medico-legal mortuaries from the SAPS by 01 April 2005

Establish a specialised provincial hospital for chronic psychiatric patients by 2007

30

Reorganisation of support services Establish a new provincial

pharmaceutical depot incorporating a depot facility as well as a pre packing unit by June 2006.

Ensure sufficient provincial capacity to take over management of the Pharmaceutical facility at the end of the outsourced contract period by December 2005

31

Legislative reform

Enactment of the Provincial Health Bill

32

Improving quality of care

Motivational intervention with emphasis on Batho Pele and Patients Rights Charter

Monitor and comply with COHSASA programme over the next three years

33

Improving quality of care

Possibly extend COHSASA programme to include PHC services

Facilitate the establishment of governance structures linked to health facilities

34

Revitalisation of hospital services

Ensure the comprehensive revitalisation of 6 hospitals over the

next 3 years. This would include physical upgrading, transforming management, modernising

technology and establishing quality assurance programmes. It would also include the establishment of empowered hospital boards

35

Revitalisation of hospital services

Establish 4 regional hospitals with at least 50% capacity in terms of the proposed

national package of level 2 services Also complete planning and initiate

construction of a new tertiary hospital for the province in Nelspruit in line with the Modernisation of Tertiary Services (MTS) model