Northern Cape Province Department of Health VISION The

Northern Cape Province Department of Health

VISION The Department of Health’s vision is to achieve excellent, holistic, people-centered and affordable health care in the Northern Cape. MISSION We are committed to achieving our vision through a decentralized, accountable, accessible and constantly improving health care system within available resources. Our caring, multi-skilled, effective personnel will use evidence-based, informative health care and maturing partnerships for the benefit of our clients and patients.

Key Strategic Priority Areas n n n n n Decreasing morbidity & mortality Revitalization of hospitals Improving HR development & management Reorganization of support services Strengthening co-operation with international partners Legislative reform Speeding up service delivery Improving quality of care Improving resource mobilization & management Improving communication

Budget & Expenditure Review

Expenditure Review

Expenditure Review n Inflation • • • n Food Fuel Medicines Equipment Laboratory New pharmaceutical depot

Expenditure Review

Revenue

Revenue n n Hospital revitalization Private preference beds UPFS Revenue retention

Budget n Conditional grant increase • Hospital revitalization • Integrated nutrition programme

New Programme Structure n n n n Pr Pr 1 2 3 4 5 6 7 – – – – Administration District Health Services Emergency Medical Services Provincial Hospital Services Health Sciences Health Care Support Services Health Facilities Management

Budget

Budget By Programme 2001/02 and 2002/03

Budget Programme Distribution

Budget Personnel vs Non-Personnel

Budget Current vs Capital

Conditional Grants

Strategic Service Areas

Hospital Services

Kimberley Hospital n Human resources • Oxford Radcliffe partnership n n Physical facilities Clinical equipment Tertiary services Private wards

Gordonia Hospital n Physical planning n Human resource n Equipment n Hospital board

District Hospitals District F Clinics M S CHC Bed s Communit y Hospital Bed TB Hospitals s Namakwa 23 11 17 P Nolloth Brandvlei Loeriefontein Williston Fraserburg Sutherland Pofadder 6 6 6 6 Garies Siyanda 12 17 20 Kenhardt Olifantshoek Groblershoop Rietfontein Danielskuil Askham 12 12 3 7 6 3 - Karoo 24 5 2 Vosburg Noupoort 8 12 Victoria West Richmond Hopetown Carnavon Griekwastad Frances Baar d 21 5 8 Galeshewe Day Hospit al 14 - - Jan Kemp Dorp Kgalagadi 6 - 3 - - - 86 38 50 TOTAL 119 15 - 21 22 22 25 14 119 - TB Upington - Bed s District Hospitals Bed s - Springbok Calvinia 40 30 38 Kakamas Keimoes Postmansb urg 36 30 40 - De Aar Douglas Prieska Colesburg 51 25 25 25 Hartswater Warrenton Barkly West 40 39 30 Kuruman 64 50 - 88 475

District Hospitals n Colesberg hospital n Calvinia hospital n Garies hospital PSYCHIATRIC HOSPITAL

Hospital Indicators Bed Occupancy

Hospital Indicators Average Length of Stay

Outreach Service

Primary Health Care n Delegation of primary care services n Integrated primary health services n Physical facilities

Human Resource Management n Human resource development • • n n n n Skills plan & policy Line manager training programme Pupil auxiliary nurse training Low-skilled workers Human resource planning Recruitment & retention Personnel administration Community service Labour relations Cuban doctor programme Nursing college

Support Services Pharmaceutical services • New warehouse • In-house management • SAP/R 3 materials management

Support Services Emergency Medical Services

Support Services Emergency Medical Services

Urban & Rural Node n Rural Node • Kgalagadi node • Integration between Northern Cape & North West province n Urban Node • Galeshewe node • Survey – UOFS n Capital projects • CHC & 2 clinics in Galeshewe crisis centre

Communication n n Departmental newsletter Development of communication strategy Planning calendar events Helpdesk at Kimberley Hospital

Key Health Areas

HIV/AIDS

HIV/AIDS

HIV/AIDS n Awareness & Prevention • • • n Voluntary counseling & testing Condom distribution Life-skills programme Awareness campaigns Road side container clinic Treatment • PMTCT • Post exposure prophylaxis n Care and support • Home & community based care n Partnerships

Tuberculosis n DOTS coverage n MDR n Advocacy n Training

Mother & Child Maternal Health Maternal Mortality

Mother & Child Maternal Health Termination of Pregnancy

Mother & Child Health n Extended programme on immunisation

Mother & Child Youth & Adoloscent Health n n Teenage pregnancy Youth Centres

Mental Health n Training n Support groups n Psychiatric hospital n Substance abuse n Mental health care act

Nutrition n PEM scheme n Food fortification n PSNP

n Occupational health • Injury on duty • Postmasburg project n Health promotion • Implementation of tobacco law • Health promoting schools

Quality of Care n n n Norms & Standards Accreditation Quality evaluation • Quality evaluation survey • Clients satisfaction survey • Health facilities evaluation tool • Complaints procedure

Quality of Care

Legislative Reform n Northern Cape Health Bill