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TABLE OF CONTENTS FOREWORD BY THE MEMBER OF EXECUTIVE COUNCIL FOR HEALTH (MEC)............................................ 5

STATEMENT BY THE HEAD OF DEPARTMENT (HOD) .................................................... 7

OFFICIAL SIGN OFF ....................................................................................................................................................... 9

PART A............................................................................................................................... 10

1. STRATEGIC OVERVIEW ............................................................................................ 10

1.1 VISION, MISSION AND VALUES................................................................................................................... 10

1.2 STRATEGIC GOALS ........................................................................................................................................ 10

1.3 SITUATION ANALYSIS ................................................................................................................................... 12

1.4 ORGANISATIONAL ENVIRONMENT ....................................................................................................... 21

1.5 PROVINCIAL SERVICE DELIVERY ENVIRONMENT................................................................................ 23

1.6 LEGISLATIVE MANDATES AND NEW POLICY INITIATIVES ................................................................ 25

1.7 OVERVIEW OF THE 2015/16 BUDGET AND MTEF ESTIMATES .......................................................... 30

PART B - PROGRAMME AND SUB-PROGRAMME PLANS ............................................ 34

1. BUDGET PROGRAMME 1: ADMINISTRATION ............................................................................................. 34

2. BUDGET PROGRAMME 2: DISTRICT HEALTH SERVICES (DHS) ........................................................... 43

3. BUDGET PROGRAMME 3: EMERGENCY MEDICAL SERVICES (EMS) ................................................. 73

4. BUDGET PROGRAMME 4: PROVINCIAL HOSPITALS (REGIONAL AND SPECIALISED) ................. 79

5. BUDGET PROGRAMME 5: CENTRAL & TERTIARY HOSPITALS (C&THS) .......................................... 86

6. BUDGET PROGRAMME 6: HEALTH SCIENCES AND TRAINING (HST) ................................................. 93

7. BUDGET PROGRAMME 7: HEALTH CARE SUPPORT SERVICES (HCSS) ........................................ 99

8 BUDGET PROGRAMME 8: HEALTH FACILITIES MANAGEMENT (HFM) ............................................. 104

PART C: LINKS TO OTHER PLANS .............................................................................. 111

1. LINKS TO THE LONG-TERM INFRASTRUCTURE AND OTHER CAPITAL PLANS ............................. 111

2. CONDITIONAL GRANTS ................................................................................................................................... 125

3. PUBLIC ENTITIES ............................................................................................................................................... 128

4. PUBLIC-PRIVATE PARTNERSHIPS (PPPs) ................................................................................................. 128

5. CONCLUSIONS ................................................................................................................................................... 130

ANNEXURE A: STATSSA POPULATION ESTIMATES 2002-2018 ............................... 131

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ANNEXURE B: MEDIUM TERM STRATEGIC FRAMEWORK 2014-2019 ...................... 134

ANNEXURE E: TECHNICAL INDICATOR DESCRIPTIONS ........................................... 135

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ANNEXURE B: MEDIUM TERM STRATEGIC FRAMEWORK 2014-2019 ...................... 134

ANNEXURE E: TECHNICAL INDICATOR DESCRIPTIONS ........................................... 135

LIST OF ABBREVIATIONS /ACRONYMS

ACRONYM DEFINITION AC AUDIT COMMITTEE

AGSA AUDITOR GENERAL OF SOUTH AFRICA

AIDS ACQUIRED IMMUNO DEFICIENCY SYNDROME

ALOS AVERAGE LENGTH OF STAY

ANC ANTENATAL CARE

ART ANTI-RETROVIRAL THERAPHY

ARV ANTI-RETROVIRAL

BBBEE BROAD BASED BLACK ECONOMIC EMPOWERMENT

CEO CHIEF EXECUTIVE OFFICER

CFO CHIEF FINANCIAL OFFICER

CHC COMMUNITY HEALTH CENTRES

DHIS DISTRICT HEALTH INFORMATION SYSTEMS

DORA DIVISION OF REVENUE ACT

DOT DIRECTLY OBSERVED TREATMENT

ECP EMERGENCY CARE PRACTITIONER

EMS EMERGENCY MEDICAL SERVICES

ESMOE ESSENTIAL STEPS TO MANAGE OBSTETRIC EMERGENCIES

EU EUROPEAN UNION

HAART HIGHLY ACTIVE ANTIRETROVIAL TREATMENT

HAST HIV AIDS, STI AND TB

HCRW HIGH CARE RISK WASTE

HCT HIV COUNSELLING AND TREATMENT

HDI HISTORICALLY DISADVANTAGED INDIVIDUAL

HIV HUMAN AMMUNO DEFICIENCY VIRUS

HOD HEAD OF DEPARTMENT

HPTDG HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT GRANT

IEDMS INTEGRATED ELECTRONIC DOCUMENT MANAGEMENT SYSTEM

IMCI INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

MCWHN MOTHER AND CHILD AND WOMEN’S HEALTH AND NUTRITION

MDGS MILLENIUM DEVELOPMENT GOALS

MEC MEMBER OF EXECUTIVE COUNCIL

MTSF MEDIUM TERM STRATEGIC FRAMEWORK

NDP NATIONAL DEVELOPMENT PLAN

NHS NATIONAL HEALTH SYSTEM

4 45

NIDS NATIONAL INDICATOR DATA SET

NSDA NEGOTIATED SERVICE DELIVERY AGREEMENT

NTSG NATIONAL TERTIARY SERVICES GRANT

OPD OUT PATIENT DEPARTMENTS

PHC PRIMARY HEALTH CARE

PSA PUBLIC SERVICE ACT

PDE PATIENT DAY EQUIVALENT


PCV PNEUMOCOCCAL VACCINE

RV ROTA VIRUS

SASAQAF STATISTICS QUALITY ASSURNACE FRAMEWORK

STI SEXUALLY TRANSMITTED INFECTIONS

TB TUBERCULOSIS

4 45

NIDS NATIONAL INDICATOR DATA SET

NSDA NEGOTIATED SERVICE DELIVERY AGREEMENT

NTSG NATIONAL TERTIARY SERVICES GRANT

OPD OUT PATIENT DEPARTMENTS


PSA PUBLIC SERVICE ACT

PDE PATIENT DAY EQUIVALENT


PCV PNEUMOCOCCAL VACCINE

RV ROTA VIRUS

SASAQAF STATISTICS QUALITY ASSURNACE FRAMEWORK

STI SEXUALLY TRANSMITTED INFECTIONS

TB TUBERCULOSIS

FOREWORD BY THE MEMBER OF EXECUTIVE COUNCIL FOR HEALTH (MEC)

The period 2015/16 marks the second financial year of the fifth government that received its mandate from

the 2014 democratic elections. This is the second year after the adoption of the National Development Plan

where outcome 2 highlights a long and healthy life for all South Africans.

The Departmental Annual Performance Plan (APP) is informed by the Departmental five-year strategic plan

which is derived from the Medium Term Strategic Framework. The objective of the APP is to link the plans,

budgets and performance of the department.

Our mandate is to provide health care and emergency medical services as enshrined in Section 27 of the Bill

of Rights, Constitution Of The Republic Of South Africa, 1996. The National Health Act, No. 61, 2003 is an

enabling legislation to carry out the Department’s Constitutional mandate. It is upon this activity of national

importance that, as a Department, we are also under obligation to review our plans annually, within the

Medium Term Expenditure Framework.

From the above overarching planning frameworks, the subsequent key interventions that will be prioritized in

this financial year are as follows:

To provide efficient and effective strategic management.

To provide access to Primary health care.

To reduce maternal and child mortality.

To improve tuberculosis prevention and cure.

Reduce the prevalence of non -communicable diseases.

To improve HIV, AIDS and STI (Sexually Transmitted Infections) care and management.

Expansion of NHI pilot districts.

To improve access to Emergency Medical Services.

To improve health Infrastructure.

To improve human resources training and development.

The Department strongly believes that the manner in which the budget is structured, speaks to the key

priorities that will begin to shift the outputs and outcomes of this health system in the right direction.

Regardless of the challenges faced by the Health Sector in Limpopo, the Department achieved the following

amongst others:

6 67

Life expectancy in Limpopo has improved.

The Maternal mortality ratio has improved.

509 clinical staff appointed and amongst them are 58 specialists.

Appointment of CEO’s in 90 % of Hospitals.

The Medicine availability has improved tremendously in all facilities.

The Department continues to improve the quality of health services in preparation for the implementation of

the National Health Insurance.

In addressing the health sector priorities, the Department of Health 2015/16 Annual Performance Plans has

managed to prioritise the NDP outcomes, which will ultimately provide a long and healthy lifestyle to the

people of Limpopo . I therefore endorse this 2015/16 Annual Performance Plan as a detailed framework for

achieving the Departmental targets within the available budget.

6 67

STATEMENT BY THE HEAD OF DEPARTMENT (HOD)

The Departmental Annual Performance Plan for the 2015/16 financial year is prepared in line with the

2015-2020 Departmental Strategic Plan and is a road map for realizing the mission of the Department.

The Annual Performance Plan is thus based on the targets we have set for ourselves in the Strategic

Plan, and it is a means to provide a clear and detailed plan on what we aspire to achieve in the 2015/16

financial year.

The Department enters the 2015/16 financial year with a clear mandate to carry out the commitment

made in the Strategic Plan. This financial year will see an improvement to advance service delivery guided

by the NDP, MTSF, Social Cluster Programme of Action, the Negotiated Service Delivery Agreement

(NSDA) of the Health Sector and the Health sector's priorities.

The above Health Sector Plans are guiding documents to ensure the Departmental outputs are achieved,

and the following interventions are prioritized:

To fill posts with committed, competent and skilled individuals.

To implement the Primary Health Care re-engineering strategy.

To implement strategies to reduce maternal and child mortality rates.

To implement tuberculosis prevention and cure programmes.

To prevent and control non -communicable diseases.

To implement HIV & AIDS and STI (Sexually Transmitted Infections) strategy.

To implement NHI in the pilot district.

To improve the quality of Emergency Medical Services.

To improve and maintain health Infrastructure.

To train more health professionals to meet the requirements of the reinvigorated primary health care

system.

8 89

The Department will continue with implementing the pilot project of the National Health Insurance in

Vhembe District. The Department is striving towards completing the process, and will improve from the

lessons learned and recommendations. The Department has, appointed District Clinical Specialist teams

(DCST), established Ward Based PHC Outreach Teams (WBPHCOT), drafted a Referral System Policy,

drafted a plan to connect broadband in all facilities and implementation of the Ideal clinic project, among

others.

The Department continues to implement the National Core Standards compliance assessments in

preparation for accreditation towards the National Health Insurance. Through conducting these

assessments, the following six ministerial priorities are expected to improve drastically:

Cleanliness,

Safety and security of staff and patients,

Reducing long waiting times,

Staff attitudes,

Infection prevention and control and

Addressing drug stock-outs.

Regardless of the challenges faced by the Department, 47 % of the targets reported in the third quarter

of the previous financial year have been achieved. The Department envisions “An optimal and sustainable

health care service” through the implementation of the 2015/16 Annual Performance Plan.

The Department is confident that the available resources will be utilized efficiently, effectively and in an

economical manner to achieve the Health outputs as outlined in the 2015/16 Annual Performance Plan.

10 1011

PART A

1. STRATEGIC OVERVIEW

1.1 VISION, MISSION AND VALUES Vision A long and healthy life for people in Limpopo.

Mission The Department is committed to provide quality health care service that is accessible, comprehensive, integrated, sustainable and affordable. Core Values

The department adheres to the following values and ethics that uphold the Constitution of the Republic of South Africa through:

Honesty

Integrity

Fairness

Equity

Respect

Dignity

Caring

1.2 STRATEGIC GOALS

STRATEGIC GOAL GOAL STATEMENT EXPECTED OUTCOMES (OBJECTIVE STATEMENTS)

1. Universal health coverage achieved

Progressively improve the readiness of health facilities for the implementation of NHI in 2025

- Major and minor refurbishment of facilities in NHI pilot district

- Expansion of NHI pilot districts

2. Improved quality of Health Care

Accelerate the improvement of quality of care in the health sector through the enhancement of accountability and implementation framework by 2020

- Improved compliance with National Core Standards

- All health facilities conduct annual Patient Satisfaction survey

- Strengthened public facility governance structure

3. Primary Health Care services re-engineered

Improve the school health and community health services by 2020

District health and Primary Health services strengthened

10 1011

STRATEGIC GOAL GOAL STATEMENT EXPECTED OUTCOMES (OBJECTIVE STATEMENTS)

4. Improved human resources for health

To develop a responsive health workforce by ensuring adequate training and accountability measures are in place by 2020

Appropriately qualified and adequately skilled managers in all health facilities

5. Improved health Management and leadership

Strengthen management and leadership by improving capacity and mechanisms for management by 2020

- Improved financial management skills and financial outcomes

- Improved health governance and strengthened management and leadership of the district health system

6. Improved health facility planning and infrastructure delivery

Improve health facility planning by implementing existing norms and standards in all districts by 2020

Major and minor refurbishment of health facilities

7. HIV & AIDS and Tuberculosis prevented and successfully managed

Prevent and reduce the disease burden and TB mortality rate by 50% in 2020

Increased life expectancy

8. Maternal, infant and child mortality reduced

Prevent and reduce maternal and child mortality by 50% in 2020

Increased life expectancy

9. Efficient Health Management Information System for improved decision making

Overhaul the health information system by 2020

- Web based District Health Information System at PHC facilities implemented

- Improved quality of information

12 1213

1.3 SITUATION ANALYSIS

1.3.1 Demographic, Socio-economic & Epidemiological profiles

a. Population profile

The Province of Limpopo is situated in the north of the Republic of South Africa. It shares borders with

the provinces of Gauteng, Mpumalanga and North West. It also shares borders with the Republics of

Mozambique in the east, Zimbabwe in the north and Botswana in the west. The province covers a land

households (Census 2011).

The 2013 Mid-Year population estimates show that the population of South Africa increased from 51.8

million in 2011 to 52.9 million in 2013 mid-year. During this period, the population of Limpopo province

increased from 5.4 million to 5.5 million. With the current population of 5.5 million Limpopo Province is

the fifth most populated province in the country after Gauteng, KwaZulu-Natal, Eastern Cape, and

Western Cape (Stats SA, 2013).

The population of Limpopo province is youthful with 32% (1.78 million) being children under the age of

15 years. Economically active population (15-64 years) constitute 62% or 3, 4 millions, while elderly

people are in the minority making up 5% of the province’s population. Females constitute the majority,

making up 53.1 % (2.9 million) of the province’s population.

Average total fertility rate was estimated at 2.69 for the period 2011-2016, while average life expectancy

at birth for males is estimated at 59.0 year and for females at 63.8 years in the same reference period.

Migration is an important demographic process in shaping the age structure of the provincial population.

For the period 2006-2011, Limpopo province is estimated to experience a net out- migration of nearly

227,919 people (Stats SA, 2013).

Table 1 provides the age and sex distribution of the population while figure 1 depicts the age and sex

structure (Stats SA, 2013).

12 1213

Table A1: Population of Limpopo province by age and sex, 2013

AGE MALE FEMALE TOTAL 0-4 319891 315893 635 784 5-9 283516 284278 567 794 10-14 291927 291670 583 597 15-19 314602 314019 628 621 20-24 289921 295229 585 150 25-29 253646 262168 515 814 30-34 212109 225079 437 188 35-39 155621 186052 341 673 40-44 112739 155001 267 740 45-49 85162 124404 209 566 50-54 72335 111223 183 558 55-59 59536 91893 151 429 60-64 46732 74813 121 545 65-69 32286 66452 98 738 70-74 22729 51379 74 108 75-79 15970 41962 57 932 80+ 14850 42881 57 731 Total 2583572 2934396 5 517 968

Source: Statistics South Africa, 2013

Figure 1: Age – sex structure for Limpopo Province, 2013

Source: Statistics South Africa, 2013

-6.00 -4.00 -2.00 0.00 2.00 4.00 6.00

0-45-9

10-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475-79

80+

Male Female

Percent

14 1415

b. Socio–Economic Profile

Approximately 80% of the population in Limpopo province is rural based. This situation greatly impacts

on the population’s capacity to acquire education – particularly tertiary education - which in turn

influences the potential for gainful employment in the formal economic sector. The census 2011

results show that Limpopo province has the highest proportion of people aged 20 years and older

with no schooling (17.3%) as compared to the other provinces. The results also show that with regard

to Grade 12 (Matric), persons aged 20 years and older in Limpopo province who had completed Grade

12 constituted 22,7 % a figure that is lower than 28,9% recorded for South Africa.

The rate of unemployment plays a key role in depicting the employment status of the labour force in

South Africa and, to a fair extent, the functioning of the economy at large. Statistics South Africa (Stats

SA hereafter) conducts labour force surveys on a quarterly basis in the attempt to track employment

and unemployment patterns in the country. Results of the 2013 Second Quarter Labour Force Survey

put the national unemployment rate at 25,6%. From a provincial perspective the rate of unemployment

in Limpopo province was estimated at 18,1% during the same reference period.

These demographic changes impacts the financial resources allocated to the Limpopo Department

of Health. Furthermore, the population increase affects human resources especially health

professionals and access to facilities.

c. Epidemiological profile/ Burden of disease

Tuberculosis and HIV

Tuberculosis is the most prevalent Notifiable Medical Condition in South Africa. In Limpopo Province,

the case detection has improved from 21 849 in 2008 to 20308 in 2012. The TB case load shows a

steady decline in 2013 to 19513 and this decline could either be a reversal of the epidemic or

inadequate screening. We are however embarking on Intensified Case finding (ICF) through TB

screening, testing and linking them to care. The cure rate has drastically improved from 67.4% in

2008 to 77.3% in 2013 which is approximately 10% improvement and treatment success rate of 79.2%

in 2013.

14 1415

Figure1.1: TB Case finding in Limpopo Province, 2004 – 2013

Source: Limpopo Department of Health, TB Control Programme and Epidemiology Service

The smear conversion rate has also improved from 59.9% in 2008 to 68.3% in 2012 and the defaulter

rate has been reduced from 8.2% in 2008 to 5.0% in 2012. There is a consistent increase in the

number of patients with a DOT supporter leading to increase in TB DOT Coverage from 72.0% in

2006 to 91.3% in 2013 as illustrated in figure 1.2 below. This shows positive contribution to the cure

rate in the province as better adherence to treatment and intensified care in the community is

achieved.

Figure 1.2: TB DOT Coverage in Limpopo Province, 2006 – 2013

Source: Limpopo Department of Health, Epidemiology Services

HIV/TB Co-infection has been a challenge in the Province but great achievements have been made

with regard to case findings and management. The number of TB patients with “Known” HIV status

has improved from 22.3% in 2008 to 92.2% in 2013 as presented in figure 1.3 below.

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Case finding 11897 13366 17301 18910 22189 22836 22048 22130 20308 19513

0

5000

10000

15000

20000

25000N

umbe

r rep

orte

d

2006 2007 2008 2009 2010 2011 2012 2013DOT Coverage 72.0 80.9 80.5 84.0 86.0 86.7 89.9 91.25

0.0

20.0

40.0

60.0

80.0

100.0

Perc

enta

ge

16 1617

Figure 1.3: Case Finding Indicators for TB/HIV, 2008 – 2013

Source: Limpopo Department of Health, TB Control Programme and Epidemiology Services

The number of HIV positive TB patients who started/received co-trimoxazole preventive therapy

(CPT) which is an intervention made to extend and improve the quality of life for people living with

HIV, including those on ART, has improved from 67.1% in 2008 to 85.6% in 2013 as presented in

figure 1.4 below. The value of co-trimoxazole in reducing the morbidity and mortality associated with

HIV infection has been well established through clinical trials conducted in industrialized and

developing countries.

Figure 1.4: HIV Positive TB Patients who started/received CPT

Source: Limpopo Department of Health, TB Control Programme and Epidemiology Services

2008 2009 2010 2011 2012 2013Number of TB Patients with known

HIV Status (HIV Testing Rate) 22.3 38.1 68.2 87.7 90.5 92.2

Number of TB Patients with HIVStatus Positive 15.1 26.3 47.7 60.2 60.4 59.3

0.010.020.030.040.050.060.070.080.090.0

100.0

2008 2009 2010 2011 2012 2013HIV Positive TB Patients who

started/received CPT 67.1 79.2 83.1 84.1 83.1 85.6

0

10

20

30

40

50

60

70

80

90

16 1617

The above figure 1.4 shows a consistent increase of patients who are HIV positive and are being

treated for TB. Hence the treatment of co-infected patients has increased from 67.1 in 2008 to 85.6

in 2013/14.

HIV Prevalence*

*The HIV Prevalence status has not changed in the country because the latest report has not been released by the Minister of Health and therefore the department relies on the 2011 report.

The prevalence of HIV in South Africa has been consistently monitored through the use of the sentinel

surveillance data. This data relates to pregnant women aged 15-49 who seek antenatal care services

in public health facilities. The 2011 ANC sentinel surveillance data puts the national prevalence rate

at 29.5%. Figure 1.5 below compares the national HIV prevalence trend with the situation in Limpopo.

The HIV Prevalence increased from 0.8% in 1990 to 22.1% in 2011 as compared to National

prevalence of 0.5% in 1990 to 29.5% in 2011.

Figure 1.5. National vs Limpopo HIV prevalence trends 1990-2011

Source: National Department of Health, HIV and Syphilis Survey (2011)

0.8 1.42.6

4.2 4.6

10.4

14.216.0

22.8 22.424.5 24.8

26.527.9

29.5 30.229.1 29.4 29.3 29.4 30.2 29.5

0.5 0.62.4

4.13

4.9

8 8.2

11.4 11.413.2

14.515.6

17.519.3

21.5 20.7 20.4 20.7 21.4 21.9 22.1

0

5

10

15

20

25

30

35

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

HIV

Prev

alen

ce (%

)

Period in Years

National Provincial



in 2013/14.

HIV Prevalence*










0.8 1.42.6

4.2 4.6

10.4

14.216.0

22.8 22.424.5 24.8

26.527.9

29.5 30.229.1 29.4 29.3 29.4 30.2 29.5

0.5 0.62.4

4.13

4.9

8 8.2

11.4 11.413.2

14.515.6

17.519.3

21.5 20.7 20.4 20.7 21.4 21.9 22.1

0

5

10

15

20

25

30

35

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

HIV

Pre

vale

nce

(%

)

Period in Years

National Provincial



in 2013/14.

HIV Prevalence*










0.8 1.42.6

4.2 4.6

10.4

14.216.0

22.8 22.424.5 24.8

26.527.9

29.5 30.229.1 29.4 29.3 29.4 30.2 29.5

0.5 0.62.4

4.13

4.9

8 8.2

11.4 11.413.2

14.515.6

17.519.3

21.5 20.7 20.4 20.7 21.4 21.9 22.1

0

5

10

15

20

25

30

35

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

HIV

Prev

alen

ce (%

)

Period in Years

National Provincial

18 1819

Figure 1.6 below presents the district HIV prevalence, which shows that the HIV prevalence varies

considerably with Waterberg district recording the highest prevalence of 30.3%, having risen from

26.1% in 2010. Vhembe district recorded the lowest prevalence (14.6%) in 2011, a figure that dropped

from 17%. With the exception of Sekhukhune and Vhembe districts, the remaining districts of Limpopo

districts (Mopani, Capricorn, and Waterberg) experienced a rise in HIV prevalence between 2010 and

2011.

Figure 1.6: HIV prevalence among antenatal women by district, Limpopo, 2010 to 2011

0

5

10

15

20

25

30

35

Provincial Capricorn Mopani Sekhukhune

Vhembe Waterberg

2010 21.9 23.7 24.9 20.2 17 26.12011 22.1 25.3 25.2 18.9 14.6 30.3

%20102011






2011.


0

5

10

15

20

25

30

35


Vhembe Waterberg

2010 21.9 23.7 24.9 20.2 17 26.12011 22.1 25.3 25.2 18.9 14.6 30.3

%20102011






2011.


0

5

10

15

20

25

30

35


Vhembe Waterberg

2010 21.9 23.7 24.9 20.2 17 26.12011 22.1 25.3 25.2 18.9 14.6 30.3

%20102011

18 1819


Figure 1.7 below shows HIV prevalence trends by age group in Limpopo Province. The HIV

prevalence among women in the age group 30 - 34 years remains the highest from 31.9% in 2010

to 33.5% in 2011. The age group 35-39 showed an increase in the HIV Prevalence from 29.4 in

2010 to 33.7 in 2011. The age groups 10-14 and 15-19 show a small increase in HIV prevalence

whereas the older age groups show some substantial increases. It should be noted that the age

group 15 – 24 years is an indicator for Goal 6 of the Millennium Development Goals (MDG).

Figure 1.7: HIV prevalence among antenatal women by age group, Limpopo, 2010 - 2011.

Source: Limpopo Department of Health, Epidemiology ServicesThe age group 15 – 24 years is an indicator for Goal 6 of the Millennium Development Goals (MDG)

Human Rabies

Human rabies is one of the most fatal diseases in Limpopo with a case fatality of 100%. The incidence

of confirmed human rabies in Limpopo has decreased from 22 in 2006 to a single case in 2013. The

human rabies deaths are mostly reported from Vhembe and Mopani districts. Dogs mostly bite

children less than twelve years as illustrated in figure 1.8 below. Most of the dogs are not vaccinated

against rabies even though vaccination is free. There is collaboration between the Department of

Health and the Department of Agriculture to minimise the number of dog bites and the control of rabies

in the province. The two departments annually conduct the rabies awareness campaigns in the high

risk areas and promotional materials are distributed including the role plays by school children as they

are the most affected group by rabies

15-24 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-492010 14.2 7.7 7.1 19.1 28.7 31.9 29.4 24.0 25.02011 13.6 7.1 7.4 17.5 27.4 33.5 33.7 22.9 15.8

05

10152025303540

HIV Prevalence (%)

Age Groups

2010

2011






2011.


0

5

10

15

20

25

30

35


Vhembe Waterberg

2010 21.9 23.7 24.9 20.2 17 26.12011 22.1 25.3 25.2 18.9 14.6 30.3

%20102011

20 2021

Figure 1.8: Human Rabies Deaths in Limpopo Province per age group, 2006 - 2014


Malaria

Figure 1.9 below indicates to a gradual decline in the incidence of malaria over a period of 16 financial

years, with the malaria case fatality rate (CFR) remaining at above 1 %. Following the low number of

malaria cases notified in 2012/2013, the province observed an increase in the incidence of malaria in

2013/2014 and 2014/2015.

Figure 1.9: Limpopo Malaria cases & case fatality rate (CFR) 1999/2000-2012/13

Source: Limpopo Department of Health, Malaria Control Programme

The levels of malaria transmission in Limpopo are influenced by a number of factors namely climatic

conditions, lack of malaria control on a regional level, with influx of parasite carriers into the province,

and the reduced availability and use of the chemical DDT.

0 - 4 yrs 5 - 9 yrs 10 - 14 yrs 15 - 19 yrs 20 - 24 yrs 25 - 29 yrs 30 - 34 yrs 35 - 39 yrs 40 - 44 yrs 45 - 49 yrs 50 - 54 yrs ≥54 yrs

Human deaths 6 11 12 2 0 1 1 1 0 1 0 4

0

2

4

6

8

10

12

14N

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20 2021

The highest incidence of Malaria is in Vhembe and Mopani districts, the districts that border Zimbabwe and

Mozambique respectively. While considerable successes were reported from Mozambique, with the

implementation of malaria control activities between 1999 and 2010, the Mozambique programme could not

be sustained, due to the decline in the international donor funding to the project. The increased levels of

malaria transmission in Mozambique, as well as similar increases elsewhere in the SADC region, is

contributing to sustaining higher levels of transmission in Limpopo, through introduced and induced malaria.

The main malaria control intervention, being the Indoor Residual Spraying Programme, has continued to

perform above set targets, with 1,137,686 structures sprayed in the 2013/2014 financial year, against a target

of 990,000. The success of this programme has been dependent on the commitment of seasonal spray

workers, employed from within our communities.

Malaria fatalities is still a concern, aggravated by delays in seeking treatment, co-morbidity and the

unavailability of the treatment IV Artesunate (WHO recommended treatment for severe and complicated

malaria). Plans are in place to make this treatment available to our facilities.

Various research initiatives are underway to find innovative ways to counter the higher levels of transmission.

While there are ongoing activities in creating community awareness and training of health care workers, there

will also be a focus on refining parasite surveillance tools, using a Geographical Information System (GIS)

platform, in communities with higher levels of transmission. The aim is to use the available resources for

malaria control more efficiently, by improved targeting of communities susceptible to malaria transmission.

1.4 ORGANISATIONAL ENVIRONMENT

1.4.1 SUMMARY OF THE ORGANISATIONAL STRUCTURE

Department reviewed its staff establishment with the purpose of aligning it with the proclamation, related legislative mandates and national strategic objectives. The reviewed staff establishment was approved by the MEC after consultation with the Minister of Public Service and Administration.

The Department reviewed its organisational structure with the purpose of aligning it with proclamation related to legislature mandates and national strategic objectives. The reviewed organisational structure is not fully implemented due to budgetary constraints .

1.4.2 FACTORS IN THE ORGANISATION THAT WOULD IMPACT ON SERVICE DELIVERY

Factors that would impact on service delivery in the Department include factors such as high vacancy rate of health care professionals and support personnel at health institutions. These factors are mostly attributed by poor working conditions, lack of equipment, poor infrastructures and high workload.

1.4.3 IMBALANCES IN SERVICE STRUCTURES AND STAFF MIX

Core and Support personnel are, therefore, distributed according to the level of care. Despite efforts to accurately allocate personnel in Primary Health Care, District Hospitals, Provincial Hospitals and Tertiary Hospital services, the Department is still experiencing challenges relating to fair and equitable distribution of both Core and Support personnel.

22 2223

1.4.4 SUMMARY OF PERFORMANCE AGAINST THE PROVINCIAL HUMAN RESOURCES PLAN

CURRENT DEPLOYMENT OF STAFF

The organizational structure of the Department consists of 64 966 approved posts for core and support staff. Currently the filled posts fore core are 24 067 and for support are 11 102. The vacancy rate for core stands at 42.45% and while vacancy rate for support is at 52.06%. The overall vacancy rate is at 45.87%.

ACCURACY OF STAFF ESTABLISHMENT AT ALL LEVELS AGAINST SERVICE

REQUIREMENTS

The development of Departmental staff establishment is based on the levels of care in order to meet the service requirements. The level of care includes Primary Health Care (PHC), District, Provincial and Tertiary Hospitals. In addition, the Department consists of 5 District offices and 4 Vertical programmes which are playing critical role in the service delivery of health care.

STAFF RECRUITMENT AND RETENTION SYSTEMS AND CHALLENGES

The Department has developed Recruitment and Retention Strategy for Health Care Professionals in an attempt to attract and retain them. It is, however, observed that full implementation of this strategy is not realised due to shortage of funds. As a result, this contributes to high staff turnover. In addition, the Department is also required to comply with the EXCO decision of reduction of compensation of employees by 4%. Therefore, appointments of personnel at various levels of care are negatively affected.

ABSENTEEISM AND STAFF TURNOVER

The high workload in the Department, which is influenced by the high vacancy rate of health careprofessionals, contributes to burn out resulting in absenteeism and negative staff turnover.Absenteeism is analysed from the following types of leaves i.e. vacation, sick leaves, responsibility leaves, unauthorized leaves and any other form of absenteeism. HUMAN RESOURCE INFORMATION FROM THE PROVINCIAL DISTRICT HEALTH

EXPENDITURE REVIEW (DHER)

The Department currently does not have a Human Resource Information System. However, systems such as PERSAL and the district health expenditure review are being utilized. These systems are playing important role in the HR information analysis for planning purpose.

PROGRESS ON ROLLOUT OF WORKLOAD INDICATORS STAFFING NEEDS (WISN) TOOL AND METHODOLOGY

National Department of Health in partnership with World Health Organisation introduced the Workload Indicators of Staffing Needs (WISN) project in the Country. WISN is a human resource planning and management tool that can be used to determine how many Health Professionals of a particular type are required to cope with the workload of a given health facility. In addition, WISN can also be used to assess the workload pressure of the Health Professionals in a facility. The main objective of WISN project is to develop of National and Provincial Staffing Norms and Standards.

22 2223

The provincial Departments of Health are required to pilot WISN project in the NHI Districts. The Department has commenced with the WISN project in Vhembe District as an NHI pilot district and the following progress was made:

The WISN project was initially piloted in thirteen (13) health facilities (11 fixed clinics, 1 Health Centre, and 1 District Hospital). A report with preliminary findings for the thirteen (13) health facilities was submitted to National Department of Health. Subsequently, the project was escalated to fifty two (52) health facilities and a draft report is in the process of being finalised. The remaining fifty five (55) health facilities will be finalised in the current financial year.

1.5 PROVINCIAL SERVICE DELIVERY ENVIRONMENT Impact Indicator Baseline

(20091) Baseline (20122)

2019 Targets (South Africa)

2012 Baseline (Province)

2019 Target (Province)

Life expectancy at birth: Total

56.5 years 60.0 years (increase of 3,5years)

63 years by March 2019 (increase of 3 years)

56 years 63 years

Life expectancy at birth: Male

54.0 years 57.2 years(increase of 3,2 years)

60.2 years by March 2019 (increase of 3 years)

55 years 60.2 years

Life expectancy at birth: Female

59.0 years 62.8 years(increase of 3,8years)

65.8 years by March2019 (increase of 3years)

58 years 65.8 years

Under-5 Mortality Rate (U5MR)

56 per 1,000live-births

41 per 1,000 live-births (25% decrease)

23 per 1,000 live-births by March 2019 (20% decrease)

42 per 1000 live births

20 per 1 000 live births

Neonatal Mortality Rate

- 14 per 1000 live births

6 per 1000 live births 12.8/1 000 per live births


Infant Mortality Rate (IMR)



18 per 1000 live births 37.9 per 1 000 live births


Child under 5 years diarrhoea case Fatality rate

- 4.2% <2% 7.8% 2%

Child under 5 years severe acute malnutrition case fatality rate

- 9% <5% 7.8% 2%

Maternal Mortality Ratio

304 per 100,000 live-births


Downward trend <100 per 100,000live-births by March 2019

177.9 per 100 000 95 per 100 000 live birth

2 Medical Research Council (2013): Rapid Mortality Surveillance (RMS) Report 2012

The provincial Departments of Health are required to pilot WISN project in the NHI Districts. The Department has commenced with the WISN project in Vhembe District as an NHI pilot district and the following progress was made:

The WISN project was initially piloted in thirteen (13) health facilities (11 fixed clinics, 1 Health Centre, and 1 District Hospital). A report with preliminary findings for the thirteen (13) health facilities was submitted to National Department of Health. Subsequently, the project was escalated to fifty two (52) health facilities and a draft report is in the process of being finalised. The remaining fifty five (55) health facilities will be finalised in the current financial year.

1.5 PROVINCIAL SERVICE DELIVERY ENVIRONMENT Impact Indicator Baseline

(20091) Baseline (20122)

2019 Targets (South Africa)

2012 Baseline (Province)

2019 Target (Province)

Life expectancy at birth: Total

56.5 years 60.0 years (increase of 3,5years)

63 years by March 2019 (increase of 3 years)

56 years 63 years

Life expectancy at birth: Male

54.0 years 57.2 years(increase of 3,2 years)

60.2 years by March 2019 (increase of 3 years)

55 years 60.2 years

Life expectancy at birth: Female

59.0 years 62.8 years(increase of 3,8years)

65.8 years by March2019 (increase of 3years)

58 years 65.8 years

Under-5 Mortality Rate (U5MR)



23 per 1,000 live-births by March 2019 (20% decrease)

42 per 1000 live births


Neonatal Mortality Rate

- 14 per 1000 live births

6 per 1000 live births 12.8/1 000 per live births


Infant Mortality Rate (IMR)



18 per 1000 live births 37.9 per 1 000 live births


Child under 5 years diarrhoea case Fatality rate

- 4.2% <2% 7.8% 2%

Child under 5 years severe acute malnutrition case fatality rate

- 9% <5% 7.8% 2%

Maternal Mortality Ratio

304 per 100,000 live-births


Downward trend <100 per 100,000live-births by March 2019

177.9 per 100 000 95 per 100 000 live birth

2 Medical Research Council (2013): Rapid Mortality Surveillance (RMS) Report 2012

24 2425

Tabl

e A2

: Hea

lth P

erso

nnel

in 2

014/

15

Cat

egor

ies

Num

ber

empl

oyed

%

of t

otal

em

ploy

ed

Num

ber

per 1

00,

000

peop

le

Num

ber p

er

100,

000

unin

sure

d pe

ople

2

Vaca

ncy

rate

5 %

of t

otal

pe

rson

nel

budg

et

Ann

ual c

ost p

er

staf

f mem

ber

Med

ical

offi

cers

648

2.77

%12

1265

%14

.2%

502,

922.

00

Med

ical

spe

cial

ists

930.

39%

22

78%

25.4

%90

1,95

7.00

Den

tists

122

0.52

%2

247

%13

.8%

489

225.

00

Prof

essi

onal

nur

ses

8007

34.7

4%14

814

839

%6.

4%22

6 82

5.00

Enro

lled

Nur

ses

4294

19.3

5%79

7925

%3.

0%10

6.26

0.00

Enro

lled

Nur

sing

Aux

iliar

ies

5665

25.0

2%10

510

520

%2.

3%81

843

.00

Stud

ent n

urse

s96

93.

86%

1818

N/A

2.0%

70 9

96.0

0

Phar

mac

ists

241

1.38

%5

542

%10

.1%

359

475.

00

Phys

ioth

erap

ists

253

1.08

%4

468

%4.

4%15

5 69

8.00

Occ

upat

iona

l the

rapi

sts

331

1.41

%3

353

%4.

6%16

2 73

6.00

Rad

iogr

aphe

rs37

31.

59%

66

53%

4.9%

173

986.

00

Emer

genc

y m

edic

al s

taff

1963

6.07

%36

3635

%3.

3%11

7 48

9.00

Die

ticia

ns/N

utrit

ioni

sts

367

1.56

%7

754

%4.

5%16

1 15

3.00

Com

mun

ity C

are-

Giv

ers

(eve

n th

ough

not

par

t of t

he

PDoH

sta

ff es

tabl

ishm

ent)

620.

26%

11

N/A

1.1%

40 1

47.0

0

Tota

l 23

388

100.

00%

100.

0%3

550

712.

00

All O

ther

Per

sonn

elTo

tal

100%

100%

24 2425

1.6 LEGISLATIVE MANDATES AND NEW POLICY INITIATIVES

a) Constitutional mandates

In terms of the Constitutional provisions, the Department is guided by the following sections and

schedules, among others:

The Constitution of the Republic of South Africa, 1996, places obligations on the state to

progressively realise socio-economic rights, including access to health care.

Schedule 4 of the Constitution reflects health services as a concurrent national and provincial

legislative competence

Section 9 of the Constitution states that everyone has the right to equality, including access to

health care services. This means that individuals should not be unfairly excluded in the provision

of health care.

People also have the right to access information that is held by another person if it is

required for the exercise or protection of a right;

This may arise in relation to accessing one’s own medical records from a health facility for

the purposes of lodging a complaint or for giving consent for medical treatment; and

This right also enables people to exercise their autonomy in decisions related to their own

health, an important part of the right to human dignity and bodily integrity in terms of sections

9 and 12 of the Constitutions respectively.

Section 27 of the Constitution states as follows: with regards to Health care, food, water,

and social security:

(1) Everyone has the right to have access to –

(a) health care services, including reproductive health care;

(b) sufficient food and water; and

(c) social security, including, if they are unable to support themselves and their dependents,

appropriate social assistance.

(2) The state must take reasonable legislative and other measures, within its available

resources, to achieve the progressive realisation of each of these rights; and

(3) No one may be refused emergency medical treatment.

Section 28 of the Constitution provides that every child has the right to ‘basic nutrition, shelter,

basic health care services and social services’

26 2627

b) Legal mandates

The following national legislation and policy documents form the legal and policy framework being implemented within the Department.

National Health Act, 61 of 2003

Provides a framework for a structured uniform health system within the Republic, taking into

account the obligations imposed by the Constitution and other laws on the national, provincial

and local governments with regard to health services. The objects of the National Health Act

(NHA) are to:

unite the various elements of the national health system in a common goal to actively

promote and improve the national health system in South Africa;

provide for a system of co-operative governance and management of health services, within

national guidelines, norms and standards, in which each province, municipality and health

district must address questions of health policy and delivery of quality health care services;

establish a health system based on decentralised management, principles of equity,

efficiency, sound governance, internationally recognised standards of research and a spirit

of enquiry and advocacy which encourage participation;

promote a spirit of co-operation and shared responsibility among public and private health

professionals and providers and other relevant sectors within the context of national,

provincial and district health plans; and

Create the foundations of the health care system, and must be understood alongside other

laws and policies which relate to health.

Legislation falling under the Minister of Health’s portfolio

Medicines and Related Substances Act, 101 of 1965

Provides for the registration of medicines and other medicinal products to ensure their

safety, quality and efficacy, and also provides for transparency in the pricing of medicines.

Foodstuffs, Cosmetics and Disinfectants Act, 54 of 1972 (as amended)

Provides for the regulation of foodstuffs, cosmetics and disinfectants, in particular quality

standards that must be complied with by manufacturers, as well as the importation and

exportation of these items.

Hazardous Substances Act, 15 of 1973

Provides for the control of hazardous substances, in particular those emitting radiation.

Occupational Diseases in Mines and Works Act, 78 of 1973

Provides for medical examinations on persons suspected of having contracted occupational

diseases, especially in mines, and for compensation in respect of those diseases.

26 2627

Pharmacy Act, 53 of 1974 (as amended)

Provides for the regulation of the pharmacy profession, including community service by

pharmacists 9

Health Professions Act, 56 of 1974 (as amended)

Provides for the regulation of health professions, in particular medical practitioners, dentists,

psychologists and other related health professions, including community service by these

professionals.

Dental Technicians Act, 19 of 1979

Provides for the regulation of dental technicians and for the establishment of a council to

regulate the profession.

Allied Health Professions Act, 63 of 1982 (as amended)

Provides for the regulation of health practitioners such as chiropractors, homeopaths, etc.,

and for the establishment of a council to regulate these professions.

Human Tissue Act, 65 of 1983

Provides for the administration of matters pertaining to human tissue.

National Policy for Health Act, 116 of 1990

Provides for the determination of national health policy to guide the legislative and

operational programmes of the health portfolio.

SA Medical Research Council Act, 58 of 1991

Provides for the establishment of the South African Medical Research Council and its role in

relation to health Research.

Academic Health Centres Act, 86 of 1993

Provides for the establishment, management and operation of academic health centres.

Choice on Termination of Pregnancy Act, 92 of 1996 (as amended)

Provides a legal framework for the termination of pregnancies based on choice under certain

circumstances.

Sterilisation Act, 44 of 1998

Provides a legal framework for sterilisations, including for persons with mental health

challenges.

Medical Schemes Act, 131 of 1998

Provides for the regulation of the medical schemes industry to ensure consonance with

national health objectives.

Tobacco Products Control Amendment Act, 12 of 1999 (as amended)

28 2829

Provides for the control of tobacco products, the prohibition of smoking in public places and

of advertisements of tobacco products, as well as the sponsoring of events by the tobacco

industry.

National Health Laboratory Service Act, 37 of 2000

Provides for a statutory body that offers laboratory services to the public health sector. 10

Council for Medical Schemes Levy Act, 58 of 2000

Provides a legal framework for the Council to charge medical schemes certain fees

Mental Health Care Act, 17 of 2002

Provides a legal framework for mental health in the Republic and, in particular, the admission

and discharge of mental health patients in mental health institutions, with an emphasis on

human rights for mentally ill patients.

Nursing Act, of 2005

Provides for the regulation of the nursing profession.

Other legislation in terms of which the Department operates

Criminal Procedure Act, Act 51 of 1977, Sections 212 4(a) and 212 8(a).

Provides for establishing the cause of non-natural deaths.

Child Care Act, 74 of 1983

Provides for the protection of the rights and well-being of children.

Occupational Health and Safety Act, 85 of 1993

Provides for the requirements that employers must comply with in order to create a safe

working environment for employees in the workplace.

Compensation for Occupational Injuries and Diseases Act, 130 of 1993

Provides for compensation for disablement caused by occupational injuries or diseases

sustained or contracted by employees in the course of their employment, and for death

resulting from such injuries or disease.

The National Roads Traffic Act, 93 of 1996

Provides for the testing and analysis of drunk drivers.

Constitution of the Republic of South Africa Act, 108 of 1996

28 2829

Pertinent sections provide for the rights of access to health care services, including reproductive health and emergency medical treatment.

Employment Equity Act, 55 of 1998

Provides for the measures that must be put into operation in the workplace in order to eliminate discrimination and promote affirmative action.

State Information Technology Act, 88 of 1998

Provides for the creation and administration of an institution responsible for the state’s information technology system

Skills Development Act, 97of 1998

Provides for the measures that employers are required to take to improve the levels of skills of employees in workplaces. 11

Public Finance Management Act, 1 of 1999

Provides for the administration of state funds by functionaries, their responsibilities and incidental matters.

Promotion of Access to Information Act, 2 of 2000

Amplifies the constitutional provision pertaining to accessing information under the control of various bodies.

Promotion of Administrative Justice Act, 3 of 2000

Amplifies the constitutional provisions pertaining to administrative law by codifying it.

Promotion of Equality and the Prevention of Unfair Discrimination Act, 4 of 2000

Provides for the further amplification of the constitutional principles of equality and elimination of unfair discrimination.

The Division of Revenue Act, 7 of 2003

Provides for the manner in which revenue generated may be disbursed.

Broad-based Black Economic Empowerment Act, 53 of 2003

Provides for the promotion of black economic empowerment in the manner that the state awards contracts for services to be rendered, and incidental matters.

c) New Legal and Policy mandates

Adverse events and incidents policy d) Relevant court rulings

Court rulings that might impact on the Department’s capacity to deliver services are the following:

i. SOOBRAMONEY v MINISTER OF HEALTH (KWAZULU-NATAL) 1998 (1) SA 765 (CC)

ii. MINISTER OF HEALTH & OTHERS v TREATMENT ACTION CAMPAIGN & OTHERS (NO 2) 2002

(5) SA 721 (CC)

30 3031

1.7 OVERVIEW OF THE 2015/16 BUDGET AND MTEF ESTIMATES

The Department was allocated an amount of R14.3 billion in the 2014/15 financial year to deliver the

healthcare services in Limpopo Province.

The overall health budget increased from R11.5 billion in the 2011/12 financial year to R13.0 billion

in 2013/14. This indicates an accumulative growth of 13.0% or R1.5 billion over the last three years.

The budget is projected to grow from R14.7 billion in 2015/16 to R16.0 billion in the year ending

2017/18. This represents a cumulative growth of 8.8% or R1.3 billion. The funding however does not

adequately address the health services requirements. This therefore impacts negatively on the

achievements of the department to deliver its strategic goals and objectives.

Despite the above mentioned budget growth, the Department still experience the funding gap

in the following areas:-

Filling of critical vacant posts to reduce the vacancy rate.

Funding of the maintenance and equipment.

Procurement of medical and allied equipment.

The Budget is reflecting a nominal growth of 3% (2015/16), 3% (2016/17) and 5% (2017/18). This

growth is below the inflation and when inflation is factored in, then the budget is reflecting a decrease

of -3% (2015/16), -3% (2016/17) and -1% (2017/18). This means that the Department, given the

reduced financial resources, is able only to maintain the current level of service or only marginal

improvements on certain areas.

30 3031

1.7.1

EX

PEND

ITUR

E ES

TIM

ATES

Prog

ram

me

R’000

A

udite

d O

utco

mes

Mai

n ap

prop

riatio

n A

djus

ted

appr

opria

tion

Rev

ised

es

timat

e M

ediu

m te

rm e

xpen

ditu

re e

stim

ate

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.A

dmin

istra

tion

260,

091

238,

335

270,

891

257,

619

257,

619

275,

619

263,

737

276,

132

285,

939

2.D

istri

ct H

ealth

Ser

vice

s6,

423,

021

7,18

9,51

67,

868,

354

9,04

1,43

59,

239,

763

9,33

8,76

49,

461,

277

10,0

06,8

5710

,594

,375

3.E

mer

genc

y M

edic

al S

ervi

ces

503,

282

489,

932

522,

004

562,

512

562,

512

577,

512

586,

574

663,

602

696,

782

4.P

rovi

ncia

l Hos

pita

l Ser

vice

s1,

439,

089

1,63

9,77

11,

688,

203

2,02

5,50

72,

018,

787

2,01

8,78

72,

094,

417

2,23

3,62

92,

345,

310

5.C

entra

l Hos

pita

l Ser

vice

s1,

029,

210

1,11

7,61

81,

244,

436

1,32

2,00

11,

343,

557

1,34

3,55

71,

356,

357

1,44

8,60

41,

525,

389

6.H

ealth

Sci

ence

s an

d Tr

aini

ng37

5,64

739

1,90

543

2,31

547

2,00

851

0,00

851

0,00

856

8,52

456

9,40

760

1,76

0

7.H

ealth

Car

e S

uppo

rt Se

rvic

es53

4,90

265

0,24

475

4,03

593

,481

106,

481

106,

481

96,7

78

98

,098

10

3,00

3

8.H

ealth

Fac

ilitie

s M

anag

emen

t79

9,53

41,

111,

023

355,

890

594,

747

575,

626

575,

626

324,

626

534,

826

586,

568

Su

b-to

tal

Dire

ct c

harg

es a

gain

st th

e N

atio

nal R

even

ue F

und

1,56

61,

652

1,73

51,

735

1,73

51,

735

1,84

51,

943

2,04

0

Tota

l 11

,366

,342

12

,829

,996

13

,137

,862

14

,371

,045

14

,616

,088

14

,730

,089

14

,754

,136

15

,833

,099

16

,741

,166

Cha

nge

to 2

010/

11 b

udge

t es

timat

e 11

,366

,342

12

,829

,996

13

,137

,862

14

,371

,045

14

,616

,088

14

,730

,089

14

,754

,136

15

,833

,099

16

,741

,166

32 3233

Tabl

e A3

: Pr

ovin

cial

Exp

endi

ture

Est

imat

es b

y Ec

onom

ic C

lass

ifica

tion

Aud

ited

Out

com

es

M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Cur

rent

pay

men

ts

10,0

48,7

23

11,2

60,1

19

12,3

16,8

89

13,3

69,5

86

13,7

45,2

59

13,8

44,2

59

14,0

11,8

11

14,8

97,3

67

15,7

85,8

07

Com

pens

atio

n of

em

ploy

ees

7,73

5,89

08,

691,

988

9,37

7,97

710

,234

,790

10,3

97,4

9310

,397

,493

11,1

66,9

0511

,983

,474

12,7

74,1

82G

oods

and

ser

vice

s 2,

312,

833

2,56

8,43

1 2,

938,

910

3,13

4,79

6 3,

347,

766

3,44

6,76

6 2,

844,

906

2,91

3,89

3 3,

011,

625

Com

mun

icat

ion

52,5

0755

,012

57,1

1958

,474

58,4

7456

,514

40,3

4536

,605

23,4

36C

ompu

ter S

ervi

ces

57,2

7976

,151

70,5

8971

,550

71,5

5086

,541

69,9

3642

,936

26,0

83

Con

sulta

nts,

Con

tract

ors

and

spec

ial s

ervi

ces

482,

960

702,

261

503,

183

901,

660

917,

844

709,

733

550,

650

547,

665

534,

648

Inve

ntor

y1,

011,

426

1,19

9,64

11,

320,

778

1,53

8,01

91,

663,

474

1,70

1,65

91,

690,

272

1,77

7,66

31,

881,

942

Ope

ratin

g le

ases

23,8

8911

5,33

542

,599

28,5

0028

,500

27,6

2326

,086

24,4

1225

,782

Trav

el a

nd s

ubsi

sten

ce12

7,33

567

,425

81,5

8620

,800

20,8

0056

,073

11,7

4610

,925

9,96

6M

aint

enan

ce ,

repa

ir an

d ru

nnin

g co

sts

116,

269

123,

727

162,

973

156,

000

172,

956

110,

151

122,

241

132,

090

138,

758

Fina

ncia

l tra

nsac

tions

in a

sset

s an

d lia

bilit

ies

3,56

6-

3,56

3-

--

--

-

Spe

cify

oth

er43

7,60

222

8,87

969

6,52

035

9,79

341

4,16

869

8,47

233

3,63

034

1,59

737

1,01

0Tr

ansf

ers

and

subs

idie

s to

37

8,14

5 46

2,21

3 50

9,53

8 47

5,73

3 53

8,92

2 52

9,08

4 50

9,79

8 47

8,99

3 49

4,78

2 P

rovi

nces

and

mun

icip

aliti

es25

,569

5,80

661

22,6

735,

992

5,99

222

,844

23,1

0824

,263

Dep

artm

enta

l age

ncie

s an

d ac

coun

ts5,

064

8,04

125

,022

20,9

7945

,729

45,7

2920

,526

20,8

4220

,884

Non

-pro

fit in

stitu

tions

231,

672

286,

079

282,

515

289,

971

296,

162

296,

162

297,

812

283,

000

291,

490

Hou

seho

lds

115,

840

162,

287

201,

940

142,

110

191,

039

181,

201

168,

616

152,

043

158,

145

Paym

ents

for c

apita

l ass

ets

935,

908

1,10

7,66

4 30

7,87

2 52

5,72

6 33

1,90

6 35

6,74

623

2,52

7 45

7,74

0 46

0,57

6 B

uild

ings

and

oth

er fi

xed

stru

ctur

es75

2,63

51,

032,

905

207,

050

418,

144

213,

374

213,

374

135,

718

332,

004

378,

604

Mac

hine

ry a

nd e

quip

men

t18

3,27

374

,759

100,

822

107,

582

118,

532

143,

372

96,8

0812

4,73

681

,972

Sof

twar

e an

d ot

her i

ntan

gibl

e as

sets

32 3233

Aud

ited

Out

com

es

M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Tota

l eco

nom

ic c

lass

ifica

tion

11,3

66,3

42

12,8

29,9

96

13,1

37,8

62

14,3

71,0

45

14,6

16,0

88

14,7

30,0

89

14,7

54,1

36

15,8

33,0

99

16,7

41,1

66

1.7.

2 RE

LATI

NG E

XPEN

DITU

RE T

REND

S TO

SPE

CIFI

C G

OAL

S

TAB

LE A

4:

TREN

DS

IN P

RO

VIN

CIA

L PU

BLI

C H

EALT

H E

XPEN

DIT

UR

E (R

’000

)

Exp

enditure

Audited

/ Actual

Adjusted

Budge

t

Med

ium ter

m pro

jection

2011/1

2

2012/1

3

2013/1

4

2014/1

5

2015/1

6

2016/1

7

2017/1

8

Curr

ent price

s1

Total2

11,366

12

,830

13

,138

14

,616

14

,754

15

,833

16

,741

Total per person

2.15

2.47

2.58

2.87

2.90

3.11

3.29

Total per uninsured person

2.02

2.28

2.34

2.60

2.63

2.82

2.98

Constan

t (2

008/0

9) price

s3

Total

12,616

14

,113

12

,481

13

,154

12

,688

13

,616

14

,397

Total per person

2.3

2.6

2.3

2.4

2.3

2.5

2.7

Total per uninsured person

11,657

13

,040

11

,533

12

,155

11

,724

12

,582

13

,303

% of T

otal spen

t on

:-

DHS4

29

.1%

32.7%

36.2%

34.9%

37.2%

36.4%

34.4%

PHS5

7.8%

7.6%

8.1%

7.1%

7.4%

7.3%

6.9%

CHS6

4.9%

5.4%

6.1%

6.3%

6.6%

6.4%

6.1%

All personn

el

32.1%

33.5%

36.3%

34.7%

34.4%

32.0%

30.3%

Capital2

6.0%

8.5%

7.6%

8.8%

8.7%

8.1%

7.7%

Health

as %

of total pub

lic

expend

iture

31.0%

30.9%

29.3%

30.5%

30.7%

32.2%

33.4%

34 3435

PAR

T B

- PR

OG

RAM

ME

AND

SU

B-P

RO

GR

AMM

E PL

AN

S

1.

BUDG

ET P

ROG

RAM

ME

1: A

DMIN

ISTR

ATIO

N

1.1

PRO

GR

AMM

E PU

RPO

SE

The

purp

ose

of th

e pr

ogra

mm

e is

to p

rovi

de s

trate

gic

man

agem

ent a

nd o

vera

ll ad

min

istra

tion

of th

e D

epar

tmen

t inc

ludi

ng re

nder

ing

of

advi

sory

, sec

reta

rial a

nd o

ffice

sup

port

serv

ices

thro

ugh

the

sub

prog

ram

mes

of A

dmin

istra

tion

and

Offi

ce o

f the

MEC

.

1.2

PRIO

RITI

ES

Im

plem

enta

tion

of H

uman

Res

ourc

e Pl

an fo

r Hea

lth;

U

nqua

lifie

d au

dit o

pini

on; a

nd

Im

prov

emen

t of r

even

ue a

nd in

form

atio

n m

anag

emen

t sys

tem

s.

34 3435

1.3

SITU

ATIO

NAL

ANAL

YSIS

AND

PRO

JECT

ED P

ERFO

RMAN

CE F

OR

HUM

AN R

ESO

URCE

S

ANN

UAL

IND

IATO

RS

Freq

uenc

y Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

Med

ium

-term

targ

ets

Q

uarte

rly /

Annu

al

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.M

edic

al o

ffice

rs p

er 1

00,0

00 p

eopl

eAn

nual

No

1615

.616

1212

1212

2.M

edic

al o

ffice

rs p

er 1

00,0

00 p

eopl

e in

ru

ral d

istri

cts

Annu

alN

o16

15.6

1612

1212

12

3.Pr

ofes

sion

al n

urse

s pe

r 100

,000

peo

ple

Annu

alN

o14

214

114

214

814

814

814

8

4.Pr

ofes

sion

al n

urse

s pe

r 100

,000

peo

ple

in ru

ral d

istri

cts

Annu

alN

o14

214

114

214

814

814

814

8

5.Ph

arm

acis

ts p

er 1

00,0

00 p

eopl

eAn

nual

No

65.

86

55

55

6.Ph

arm

acis

ts p

er 1

00,0

00 p

eopl

e in

rura

l di

stric

tsAn

nual

No

65.

86

55

55

36 3637

1.4

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S AN

D AN

NUAL

TAR

GET

S FO

R AD

MIN

ISTR

ATIO

N

TAB

LE A

DM

IN 1

: PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES

AND

AN

NU

AL T

ARG

ETS

FOR

AD

MIN

ISTR

ATIO

N

St

rate

gic

obje

ctiv

eM

eans

of v

erifi

catio

n /

indi

cato

r St

rate

gic

Plan

targ

et

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.To

impr

ove

hum

an

reso

urce

s fo

r hea

lthN

umbe

r of m

edic

al

doct

ors

and

dent

ists

ap

poin

ted

Impl

emen

t 10

0%

of

the

hum

an

reso

urce

pl

an

for

heal

th in

all

faci

litie

s

136

118

297

200

200

200

200

Num

ber o

f med

ical

sp

ecia

lists

app

oint

ed19

1716

1616

1616

Num

ber o

f pr

ofes

sion

al n

urse

s ap

poin

ted

674

392

211

200

200

200

200

Num

ber o

f ph

arm

acis

ts a

ppoi

nted

6531

6363

6570

70

Num

ber o

f cle

aner

s

appo

inte

d

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

9015

015

015

0

Num

ber o

f arti

san

appo

inte

d

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

1020

2020

Num

ber o

f gro

unds

m

en a

ppoi

nted

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

3540

4040

Num

ber o

f por

ters

ap

poin

ted

New

in

dica

tor

New

in

dica

tor

New

indi

cato

r15

2020

20

Num

ber o

f IC

T pe

rson

nel a

ppoi

nted

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

810

1010

Num

ber o

f rev

enue

pe

rson

nel a

ppoi

nted

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

5045

4545

36 3637

Stra

tegi

c ob

ject

ive

Mea

ns o

f ver

ifica

tion

/ in

dica

tor

Stra

tegi

c Pl

an ta

rget

A

udite

d/ A

ctua

l per

form

ance

Es

timat

ed

perf

orm

ance

Med

ium

term

targ

ets

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Num

ber o

f SM

S po

sts

appo

inte

d N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r6

1014

0

2.Pr

ovid

e ef

ficie

nt a

nd

effe

ctiv

e fin

anci

al

man

agem

ent

syst

em

% c

ompl

ianc

e to

pa

ymen

t of s

uppl

iers

w

ithin

30

days

Unq

ualif

ied

audi

t re

ports

fro

m

the

Audi

tor-

Gen

eral

of

So

uth

Afric

a (A

GSA

)

New

in

dica

tor

New

in

dica

tor

65%

100%

100%

100%

100%

Num

ber

inst

itutio

n w

ith C

redi

ble

Asse

t R

egis

ter

58 o

f 58

58 o

f 58

58 o

f 58

58 o

f 58

58 o

f 58

58 o

f 58

58 o

f 58

Rev

enue

col

lect

edR

115.

6 m

illion

R13

0.6

milli

onR

121

milli

onR

140.

8 m

illion

150.

1m

illion

174.

1m

illion

183.

0m

illion

TA

BLE

AD

MIN

2: P

ERFO

RMAN

CE

INDI

CAT

OR

S FO

R AD

MIN

ISTR

ATIO

N

Prog

ram

me

Perfo

rman

ce

Indi

cato

rs

Freq

uenc

y Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

Med

ium

-term

targ

ets

Qua

rterly

/ An

nual

20

11/1

2 20

12/1

3 20

13/1

4 20

14/1

5 20

15/1

6 20

16/1

7 20

17/1

8

1.Au

dit o

pini

on fr

om A

udito

r-G

ener

alAn

nual

Cat

egor

ical

Dis

clai

mer

au

dit

opin

ion

Dis

clai

mer

au

dit

opin

ion

Qua

lifie

d au

dit

opin

ion

Unq

ualif

ied

audi

t op

inio

n

Unq

ualif

ied

audi

t opi

nion

Unq

ualif

ied

audi

t opi

nion

Unq

ualif

ied

audi

t opi

nion

2.Pe

rcen

tage

of H

ospi

tals

w

ith b

road

band

acc

ess

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r10

0%

(40

of 4

0)

100%

(4

0 of

40)

100%

(4

0 of

40)

100%

(4

0 of

40)

3.Pe

rcen

tage

of f

ixed

PH

C

faci

litie

s w

ith b

road

band

ac

cess

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r27

%(1

20 o

f 444

)30

%(1

33of

444

)35

%(1

55of

444

)40

%(1

77of

444

)

38 3839

1.5

QUA

RTER

LY T

ARG

ETS

FOR

2015

/16

TAB

LE A

DM

IN 3

: QU

AR

TER

LY T

ARG

ETS

FOR

201

5/16

M

eans

of v

erifi

catio

n /

indi

cato

r A

NN

UA

L TA

RG

ET

2015

/16

Q

UA

RTE

RLY

TA

RG

ETS

Q1

Q2

Q3

Q4

Num

ber o

f med

ical

doc

tors

and

den

tists

ap

poin

ted

200

2020

2014

0

Num

ber o

f med

ical

spe

cial

ists

app

oint

ed16

11

113

Num

ber o

f pro

fess

iona

l nur

ses

appo

inte

d20

030

3030

110

Num

ber o

f pha

rmac

ists

app

oint

ed65

44

453

Num

ber o

f cle

aner

s a

ppoi

nted

150

-15

0-

-

Num

ber o

f arti

san

appo

inte

d20

-20

--

Num

ber o

f gro

unds

men

app

oint

ed40

-40

--

Num

ber o

f por

ters

app

oint

ed20

-20

--

Num

ber o

f IC

T pe

rson

nel a

ppoi

nted

10

-10

--

Num

ber o

f rev

enue

per

sonn

el a

ppoi

nted

4520

25-

-

Num

ber o

f SM

S po

sts

appo

inte

d 10

--

-10

% c

ompl

ianc

e to

pay

men

t of s

uppl

iers

with

in 3

0 da

ys

100%

100%

100%

100%

100%

Num

ber

inst

itutio

n w

ith C

redi

ble

Asse

t Reg

iste

r58

of 5

858

of 5

858

of 5

858

of 5

858

of 5

8R

even

ue c

olle

cted

150.

1m

illion

27.8

milli

on33

.4m

illion

38.1

milli

on50

.8m

illion

38 3839

TAB

LE A

DM

IN 4

: PR

OVI

NC

IAL

QU

ARTE

RLY

TAR

GET

S FO

R 2

015/

16

Mea

ns o

f ver

ifica

tion

/ in

dica

tor

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

Audi

t opi

nion

from

Aud

itor-

Gen

eral

Unq

ualif

ied

audi

t op

inio

n-

--

Unq

ualif

ied

audi

t op

inio

nPe

rcen

tage

of H

ospi

tals

with

bro

adba

nd a

cces

s10

0% (4

0 of

40)

100%

(40

of 4

0)10

0% (4

0 of

40)

100%

(40

of 4

0)10

0% (4

0 of

40)

Perc

enta

ge o

f fix

ed P

HC

faci

litie

s w

ith

broa

dban

d ac

cess

30%

(133

of 4

44)

5% (22

of 4

44)

5% (22

of 4

44)

5% (22

of 4

44)

15%

(67

of 4

44)

1.6 R

ECO

NC

ILIN

G P

ERFO

RM

AN

CE

TAR

GET

S W

ITH

EXP

END

ITU

RE

TREN

DS

AN

D B

UD

GET

S

TAB

LE A

DM

IN 5

: EXP

END

ITU

RE

ESTI

MAT

ES: A

DM

INIS

TRAT

ION

Su

b-pr

ogra

mm

eEx

pend

iture

out

com

eM

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

term

exp

endi

ture

est

imat

es

2011

/12

2012

/13

2013

/14

20

14/1

5 20

15/1

6 20

16/1

7 20

17/1

8 R

’ tho

usan

dR’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

M

EC

’s O

ffice

1,56

61,

652

1,73

5

1,7

35

1,7

35

1,7

35

1,84

51,

943

2,04

0M

anag

emen

t 26

0,09

123

8,33

527

0,89

225

7,61

9

257

,619

25

7,61

9 26

3,73

727

6,13

228

5,93

9

TOTA

L

261,

657

239,

987

272,

627

259,

354

259,

354

259,

354

265,

582

278,

075

287,

979

40 4041

Sum

mar

y of

Pro

vinc

ial E

xpen

ditu

re E

stim

ates

by

Econ

omic

Cla

ssifi

catio

n3 A

udite

d O

utco

mes

M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

C

urre

nt p

aym

ents

25

1,02

0 23

0,74

0 24

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7 25

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9 25

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9 27

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9 26

5,58

2 27

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7 28

7,15

1

Com

pens

atio

n of

em

ploy

ees

185,

966

179,

620

188,

787

219,

242

218,

742

236,

742

229,

736

242,

330

250,

467

Goo

ds a

nd s

ervi

ces

65,0

5451

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2139

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Com

mun

icat

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454

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pute

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vice

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113

103

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Con

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ial

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Fina

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Paym

ents

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apita

l ass

ets

1,15

8 22

2 18

6 47

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achi

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and

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3

40 4041

Sum

mar

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vinc

ial E

xpen

ditu

re E

stim

ates

by

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omic

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ssifi

catio

n3 A

udite

d O

utco

mes

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ain

appr

opria

tion

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uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

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nt p

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ents

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0 23

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Com

pens

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n of

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ploy

ees

185,

966

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ify o

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3

1.7

PERF

ORM

ANCE

AND

EXP

ENDI

TURE

TRE

NDS

The

obje

ctiv

e of

this

Pro

gram

me

is to

pro

vide

ove

rall

stra

tegi

c m

anag

emen

t, ad

min

istra

tion,

legi

slat

ive

and

com

mun

icat

ion

serv

ices

thro

ugh

the

MEC

’s o

ffice

. The

allo

cate

d bu

dget

has

a d

irect

impa

ct o

n th

e ac

hiev

emen

ts o

f tar

gets

in th

e fo

llow

ing

way

s:

Fo

ster

the

impr

ovem

ent

of f

inan

cial

man

agem

ent

and

cont

rol i

n th

e de

partm

ent

as a

who

le,

e.g.

pol

icie

s an

d pr

oced

ure

man

uals

are

deve

lope

d, im

plem

ente

d an

d m

onito

red

thro

ugho

ut th

e de

partm

ent.

Impr

ovem

ent o

f the

effe

ctiv

enes

s an

d ef

ficie

ncy

of th

e su

pply

cha

in m

anag

emen

t

Inte

nsify

the

impl

emen

tatio

n an

d m

onito

ring

of th

e ris

k m

anag

emen

t stra

tegy

thro

ugho

ut th

e de

partm

ent.

The

depa

rtmen

t has

spe

nt a

tota

l of R

774.

2 m

illion

from

201

1/12

to 2

013/

14 w

hile

the

2014

/15

budg

et a

mou

nts

to R

259

milli

on. T

he p

ropo

sed

MTE

F fro

m 2

015/

16 to

201

7/18

is p

roje

cted

at R

831.

6 m

illion

whi

ch w

ill be

use

d to

mai

ntai

n an

d im

prov

e th

e cu

rrent

ser

vice

s. T

he fu

ndin

g ha

s

ther

efor

e be

en a

ligne

d to

the

vario

us k

ey s

trate

gic

focu

s of

the

prog

ram

me.

1.8

RISK

MAN

AGEM

ENT

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es fo

r the

bud

get p

rogr

amm

e Ad

min

istra

tion

and

the

mea

sure

s to

miti

gate

the

impa

ct o

f the

risks

are

indi

cate

d be

low

Stra

tegi

c Obj

ectiv

e Ri

sks

Mitig

atin

g fa

ctor

s

To p

rovi

de e

ffici

ent a

nd e

ffect

ive

finan

cial

man

agem

ent s

yste

mIrr

egul

ar a

nd u

naut

horiz

ed

expe

nditu

res

-

Impl

emen

tatio

n of

frau

d pr

even

tion

plan

with

zer

o to

lera

nce

for f

raud

and

cor

rupt

ion

-D

isci

plin

ary

proc

ess

for t

rans

gres

sors

to b

e re

porte

d to

re

leva

nt s

tatu

tory

42 4243

Stra

tegi

c Obj

ectiv

e Ri

sks

Mitig

atin

g fa

ctor

s

Inte

grity

of f

inan

cial

info

rmat

ion

Effe

ctiv

e Au

dit C

omm

ittee

to h

ave

over

sigh

t and

enc

oura

ge

acco

unta

bilit

y

To

impr

ove

Hea

lth

Man

agem

ent

Info

rmat

ion

syst

emAd

equa

cy

and

suita

bilit

y of

IC

T in

frast

ruct

ure

-Se

rvic

e Le

vel A

gree

men

t with

ser

vice

pro

vide

r, in

clud

ing

pena

lty c

laus

e on

non

or l

ate

deliv

erab

le

-M

anag

emen

t of a

gree

men

t and

sup

port

form

SIT

A-

Trai

ning

and

ski

ll tra

nsfe

r fro

m s

ervi

ce p

rovi

der t

o pe

rform

mai

nten

ance

in-h

ouse

-Bu

sine

ss C

ontin

uity

Pla

n an

d D

isas

ter R

ecov

ery

Plan

fu

nded

and

impl

emen

ted

Inef

fect

ive

and

inap

prop

riate

in

tern

al

and

exte

rnal

com

mun

icat

ion

Broa

d co

nsul

tatio

n on

inte

grat

ed c

omm

unic

atio

n st

rate

gy

Impl

emen

tatio

n an

d m

onito

ring

of in

tegr

ated

com

mun

icat

ion

stra

tegy

To

impr

ove

hum

an

reso

urce

s fo

r he

alth

Failu

re t

o at

tract

, de

velo

p an

d re

tain

C

ritic

al s

kills

-D

evel

op a

nd im

plem

ent s

ucce

ssio

n pl

an

-Pr

ovid

e cl

ear d

eleg

atio

n of

aut

horit

y fo

r hum

an

reso

urce

s-

Rev

iew

and

re-e

ngin

eerin

g of

hum

an re

sour

ces

proc

ess

tom

eet s

trate

gic

obje

ctiv

es o

f the

dep

artm

ent

-Im

prov

e pr

oces

ses

for d

ealin

g w

ith D

isci

plin

ary

case

s-

Acce

lera

ted

awar

enes

s on

sub

mis

sion

of c

ompl

eted

job

desc

riptio

n an

d Jo

b Ev

alua

tion

ques

tionn

aire

s -

Dev

elop

stra

tegy

to s

hare

Em

ploy

ee h

ealth

and

w

elln

ess

Stra

tegi

c Fr

amew

ork

with

all

empl

oyee

-R

evie

w a

nd c

omm

unic

ate

Em

ploy

ee H

ealth

and

W

elln

ess

man

agem

ent p

ract

ices

to a

ll em

ploy

ees

to

enco

urag

e co

mpl

ianc

e

42 4243

BUDGET PROGRAMME 2: DISTRICT HEALTH SERVICES (DHS)

2.1 PROGRAMME PURPOSE

The purpose is to render District Health Services through the following sub- programmes:

Primary Health Care Services (District management, Community Health Centres, Clinics,

Community Based Services).

District hospitals;

HIV and AIDS, Sexually Transmitted Infections (STI) and Tuberculosis (TB) Control

Programmes;

Mother and Child and Women’s Health and nutrition(MCWHN) ; and

Disease Prevention and Control

2.2 PRIORITIES

Improving quality of care Increasing access to health care services.

Strengthening coordination and integration of existing Municipal Ward-based Outreach Teams within pilot districts

Combating HIV and AIDS and decreasing the burden of diseases from Tuberculosis and other Communicable diseases

Reducing Maternal and Child morbidity and mortality

Prevention and control of Non–communicable Diseases (NCDs)

44 4445

2.3

SPEC

IFIC

INFO

RMAT

ION

FOR

DHS

TAB

LE D

HS1

: DI

STRI

CT

HEAL

TH S

ERVI

CE F

ACIL

ITIE

S B

Y HE

ALTH

DIS

TRIC

T IN

201

3/14

H

ealth

dis

trict

Fa

cilit

y ty

pe

No.

Po

pula

tion3

Popu

latio

n pe

r PH

C fa

cilit

y3

or p

er h

ospi

tal

Per c

apita

util

isat

ion3

CAP

RIC

ON

N

on fi

xed

clin

ics1

307

1 26

1 46

33.

1

Fixe

d C

linic

s294

CH

Cs

4

Sub-

tota

l cl

inic

s +

CH

Cs

98

Dis

trict

hos

pita

ls6

210

244

MO

PAN

I N

on fi

xed

clin

ics1

1 39

41

092

507

2.8

Fixe

d C

linic

s293

CH

Cs

8Su

b-to

tal

clin

ics

+ C

HC

s 10

1

Dis

trict

hos

pita

ls6

182

085

SEK

HU

KH

UN

E N

on fi

xed

clin

ics1

402

107

6 84

02.

3

Fixe

d C

linic

s284

CH

Cs

3

Sub-

tota

l cl

inic

s +

CH

Cs

87

Dis

trict

hos

pita

ls5

215

368

VHEM

BE

Non

fixe

d cl

inic

s110

331

294

722

3.5

Fixe

d C

linic

s211

2

CH

Cs

8

Sub-

tota

l cl

inic

s +

CH

Cs

120

44 4445

Hea

lth d

istri

ct

Faci

lity

type

N

o.

Popu

latio

n3 Po

pula

tion

per P

HC

faci

lity3

or p

er h

ospi

tal

Per c

apita

util

isat

ion3

Dis

trict

hos

pita

ls6

215

787

WAT

ERB

ERG

N

on fi

xed

clin

ics1

1337

679

336

-2.

1

Fixe

d C

linic

s257

CH

Cs

1

Sub-

tota

l cl

inic

s +

CH

Cs

58

Dis

trict

hos

pita

ls7

97 0

48

PRO

VIN

CE

Non

fixe

d cl

inic

s144

735

404

868

Fixe

d C

linic

s244

0

CH

Cs

24

Sub-

tota

l cl

inic

s +

CH

Cs

464

Dis

trict

hos

pita

ls30

180

162

1.

Non

-fixe

d cl

inic

s sh

ould

incl

ude

mob

ile a

nd s

atel

lite c

linic

s an

d vis

iting

poin

ts.

2.

Fixe

d cl

inic

s; b

oth

prov

inci

al a

nd lo

cal g

over

nmen

t fac

ilitie

s sh

ould

be

incl

uded

. 3.

PH

C fa

cility

hea

dcou

nts

and

hosp

ital s

epar

atio

ns s

houl

d be

use

d fo

r per

cap

ita u

tilisa

tion.

.

46 4647

2.

4 SI

TUAT

IONA

L AN

ALYS

IS IN

DICA

TORS

FO

R DI

STRI

CT H

EALT

H SE

RVIC

ES

TAB

LE D

HS

2: S

ITU

ATIO

NAL

AN

ALYS

IS IN

DIC

ATO

RS

FOR

DIST

RIC

T HE

ALTH

SER

VIC

ES

Prog

ram

me

Perfo

rman

ce In

dica

tors

Annu

al /

Qua

rterly

In

dica

tor

Type

Pr

ovin

ce

wid

e va

lue

2013

/14

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

1.N

umbe

r of D

istri

cts

pilo

ting

NH

I in

terv

entio

nsAn

nual

No

1-

--

1-

2.Es

tabl

ish

NH

I Con

sulta

tion

For a

Annu

alN

o1

--

-1

-

3.Pe

rcen

tage

of f

ixed

PH

C F

acilit

ies

scor

ing

abov

e 80

% o

n th

e id

eal c

linic

da

shbo

ard.

Qua

rterly

%N

ew

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

4.Pa

tient

Exp

erie

nce

of C

are

Surv

ey R

ate

(PH

C)

Qua

rterly

%N

ew

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

5.Pa

tient

Exp

erie

nce

of C

are

rate

(PH

C)

Annu

al%

New

in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

6.O

utre

ach

Hou

seho

lds

(OH

H)

regi

stra

tion

visi

t cov

erag

e(a

nnua

lized

)Q

uarte

rlyN

umbe

r10

--

-10

-

7.N

umbe

r of D

istri

cts

with

fully

fled

ged

Dis

trict

Clin

ical

Spe

cial

ist T

eam

s (D

CS

Ts)

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

8.PH

C u

tilis

atio

n ra

te

Qua

rterly

Num

ber

2.6

2.7

3.0

2.1

2.9

2.1

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

New

in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

10.

Com

plai

nt re

solu

tion

with

in 2

5 w

orki

ng

days

rate

Q

uarte

rly%

91.7

%92

.396

.2%

91%

88.1

%91

.1%

11.

Num

ber o

f Dis

trict

Men

tal H

ealth

Tea

ms

esta

blis

hed

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

46 4647

2.

4.1

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S IN

DICA

TORS

AND

ANN

UAL

TAR

GET

S FO

R DH

S

TAB

LE D

HS3

: PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES,

PER

FOR

MA

NC

E IN

DIC

ATO

RS

AN

D A

NN

UA

L TA

RG

ETS

FOR

DIS

TRIC

T H

EALT

H

SER

VIC

ES

Stra

tegi

c ob

ject

ive

Perf

orm

ance

in

dica

tor

Stra

tegi

c Pl

an ta

rget

M

eans

of

verif

icat

ion

/ D

ata

Sour

ce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To re

-eng

inee

r Pr

imar

y H

ealth

C

are

serv

ices

sy

stem

s

Num

ber

of

PHC

fa

cilit

ies

open

for

24

hour

s

-Li

st

of

PHC

fa

cilit

ies

53

of 4

43

65 o

f 44

353

of 4

4353

of 6

553

of 6

553

of 6

553

of 6

5

Num

ber

of

PHC

fa

cilit

ies

impl

emen

ting

the

on

call

serv

ice

syst

em

-Li

st

of

PHC

fa

cilit

ies

29

6 of

44

327

2 of

443

261

of 4

4326

1 of

379

261

of 3

7926

1 of

379

261

of 3

79

Num

ber

of

mob

ile

clin

ics

proc

ured

-

New

indi

cato

r N

ew

indi

cato

r N

ew

indi

cato

r N

ew in

dica

tor

2010

5

48 4849

TA

BLE

DH

S 4:

PRO

GR

AMM

E PE

RFO

RMAN

CE IN

DIC

ATO

RS F

OR

DIST

RIC

T HE

ALTH

SER

VIC

ES

Prog

ram

me

Perfo

rman

ce

Indi

cato

rs

Freq

uenc

y of

repo

rting

(Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

M

TEF

Proj

ectio

n

20

11/1

2 20

12/1

3 20

13/1

4 20

14/1

5 20

15/1

6 20

16/1

7 20

17/1

8

1.N

umbe

r of D

istri

cts

pilo

ting

NH

I in

terv

entio

nsAn

nual

Num

ber

New

in

dica

tor

New

in

dica

tor

11

11

1

2.Es

tabl

ish

NH

I Con

sulta

tion

Fora

Annu

alN

umbe

rN

ew

indi

cato

rN

ew

indi

cato

r1

11

11

3.Pe

rcen

tage

of f

ixed

PH

C

Faci

litie

s sc

orin

g ab

ove

80%

on

the

idea

l clin

ic d

ashb

oard

.

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r10

1520

4.Pa

tient

Exp

erie

nce

of C

are

Surv

ey R

ate

(PH

C)

Annu

al%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

25%

30%

35%

5.Pa

tient

Exp

erie

nce

of C

are

rate

(P

HC

)An

nual

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r70

%70

%70

%75

%

6.O

utre

ach

Hou

seho

lds

(OH

H)

regi

stra

tion

visi

t cov

erag

e (a

nnua

lized

)

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

r10

%12

%14

%16

%18

%

7.N

umbe

r of D

istri

cts

with

fully

fledg

ed D

istri

ct C

linic

al S

peci

alis

t Te

ams

(DC

STs)

Qua

rterly

Num

ber

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

55

55

8.PH

C u

tilis

atio

n ra

te

Qua

rterly

Num

ber

2.8

2.7

2.6

2.7

2.8

2.9

3

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

100%

100%

100%

10.

Com

plai

nt re

solu

tion

with

in 2

5 w

orki

ng d

ays

rate

Q

uarte

rly%

61.7

%54

.9%

91.7

%93

%94

%95

%10

0%

48 4849

Pr

ogra

mm

e Pe

rform

ance

In

dica

tors

Fr

eque

ncy

of re

porti

ng

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

M

TEF

Proj

ectio

n

20

11/1

2 20

12/1

3 20

13/1

4 20

14/1

5 20

15/1

6 20

16/1

7 20

17/1

8

11.N

umbe

rof D

istri

ct M

enta

l Hea

lth

Team

s es

tabl

ishe

dQ

uarte

rly

Num

ber

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

55

5

2.4.

2 Q

UART

ERLY

TAR

GET

S FO

R DH

S

TA

BLE

DH

S5: P

RO

VIN

CIA

L Q

UAR

TER

LY T

AR

GET

S FO

R D

ISTR

ICT

HEA

LTH

SER

VIC

ES F

OR

201

5/16

PE

RFO

RM

AN

CE

IND

ICAT

OR

A

NN

UA

L TA

RG

ET

2015

/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 N

umbe

rof P

HC

faci

litie

s op

en fo

r 24

hour

s

53of

65

53of

65

53of

65

53of

65

53of

65

Num

ber

of P

HC

fac

ilitie

s im

plem

entin

g th

e on

cal

l se

rvic

e sy

stem

261

of 3

7926

1 of

379

261

of 3

7926

1 of

379

261

of 3

79

Num

ber o

f mob

ile c

linic

s pr

ocur

ed

20-

-10

10

TA

BLE

DH

S 5:

QU

ARTE

RLY

TAR

GET

S FO

R D

ISTR

ICT

HEA

LTH

SER

VIC

ES F

OR

201

5/16

PER

FOR

MA

NC

E IN

DIC

ATO

R

Freq

uenc

y of

re

porti

ng

(Qua

rter

ly /

Ann

ual)

Indi

cato

r Ty

pe

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

1.N

umbe

r of D

istri

cts

pilo

ting

NH

I in

terv

entio

nsQ

uarte

rlyN

umbe

r1

11

11

2.Es

tabl

ish

NH

I Con

sulta

tion

For a

Qua

rterly

Num

ber

11

11

1

3.Pe

rcen

tage

of f

ixed

PH

C F

acilit

ies

scor

ing

abov

e 80

% o

n th

e id

eal c

linic

das

hboa

rd.

Qua

rterly

%10

24

610

50 5051

PE

RFO

RM

AN

CE

IND

ICAT

OR

Fr

eque

ncy

of

repo

rting

(Q

uart

erly

/ A

nnua

l)

Indi

cato

r Ty

pe

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

4.Pa

tient

Exp

erie

nce

of C

are

Surv

ey R

ate

(PH

C)

Annu

al%

25%

--

-25

%

5.Pa

tient

Exp

erie

nce

of C

are

rate

(PH

C)

Annu

al%

70%

--

-70

%

6.O

utre

ach

Hou

seho

lds

(OH

H) r

egis

tratio

n vi

sit c

over

age

(ann

ualiz

ed)

Qua

rterly

%14

%14

%14

%14

%14

%

7.N

umbe

r of D

istri

cts

with

fully

fled

ged

Dis

trict

Clin

ical

Spe

cial

ist T

eam

s (D

CS

TsQ

uarte

rlyN

umbe

r5

55

55

8.PH

C u

tilis

atio

n ra

te

Qua

rterly

%2.

8%2.

8%2.

8%2.

8%2.

8%

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

100%

100%

100%

100%

100%

10.

Com

plai

nts

reso

lutio

n w

ithin

25

wor

king

da

ys ra

te

Qua

rterly

%94

%94

%94

%94

%94

%

11.

Num

bero

f Dis

trict

Men

tal H

ealth

Tea

ms

esta

blis

hed

Qua

rterly

Num

ber

55

55

5

50 5051

2.

5 SU

B –

PRO

GRA

MM

E DI

STRI

CT H

OSP

ITAL

S

TABL

E DH

S 6:

SIT

UATI

ON

ANAL

YSIS

INDI

CATO

RS F

OR

DIST

RICT

HO

SPIT

ALS

Prog

ram

me

Perfo

rman

ce In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Prov

ince

w

ide

valu

e 20

13/1

4

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

1.N

atio

nal C

ore

Stan

dard

s se

lf-as

sess

men

t rat

eQ

uarte

rly%

100%

100%

100%

100%

100%

100%

2.Q

ualit

y im

prov

emen

t pla

n af

ter s

elf a

sses

smen

t ra

teQ

uarte

rly%

New

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

in

dica

tor

3.Pe

rcen

tage

of H

ospi

tals

com

plia

nt w

ith a

ll ex

trem

e an

d vi

tal m

easu

res

of th

e na

tiona

l cor

e st

anda

rds

Qua

rterly

%

New

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

indi

cato

r

4.Pa

tient

Exp

erie

nce

of C

are

Surv

ey R

ate

Annu

al%

New

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

in

dica

tor

5.Pa

tient

Exp

erie

nce

of C

are

rate

An

nual

%72

%79

%78

%63

.2%

65.1

%77

%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

Num

ber

4.5

4.6

4.5

54.

54.

1

7.U

sabl

eB

ed U

tilis

atio

n R

ate

Qua

rterly

%64

.267

.169

.260

68.1

56.8

8.N

umbe

r of D

istri

ct M

enta

l Hea

lth T

eam

s es

tabl

ishe

dAn

nual

Num

ber

New

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

in

dica

tor

9.Ex

pend

iture

per P

DE

Qua

rterly

Num

ber

R22

41R

1840

R17

59R

2194

R21

48R

2347

10.

Com

plai

nts

reso

lutio

n ra

te

Qua

rterly

%63

.462

.464

.658

.164

.267

.5

11.

Com

plai

nts

Res

olut

ion

with

in 2

5 w

orki

ng d

ays

rate

Q

uarte

rly%

100%

(1

695

of

1695

)

88.9

99.6

86.9

92.5

93.5

52 5253

2.

5.1

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TARG

ETS

FOR

DIST

RICT

HO

SPIT

ALS

TAB

LE D

HS

7: P

RO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S AN

D A

NN

UA

L TA

RG

ETS

FOR

DIS

TRIC

T H

OSP

ITAL

S

Stra

tegi

c ob

ject

ive

Perf

orm

ance

in

dica

tor

Stra

tegi

c Pl

an ta

rget

M

eans

of

verif

icat

ion/

Dat

a So

urce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ce

Med

ium

term

targ

ets

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To im

prov

e ac

cess

to

qual

ity

hosp

ital

serv

ices

Num

ber o

f fac

ilitie

s th

at

are

80%

com

plia

nt w

ith

the

6 pr

iorit

ies

of t

he

natio

nal c

ore

stan

dard

s

-N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r15

2020

2020

TAB

LE D

HS

8: P

ERFO

RM

ANC

E IN

DIC

ATO

RS

FOR

DIST

RIC

T HO

SPIT

ALS

Prog

ram

me

Perfo

rman

ce In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

Med

ium

-term

targ

ets

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t rat

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

(30

of 3

0)10

0%(3

0 of

30)

100%

(30

of 3

0)10

0%(3

0 of

30)

2.Q

ualit

y im

prov

emen

t pla

n af

ter s

elf

asse

ssm

ent r

ate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

(30

of 3

0)10

0%(3

0 of

30)

100%

(30

of 3

0)10

0%(3

0 of

30)

3.Pe

rcen

tage

of H

ospi

tals

com

plia

nt

with

all

extre

me

and

vita

l mea

sure

s of

the

natio

nal c

ore

stan

dard

sQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

66.7

%(2

0 of

30)

66.7

%(2

0 of

30)

66.7

%(2

0 of

30)

4.Pa

tient

exp

erie

nce

of c

are

Surv

ey

Rat

e Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

(30

of 3

0)10

0%(3

0 of

30)

100%

(30

of 3

0)10

0%(3

0 of

30)

5.Pa

tient

exp

erie

nce

of c

are

rate

An

nual

%66

%62

.5%

72%

70%

75%

75%

75%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

No

4.5

days

4.3

days

4.5

days

4.4

days

4.3

days

4.2

days

4.1

days

52 5253

Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

Med

ium

-term

targ

ets

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

7.In

patie

nt B

ed U

tilis

atio

nR

ate

(Usa

ble

Bed

Util

isat

ion

Rat

e)Q

uarte

rly%

71.7

%72

.2%

64.2

%70

%72

%73

%74

%

8.Ex

pend

iture

per

PD

E Q

uarte

rlyN

oR

1 8

82R

2 05

0R

2 24

1R

2 10

0R

2 20

0R

2300

R24

00

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

100%

100%

100%

10.

Com

plai

nt R

esol

utio

n w

ithin

25

wor

king

day

s ra

te

Qua

rterly

%61

.7%

75.2

%

(201

6/26

82)

100%

(1

695/

1698

)10

0%10

0%10

0%10

0%

2.5.

2 Q

UART

ERLY

TAR

GET

S FO

R DI

STRI

CT H

OSP

ITAL

S

TAB

LE D

HS

9: P

RO

VIN

CIA

L Q

UAR

TER

LY T

AR

GET

S FO

R D

ISTR

ICT

HO

SPIT

ALS

FOR

201

5/16

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

Q

UAR

TER

LY /

ANN

UAL

IN

DIC

ATO

R

TYPE

A

NN

UA

L TA

RG

ET

2015

/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

Num

ber

of

faci

litie

s th

at

are

80%

co

mpl

iant

with

the

6 p

riorit

ies

of t

he

natio

nal c

ore

stan

dard

s Q

uarte

rlyN

o20

2020

2020

54 5455

TA

BLE

DH

S 10

: Q

UAR

TER

LY T

ARG

ETS

FOR

DIS

TRIC

T H

OSP

ITAL

S FO

R 2

015/

16PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

QU

ARTE

RLY

/ AN

NU

AL

IND

ICAT

OR

TY

PE

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

1.N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t rat

eQ

uarte

rly%

100%

(30

of 3

0)23

%(7

of 3

0)50

%(1

5 of

30)

77%

(23

of 3

0)10

0%(3

0 of

30)

2.Q

ualit

y im

prov

emen

t pla

n af

ter s

elf

asse

ssm

ent r

ate

Q

uarte

rly%

100%

(30

of 3

0)23

%(7

of 3

0)50

%(1

5 of

30)

77%

(23

of 3

0)10

0%(3

0 of

30)

3.Pe

rcen

tage

of H

ospi

tals

com

plia

nt

with

all

extre

me

and

vita

l mea

sure

s of

the

natio

nal c

ore

stan

dard

sQ

uarte

rly%

66.7

%(2

0 of

30)

16.7

%(5

of 3

0)33

%(1

0 of

30)

50%

(15

of 3

0)66

.7%

(20

of 3

0)

4.Pa

tient

exp

erie

nce

of c

are

Surv

ey

Rat

e An

nual

%10

0%(3

0 of

30)

--

-10

0%(3

0 of

30)

5.Pa

tient

exp

erie

nce

of c

are

rate

An

nual

%75

%-

--

75%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

Num

ber

4.3

days

4.3

days

4.3

days

4.3

days

4.3

days

7.In

patie

nt B

ed U

tilis

atio

n R

ate

(Usa

ble

Bed

Util

isat

ion

Rat

e)Q

uarte

rly%

72%

72%

72%

72%

72%

8.Ex

pend

iture

per

PD

E Q

uarte

rlyN

umbe

rR

2 20

0R

2200

R22

00R

2200

R2

200

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

100%

100%

100%

100%

100%

10.

Com

plai

nt R

esol

utio

n w

ithin

25

wor

king

day

s ra

te

Qua

rterly

%10

0%10

0%10

0%10

0%10

0%

54 5455

2.

6 SU

B–P

RO

GR

AMM

E: H

IV &

AID

S, S

TI &

TB

CO

NTR

OL

(HAS

T)

TAB

LE D

HS1

1: S

ITU

ATIO

NAL

AN

ALYS

IS IN

DIC

ATO

RS

OR

HIV

& AI

DS,

STI

S AN

D TB

CO

NTR

OL

Prog

ram

me

Perfo

rman

ce In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Prov

ince

w

ide

valu

e 20

13/1

4

Cap

ricor

n

Mop

ani

Sekh

ukhu

ne

Vhem

be

Wat

erbe

rg

1.To

tal c

lient

s re

mai

ning

on

ART

Qua

rterly

No

189

002

40 0

8250

702

31 7

1237

996

28 5

07

2.C

lient

test

ed fo

r HIV

(inc

l AN

C)

Qua

rterly

No

1 31

7 59

033

8 82

528

0 33

222

0 24

433

7 34

014

084

93.

TB s

ympt

om 5

yrs

and

olde

r sc

reen

ed ra

te

Qua

rterly

%60

.5%

(589

5002

/97

3997

3)

61.4

%(1

6884

81/2

749

746)

66.0

%(1

3849

02/2

095

532)

59.5

%(3

0362

7/51

0249

)

65.9

%(1

9771

31/

2999

009)

39.0

%(5

4086

1/13

8543

7)4.

Mal

e co

ndom

dis

tribu

tion

Rat

eQ

uarte

rlyN

o27

.737

.131

.618

.833

.923

.3

5.Fe

mal

e co

ndom

dis

tribu

tion

Rat

eQ

uarte

rlyN

o0.

71.

10.

50.

31.

00.

5

6.M

edic

al m

ale

circ

umci

sion

pe

rform

ed –

Tota

lQ

uarte

rly%

68 5

1613

810

15 4

7114

588

13 1

6911

478

7.TB

clie

nt tr

eatm

ent s

ucce

ss ra

te

Qua

rterly

%75

.5%

(491

9/65

14)

77.8

%(1

006/

1292

)81

.6%

(140

1/17

17)

74.3

%(1

066/

1433

)79

.2%

(922

/114

7)75

.0%

(126

7/16

88)

8.TB

clie

nt lo

st to

follo

w u

p ra

te

Q

uarte

rly%

4.7%

(311

/651

4)4.

7%(6

1/12

92)

4.0

69/1

717

4.1%

(60/

1433

)4.

5%(5

2/11

47)

7.8%

(132

/168

8)9.

TB c

lient

dea

th R

ate

Annu

al%

8.3%

(6

01/7

241)

8.9%

(115

/129

2)7.

0%(1

20/1

717)

10.7

%(1

54/1

433)

6.3%

(72/

1147

)8.

9%(1

18/1

324)

10.

TB M

DR

con

firm

ed tr

eatm

ent s

tart

rate

An

nual

%49

.7%

(425

/855

)41

.3%

(2

4/58

)51

.6%

(4

6/89

)51

.0%

(25/

49)

47.0

%

(24/

51)

39.1

%

(29/

74)

11.

TB M

DR

trea

tmen

t suc

cess

rate

Annu

al%

45.7

%(5

4/11

8)60

%(1

5/25

)41

.3%

(12/

29)

45.4

%(1

0/22

)42

.1%

(8/1

9)39

.1%

(9/2

3)

56 5657

2.

6.1

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TARG

ETS

FOR

HAST

TAB

LE D

HS

12: P

ERFO

RMAN

CE IN

DIC

ATO

RS F

OR

HIV

& AI

DS, S

TI A

ND

TB C

ON

TRO

L Pr

ogra

mm

e Pe

rform

ance

In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.To

tal c

lient

s re

mai

ning

on

ART

Qua

rterly

Num

ber

147

726

197

002

189

002

220

000

248

500

273

900

273

900

2.C

lient

test

ed fo

rHIV

(inc

l AN

C)

Qua

rterly

Num

ber

1 28

432

697

9 89

31

392

678

999

678

995

342

999

678

999

678

3.TB

sym

ptom

5yr

s an

d ol

der

scre

ened

rate

Qua

rterly

%N

ewin

dica

tor

New

Indi

cato

rN

ewIn

dica

tor

New

Indi

cato

r70

%75

%80

%

4.M

ale

cond

om d

istri

butio

n R

ate

Qua

rterly

%19

.3%

21%

29.5

%36

%36

%36

%36

%

5.Fe

mal

e co

ndom

dis

tribu

tion

Rat

eQ

uarte

rly%

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

r1%

1%1%

1%

6.M

edic

al m

ale

circ

umci

sion

pe

rform

ed –

Tota

lQ

uarte

rly%

41 6

5757

165

68 5

1662

000

6200

070

000

70 0

00

7.TB

clie

nt tr

eatm

ent s

ucce

ss ra

te

Qua

rterly

%77

.8%

(693

1/89

04)

78.6

%

(617

8/78

66)

75.5

%

(491

9/65

14)

76%

76.5

%77

%78

%

8.TB

clie

nt lo

st to

follo

w u

p ra

te

Qua

rterly

%5.

7%

(505

/890

4)

4.7%

(369

/786

6)

4.7%

(311

/651

4)

<5%

<5%

<5%

<5%

9.TB

clie

nt d

eath

Rat

eAn

nual

%8.

4%

(779

/926

0)

8.4%

(717

/856

5)

8.3%

(601

/724

1)

8.1%

8%7.

9%7.

5%

10.

TB M

DR

con

firm

ed tr

eatm

ent

star

t rat

eAn

nual

%41

.3%

(24/

58)

51.5

%

(46/

89)

49.7

%

(425

/855

)

50%

60%

65%

70%

11.

TB M

DR

trea

tmen

t suc

cess

rate

Annu

al%

55%

(57/

104)

52%

(52/

100)

45.7

%

(54/

118)

48%

50%

52%

54%

56 5657

2.

6.2

QUA

RTER

LY T

ARG

ETS

FOR

HAST

TAB

LE D

HS

13: Q

UAR

TER

LY T

ARG

ETS

FOR

HIV

& A

IDS,

STI

AN

D T

B C

ON

TRO

L FO

R 2

015/

16

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

Q

UA

RTE

RLY

/ A

NN

UA

L TY

PE

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

1.To

tal c

lient

s re

mai

ning

on

ART

Qua

rterly

Num

ber

248

500

221

500

230

500

239

500

248

500

2.C

lient

test

ed fo

r HIV

(inc

l AN

C)

Qua

rterly

Num

ber

995

342

248

836

248

836

248

835

248

835

3.TB

sym

ptom

5yr

s an

d ol

der

scre

ened

rate

Q

uarte

rly%

70%

70%

70%

70%

70%

4.M

ale

cond

om d

istri

butio

n R

ate

Qua

rterly

%36

%36

%36

%36

%36

%

5.Fe

mal

e co

ndom

dis

tribu

tion

Rat

eQ

uarte

rly%

1%1%

1%1%

1%

6.M

edic

al m

ale

circ

umci

sion

pe

rform

ed –

Tota

lQ

uarte

rlyN

umbe

r62

000

400

052

000

400

02

000

7.TB

clie

nt tr

eatm

ent s

ucce

ss ra

te

Qua

rterly

%76

.5%

76.5

%76

.5%

76.5

%76

.5%

8.TB

clie

nt lo

st to

follo

w u

p ra

te

Q

uarte

rly%

<5%

<5%

<5%

<5%

<5%

9.TB

clie

nt d

eath

Rat

eAn

nual

%8%

8%8%

8%8%

10.

TB M

DR

con

firm

ed tr

eatm

ent s

tart

rate

Annu

al%

60%

60%

60%

60%

60%

11.

TB M

DR

trea

tmen

t suc

cess

rate

Annu

al%

50%

50%

50%

50%

50%

58 5859

2.

7 M

ATER

NAL,

CHI

LD A

ND W

OM

EN’S

HEA

LTH

AND

NUTR

ITIO

N (M

CWH&

N)

TAB

LE D

HS

14: S

ITU

ATIO

NAL

AN

ALYS

IS IN

DIC

ATO

RS

FOR

MCW

H &

N

Prog

ram

me

Perfo

rman

ce

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Prov

ince

wid

e va

lue

2013

/14

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

1.An

tena

tal 1

st v

isit

befo

re

20 w

eeks

rate

Q

uarte

rly%

45.8

%(6

0012

/131

081)

41.7

%(1

1305

/270

85)

50.1

%(1

4108

/281

56)

42.9

%11

993/

2793

747

.4%

1478

7/31

215

46.7

%78

19/1

609

72.

Mot

her p

ostn

atal

vis

it w

ithin

6 d

ays

rate

Qua

rterly

%N

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

3.An

tena

tal c

lient

initi

ated

on

AR

T ra

teAn

nual

%78

.7%

76.7

%81

.0%

79.2

%82

.0%

73.8

%

4.In

fant

1st

PC

R te

st

posi

tive

arou

nd6

wee

ks

rate

Qua

rterly

%2.

6%2.

4%2.

4%2.

7%1.

8%3.

0%

5.Im

mun

isat

ion

cove

rage

un

der 1

yea

r (an

nual

ised

)Q

uarte

rly%

70.3

%96

494/

1338

8766

.0%

2122

7/32

394

75.5

%20

259/

2753

761

.4%

1676

9/27

501

85.7

%28

83/3

4015

54.0

%93

56/1

728

76.

Mea

sles

2nd

dos

e co

vera

ge

Qua

rterly

%72

%68

.8%

2123

7/32

394

78.0

%

1954

0/27

537

76.3

%19

414/

2750

184

.2%

2743

9/40

1551

.1%

8851

/172

87

7.D

TaP-

IPV-

Hep

B-H

ib 3

-M

easl

es 1

st d

ose

drop

-out

rate

Qua

rterly

%18

.6%

2526

1/13

5624

18.1

%51

79/2

8675

20.4

%57

87/2

8379

24.6

%74

36/3

0280

10.1

%33

41/3

3100

23.2

%35

18/1

519

0

8.C

hild

und

er 5

yea

rs

diar

rhoe

a ca

se fa

talit

y ra

teQ

uarte

rly%

5.1%

239/

4623

5.7%

42/7

395.

4%59

/109

05.

7%55

/973

3.6%

47/1

307

7.0%

36/5

14

58 5859

Pr

ogra

mm

e Pe

rform

ance

In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Prov

ince

wid

e va

lue

2013

/14

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

9.C

hild

und

er 5

yea

rs

pneu

mon

ia c

ase

fata

lity

rate

Qua

rterly

%4.

7%28

3/60

285.

5%54

/976

6.2%

74/1

198

5.5%

50/9

013.

2%73

/226

24.

6%32

/691

10.

Chi

ld u

nder

5 y

ears

se

vere

acu

te m

alnu

tritio

n ca

se fa

talit

y ra

te

Qua

rterly

%15

.3%

288/

1880

17%

58/3

4213

.5%

48/3

5520

.6%

57/2

7712

.5%

68/5

4615

.8%

57/3

60

11.

Scho

ol G

rade

R s

cree

ning

co

vera

geQ

uarte

rly%

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

12.

Scho

ol G

rade

1 s

cree

ning

co

vera

geQ

uarte

rly%

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

13.

Scho

ol G

rade

8 s

cree

ning

co

vera

geQ

uarte

rly%

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

14.

Cou

ple

year

pro

tect

ion

rate

Qua

rterly

%36

.356

8963

/156

1958

39.6

1379

12/3

441

69

36.5

9554

3/32

2880

29.4

1199

49/3

2768

3

38.4

1482

75/3

8490

5

37.3

6818

4/18

232

115

.C

ervi

cal c

ance

r scr

eeni

ng

Cov

erag

e (a

mon

gst

wom

en)

Qua

rterly

%55

.565

547/

1171

1362

.116

130/

2582

161

.815

350/

2275

851

1169

4/24

672

47.3

1370

7/28

784

57.1

8666

/150

73

16.

Hum

an P

apillo

ma

Viru

s Va

ccin

e 1

st d

ose

cove

rage

Annu

al%

86%

89

%83

%89

%81

%89

%

17.

Vita

min

A d

ose

12-5

9 m

onth

s co

vera

geQ

uarte

rly%

33.8

%33

6758

/100

8258

30.1

7092

7/23

7972

36.4

6798

9/18

9654

32.7

6650

5/19

2224

37.6

9425

7/25

1948

25.2

3708

5/13

646

0

60 6061

Pr

ogra

mm

e Pe

rform

ance

In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Prov

ince

wid

e va

lue

2013

/14

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

18.

Mat

erna

l mor

talit

y in

fa

cilit

y ra

tio

Annu

alpe

r 100

00

0 Li

ve

Birth

s

153.

5/10

0 00

035

3.7

103.

461

.511

1.2

121.

2

19.

Early

neo

nata

l dea

thin

fa

cilit

y ra

teAn

nual

per 1

000

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew in

dica

tor

New

indi

cato

rN

ew

indi

cato

r

2.7.

1 PR

OVI

NCIA

L ST

RATE

GIC

OBJ

ECTI

VES,

INDI

CATO

RS A

ND A

NNU

AL T

ARG

ETS

FOR

MCW

H&N

TAB

LE D

HS

15: P

RO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S AN

D A

NN

UAL

TAR

GE

TS F

OR

MC

WH

&N

St

rate

gic

obje

ctiv

ePe

rfor

man

ce

indi

cato

r St

rate

gic

Plan

targ

et

Mea

ns

of

verif

icat

ion/

D

ata

Sour

ce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To

redu

cem

ater

nal a

nd c

hild

m

orbi

dity

an

d m

orta

lity

HPV

Va

ccin

e 2nd

dose

co

vera

ge

-D

HM

ISN

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r80

%(4

8 33

9 of

60

424)

80%

(48

339

of

60 4

24)

80%

(48

339

of

60 4

24)

80%

(48

339

of 6

0 42

4)

60 6061

TA

BLE

DH

S 16

: PER

FORM

ANCE

INDI

CAT

ORS

FO

R M

CWH

&N

Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

%An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.An

tena

tal 1

st v

isit

befo

re 2

0 w

eeks

rate

Qua

rterly

%41

41.9

45.8

%45

%46

%48

%50

%

2.M

othe

r pos

tnat

al v

isit

with

in 6

day

s ra

teQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

70%

75%

80%

85%

3.An

tena

tal c

lient

initi

ated

on

ART

rate

Annu

al%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

95%

21 8

50/2

3 00

0

98%

99%

99%

4.In

fant

1st

PC

R te

st p

ositi

ve a

roun

d 6

wee

ks ra

teQ

uarte

rly%

4.02

%(5

03 o

f 12

506)

2.4%

(536

of 2

1 99

6)

2.6%

<2<1

<1<1

5.Im

mun

isat

ion

cove

rage

und

er 1

yea

r (a

nnua

lised

)Q

uarte

rly%

96.6

%93

.8%

70.3

%90

%90

%90

%90

%

6.M

easl

es 2

nd d

ose

cove

rage

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

72%

75%

85%

85%

85%

7.D

TaP-

IPV-

Hep

B-H

ib 3

-M

easl

es 1

st

dose

dro

p-ou

t rat

e

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

18.6

%17

%15

%10

%5%

8.C

hild

und

er 5

yea

rs d

iarr

hoea

cas

e fa

talit

y ra

teQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

5.1%

5%5%

5%5%

9.C

hild

und

er 5

yea

rs p

neum

onia

cas

e fa

talit

y ra

te

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

r4.

7%4.

7%4.

5%4%

3.9%

10.

Chi

ld u

nder

5 y

ears

sev

ere

acut

e m

alnu

tritio

n ca

se fa

talit

y ra

teQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

15.3

%15

%15

%15

%15

%

11.

Scho

ol G

rade

R s

cree

ning

cov

erag

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

30%

40%

62 6263

Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

%An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

12.

Scho

ol G

rade

1 s

cree

ning

cov

erag

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

20%

30%

40%

13.

Scho

ol G

rade

8 s

cree

ning

cov

erag

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

20%

30%

40%

14.

Cou

ple

year

pro

tect

ion

rate

Qua

rterly

%36

.1%

( 496

042

of 1

374

078)

41.9

%56

752

of

135

447

36.3

%45

%46

%48

%50

%

15.

Cer

vica

l can

cer s

cree

ning

Cov

erag

e (a

mon

gst w

omen

)Q

uarte

rly%

60.2

%(5

74 4

64

of 1

027

66

5)

56.5

%(5

78

987o

f 1

024

756)

55.5

%55

%57

%58

%60

%

16.

Hum

an P

apillo

ma

Viru

s Va

ccin

e 1

st

dose

cov

erag

eAn

nual

%N

ew

indi

cato

rN

ew

indi

cato

r86

%80

%82

%85

%90

%

17.

Vita

min

A d

ose

12-5

9 m

onth

s co

vera

ge

Qua

rterly

%46

.8%

(165

452

of

353

53

0)

40.2

%( 3

55 0

46

of 8

83

200)

33.8

%37

%38

%39

%40

%

18.

Mat

erna

l mor

talit

y in

faci

lity

ratio

An

nual

per 1

00

000

Live

Bi

rths

187.

1/10

0 00

019

0.8/

100

000

153.

5/10

0 00

018

3.6/

100

000

182.

6/10

0 00

018

1.6/

100

000

180/

1000

00

19.

Early

neo

nata

l dea

th in

faci

lity

rate

Annu

alpe

r 100

0N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r12

/100

011

.5/1

000

11/1

000

10.5

/10

000

62 6263

Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

%An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

Act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

12.

Scho

ol G

rade

1 s

cree

ning

cov

erag

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

20%

30%

40%

13.

Scho

ol G

rade

8 s

cree

ning

cov

erag

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

20%

20%

30%

40%

14.

Cou

ple

year

pro

tect

ion

rate

Qua

rterly

%36

.1%

( 496

042

of 1

374

078)

41.9

%56

752

of

135

447

36.3

%45

%46

%48

%50

%

15.

Cer

vica

l can

cer s

cree

ning

Cov

erag

e (a

mon

gst w

omen

)Q

uarte

rly%

60.2

%(5

74 4

64

of 1

027

66

5)

56.5

%(5

78

987o

f 1

024

756)

55.5

%55

%57

%58

%60

%

16.

Hum

an P

apillo

ma

Viru

s Va

ccin

e 1

st

dose

cov

erag

eAn

nual

%N

ew

indi

cato

rN

ew

indi

cato

r86

%80

%82

%85

%90

%

17.

Vita

min

A d

ose

12-5

9 m

onth

s co

vera

ge

Qua

rterly

%46

.8%

(165

452

of

353

53

0)

40.2

%( 3

55 0

46

of 8

83

200)

33.8

%37

%38

%39

%40

%

18.

Mat

erna

l mor

talit

y in

faci

lity

ratio

An

nual

per 1

00

000

Live

Bi

rths

187.

1/10

0 00

019

0.8/

100

000

153.

5/10

0 00

018

3.6/

100

000

182.

6/10

0 00

018

1.6/

100

000

180/

1000

00

19.

Early

neo

nata

l dea

th in

faci

lity

rate

Annu

alpe

r 100

0N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r12

/100

011

.5/1

000

11/1

000

10.5

/10

000

PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

AN

NU

AL

/ Q

UA

RTE

RLY

TY

PE

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S

Q1

Q2

Q3

Q4

HPV

Vac

cine

2nd

dose

cov

erag

eAn

nual

%

80%

(48

339

of 6

0 42

4)

--

80%

(48

339

of 6

0 42

4)-

TA

BLE

DH

S18:

QU

ARTE

RLY

TAR

GET

S FO

R M

CW

H &

N F

OR

201

5/16

PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

AN

NU

AL

/ Q

UA

RTE

RLY

TY

PE

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

1.An

tena

tal 1

st v

isit

befo

re 2

0 w

eeks

ra

te

Q

uarte

rly%

46%

46%

46%

46%

46%

2.M

othe

r pos

tnat

al v

isit

with

in 6

day

s ra

teQ

uarte

rly%

75%

75%

75%

75%

75%

3.An

tena

tal c

lient

initi

ated

on

ART

rate

Annu

al%

98%

--

-98

%

4.In

fant

1st

PC

R te

st p

ositi

ve a

roun

d 6

wee

ks ra

teQ

uarte

rly%

<1<1

<1<1

<1

5.Im

mun

isat

ion

cove

rage

und

er 1

ye

ar (a

nnua

lised

)Q

uarte

rly%

90%

90%

90%

90%

90%

6.M

easl

es 2

nd d

ose

cove

rage

Q

uarte

rly%

85%

85%

85%

85%

85%

7.D

TaP-

IPV-

Hep

B-H

ib 3

-M

easl

es

1st d

ose

drop

-out

rate

Qua

rterly

%15

%18

%17

%16

%15

%

8.C

hild

und

er 5

yea

rs d

iarr

hoea

cas

e fa

talit

y ra

teQ

uarte

rly%

5%5%

5%5%

5%

9.C

hild

und

er 5

yea

rs p

neum

onia

ca

se fa

talit

y ra

te

Qua

rterly

%4.

5%4.

5%4.

5%4.

5%4.

5%

2.7.

2 Q

UART

ERLY

TAR

GET

S FO

R M

CWH

& N

TAB

LE D

HS

17: P

RO

VIN

CIA

L Q

UAR

TER

LY T

ARG

ETS

FOR

MC

WH

&N

FO

R 2

015/

16

64 6465

PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

AN

NU

AL

/ Q

UA

RTE

RLY

TY

PE

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

10.

Chi

ld u

nder

5 y

ears

sev

ere

acut

e m

alnu

tritio

n ca

se fa

talit

y ra

teQ

uarte

rly%

15%

15%

15%

15%

15%

11.

Scho

ol G

rade

R s

cree

ning

co

vera

geQ

uarte

rly%

20%

10%

15%

18%

20%

12.

Scho

ol G

rade

1 s

cree

ning

cov

erag

eQ

uarte

rly%

20%

10%

15%

20%

20%

13.

Scho

ol G

rade

8 s

cree

ning

cov

erag

eQ

uarte

rly%

20%

10%

15%

20%

20%

14.

Cou

ple

year

pro

tect

ion

rate

Qua

rterly

%46

%46

%46

%46

%46

%15

.C

ervi

cal c

ance

r scr

eeni

ng

Cov

erag

e (a

mon

gst w

omen

)Q

uarte

rly%

57%

57%

57%

57%

57%

16.

Hum

an P

apillo

ma

Viru

s Va

ccin

e

1st d

ose

cove

rage

Annu

al%

82%

--

-82

%

17.

Vita

min

A d

ose

12-5

9 m

onth

s co

vera

ge

Qua

rterly

%38

%38

%38

%38

%38

%

18.

Mat

erna

l mor

talit

y in

faci

lity

ratio

An

nual

per 1

00

000

Live

Bi

rths

182.

6/10

0 00

0-

--

182.

6/10

0 00

0

19.

Early

neo

nata

l dea

th in

faci

lity

rate

Annu

alpe

r 100

011

.5/1

000

--

-11

.5/1

000

64 6465

D

epar

tmen

t to

revi

ew th

is ta

rget

for

year

s 20

14/1

5 on

war

ds. T

his

sect

ion

shou

ld p

rovi

de th

e pu

rpos

e an

d br

ief o

verv

iew

of t

he D

PC P

rogr

amm

e as

stat

ed in

the

budg

et d

ocum

enta

tion.

TAB

LE D

HS1

9: S

ITU

ATIO

N AN

ALYS

IS IN

DIC

ATO

RS F

OR

DISE

ASE

PREV

ENTI

ON

AND

CON

TRO

L Pr

ogra

mm

e Pe

rform

ance

In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Prov

ince

w

ide

valu

e 20

13/1

4

Cap

ricor

n M

opan

i Se

khuk

hune

Vh

embe

W

ater

berg

1.C

lient

s sc

reen

ed fo

r hy

perte

nsio

n

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

indi

cato

r

2.C

lient

s sc

reen

ed fo

r dia

bete

s

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

indi

cato

r

3.C

lient

ssc

reen

ed fo

r Men

tal

diso

rder

s

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

indi

cato

r

4.C

lient

stre

ated

for M

enta

l D

isor

ders

-new

Qua

rterly

Num

ber

New

in

dica

tor

New

indi

cato

rN

ew

indi

cato

rN

ew in

dica

tor

New

in

dica

tor

New

indi

cato

r

5.C

atar

act s

urge

ry ra

te

(Uni

nsur

ed P

opul

atio

n)Q

uarte

rlyN

o pe

r milli

on

popu

latio

n1

326

567

174

155

265

165

6.M

alar

ia c

ase

fata

lity

rate

Q

uarte

rly%

1.27

%1.

98%

1.58

%0%

1.15

%0.

69%

2.8

DIS

EASE

PRE

VENT

ION

AND

CONT

ROL

(DPC

)

Ove

r th

e pa

st 1

0 ye

ars,

mal

aria

cas

es h

ave

show

ed a

gra

dual

dec

line,

with

an

aver

age

case

fata

lity

rate

of

1.1

%. T

he m

alar

ia c

ase

fata

lity

rate

mea

sure

s pr

ogra

mm

atic

fac

tors

eg

redu

ctio

n in

mal

aria

cas

es a

nd t

he q

ualit

y of

man

agin

g m

alar

ia in

fect

ed p

atie

nts,

with

som

e ex

tern

al f

acto

rs

influ

enci

ng th

e in

dict

or e

g de

lay

in s

eeki

ng h

ealth

car

e, c

o-m

orbi

dity

and

mig

rant

s re

porti

ng to

our

faci

litie

s w

ith s

ever

e m

alar

ia. T

his

has

prom

pted

the

66 6667

2.

8.1

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TAR

GET

S FO

R DP

C

TAB

LE D

HS

20:

PER

FORM

ANC

E IN

DIC

ATO

RS F

OR

DISE

ASE

PREV

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CON

TRO

L Pr

ogra

mm

e Pe

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In

dica

tor

Freq

uenc

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R

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ting

(Qua

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Indi

cato

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e A

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d/ a

ctua

l per

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Es

timat

e M

TEF

proj

ectio

n 20

11/1

2 20

12/1

3 20

13/1

4 20

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5 20

15/1

6 20

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7 20

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8

1.C

lient

s sc

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r hy

perte

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n Q

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r N

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New

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New

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New

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000

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000

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%(3

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ths)

1.44

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ses

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aths

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1.27

%(3

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case

s &

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eath

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2 Q

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ERLY

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NC

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TYPE

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NN

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QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

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for M

enta

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Rat

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alar

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fata

lity

rate

Q

uarte

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1.2%

1.2%

1.2%

1.2%

1.2%

68 6869

2.9

RECO

NCIL

ING

PER

FORM

ANCE

TAR

GET

S W

ITH

EXPE

NDIT

URE

TREN

DS

TAB

LE D

HS2

2: D

ISTR

ICT

HEA

LTH

SER

VIC

ES

Sub-

prog

ram

me

Aud

ited

outc

ome

Mai

n ap

prop

riatio

n A

djus

ted

appr

opria

tion

Rev

ised

es

timat

e M

ediu

m te

rm e

xpen

ditu

re e

stim

ates

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

D

istri

ct

Man

agem

ent

483,

806

521,

459

619,

348

629,

395

630,

115

692,

509

622,

414

698,

483

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408

Clin

ics

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1,91

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Com

mun

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entre

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4,92

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9,69

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6,47

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6,47

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6,47

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Com

mun

ity-b

ased

Se

rvic

es11

6,04

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0,31

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5,86

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8,77

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416

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Oth

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omm

unity

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rvic

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4,76

217

5,45

512

1,22

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5,68

823

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6,35

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0,73

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6,60

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Cor

oner

Ser

vice

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IV a

nd A

IDS

577,

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691,

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859,

439

978,

132

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1,34

1,89

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Nut

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11,8

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trict

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Sum

mar

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Pro

vinc

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xpen

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stim

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udite

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utco

mes

Mai

n ap

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riatio

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djus

ted

appr

opria

tion

Rev

ised

es

timat

e M

ediu

m-te

rm e

stim

ate

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

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aym

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6,

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pens

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324

7,13

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Goo

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prop

riatio

n R

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ium

-term

est

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e

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/12

2012

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2013

/14

2014

/15

2015

/16

2016

/17

2017

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hous

and

R’000

R’000

R’000

R’000

R’000

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RFO

RMAN

CE A

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XPEN

DITU

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REND

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The

obje

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this

Pro

gram

me

is to

ren

der

Dis

trict

Hea

lth S

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ces

thro

ugh

vario

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indi

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ove.

The

fund

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has

ther

efor

e be

en a

ligne

d to

the

vario

us k

ey s

trate

gic

focu

s of

the

prog

ram

me.

The

allo

cate

d bu

dget

has

a d

irect

impa

ct o

n th

e ac

hiev

emen

ts o

f tar

gets

in th

e fo

llow

ing

way

s:

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cele

ratio

n of

the

com

preh

ensi

ve p

rimar

y he

alth

car

e se

rvic

es p

acka

ge

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prov

e qu

ality

of c

are

at D

istri

ct h

ospi

tal l

evel

, e.g

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n of

pat

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wai

ting

time

and

cond

uctin

g do

ctor

s vi

sits

to c

linic

s

In

tens

ify th

e re

nder

ing

of M

CW

H a

nd n

utrit

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prog

ram

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. inc

reas

ed im

mun

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, red

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mat

erna

l dea

th a

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crea

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in g

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tens

ify t

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. th

e co

vera

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f pr

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of h

ealth

ser

vice

s at

por

ts is

incr

easi

ng, w

hist

mal

aria

fata

lity

rate

is d

ecre

asin

g

Im

prov

e th

e re

nder

ing

of a

com

preh

ensi

ve H

IV a

nd A

IDS,

STI

and

TB

prog

ram

me,

e.g

. the

trea

tmen

t cov

erag

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peo

ple

with

HIV

/AID

S

and

TB is

incr

easi

ng a

s th

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ndin

g in

crea

ses

The

depa

rtmen

t has

spe

nt a

tota

l of R

21.5

billi

on fr

om 2

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le th

e 20

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dget

am

ount

s to

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llion.

The

pro

pose

d M

TEF

from

201

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to 2

017/

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pro

ject

ed a

t R30

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illion

whi

ch w

ill be

use

d to

mai

ntai

n an

d im

prov

e th

e cu

rrent

ser

vice

s 2.

11

RISK

MAN

AGEM

ENT

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es fo

r the

bud

get p

rogr

amm

e D

istri

ct H

ealth

Ser

vice

s an

d th

e m

easu

res

to

miti

gate

the

impa

ct o

f the

risk

s ar

e in

dica

ted

belo

w:

. Stra

tegi

c O

bjec

tive

R

isk

Miti

gatin

g fa

ctor

s

To re

duce

Mat

erna

l and

chi

ldm

orbi

dity

and

mor

talit

y

Mis

sed

oppo

rtuni

ty (v

acci

natio

n of

child

ren

at a

ny g

iven

tim

e: p

rese

ntat

ion

of ro

ad to

hea

lth c

ard

with

eac

h

cons

ulta

tion)

R

aise

aw

aren

ess

to m

edic

al s

taff

to a

lway

s de

man

d

road

to h

ealth

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rts to

det

ect m

isse

d op

portu

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s

R

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aw

aren

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to th

e pa

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s of

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very

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Mat

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chi

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mor

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C

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dur

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birth

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by

preg

nant

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en

St

reng

then

com

mun

ity o

utre

ach

thro

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med

ia,

com

mun

ity m

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acce

ss to

qua

lity

dist

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Ex

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72 7273

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Com

mun

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an ti

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ensi

ve H

IV a

nd A

IDS,

STIs

and

TB

treat

men

t,

man

agem

ent a

nd s

uppo

rt

La

ck o

f pat

ient

info

rmat

ion

man

agem

ent s

yste

m (H

IV)

M

otiv

ate

for t

he d

evel

opm

ent o

f pat

ient

info

rmat

ion

syst

em

72 7273

3. B

UDG

ET P

ROG

RAM

ME

3: E

MER

GEN

CY M

EDIC

AL S

ERVI

CES

(EM

S)

3.1

PRO

GRA

MM

E PU

RPO

SE

The

purp

ose

of th

e pr

ogra

mm

e is

to im

prov

e th

e qu

ality

of e

mer

genc

y m

edic

al s

ervi

ces.

3.2

PRIO

RITI

ES

Im

prov

e qu

ality

of c

are

In

crea

se n

umbe

r of E

MS

veh

icle

s

Im

prov

e re

spon

se ti

me

TA

BLE

EM

S 1:

SIT

UAT

ION

ANAL

YSIS

INDI

CAT

ORS

FO

R EM

S Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Prov

ince

w

ide

valu

e 20

13/1

4

Cap

ricor

n 20

13/1

4 W

ater

berg

20

13/1

4 Se

khuk

hune

20

13/1

4 VH

EMBE

20

13/1

4 W

ater

berg

20

13/1

4

EMS

P1

urba

n re

spon

se u

nder

15

min

utes

ra

te

Qua

rterly

%57

%(9

9 of

173

)51

.5%

58.1

%52

%63

.8%

58.1

%

EMS

P1

rura

l res

pons

e un

der 4

0 m

inut

es ra

te

Q

uarte

rly%

57%

(5

02 o

f 882

)58

.5%

60.2

%50

.2%

58.3

%58

.2%

EMS

inte

r-fa

cilit

y tra

nsfe

r rat

e

Q

uarte

rly%

9.9%

16.6

%9.

2%9.

5%4.

8%9.

4%

74 7475

3.3

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TAR

GET

FO

R EM

S

TAB

LE E

MS

2: P

RO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S AN

D A

NN

UA

L TA

RG

ETS

FOR

EM

ERG

ENC

Y M

EDIC

AL S

ERVI

CES

St

rate

gic

obje

ctiv

ePe

rfor

man

ce

indi

cato

r St

rate

gic

Plan

targ

et

Mea

ns

of

verif

icat

ion/

D

ata

Sour

ce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To

impr

ove

acce

ss

to

emer

genc

y m

edic

al s

ervi

ces

Rat

io

of

ambu

lanc

e pe

r po

pula

tion

Ensu

re

all

ambu

lanc

es

resp

ond

with

in

(15

min

utes

in

ur

ban

and

40

min

utes

in r

ural

ar

eas)

th

e N

atio

nal

Nor

ms

by 2

020

Rep

orts

1:18

621

1:19

000

1:47

290

1:47

000

1:43

000

1:39

000

1:35

000

Num

ber

ofam

bula

nces

pr

ocur

ed

Rep

orts

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

5010

030

30

TAB

LE E

MS

3: P

ERFO

RM

ANC

E IN

DIC

ATO

RS

FOR

THE

EMS

AND

PATI

ENT

TRAN

SPO

RT

Prog

ram

me

Perfo

rman

ce In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

EMS

P1

urba

n re

spon

se u

nder

15

min

utes

ra

te

Qua

rterly

%57

%47

.94%

51%

50%

59.5

1%68

%76

.5%

EMS

P1

rura

l res

pons

e un

der 4

0 m

inut

es ra

te

Qua

rterly

%56

%76

.49%

56%

53%

61.5

%70

%78

.5%

EMS

inte

r-fa

cilit

y tra

nsfe

r rat

e Q

uarte

rly%

2.7%

2.8%

3.0%

7.9%

7.9%

7.9%

7.9%

74 7475

3.4

QUA

RTER

LY T

ARG

ETS

FOR

EMS

TAB

LE E

MS

4: P

RO

VIN

CIA

L Q

UAR

TER

LY T

AR

GET

S FO

R E

MS

FOR

201

5/16

PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

REP

OR

TIN

G

PER

IOD

TY

PE

AN

NU

AL

TAR

GET

201

5/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 R

atio

of a

mbu

lanc

e pe

r pop

ulat

ion

Qua

rterly

Rat

io1:

43 0

001:

47 0

001:

45 0

001:

43 0

001:

43 0

00N

umbe

r of a

mbu

lanc

es p

rocu

red

Qua

rterly

Num

ber

100

--

5050

TAB

LE E

MS

5: Q

UAR

TER

LY T

ARG

ETS

FOR

EM

S FO

R 2

015/

16

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

R

EPO

RTI

NG

PE

RIO

D

TYPE

A

NN

UA

L TA

RG

ET

2015

/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

EMS

P1

urba

n re

spon

se u

nder

15

min

utes

rate

Qua

rterly

%59

.51%

50%

53%

56%

59.5

1%EM

S P

1 ru

ral r

espo

nse

unde

r 40

min

utes

rate

Qua

rterly

%61

.5%

53%

55%

57%

61.5

%EM

S in

ter-

faci

lity

trans

fer r

ate

Qua

rterly

%7.

9%7.

9%7.

9%7.

9%7.

9%

TAB

LE E

MS

6: E

XPEN

DIT

UR

E ES

TIM

ATES

: EM

ERG

ENC

Y M

EDIC

AL S

ERVI

CES

Su

b-pr

ogra

mm

eA

udite

d ou

tcom

e M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

term

exp

endi

ture

est

imat

es

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

Em

erge

ncy

Tran

spor

t50

3,28

248

9,93

252

2,00

356

2,51

256

2,51

259

7,51

258

6,57

466

3,60

269

6,78

2Pl

anne

d Pa

tient

Tra

nspo

rtTO

TAL

50

3,28

2 48

9,93

2 52

2,00

3 56

2,51

2 56

2,51

2 59

7,51

2 58

6,57

4 66

3,60

2 69

6,78

2

76 7677

Sum

mar

y of

Pro

vinc

ial E

xpen

ditu

re E

stim

ates

by

Econ

omic

Cla

ssifi

catio

n1 A

udite

d O

utco

mes

Mai

n ap

prop

riatio

n A

djus

ted

appr

opria

tion

Rev

ised

es

timat

e M

ediu

m-te

rm e

stim

ate

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

R’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

R’000

Cur

rent

pay

men

ts

467,

775

483,

428

521,

498

552,

026

550,

876

550,

876

579,

114

644,

602

686,

637

Com

pens

atio

n of

em

ploy

ees

389,

656

407,

909

443,

171

469,

456

469,

056

469,

056

503,

543

565,

390

634,

660

Goo

ds a

nd s

ervi

ces

78,1

1975

,519

78,3

2782

,570

81,8

2081

,820

75,5

7179

,026

51,9

77C

omm

unic

atio

n5,

951

6,15

36,

115

2,90

22,

902

4,42

33,

972

6,18

13,

490

Con

sulta

nts,

Con

tract

ors

and

spec

ial s

ervi

ces

11,4

8317

,449

301

8,90

58,

905

13,2

3510

,331

13,7

4814

,435

Inve

ntor

y7,

865

2,96

51,

438

5,33

25,

332

4,18

811

,832

5,10

85,

364

Ope

ratin

g le

ases

--

--

45-

1,00

01,

050

Trav

el a

nd s

ubsi

sten

ce2,

011

775

764

995

995

1,13

834

616

517

3M

aint

enan

ce ,

repa

ir an

d ru

nnin

g co

sts

47,1

4946

,377

45,7

6162

,499

61,7

4925

,702

41,0

5848

,131

22,5

38Sp

ecify

oth

er3,

660

1,80

023

,948

1,93

71,

937

33,0

898,

032

4,69

34,

927

Tran

sfer

s an

d su

bsid

ies

to

329

481

505

202

1,35

2 1,

352

204

214

225

Dep

artm

enta

l age

ncie

s an

d ac

coun

ts-

--

-75

075

0-

--

76 7677

Aud

ited

Out

com

es

M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Hou

seho

lds

329

481

505

202

602

602

204

214

225

Paym

ents

for c

apita

l as

sets

35

,178

6,

023

- 10

,284

10

,284

25

,284

7,

257

18,9

71

9,92

0

Build

ings

and

oth

er fi

xed

stru

ctur

es70

8-

--

--

--

-

Mac

hine

ry a

nd e

quip

men

t34

,470

6,02

3-

10,2

8410

,284

25,2

847,

257

18,9

719,

920

Tota

l eco

nom

ic

clas

sific

atio

n 50

3,28

2 48

9,93

2 52

2,00

3 56

2,51

2 56

2,51

2 57

7,51

2 58

6,57

4 66

3,60

2 69

6,78

2

3.5

PERF

ORM

ANCE

AND

EXP

ENDI

TURE

TRE

NDS

The

allo

cate

d bu

dget

has

a d

irect

impa

ct o

n th

e ac

hiev

emen

ts o

f the

targ

ets

in th

e fo

llow

ing

way

s:

Im

prov

e th

e fu

nctio

ning

of P

lann

ed P

atie

nt T

rans

port

serv

ices

, e.g

. the

acq

uisi

tion

of v

ehic

les

to tr

ansp

ort p

atie

nts

betw

een

hosp

itals

.

Im

prov

e qu

ality

of c

are

at p

re-h

ospi

tal l

evel

, e.g

. red

uctio

n of

resp

onse

tim

es a

nd re

crui

tmen

t of q

ualif

ied

staf

f, pu

rcha

se o

f am

bula

nces

and

com

mun

icat

ion

equi

pmen

t.

St

reng

then

Obs

tetri

c Am

bula

nces

ser

vice

s by

app

oint

ing

mid

wiv

es a

nd q

ualif

ied

para

med

ics.

The

depa

rtmen

t has

spe

nt a

tota

l of R

1.5

billio

n in

201

1/12

to 2

013/

14 w

hile

the

2014

/15

budg

et a

mou

nts

to R

562.

5 m

illion

. The

MTE

F fro

m

2015

/16

to 2

017/

18 is

pro

ject

ed a

t R1.

9 bi

llion.

Thi

s am

ount

will

be u

sed

to m

aint

ain

and

impr

ove

the

curre

nt s

ervi

ces.

78 7879

3.6

RIS

K M

ANAG

EMEN

T

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es fo

r th

e bu

dget

pro

gram

me

Emer

genc

y M

edic

al S

ervi

ces

and

the

mea

sure

s to

miti

gate

the

impa

ct o

f the

risk

s ar

e in

dica

ted

belo

w:

Stra

tegi

c O

bjec

tive

R

isk

Miti

gatin

g fa

ctor

s

To im

prov

e ac

cess

to

Emer

genc

y M

edic

al

Serv

ices

Und

erfu

ndin

g of

EM

SPr

oper

ana

lysi

s of

nee

ds b

ased

on

info

rmat

ion

Inad

equa

te E

MS

prac

titio

ners

and

hig

h St

aff

turn

over

Rec

ruitm

ent o

f sta

ff an

d pr

ovis

ion

of tr

aini

ng fo

r all

EM

S ca

tego

ries

Inad

equa

te E

MS

vehi

cles

Impl

emen

tatio

n of

the

EMS

optim

izat

ion

plan

Proc

ure

EMS

vehi

cles

Inad

equa

te in

frast

ruct

ure

Fast

-trac

k in

frast

ruct

ure

deve

lopm

ent

Inad

equa

te in

form

atio

n an

d co

mm

unic

atio

n

tech

nolo

gy

Mig

rate

from

Ana

logu

e to

Dig

ital s

yste

m

78 7879

4. BUDGET PROGRAMME 4: PROVINCIAL HOSPITALS (REGIONAL AND SPECIALISED)


The purpose is to provide secondary and specialised hospital services within 5 regional and 3 specialised hospitals, which are accessible, appropriate and effective. It also provides a platform for training health professionals.

4.2 PRIORITIES

Implement quality improvement plans in all provincial hospitals Improve quality of Mental health care facilities Strengthen functionality of Mental Health Review Boards.

80 8081

4.3

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TARG

ETS

FOR

REG

IONA

L HO

SPIT

ALS

TA

BLE

PH

S1: P

RO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S AN

D A

NN

UA

L TA

RG

ETS

FOR

REG

ION

AL H

OSP

ITAL

S

Stra

tegi

c ob

ject

ive

Perf

orm

ance

in

dica

tor

Stra

tegi

c Pl

an

targ

et

Mea

ns o

f ve

rific

atio

n/

Dat

a So

urce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Im

prov

e ac

cess

to

qual

ity h

ospi

tal

serv

ices

Num

ber

of f

acilit

ies

that

ar

e 80

%

com

plia

nt w

ith th

e 6

prio

ritie

s of

the

natio

nal

core

st

anda

rds

5R

epor

tsN

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r5

55

5

TABL

E PH

S2: P

ERFO

RMAN

CE IN

DIC

ATO

RS F

OR

REG

ION

AL H

OSP

ITAL

S Pr

ogra

mm

e Pe

rform

ance

In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited

/act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t rat

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

(5 o

f 5)

100%

(5 o

f 5)

100%

(5 o

f 5)

100%

(5 o

f 5)

2.Q

ualit

y im

prov

emen

t pla

n af

ter

self

asse

ssm

ent r

ate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

(5 o

f 5)

100%

(5 o

f 5)

100%

(5 o

f 5)

100%

(5 o

f 5)

3.Pe

rcen

tage

of H

ospi

tals

co

mpl

iant

with

all

extre

me

and

vita

l mea

sure

s of

the

natio

nal

core

sta

ndar

ds

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r40

%(2

of 5

)40

%(2

of 5

)40

%(2

of 5

)40

%(2

of 5

)

4.Pa

tient

Exp

erie

nce

of C

are

Surv

ey R

ate

Annu

al%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

100%

100%

100%

100%

5.Pa

tient

Exp

erie

nce

of C

are

rate

An

nual

%67

.75%

72.7

%60

%65

%70

%75

%80

%

80 8081

Prog

ram

me

Perfo

rman

ce

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Aud

ited

/act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

Num

ber

5.25

day

s5

days

5.2

days

5 da

ys5

days

4.9

days

4da

ys

5in

patie

nt B

ed U

tilis

atio

n ra

te

(Usa

ble

ed U

tilis

atio

n R

ate

)Q

uarte

rly%

65.8

5%62

.1%

65.6

%65

%68

%70

%75

%

6Ex

pend

iture

per

PD

E Q

uarte

rlyN

umbe

rR

2 1

87R

2 54

1R

2,46

4.1

R2,

544

R2,

697

R2,

700

R2,

750

7C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

New

In

dica

tor

New

In

dica

tor

New

In

dica

tor

100%

100%

100%

100%

8C

ompl

aint

sR

esol

utio

n w

ithin

25

wor

king

day

s ra

te

Qua

rterly

%74

%62

.2%

(605

of

972)

100%

(628

of

628

)10

0%10

0%10

0%10

0%

4.4

QUA

RTER

LY T

ARG

ETS

FOR

REG

IONA

L HO

SPIT

ALS

TA

BLE

PH

S 3:

PR

OVI

NC

IAL

QU

ARTE

RLY

TA

RG

ETS

FOR

REG

ION

AL H

OSP

ITAL

S PR

OG

RAM

ME

PER

FOR

MAN

CE

IND

ICAT

OR

R

EPO

RTI

NG

PE

RIO

D

ANN

UAL

TA

RG

ET

2015

/16

QU

ARTE

RLY

TAR

GET

S Q

1 Q

2 Q

3 Q

4

Num

ber

of

faci

litie

s th

at

are

80%

co

mpl

iant

with

the

6 pr

iorit

ies

of

the

natio

nal c

ore

stan

dard

s

Qua

rterly

55

55

5

82 8283

TA

BLE

PH

S 4:

QU

ARTE

RLY

TAR

GET

S FO

R R

EGIO

NAL

HO

SPIT

ALS

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

R

EPO

RTI

NG

PE

RIO

D

AN

NU

AL

TAR

GET

201

5/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 1.

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent r

ate

Qua

rterly

100%

(5 o

f 5)

40%

(2 o

f 5)

60%

(3of

5)

80%

(4of

5)

100%

(5of

5)

2.Q

ualit

y im

prov

emen

t pla

n af

ter

self

asse

ssm

ent r

ate

Q

uarte

rly10

0%(5

of 5

)40

%(2

of 5

)60

%(3

of 5

)80

%(4

of 5

)10

0%(5

of 5

)

3.Pe

rcen

tage

of H

ospi

tals

co

mpl

iant

with

all

extre

me

and

vita

l mea

sure

s of

the

natio

nal

core

sta

ndar

ds

Qua

rterly

40%

(2 o

f 5)

40%

(2 o

f 5)

40%

(2 o

f 5)

40%

(2 o

f 5)

40%

(2 o

f 5)

4.Pa

tient

Exp

erie

nce

of C

are

Surv

eyR

ate

Annu

al10

0%-

--

100%

5.Pa

tient

Exp

erie

nce

of C

are

rate

An

nual

70%

--

-70

%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

5 da

ys5

days

5 da

ys5

days

5 da

ys

7.In

patie

nt B

ed U

tilis

atio

n R

ate

Qua

rterly

68%

68%

68%

68%

68%

8.Ex

pend

iture

per

PD

E Q

uarte

rlyR

2,69

7R

2,69

7R

2,69

7R

2,69

7R

2,69

7

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly10

0%10

0%10

0%10

0%10

0%

10.

Com

plai

nts

Res

olut

ion

with

in 2

5 w

orki

ng d

ays

rate

Q

uarte

rly10

0%10

0%10

0%10

0%10

0%

82 8283

4.5

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TAR

GET

S FO

R SP

ECIA

LISE

D HO

SPIT

ALS

TA

BLE

PH

S 5:

PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES

AND

AN

NU

AL T

ARG

ETS

FOR

SPE

CIA

LISE

D H

OSP

ITAL

S St

rate

gic

obje

ctiv

ePe

rfor

man

ce in

dica

tor

Stra

tegi

c Pl

an

targ

et

Mea

ns o

f ve

rific

atio

n / D

ata

Sour

ce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ce

Med

ium

term

targ

ets

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Impr

ove

acce

ss

toho

spita

l se

rvic

es

Num

ber

Dis

trict

s w

ith

func

tiona

l M

enta

l H

ealth

re

view

boa

rd m

eetin

gs

-R

epor

ts

/min

utes

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

33

33

4.6

QUA

RTER

LY T

ARG

ETS

FOR

SPEC

IALI

SED

HOSP

ITAL

S

TA

BLE

PHS

6: P

ROVI

NCIA

L Q

UART

ERLY

TARG

ETS

FOR

SPEC

IALI

SED

HOSP

ITALS

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

A

NN

UA

L TA

RG

ET

2015

/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

Num

ber D

istri

cts

with

func

tiona

l Men

tal H

ealth

revie

w b

oard

m

eetin

gs3

33

33

84 8485

4.7

RECO

NCIL

ING

PER

FORM

ANCE

TAR

GET

S W

ITH

EXPE

NDIT

URE

TREN

DS

TAB

LE P

HS

7: E

XPEN

DIT

UR

E ES

TIM

ATES

: PR

OVI

NC

IAL

HO

SPIT

AL

SER

VIC

ES

Sub-

prog

ram

me

Aud

ited

outc

ome

Mai

n ap

prop

riatio

n A

djus

ted

appr

opria

tion

Rev

ised

es

timat

e M

ediu

m te

rm e

xpen

ditu

re e

stim

ates

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ t

hous

and

Gen

eral

(reg

iona

l) ho

spita

ls1,

132,

280

1,28

3,18

11,

308,

407

1,47

9,71

91,

477,

999

1,47

7,99

91,

510,

200

1,57

5,48

71,

654,

262

Tube

rcul

osis

hos

pita

lsP

sych

iatri

c ho

spita

ls30

6,80

935

6,59

037

9,79

654

5,78

854

0,78

854

0,78

858

4,21

765

8,14

269

1,04

9TO

TAL

1,43

9,08

9 1,

639,

771

1,68

8,20

3 2,

025,

507

2,01

8,78

7 2,

018,

787

2,09

4,41

7 2,

233,

629

2,34

5,31

0

Sum

mar

y of

Pro

vinc

ial E

xpen

ditu

re E

stim

ates

by

Econ

omic

Cla

ssifi

catio

n

Aud

ited

Out

com

es

M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Cur

rent

pay

men

ts

1,43

2,79

0 1,

628,

047

1,67

7, 7

60

2,02

2,78

4 2,

011,

784

2,01

1,78

4 2,

091,

680

2,23

0,74

6 2,

342,

784

Com

pens

atio

n of

em

ploy

ees

1,29

7,39

51,

458,

990

1,50

4,82

91,

745,

570

1,74

4,57

01,

744,

570

1,85

5,00

41,

982,

570

2,08

2,19

9

Goo

ds a

nd s

ervi

ces

135,

395

169,

057

172,

931

277,

214

267,

214

267,

214

236,

675

248,

176

260,

585

Com

mun

icat

ion

5,28

96,

435

5,57

65,

309

5,30

96,

255

1,89

81,

999

2,09

9

Con

sulta

nts,

Con

tract

ors

and

spec

ial

serv

ices

25,8

0260

,941

62,6

4750

,507

45,5

0770

,166

60,3

5641

,802

43,8

93

Inve

ntor

y55

,297

60,5

2167

,102

163,

533

158,

533

138,

178

140,

539

149,

459

156,

932

Ope

ratin

g le

ases

1,81

92,

276

1,94

19,

345

9,34

549

,756

1,41

41,

488

1,56

3

Trav

el a

nd s

ubsi

sten

ce5,

040

2,18

6 2,

240

376

376

1,19

1

6

77

713

749

Mai

nten

ance

, re

pair

and

runn

ing

cost

s6,

096

7,28

8 5,

862

14,1

4114

,141

1,63

29,

063

9,91

110

,407

Spe

cify

oth

er36

,052

29,4

1027

,563

34,0

0334

,003

48,3

7822

,728

42,8

0444

,942

Tran

sfer

s an

d su

bsid

ies

to

3,0

21

9,

402

9,61

2

1,0

10

5,0

10

5,0

10

1,

020

1

,074

62

8

Hou

seho

lds

3,02

19,

402

9,61

21,

010

5,01

05,

010

1,02

01,

074

628

Paym

ents

for c

apita

l ass

ets

3,27

8 2,

322

831

1,71

3 1,

993

1,99

3 1,

717

1,80

8 1,

899

Mac

hine

ry a

nd e

quip

men

t3,

278

2,32

283

11,

713

1,99

31,

993

1,71

71,

808

1,89

9

Tota

l eco

nom

ic c

lass

ifica

tion

1,43

9,08

9 1,

639,

771

1,68

8,20

3 2,

025,

507

2,01

8,78

7 2,

018,

787

2,09

4,41

7 2,

233,

629

2,34

5,31

0

84 8485

4.8

PERF

ORM

ANCE

AND

EXP

ENDI

TURE

TRE

NDS

The

purp

ose

of th

e pr

ogra

mm

e is

to d

eliv

er s

econ

dary

leve

l hos

pita

l ser

vice

s to

be

acce

ssib

le, a

ppro

pria

te, a

nd e

ffect

ive.

Thi

s in

clud

es p

rovi

sion

of

gene

ral s

peci

alis

t ser

vice

s, s

peci

alis

ed s

ervi

ces,

as

wel

l as

a pl

atfo

rm fo

r tra

inin

g he

alth

pro

fess

iona

ls a

nd re

sear

ch. T

he a

lloca

ted

budg

et h

as a

dire

ct

impa

ct o

n th

e ac

hiev

emen

ts o

f tar

gets

in th

e fo

llow

ing

way

s:

Expa

nd t

he s

econ

dary

hos

pita

l ser

vice

s, e

.g. r

efer

rals

to th

e te

rtiar

y ho

spita

l will

drop

as

seco

ndar

y se

rvic

es a

re p

erfo

rmed

at r

egio

nal

hosp

itals

Impr

ove

qual

ity o

f ca

re a

t re

gion

al a

nd s

peci

alis

ed h

ospi

tal l

evel

, e.

g. r

educ

tion

in p

atie

nt w

aitin

g tim

e du

e to

the

ava

ilabi

lity

of h

ealth

pr

ofes

sion

als

and

impl

emen

tatio

n of

nur

sing

car

e pa

ckag

e.

The

depa

rtmen

t has

spe

nt a

tota

l of R

4.8

billio

n fro

m 2

011/

12 to

201

3/14

whi

le th

e 20

14/1

5 bu

dget

am

ount

s to

R2.

0 bi

llion.

The

MTE

F fro

m 2

015/

16

to 2

017/

18 is

pro

ject

ed a

t R6.

7 bi

llion.

Thi

s am

ount

will

be u

sed

to m

aint

ain

and

impr

ove

the

curre

nt s

ervi

ces.

The

fund

ing

has

ther

efor

e be

en a

ligne

d to

the

vario

us k

ey s

trate

gic

focu

s of

the

prog

ram

me

4.9

RISK

MAN

AGEM

ENT

Stra

tegi

c O

bjec

tive

RIS

K

MIT

IGAT

ING

FAC

TOR

S

Impr

ove

acce

ss to

qua

lity

hosp

ital s

ervi

ces

Poor

qua

lity

of m

enta

l hea

lth c

are

St

reng

then

Men

tal H

ealth

Rev

iew

Boa

rds

M

otiv

ate

for t

he e

stab

lishm

ent o

f Men

tal H

ealth

Car

e in

stitu

tions

in e

ach

dist

rict w

ith e

mph

asis

on

child

ps

ychi

atry

.

Incr

ease

d C

ost p

er p

atie

nt d

ay e

quiv

alen

t due

to

pro

long

ed s

tay.

M

otiv

ate

for a

ppoi

ntm

ent o

f mor

e sp

ecia

lists

Mis

inte

rpre

tatio

n of

the

Men

tal h

ealth

car

e po

licy

C

ondu

ct c

apac

ity b

uild

ing

wor

ksho

ps o

n th

e M

enta

l H

ealth

Car

e po

licy

R

evie

w th

e M

enta

l hea

lth c

are

polic

y

Ove

rcro

wdi

ng in

faci

litie

s du

e to

fam

ilies

aban

doni

ng p

atie

nts

Ex

pedi

te th

e bu

ildin

g/re

vita

lizat

ion

proj

ects

Shor

tage

of s

peci

alis

ts

Impl

emen

t the

recr

uitm

ent a

nd re

tent

ion

stra

tegy

86 8687

5. BUDGET PROGRAMME 5: CENTRAL & TERTIARY HOSPITALS (C&THS) 5.1 PROGRAMME PURPOSE

The purpose of the programme is to strengthen tertiary/academic services and to create a platform for training of health professionals and research.

5.2 PRIORITIES

Increase access to tertiary services

Training of health professionals

Implementation of quality improvement plans in tertiary hospitals

86 8687

5.3

PRO

VINC

IAL

STRA

TEG

IC O

BJEC

TIVE

S, IN

DICA

TORS

AND

ANN

UAL

TAR

GET

S FO

R TE

RTIA

RY H

OSP

ITAL

S

TAB

LE C

&TH

S 1:

PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES

AND

AN

NU

AL T

ARG

ETS

FOR

TER

TIAR

Y H

OSP

ITAL

S

Stra

tegi

c ob

ject

ive

Perf

orm

ance

indi

cato

r St

rate

gic

Plan

targ

et

Mea

ns o

f ve

rific

atio

n / D

ata

Sour

ce

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Impr

ove

acce

ss

to

qual

ity h

ospi

tal

serv

ices

Num

ber

of fa

cilit

ies

that

are

80

% c

ompl

iant

with

the

6

prio

ritie

s of

the

natio

nal

core

sta

ndar

ds

2R

epor

tsN

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r2

22

2

TAB

LE C

&TH

S2: P

ERFO

RM

ANC

E IN

DIC

ATO

RS

FOR

TER

TIAR

Y H

OSP

ITAL

S Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of

Rep

ortin

g (Q

uarte

rly /

Annu

al)

Indi

cato

r Ty

pe

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

1.N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t rat

eQ

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

indi

cato

r10

0%10

0%10

0%

2.Q

ualit

y im

prov

emen

t pla

n af

ter s

elf

asse

ssm

ent r

ate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

indi

cato

r10

0%10

0%10

0%

3.Pe

rcen

tage

of H

ospi

tals

com

plia

nt w

ith

all e

xtre

me

and

vita

l mea

sure

s of

the

natio

nal c

ore

stan

dard

s

Qua

rterly

%N

ew

indi

cato

rN

ew

indi

cato

rN

ew

indi

cato

r10

0%10

0%10

0%10

0%

4.Pa

tient

exp

erie

nce

of C

are

Surv

ey ra

te

Annu

al%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

indi

cato

r10

0%10

0%10

0%

5.Pa

tient

exp

erie

nce

of C

are

rate

Annu

al%

65%

34.5

%39

%40

%50

%60

%70

%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

Num

ber

6.7

days

6.7

days

7.2

days

7 da

ys7d

ays

7 da

ys7

days

88 8889

Prog

ram

me

Perfo

rman

ce In

dica

tor

Freq

uenc

y of

R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ate

MTE

F pr

ojec

tion

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

7.In

patie

nt B

ed U

tilis

atio

n R

ate

(Usa

ble

Be

d U

tilis

atio

n R

ate)

Q

uarte

rly%

73.1

%72

.4%

75.9

%76

%77

%78

%79

%

8.Ex

pend

iture

per

PD

E Q

uarte

rlyN

umbe

rR

2 65

6.75

R3

381

R3

366.

6R

3 50

0R

3 60

0R

3 70

0R

4,05

0

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

New

indi

cato

r10

0%10

0%10

0%

10.

Com

plai

nts

Res

olut

ion

with

in 2

5 w

orki

ng d

ays

rate

Q

uarte

rly%

50.2

%36

.6%

(519

of 1

41

9)

93.2

%

(689

of

739)

94%

95%

95%

95%

5.4

QUA

RTER

LY T

ARG

ETS

FOR

TERT

IARY

AND

CEN

TRAL

HO

SPIT

ALS

TAB

LE T

HS3

: PR

OVI

NC

IAL

QU

ARTE

RLY

TA

RG

ETS

FOR

TER

TIAR

Y H

OSP

ITAL

S

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

A

NN

UA

L TA

RG

ET

2015

/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 N

umbe

r of

fac

ilitie

s th

at a

re 8

0% c

ompl

iant

with

the

6

prio

ritie

s of

the

nat

iona

l cor

e st

anda

rds

22

22

2

88 8889

TAB

LE T

HS3

: QU

ARTE

RLY

TAR

GET

S FO

R T

ERTI

ARY

HO

SPIT

ALS

PR

OG

RAM

ME

PER

FOR

MA

NC

E IN

DIC

ATO

R

AN

NU

AL

TAR

GET

20

15/1

6

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4

1.N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t rat

eQ

uarte

rly%

100%

50%

100%

100%

100%

2.Q

ualit

y im

prov

emen

t pla

n af

ter

self

asse

ssm

ent r

ate

Q

uarte

rly%

100%

50%

100%

100%

100%

3.Pe

rcen

tage

of H

ospi

tals

co

mpl

iant

with

all

extre

me

and

vita

l mea

sure

s of

the

natio

nal

core

sta

ndar

dsQ

uarte

rly%

100%

50%

100%

100%

100%

4.Pa

tient

exp

erie

nce

of C

are

Surv

ey ra

te

Annu

al%

100%

--

-10

0%

5.Pa

tient

exp

erie

nce

of C

are

rate

Annu

al%

50%

--

-50

%

6.Av

erag

e Le

ngth

of S

tay

Qua

rterly

Num

ber

7day

s7d

ays

7day

s7d

ays

7day

s

7.In

patie

nt B

ed U

tilis

atio

n R

ate

(Usa

ble

Bed

Util

isat

ion

Rat

e)Q

uarte

rly%

77%

77%

77%

77%

77%

8.Ex

pend

iture

per

PD

E Q

uarte

rlyN

umbe

rR

3 60

0R

3 60

0R

3 60

0R

3 60

0R

3 60

0

9.C

ompl

aint

s re

solu

tion

rate

Q

uarte

rly%

100%

100%

100%

100%

100%

10.

Com

plai

nts

Res

olut

ion

with

in 2

5 w

orki

ng d

ays

rate

Q

uarte

rly%

95%

95%

95%

95%

95%

90 9091

5.5

RECO

NCIL

ING

PER

FORM

ANCE

TAR

GET

S W

ITH

EXPE

NDIT

URE

TREN

DS A

ND B

UDG

ETS

TAB

LE C

&TH

7:

EXPE

ND

ITU

RE

ESTI

MAT

ES: C

ENTR

AL A

ND

TER

TIA

RY

SER

VIC

ES

Sub-

prog

ram

me

Aud

ited

outc

ome

Mai

n ap

prop

riatio

nA

djus

ted

appr

opria

tion

Rev

ised

es

timat

eM

ediu

m te

rm e

xpen

ditu

re e

stim

ates

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

R’ th

ousa

ndC

entra

l Hos

pita

ls1,

029,

210

1,11

7,61

81,

244,

436

1,32

2,00

11,

343,

557

1,36

8,50

11,

356,

357

1,44

8,60

41,

525,

389

Terti

ary

Hos

pita

lsTO

TAL

1,02

9,21

01,

117,

618

1,24

4,43

61,

322,

001

1,34

3,55

71,

368,

501

1,35

6,35

71,

448,

604

1,52

5,38

9

Su

mm

ary

of P

rovi

ncia

l Exp

endi

ture

Est

imat

es b

y Ec

onom

ic C

lass

ifica

tion

Audi

ted

Out

com

es

M

ain

appr

opria

tion

Adju

sted

ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Cur

rent

pay

men

ts

962,

861

1,10

0,45

7 1,

191,

064

1,29

9,06

9 1,

312,

744

1,31

2,74

4 1,

332,

659

1,43

2,65

0 1,

499,

187

Com

pens

atio

n of

em

ploy

ees

776,

751

871,

635

970,

109

1,00

0,27

21,

003,

972

1,00

3,97

21,

027,

899

1,12

8,65

21,

219,

439

Goo

ds a

nd s

ervi

ces

186,

110

228,

822

220,

955

298,

797

308,

772

308,

772

304,

760

294,

998

279,

748

Com

mun

icat

ion

4,86

05,

943

4,21

07,

270

7,27

010

,119

7,52

09,

633

5,11

5C

onsu

ltant

s, C

ontra

ctor

s an

d sp

ecia

l ser

vice

s60

,297

76,0

8673

,670

85,1

0485

,079

45,5

9380

,293

68,6

4347

,075

Inve

ntor

y91

,712

116,

258

106,

788

165,

533

174,

033

191,

027

184,

650

168,

157

176,

565

Ope

ratin

g le

ases

2,41

23,

406

16,2

071,

494

1,49

44,

840

1,54

41,

560

1,63

8Tr

avel

and

sub

sist

ence

2,44

81,

754

1,74

426

526

51,

194

273

284

298

Mai

nten

ance

, re

pair

and

runn

ing

cost

s1,

357

735

26

8,

262

8,26

2

2

,674

737

9,

460

9

,933

S

peci

fy o

ther

23,0

2424

,640

18,3

1030

,869

32,3

6953

,325

29,7

4337

,261

39,1

24Tr

ansf

ers

and

subs

idie

s to

98

3 1,

843

2,90

7 58

0 90

5 90

5 58

6 61

7 64

8

Pro

vinc

es a

nd

mun

icip

aliti

es-

--

-25

25-

--

Hou

seho

lds

983

1,84

32,

907

580

880

880

586

617

648

Paym

ents

for c

apita

l as

sets

65

,366

15

,318

50

,465

22

,352

29

,908

29

,908

23

,112

24

,337

25

,554

90 9091

Audi

ted

Out

com

es

M

ain

appr

opria

tion

Adju

sted

ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Bui

ldin

gs a

nd o

ther

fixe

d st

ruct

ures

1

7,55

9

3

,645

3,

008

-

-

-

-

-

-

Mac

hine

ry a

nd

equi

pmen

t47

,807

11,6

7347

,457

22,3

5229

,908

29,9

0823

,112

24,3

3725

,554

Tota

l eco

nom

ic

clas

sific

atio

n 1,

029,

210

1,11

7,61

8 1,

244,

436

1,32

2,00

1 1,

343,

557

1,34

3,55

7 1,

356,

357

1,44

8,60

4 1,

525,

389

5.6

PERF

ORM

ANCE

AND

EXP

ENDI

TURE

TRE

NDS

The

purp

ose

of th

e Te

rtiar

y H

ospi

tal i

s to

pro

vide

terti

ary

heal

th s

ervi

ces

and

crea

te a

pla

tform

for t

rain

ing

of h

ealth

pro

fess

iona

ls a

nd re

sear

ch. T

he

fund

ing

has

been

alig

ned

to th

e ke

y st

rate

gic

obje

ctiv

e of

the

prog

ram

me

and

targ

ets.

The

allo

cate

d bu

dget

has

a d

irect

impa

ct o

n th

e ac

hiev

emen

ts

of ta

rget

s in

the

follo

win

g w

ays:

R

educ

tion

of re

ferr

als

outs

ide

the

prov

ince

, e.g

. ter

tiary

ser

vice

s ar

e be

ing

incr

ease

d in

the

hosp

ital t

hrou

gh th

e cu

rren

t bud

get a

nd M

TEF

and

this

redu

ces

the

refe

rral

s ou

tsid

e th

e pr

ovin

ce.

Im

prov

e qu

ality

of c

are

at te

rtiar

y ho

spita

l lev

el, e

.g. r

educ

tion

in p

atie

nt w

aitin

g tim

e du

e to

the

avai

labi

lity

of h

ealth

pro

fess

iona

ls.

M

oder

nisa

tion

of t

he t

ertia

ry s

ervi

ces,

e.g

. th

e pu

rcha

se o

f hi

ghly

tec

hnic

al e

quip

men

t to

rend

er t

he t

ertia

ry s

ervi

ces

is d

one

usin

g th

e al

loca

tion

unde

r thi

s pr

ogra

mm

e

The

depa

rtmen

t has

spe

nt a

tota

l of R

3.4

billio

n fro

m 2

011/

12 to

201

3/14

whi

le th

e 20

14/1

5 bu

dget

am

ount

s to

R1.

3 bi

llion.

The

MTE

F fro

m 2

015/

16

to 2

017/

18 is

pro

ject

ed a

t R4.

3 bi

llion

whi

ch w

ill be

use

d to

mai

ntai

n an

d im

prov

e th

e cu

rren

t ser

vice

92 9293

5.7

RISK

MAN

AGEM

ENT

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es fo

r the

bud

get p

rogr

amm

e te

rtiar

y ho

spita

ls a

nd th

e m

easu

res

to m

itiga

te th

e

impa

ct o

f the

risk

s ar

e in

dica

ted

belo

w:

Stra

tegi

c O

bjec

tive

R

isks

M

itiga

ting

fact

ors

Impr

ove

acce

ss to

qua

lity

hosp

ital

serv

ices

D

elap

idat

ed in

frast

ruct

ure

i.e b

uild

ing

and

plan

ts

Impl

emen

t the

reco

mm

enda

tions

of

asse

ssm

ent r

epor

t

Sh

orta

ge o

f spe

cial

ists

in s

urge

ry,

and

orth

opae

dics

Inte

nsify

recr

uitm

ent a

nd re

tent

ion

of

spec

ialis

ts

Bu

ildin

g st

rong

rela

tions

hip

with

priv

ate

sect

or s

peci

alis

ts to

dea

l with

bac

klog

Incr

ease

num

ber o

f reg

istra

rs

La

ck o

f mai

nten

ance

con

tract

for

equi

pmen

t

Proc

ure

term

mai

nten

ance

con

tract

s fo

r ex

istin

g eq

uipm

ent

Pr

ocur

e eq

uipm

ent w

ith a

ppro

pria

te

mai

nten

ance

con

tract

s

Shor

tage

of c

linic

al e

ngin

eers

In

tens

ify re

crui

tmen

t of c

linic

al e

ngin

eers

U

nrel

iabl

e in

form

atio

n m

anag

emen

t sy

stem

s (fi

nanc

ial,

hum

an a

nd p

atie

nt

info

rmat

ion

syst

ems)

U

pgra

ding

the

info

rmat

ion

man

agem

ent

syst

ems

92 9293

6. BUDGET PROGRAMME 6: HEALTH SCIENCES AND TRAINING (HST)


The purpose of the programme is to provide training and development of actual and potential employees of the department through the sub-programme, Nurse, EMS training Colleges and Human resource development training.

6.2 PRIORITIES

Provide Health professional training and development

94 9495

6.3

PRO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S, IN

DIC

ATO

RS

AND

AN

NU

AL

TAR

GET

S FO

R H

EALT

H S

CIE

NC

ES A

ND

TR

AIN

ING

TAB

LE H

ST 1

: PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES

AND

AN

NU

AL

TAR

GET

S FO

R H

ST

Stra

tegi

c ob

ject

ive

Perf

orm

ance

in

dica

tor

Stra

tegi

c Pl

an ta

rget

M

eans

of

verif

icat

ion

Aud

ited/

act

ual p

erfo

rman

ce

Estim

ated

pe

rfor

man

ceM

ediu

m te

rm ta

rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To

incr

ease

pr

oduc

tion

for

and

deve

lop

hum

an

reso

urce

s fo

r he

alth

Num

ber o

f Bas

ic

prof

essi

onal

nur

se

stud

ents

gra

duat

ed

1300

Col

lege

re

cord

s 46

563

846

360

050

040

040

0

Num

ber o

f med

ical

st

uden

ts o

n C

uban

pr

ogra

mm

e

110

med

ical

st

uden

ts

on

Cub

an M

edic

al

train

ing

prog

ram

me

annu

ally

List

of

appr

oved

bu

rsar

s

1010

3011

011

011

011

0

TA

BLE

HST

2: P

ERFO

RMAN

CE IN

DIC

ATO

RS F

OR

HEAL

TH S

CIEN

CES

AND

TRAI

NING

Pr

ogra

mm

e Pe

rform

ance

Indi

cato

r Fr

eque

ncy

of R

epor

ting

(Qua

rterly

/ An

nual

)

Indi

cato

r Ty

pe

Aud

ited

/ act

ual p

erfo

rman

ce

Estim

ate

Med

ium

term

goa

ls

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Num

ber

of

Burs

arie

s aw

arde

d fo

r m

edic

alst

uden

tsAn

nual

Num

ber

New

in

dica

tor

New

in

dica

tor

New

in

dica

tor

5013

014

015

0

Num

ber o

f Bur

sarie

s aw

arde

d fo

r firs

t

year

nur

sing

stu

dent

s.**

*An

nual

Num

ber

--

--

--

-

***–

The

Depa

rtmen

t doe

s no

t aw

ard

burs

arie

s to

the

nurs

ing

stud

ents

94 9495

6.4

QUA

RTER

LY T

ARG

ETS

FOR

HEAL

TH S

CIEN

CES

AND

TRAI

NING

TABL

E HS

T3: Q

UAR

TERL

Y PR

OVI

NCIA

L TA

RGET

S FO

R HE

ALTH

SCI

ENCE

S AN

D TR

AINI

NG F

OR

2015

/16

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

Q

UA

RTE

RLY

/ A

NN

UA

L TY

PE

AN

NU

AL

TAR

GET

201

5/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 N

umbe

r of B

asic

pro

fess

iona

l nu

rse

stud

ents

gra

duat

edAn

nual

Num

ber

500

- -

500

-

Num

ber o

f med

ical

stu

dent

s on

Cub

an p

rogr

amm

eAn

nual

N

umbe

r 11

0-

- 11

0-

TABL

E HS

T4: Q

UAR

TERL

Y TA

RGET

S FO

R HE

ALTH

SCI

ENCE

S AN

D TR

AINI

NG F

OR

2015

/16

PRO

GR

AMM

E PE

RFO

RM

AN

CE

IND

ICAT

OR

Q

UA

RTE

RLY

/ A

NN

UA

L TY

PE

AN

NU

AL

TAR

GET

201

5/16

QU

AR

TER

LY T

AR

GET

S Q

1 Q

2 Q

3 Q

4 N

umbe

r of B

ursa

ries

awar

ded

for m

edic

al s

tude

nts

Annu

alN

umbe

r13

0-

- -

130

Num

ber o

f Bur

sarie

s aw

arde

d fo

r firs

t yea

r nur

sing

stu

dent

sAn

nual

Num

ber

--

--

-

96 9697

6.5

RECO

NCIL

ING

PER

FORM

ANCE

TAR

GET

S W

ITH

EXPE

NDIT

URE

TREN

DS

TABL

E HS

T 4:

EXP

ENDI

TURE

EST

IMAT

ES:

HEAL

TH S

CIEN

CES

AND

TRAI

NING

Su

b-pr

ogra

mm

eA

udite

d ou

tcom

e M

ain

appr

opria

tion

Adj

uste

d ap

prop

riatio

n R

evis

ed

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sing

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he fu

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me

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the

curr

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t and

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educ

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in th

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S pr

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ises

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curr

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udge

t and

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F to

trai

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d EM

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actit

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s.

R

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in th

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sing

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ff, e

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fund

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trai

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tent

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urse

s th

at a

fter

com

plet

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stud

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wor

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98 9899

Th

e de

partm

ent h

as s

pent

a to

tal o

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nts

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0 m

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pose

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from

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017/

18 is

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ject

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t R1.

7 bi

llion

whi

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ill be

use

d to

mai

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n an

d im

prov

e th

e cu

rrent

ser

vice

s

6.7

RISK

MAN

AGEM

ENT

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es o

f the

bud

get p

rogr

amm

e: H

ealth

sci

ence

s an

d tra

inin

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d th

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easu

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to

miti

gate

the

impa

ct o

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risk

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isk

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ctor

s

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se p

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lop

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sour

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ed

pers

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l.

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sal

ary

pack

age

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prov

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tions

of h

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pro

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ls

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secu

red

exam

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pape

rs

Al

l cam

puse

s an

d fa

cilit

ies

to h

ave

safe

s to

sto

re

exam

inat

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pape

rs

O

verc

row

ding

in re

side

nce

Te

mpo

rary

ere

ct s

truct

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to re

lieve

con

gest

ion

R

elea

se o

f priv

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form

atio

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ou

tsid

e co

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for b

iddi

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nder

s

Ve

tting

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ervi

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rovi

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and

offi

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s.

Rai

sing

aw

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ess

and

sign

ing

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e oa

th o

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recy

by

all o

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in H

RD

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ou

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gy

98 9899

BUDGET PROGRAMME 7: HEALTH CARE SUPPORT SERVICES (HCSS)

7.1 PROGRAMME PURPOSE The purpose of the programme is to render support services as required by the Department

to realise its objectives of incorporating all aspects of rehabilitation through the sub-

programmes:

Pharmaceutical Services;

Rehabilitation services ( Allied Health Care Support Services);

Oral health services; and

Forensic Pathology Services.

7.2 PRIORITIES

Provide essential pharmaceutical supplies;

Increase facilities with full complement of Health Care Support Services; and

Strengthen Forensic Pathology Services.

100 100101

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ce

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ium

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/12

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/13

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/14

2014

/15

2015

/16

2016

/17

2017

/18

To

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100 100101

7.5

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/12

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2013

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2014

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2015

/16

2016

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2017

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R’ t

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and

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2014

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2015

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2016

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sfer

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vices

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e en

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lth C

are

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ices

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irect

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ct o

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e ac

hiev

emen

ts o

f ta

rget

s in

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follo

win

g w

ays:

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ovis

ion

of a

ll es

sent

ial m

edic

ines

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allo

cate

d bu

dget

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sed

to p

urch

ase

all t

hese

med

icin

es a

nd th

e M

TEF

will

ensu

re

avai

labi

lity.

Prov

isio

n of

fore

nsic

pat

holo

gy s

ervi

ces.

Pr

ovis

ion

of o

rthot

ic a

nd p

rost

hetic

ser

vice

s. E

.g. t

he p

urch

ase

of a

ssis

tive

devi

ces

is d

one

usin

g th

is a

lloca

tion.

The

depa

rtmen

t has

spe

nt a

tota

l of R

1.9

billio

n fro

m 2

011/

12 to

201

3/14

whi

le th

e 20

14/1

5 bu

dget

am

ount

s to

R93

.4 m

illion

. The

MTE

F fro

m 2

015/

16

to 2

017/

18 i

s pr

ojec

ted

at R

298

milli

on w

hich

will

be u

sed

to m

aint

ain

and

impr

ove

the

curr

ent

serv

ices

.The

Dep

artm

ent

inte

nds

to r

ealis

e th

is

prog

ram

me’

s st

rate

gic

obje

ctiv

es a

nd t

arge

ts t

hrou

gh e

ffect

ive

and

econ

omic

util

izat

ion

of t

he r

esou

rces

, re

gula

r m

onito

ring

of t

he p

rogr

amm

e pe

rform

ance

and

sta

keho

lder

s pa

rtici

patio

n

102 102103

Aud

ited

Out

com

es

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ain

appr

opria

tion

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uste

d ap

prop

riatio

n R

evis

ed

estim

ate

Med

ium

-term

est

imat

e

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Tran

sfer

s an

d su

bsid

ies

to

--

--

202

202

204

215

225

Pro

vinc

esan

d m

unic

ipal

ities

--

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--

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seho

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723

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202

202

204

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225

Paym

ents

for c

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l as

sets

13

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gs a

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ther

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ruct

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--

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hine

ry a

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ORM

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ENDI

TURE

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rend

er h

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car

e su

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tire

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lth C

are

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irect

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rget

s in

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ays:

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ovis

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ll es

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edic

ines

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cate

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dget

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sed

to p

urch

ase

all t

hese

med

icin

es a

nd th

e M

TEF

will

ensu

re

avai

labi

lity.

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isio

n of

fore

nsic

pat

holo

gy s

ervi

ces.

Pr

ovis

ion

of o

rthot

ic a

nd p

rost

hetic

ser

vice

s. E

.g. t

he p

urch

ase

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ssis

tive

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usin

g th

is a

lloca

tion.

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depa

rtmen

t has

spe

nt a

tota

l of R

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n fro

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011/

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3/14

whi

le th

e 20

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dget

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ount

s to

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illion

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017/

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s pr

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at R

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on w

hich

will

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sed

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ain

and

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ent

serv

ices

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artm

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nds

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ram

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r m

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he p

rogr

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rform

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and

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keho

lder

s pa

rtici

patio

n

The

key

risks

that

may

affe

ct th

e re

alis

atio

n of

the

obje

ctiv

es o

f the

bud

get p

rogr

amm

e: H

ealth

Car

e Su

ppor

t Ser

vice

s an

d m

easu

res

to m

itiga

te

the

impa

ct o

f the

risk

s ar

e in

dica

ted

belo

w.

Stra

tegi

c O

bjec

tives

R

isk

Miti

gatin

g fa

ctor

s

To p

rovi

de a

ll es

sent

ial

med

icin

es

Poor

per

form

ance

by

supp

liers

•

Impo

se p

enal

ties

to s

uppl

iers

who

do

not m

eet

requ

ired

stan

dard

s

Incr

ease

d nu

mbe

r of i

tem

s on

quot

atio

n

•Aw

ard

prov

inci

al te

nder

s or

use

oth

er p

rovi

ncia

l

tend

ers

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ease

in E

xpire

d st

ock

•Pu

t sys

tem

s in

pla

ce to

mon

itor e

xpiry

dat

es

No

com

plia

nce

with

regu

lato

ry

stan

dard

s

•Q

ualit

y im

prov

emen

t pla

n

To p

rovi

de re

habi

litat

ion

serv

ices

in fa

cilit

ies

and

com

mun

ities

Dev

elop

men

t of p

erm

anen

t dis

abilit

y•

Put s

yste

ms

in p

lace

for e

arly

reha

bilit

atio

n

inte

rven

tion

7.7

RISK

MAN

AGEM

ENT

104 104105

8 BUDGET PROGRAMME 8: HEALTH FACILITIES MANAGEMENT (HFM)


The purpose of the programme is to plan, provide and equip new facilities/assets, and upgrade,

rehabilitate and maintain hospitals, clinics and other facilities.

8.2 PRIORITIES

Upgrade of PHC facilities Upgrade of hospitals Upgrade nursing college and nursing schools Provide water, sanitation and electrical services (new and upgrade) Implement maintenance programme.

104 104105

8.

3 PR

OVI

NCIA

L ST

RATE

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ated

pe

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man

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ediu

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rget

s

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

To im

prov

e qu

ality

of

heal

th

infr

astr

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litie

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ium

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2012

/13

2013

/14

2014

/15

2015

/16

2016

/17

2017

/18

Num

ber o

f hea

lth fa

cilit

ies

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ha

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nder

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106 106107

8.4

QUA

RTER

LY T

ARG

ETS

FOR

HFM

TAB

LE H

FM3:

PR

OVI

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RLY

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ILIT

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AGEM

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and

sche

dule

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Qua

rterly

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53

45

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umbe

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litie

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o7

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LE H

FM4:

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ARTE

RLY

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GET

S FO

R H

EALT

H F

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n R

evis

ed

estim

ate

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ium

term

exp

endi

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est

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es

2011

/12

2012

/13

2013

/14

2014

/15

2015

/16

2016

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2017

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ium

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2014

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2015

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rtmen

t has

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l of R

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key

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that

may

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bud

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mea

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s to

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risk

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ates

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nds

2013

/14

2014

/15

2015

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it to

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ports

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ashi

ng b

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2014

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2015

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2014

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2015

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2014

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2015

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2016

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R th

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2014

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52El

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ed fr

om th

e B

usin

ess

Cas

es p

repa

red

for e

ach

Con

ditio

nal G

rant

)

Indi

cato

r tar

gets

for

2015

/16

unde

rtake

n in

the

dist

rict

fund

ed th

roug

h th

is g

rant

3. PU

BLIC

ENT

ITIE

S

The

depa

rtmen

t doe

s no

t hav

e an

y pu

blic

ent

ities

4. PU

BLIC

-PRI

VATE

PAR

TNER

SHIP

S (P

PPs)

Nam

e of

PPP

Pu

rpos

e O

utpu

ts

Cur

rent

ann

ual

budg

et

(R’000)

Dat

e of

te

rmin

atio

n M

easu

res

to

ensu

re s

moo

th

tran

sfer

of

resp

onsi

bilit

ies

1.Li

mpo

po R

enal

D

ialy

sis

Uni

tTo

form

par

tner

ship

for

finan

cing

, con

stru

ctin

g,

equi

ppin

g, m

aint

aini

ng,

oper

atin

g an

d co

-sta

ffing

an

enla

rged

and

refu

rbis

hed

rena

l fa

cilit

y; a

nd

Prov

ide

full

rang

e of

ha

emod

ialy

sis

and

prov

isio

n of

su

ppor

t to

the

perit

onea

l ou

tpat

ient

s se

rvic

es b

y pr

ivat

e pa

rties

•H

igh

qual

ity s

ervi

ced

heal

th fa

cilit

y d

eliv

ered

•Fa

cilit

ies

and

man

agem

ent s

ervi

ce

cons

iste

nt w

ith th

e et

hos,

go

als

and

valu

es o

f the

D

epar

tmen

t pro

vide

d

•H

igh

qual

ity re

nal

serv

ices

con

sist

ent w

ith

the

inte

rnat

iona

l st

anda

rds

prov

ide

R34

.5 m

illion

Nov

embe

r 201

6PP

P Ag

reem

ent h

as

clau

se o

n te

rmin

atio

n

Dec

isio

n to

re-

adve

rtise

or p

erfo

rm

inte

rnal

ly to

be

take

n on

or b

efor

e Se

ptem

ber 2

015

128 128129

Nam

e of

PPP

Pu

rpos

e O

utpu

ts

Cur

rent

ann

ual

budg

et

(R’000)

Dat

e of

te

rmin

atio

n M

easu

res

to

ensu

re s

moo

th

tran

sfer

of

resp

onsi

bilit

ies

2.Ph

alab

orw

a H

ospi

tal

Acqu

ire fu

ll PP

P fo

r fin

anci

ng,

desi

gnin

g, u

pgra

ding

, and

re

furb

ishm

ent o

f the

Ph

alab

orw

a H

ealth

Cen

tre a

s a

priv

ate

hosp

ital f

acilit

y

Priv

ate

hos

pita

l est

ablis

hed

thro

ugh

PPP

Rev

enue

exp

ecte

dD

ecem

ber 2

025

Impl

emen

t the

PPP

Ag

reem

ent i

n re

latio

n to

te

rmin

atio

n cl

ause

3.N

ursi

ng C

olle

geTo

exp

and,

upg

rade

and

m

aint

enan

ce o

f the

3 E

xist

ing

cam

puse

s. T

o co

nstru

ct a

nd

mai

nten

ance

of 2

add

ition

al

cam

puse

s.

Expa

nded

, upg

rade

d an

d m

aint

enan

ce o

f the

3

Exis

ting

cam

puse

s.

Con

stru

cted

and

m

aint

enan

ce o

f 2 a

dditi

onal

ca

mpu

ses

in S

ekhu

khun

e an

d W

ater

berg

R0.

00Th

e de

partm

ent

has

deci

ded

not

to p

rogr

ess

to th

e pr

ocur

emen

t st

age

Achi

evem

ent o

f m

ilest

ones

as

per

PPP

man

ual

4.Li

mpo

po A

cade

mic

H

ospi

tal

Acqu

ire fu

ll PP

P fo

r fin

anci

ng,

desi

gnin

g an

d bu

ildin

g th

e ac

adem

ic h

ospi

tal

Hig

h qu

ality

ser

vice

d he

alth

fa

cilit

y d

eliv

ered

Hig

h qu

ality

rena

l ser

vice

s co

nsis

tent

with

the

inte

rnat

iona

l sta

ndar

ds

prov

ide

R0.

00Th

e pr

ojec

t is

man

aged

by

Nat

iona

l Hea

lth

Nat

iona

l Hea

lth a

nd

Trea

sury

are

stil

l in

vest

igat

ing

the

best

pro

cure

men

t m

odel

130 130131

The

follo

win

g re

sour

ce d

ocum

ents

and

prio

ritie

s, in

ter a

lia, w

ere

cons

ider

ed in

the

deve

lopm

ent o

f the

APP

: Nat

iona

l Dev

elop

men

t Pla

n, M

ediu

m T

erm

Stra

tegi

c Fr

amew

ork

(MTS

F), t

he 1

0 Po

int P

lan

for

the

heal

th s

ecto

r, G

over

nmen

t out

com

es (

Neg

otia

ted

Serv

ice

Del

iver

y Ag

reem

ent),

Lim

popo

’s

Empl

oym

ent G

row

th a

nd D

evel

opm

ent P

lan

(LEG

DP)

, Sta

te o

f the

Nat

ion

Addr

ess

(SO

NA)

, Sta

te o

f the

Pro

vinc

e Ad

dres

s (S

OPA

), N

atio

nal H

ealth

Prio

ritie

s an

d th

e M

EC’s

bud

get s

peec

h. In

add

ition

, the

APP

has

bee

n de

velo

ped

usin

g th

e fo

rmat

cus

tom

ised

for t

he h

ealth

sec

tor a

nd a

ppro

ved

by

Trea

sury

. It i

s al

so im

porta

nt to

not

e th

at a

gre

at e

ffort

has

been

mad

e in

set

ting

targ

ets

that

will

see

to th

e ac

hiev

emen

t of t

he D

epar

tmen

t’s s

trate

gic

obje

ctiv

es.

The

Dep

artm

ent h

ereb

y co

mm

it its

elf t

o im

plem

entin

g th

e An

nual

Per

form

ance

Pla

n (A

PP) f

or 2

015/

16 -

2017

/18

(MTE

F).

5. CO

NCLU

SIO

NS

Giv

en t

hat

the

deve

lopm

ent

of t

he A

nnua

l Per

form

ance

Pla

n (A

PP)

was

an

incl

usiv

e pr

oces

s, it

is t

here

fore

rea

sona

ble

to c

oncl

ude

that

all

the

Dep

artm

ent’s

em

ploy

ees

prou

dly

take

ow

ners

hip

of th

is s

trate

gic

docu

men

t. M

eanw

hile

, Gov

ernm

ent’s

prio

ritie

s in

gen

eral

and

thos

e of

the

heal

th

sect

or in

par

ticul

ar h

ave

care

fully

bee

n in

corp

orat

ed in

to th

e AP

P.

130 130131

AN

NEX

UR

E A

: Sta

tsSA

Pop

ulat

ion

Estim

ates

200

2-20

18

132 132133

134 134135

AN

NEX

UR

E B

: MED

IUM

TER

M S

TRAT

EGIC

FR

AM

EWO

RK

201

4-20

19

134 134135

AN

NEX

UR

E E:

TEC

HN

ICA

L IN

DIC

ATO

R D

ESC

RIP

TIO

NS

Nat

iona

l Ind

icat

or d

efin

ition

s

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Prog

ram

me

1:

Adm

inis

trat

ion

Prog

ram

me

1:

Adm

inis

trat

ion

Audi

t opi

nion

fro

m A

udito

r-G

ener

al

Audi

t opi

nion

fro

m A

udito

r-G

ener

alAn

nual

Cat

egor

ical

Non

eN

one

Doc

umen

ted

evid

ence

outc

ome

of th

e a

udit

cond

ucte

d by

Offi

ce o

f th

e Au

dito

r Gen

eral

Perc

enta

ge o

f H

ospi

tals

with

br

oadb

and

acce

ss

Perc

enta

ge o

f H

ospi

tals

with

br

oadb

and

acce

ss

Qua

rterly

%

Tota

l num

ber o

f H

ospi

tals

with

m

inim

um 2

Mbp

sco

nnec

tivity

Tota

l Num

ber

of H

ospi

tals

Doc

umen

ted

evid

ence

Prop

ortio

n of

Hos

pita

ls

that

hav

e ac

cess

to

atle

ast 2

Mbp

s co

nnec

tion

Perc

enta

ge o

f fix

ed P

HC

fa

cilit

ies

with

br

oadb

and

acce

ss

Perc

enta

ge o

f fix

ed P

HC

fa

cilit

ies

with

br

oadb

and

acce

ss

Qua

rterly

%

Tota

l num

ber o

f fix

ed

PHC

faci

litie

s w

ith

min

imum

512

kbp

s co

nnec

tivity

Tota

l num

ber

of fi

xed

PHC

fa

cilit

ies

Doc

umen

ted

evid

ence

Prop

ortio

n of

Hos

pita

ls

that

hav

e ac

cess

to

atle

ast 5

12 K

bps

conn

ectio

nPr

ogra

mm

e 2.

1 -

Man

agem

ent

Prog

ram

me

2.1

- M

anag

emen

t

Num

ber o

f D

istri

cts

pilo

ting

NH

Iin

terv

entio

ns

Num

ber o

f D

istri

cts

pilo

ting

NH

Iin

terv

entio

ns

Annu

alN

oN

umbe

r of D

istri

cts

pilo

ting

NH

I in

terv

entio

ns

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

Tota

l num

ber o

f Dis

trict

s pi

lotin

g N

HI

inte

rven

tions

usi

ng th

e co

nditi

onal

gra

nt fu

ndin

g

No

of N

HI F

ora

Esta

blis

hed

Esta

blis

h N

HI

Con

sulta

tion

For a

Annu

alYe

s-N

oN

ot A

pplic

able

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

A pr

ovin

cial

DoH

has

es

tabl

ishe

d a

foru

m to

co

nsul

t non

-sta

te a

ctor

s,

patie

nt a

nd n

on-p

atie

ntgr

oups

on

NH

IN

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t ra

te (P

HC

Fa

cilit

ies)

Qua

rterly

%N

umbe

r of F

ixed

PH

C

faci

litie

s th

at

cond

ucte

d N

atio

nal

Cor

e S

tand

ards

sel

f as

sess

men

t to

date

in

Tota

l num

ber

of F

ixed

PH

C

faci

litie

s

DH

IS -

NC

S S

yste

mFi

xed

heal

th fa

cilit

ies

that

hav

e co

nduc

ted

annu

al N

atio

nal C

ore

Stan

dard

s se

lf as

sess

men

t as

a pr

opor

tion

of fi

xed

heal

th

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

mea

surin

g th

eir

own

leve

l of

com

plia

nce

with

st

anda

rds

in o

rder

to

136 136137

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

the

curr

ent f

inan

cial

ye

arfa

cilit

ies.

The

pop

ulat

ion

will

be d

ivid

ed b

y 12

in

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

clos

e ga

ps in

pr

epar

atio

n fo

r an

exte

rnal

ass

essm

ent

by th

e O

ffice

of H

ealth

St

anda

rds

Com

plia

nce

Qua

lity

impr

ovem

ent

plan

afte

r sel

f as

sess

men

t ra

te (

PH

C

Faci

litie

s)

Qua

rterly

%N

umbe

r of f

acilit

ies

that

dev

elop

ed a

Q

ualit

y im

prov

emen

t pl

an to

dat

e in

the

curr

ent f

inan

cial

yea

r

Num

ber o

f Fi

xed

PHC

fa

cilit

ies

that

co

nduc

ted

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent

to d

ate

in th

e cu

rren

t fin

anci

al y

ear

DH

IS -

NC

S S

yste

mFi

xed

heal

th fa

cilit

ies

that

hav

e de

velo

ped

a qu

ality

impr

ovem

ent

plan

afte

r sel

f as

sess

men

t as

a pr

opor

tion

of fi

xed

heal

th

faci

litie

s

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

deve

lopi

ng a

pla

n to

clo

se g

aps

iden

tifie

d af

ter s

elf

asse

ssm

ents

Num

ber o

f pr

imar

y he

alth

ca

re c

linic

s in

th

e 52

dis

trict

s th

at q

ualif

y as

Id

eal C

linic

s

Perc

enta

ge o

f fix

ed P

HC

Fa

cilit

ies

com

plia

nt w

ith

all e

xtre

me

mea

sure

s of

th

e na

tiona

l co

re s

tand

ards

Qua

rterly

%To

tal n

umbe

r of F

ixed

PH

C fa

cilit

ies

that

are

co

mpl

iant

to a

ll ex

trem

e m

easu

res

of

natio

nal c

ore

stan

dard

s

Num

ber o

f Fi

xed

PHC

fa

cilit

ies

that

co

nduc

ted

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent

to d

ate

in th

e cu

rren

tfin

anci

al y

ear

DH

IS -

NC

S S

yste

mFi

xed

heal

th fa

cilit

ies

that

hav

e pa

ssed

all

extre

me

mea

sure

s of

N

CS

in s

elf a

sses

smen

t as

a p

ropo

rtion

of f

ixed

he

alth

faci

litie

s

prop

ortio

n of

he

alth

faci

litie

s th

at c

ondu

ct

patie

nt

satis

fact

ion

surv

eys

at le

ast

once

a y

ear

Patie

nt

Expe

rienc

e of

C

are

Sur

vey

Rat

e(P

HC

Fa

cilit

ies)

Qua

rterly

%To

tal n

umbe

r of F

ixed

PH

C H

ealth

faci

litie

s th

at c

ondu

cted

a

Patie

nt S

atis

fact

ion

Surv

ey to

dat

e in

the

curr

ent f

inan

cial

yea

r

Tota

l num

ber

of F

ixed

PH

Cfa

cilit

ies

DH

IS -

NC

S S

yste

mFi

xed

heal

th fa

cilit

ies

that

hav

e co

nduc

ted

Patie

nt S

atis

fact

ion

Surv

eys

as a

pro

porti

on

of fi

xed

heal

th fa

cilit

ies.

Th

e ta

rget

pop

ulat

ion

will

be d

ivid

ed b

y 12

in

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

cond

uctin

g pa

tient

sa

tisfa

ctio

n su

rvey

s

136 136137

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Patie

nt

Expe

rienc

e of

C

are

Rat

e(at

PH

C F

acilit

ies)

Patie

nt

Expe

rienc

e of

C

are

Rat

eat

PHC

Fac

ilitie

s

Annu

al%

Sum

of P

atie

nt

Satis

fact

ion

Scor

es o

f al

l PH

C F

acilit

ies

that

co

nduc

ted

a Pa

tient

Sa

tisfa

ctio

n Su

rvey

to

date

in th

e cu

rren

t fin

anci

al y

ear

Tota

l num

ber

of F

ixed

PH

C

Hea

lth

faci

litie

s th

at

cond

ucte

d a

Patie

nt

Satis

fact

ion

Surv

ey to

da

te in

the

curr

ent

finan

cial

yea

r

Patie

nt

Satis

fact

ion

Surv

ey to

ol

Aver

age

PHC

Pat

ient

Sa

tisfa

ctio

nsc

ore

of a

ll PH

C fa

cilit

ies

that

co

nduc

ted

the

annu

al

patie

nt s

atis

fact

ion

surv

ey.

Num

ber o

f fu

nctio

nal

WBP

HC

OTs

OH

H

regi

stra

tion

visi

t co

vera

ge

Qua

rterly

No

OH

H re

gist

ratio

n vi

sit

OH

H in

po

pula

tion

DH

IS

Out

reac

h ho

useh

olds

re

gist

ered

by

War

d Ba

sed

Out

reac

h Te

ams

as a

pro

porti

on o

f OH

H

in p

opul

atio

n. T

he

popu

latio

n w

ill b

e di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

im

plem

enta

tion

of th

e PH

C re

-eng

inee

ring

stra

tegy

Num

ber o

f D

istri

cts

with

fu

lly fl

edge

d D

istri

ct C

linic

al

Spec

ialis

t Te

ams

(DC

STs

)

Num

ber o

f D

istri

cts

with

D

istri

ct C

linic

al

Spec

ialis

t Te

ams

(DC

STs

)

Qua

rterly

No

Doc

umen

ted

evid

ense

PHC

util

isat

ion

rate

Q

uarte

rlyN

oPH

C h

eadc

ount

tota

lPo

pula

tion

tota

lD

HIS

Aver

age

num

ber o

f PH

C

visi

ts p

er p

erso

n pe

r ye

ar in

the

popu

latio

n.

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

PH

C a

cces

s an

d ut

ilisat

ion

Com

plai

nts

reso

lutio

n ra

te

Qua

rterly

%C

ompl

aint

s re

solv

edC

ompl

aint

s re

ceiv

edD

HIS

Com

plai

nts

reso

lved

as

a pr

opor

tion

of

com

plai

nts

rece

ived

Mon

itors

pub

lic h

ealth

sy

stem

resp

onse

to

cust

omer

con

cern

s

138 138139

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Com

plai

nt

reso

lutio

n w

ithin

25

wor

king

day

s ra

te

Qua

rterly

%C

ompl

aint

s re

solv

ed

with

in 2

5 w

orki

ng d

ays

Com

plai

nts

reso

lved

D

HIS

Com

plai

nts

reso

lved

w

ithin

25

wor

king

day

s as

a p

ropo

rtion

of a

ll co

mpl

aint

s re

solv

ed

Mon

itors

pub

lic h

ealth

sy

stem

resp

onse

to

cust

omer

con

cern

s

Prog

ram

me

2.2

- HA

ST

Prog

ram

me

2.2 –

HA

ST

Tota

l clie

nts

rem

aini

ng o

n AR

T

Qua

rterly

No

sum

of t

he fo

llow

ing:

-Any

clie

nt th

at h

as a

cu

rren

t reg

imen

in th

e co

lum

n de

sign

atin

g th

e m

onth

you

are

re

porti

ng o

n.

-Any

clie

nt th

at h

as a

st

ar w

ithou

t a c

ircle

(s

omeo

ne w

ho is

not

ye

t con

side

red

lost

to

follo

w-u

p (L

TF) i

n th

e co

lum

n de

sign

atin

g th

e m

onth

you

are

re

porti

ng o

n.

Clie

nts

rem

aini

ng o

n AR

T eq

uals

[Nai

ve

(incl

udin

g P

EP

and

PMTC

T) +

Ex

perie

nced

(Exp

) +

Tran

sfer

in (T

FI) +

R

esta

rt] m

inus

[Die

d (R

IP) +

Los

t to

follo

w-

up (L

TF) +

Tra

nsfe

r ou

t (TF

O)]

Non

eTi

er.n

etTo

tal c

lient

s re

mai

ning

on

AR

T (T

RO

A)

138 138139

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

-Any

clie

nt th

at h

as a

cu

rren

t reg

imen

in th

e co

lum

n de

sign

atin

g th

e m

onth

you

are

re

porti

ng o

n.

-Any

clie

nt th

at h

as a

st

ar w

ithou

t a c

ircle

(s

omeo

ne w

ho is

not

ye

t con

side

red

lost

to

follo

w-u

p (L

TF) i

n th

e co

lum

n de

sign

atin

g th

e m

onth

you

are

re

porti

ng o

n.

Clie

nts

rem

aini

ng o

n AR

T eq

uals

[Nai

ve

(incl

udin

g P

EP

and

PMTC

T) +

Ex

perie

nced

(Exp

) +

Tran

sfer

in (T

FI) +

R

esta

rt] m

inus

[Die

d (R

IP) +

Los

t to

follo

w-

up (L

TF) +

Tra

nsfe

r ou

t (TF

O)]

Num

ber o

f men

an

d w

omen

15

–49

test

ed

for H

IV

Clie

nt te

sted

for

HIV

(inc

l AN

C)

Qua

rterly

No

Clie

nt te

sted

for H

IV

(Incl

AN

C)

Non

eD

HIS

Num

ber o

f ALL

clie

nts

test

ed fo

r HIV

, inc

ludi

ng

unde

r 15

year

s an

d an

tena

tal c

lient

s

Mon

itors

ann

ual

test

ing

of p

erso

ns w

ho

are

not k

now

n H

IV

posi

tive

agai

nst a

set

ta

rget

. Thi

s as

sist

s in

re

sour

ce p

lann

ing

e.g.

te

st k

its a

nd s

taffi

ng

and

indi

vidu

als’

leve

l of

kno

wle

dge

of th

eir

HIV

sta

tus.

Num

ber o

f pe

ople

TB

sym

ptom

5y

rs a

nd o

lder

sc

reen

ed ra

te

Q

uarte

rly%

Clie

nt 5

yea

rs a

nd

olde

r scr

eene

d fo

r TB

sym

ptom

s

PHC

he

adco

unt 5

D

HIS

Clie

nts

5 ye

ars

and

olde

r sc

reen

ed fo

r TB

sym

ptom

s as

a

Mon

itors

tren

ds in

ea

rly id

entif

icat

ion

of

140 140141

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

scre

ened

for

TBye

ars

and

olde

rpr

opor

tion

of P

HC

he

adco

unt 5

yea

rs a

nd

olde

r

TB s

uspe

cts

in h

ealth

ca

re fa

cilit

ies

Num

ber o

f m

ale

cond

oms

dist

ribut

ed

Mal

e co

ndom

di

strib

utio

n R

ate

Qua

rterly

No

Mal

e co

ndom

s di

strib

uted

Popu

latio

n 15

ye

ars

and

olde

r mal

e

DH

ISM

ale

cond

oms

dist

ribut

ed fr

om a

pr

imar

y di

strib

utio

n si

te

to h

ealth

faci

litie

s or

po

ints

in th

e co

mm

unity

(e

.g. c

ampa

igns

, non

-tra

ditio

nal o

utle

ts, e

tc.).

Th

e po

pula

tion

will

be

divi

ded

by 1

2 in

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

Mon

itors

dis

tribu

tion

of

mal

e co

ndom

s fo

r pr

even

tion

of H

IV a

nd

othe

r STI

s, a

nd fo

r co

ntra

cept

ive

purp

oses

. Not

e th

at

rese

arch

indi

cate

s on

ly a

roun

d 60

% o

f di

strib

uted

con

dom

s ar

e us

ed fo

r the

in

tend

ed p

urpo

sePr

imar

y di

strib

utio

n si

tes

(PD

S) m

ust

repo

rt to

sub

-dis

trict

s on

a m

onth

ly b

asis

on

how

man

y m

ale

cond

oms

wer

e di

strib

uted

to th

e su

b-di

stric

t in

the

repo

rting

m

onth

. Up

to x

x co

ndom

s di

strib

utio

n w

as re

porte

d vi

a he

alth

faci

litie

s

Num

ber o

f fe

mal

e co

ndom

s di

strib

uted

Fem

ale

cond

om

dist

ribut

ion

Rat

e

Qua

rterly

No

Fem

ale

cond

oms

dist

ribut

ed

Popu

latio

n 15

ye

ars

and

olde

r fem

ale

DH

IS

Fem

ale

cond

oms

dist

ribut

ed fr

om a

pr

imar

y di

strib

utio

n si

te

to h

ealth

faci

litie

s or

po

ints

in th

e co

mm

unity

(e

.g. c

ampa

igns

, non

-tra

ditio

nal o

utle

ts, e

tc.).

Th

e po

pula

tion

will

be

divi

ded

by 1

2 in

the

form

ula

to m

ake

prov

isio

n fo

r

Mon

itors

dis

tribu

tion

of

fem

ale

cond

oms

for

prev

entio

n of

HIV

and

ot

her S

TIs,

and

for

cont

race

ptiv

e pu

rpos

es.

Prim

ary

dist

ribut

ion

site

s (P

DS)

mus

t re

port

to s

ub-d

istri

cts

on a

mon

thly

bas

is o

n ho

w m

any

fem

ale

cond

oms

wer

e

140 140141

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

annu

alis

atio

n

di

strib

uted

to th

e su

b-di

stric

t in

the

repo

rting

m

onth

.

Num

ber o

f men

m

edic

ally

ci

rcum

cise

d

Med

ical

mal

e ci

rcum

cisi

on

perfo

rmed

–To

tal

Qua

rterly

%

Sum

of M

ales

10

to 1

4 ye

ars

and

Mal

es 1

5 ye

ars

and

olde

r who

are

ci

rcum

cise

d un

der

med

ical

sup

ervi

sion

Non

eD

HIS

Tota

l med

ical

mal

e ci

rcum

cisi

ons

perfo

rmed

-R

ecor

ds a

ll m

ales

who

ar

e ci

rcum

cise

d un

der

med

ical

sup

ervi

sion

Rec

ord

all m

ales

who

ar

e ci

rcum

cise

d un

der

med

ical

sup

ervi

sion

TB n

ew c

lient

tre

atm

ent

succ

ess

rate

TB c

lient

tre

atm

ent

succ

ess

rate

Q

uarte

rly%

TB c

lient

suc

cess

fully

co

mpl

eted

trea

tmen

t TB

clie

nt s

tart

on tr

eatm

ent

ETR

.net

TB c

lient

s su

cces

sful

ly

com

plet

ed tr

eatm

ent a

s a

prop

ortio

n of

TB

clie

nts

who

sta

rted

ontre

atm

ent

Mon

itors

suc

cess

of

TB tr

eatm

ent f

or A

LL

type

s of

TB

TB (n

ew

pulm

onar

y)

defa

ulte

r rat

e

TB c

lient

lost

to

follo

w u

p ra

te

Qua

rterly

%TB

clie

nt lo

st to

follo

w

upTB

clie

nt s

tart

on tr

eatm

ent

ETR

.net

Prop

ortio

n TB

clie

nts

who

wer

e lo

stto

follo

w

up a

s a

prop

ortio

n of

TB

clie

nt s

tarte

d on

tre

atm

ent

Mon

itors

the

effe

ctiv

enes

s of

the

rete

ntio

n in

car

e st

rate

gies

TB D

eath

Rat

eTB

clie

nt d

eath

R

ate

Annu

al%

TB c

lient

die

d du

ring

treat

men

tTB

clie

nt s

tart

on tr

eatm

ent

TB c

lient

s w

ho d

ied

durin

g tre

atm

ent a

s a

prop

ortio

n of

TB

clie

nts

star

ted

on tr

eatm

ent

Mon

itors

dea

th d

urin

g TB

trea

tmen

t per

iod.

Th

e ca

use

of d

eath

m

ay n

ot n

eces

saril

y be

due

to T

B.

MD

R-T

B co

nfirm

ed

treat

men

t in

itiat

ion

rate

TB M

DR

co

nfirm

ed

treat

men

t sta

rt ra

te

Annu

al%

TB M

DR

con

firm

ed

clie

nt s

tart

on

treat

men

t

TB M

DR

co

nfirm

ed

clie

nt

ETR

.net

TB M

DR

con

firm

ed

clie

nts

star

ted

on

treat

men

t as

a pr

opor

tion

of T

B M

DR

co

nfirm

ed c

lient

s

Mon

itors

initi

al lo

ss to

fo

llow

up

and

the

effe

ctiv

enes

s of

lin

kage

to c

are

stra

tegi

es

MD

R tr

eatm

ent

succ

ess

rate

TB M

DR

tre

atm

ent

succ

ess

rate

Annu

al%

TB M

DR

clie

nt

succ

essf

ully

trea

ted

TB M

DR

co

nfirm

ed

clie

nt s

tart

on

treat

men

t

ETR

.net

TB M

DR

clie

nt

succ

essf

ully

trea

ted

as a

pr

opor

tion

of T

B M

DR

co

nfirm

ed c

lient

s st

arte

d on

trea

tmen

t

Mon

itors

suc

cess

of

MD

R T

B tre

atm

ent

Prog

ram

me

2.3:

MC

WH

Pr

ogra

mm

e 2.

3: M

CW

H

142 142143

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Ante

nata

l vis

its

befo

re 2

0 w

eeks

rate

Ante

nata

l 1st

vi

sit b

efor

e 20

w

eeks

rate

Qua

rterly

%An

tena

tal 1

st v

isit

befo

re20

wee

ksAn

tena

tal 1

st

visi

t tot

alD

HIS

Wom

en w

ho h

ave

a bo

okin

g vi

sit (

first

vis

it)

befo

re th

ey a

re 2

0 w

eeks

into

thei

r pr

egna

ncy

as p

ropo

rtion

of

all

ante

nata

l 1st

vis

its

Mon

itors

ear

ly

utilis

atio

n of

ant

enat

al

serv

ices

Prop

ortio

n of

m

othe

rs v

isite

d w

ithin

6 d

ays

of

deliv

ery

of th

eir

babi

es

Prop

ortio

n of

m

othe

rs v

isite

d w

ithin

6 d

ays

of

deliv

ery

of th

eir

babi

es

Qua

rterly

%M

othe

r pos

tnat

al v

isit

with

in 6

day

s af

ter

deliv

ery

Del

iver

y in

fa

cilit

y to

tal

DH

ISM

othe

rs w

ho re

ceiv

ed

post

nata

l car

e w

ithin

6

days

afte

r del

iver

y as

pr

opor

tion

of d

eliv

erie

s in

hea

lth fa

cilit

ies

Mon

itors

acc

ess

to

and

utilis

atio

n of

po

stna

tal s

ervi

ces.

M

ay b

e m

ore

than

10

0% in

are

as w

ith

low

del

iver

y in

faci

lity

rate

s if

man

y m

othe

rs

who

del

iver

ed o

utsi

de

heal

th fa

cilit

ies

used

po

stna

tal v

isits

with

in

6 da

ys a

fter d

eliv

ery

Ante

nata

l clie

nt

initi

ated

on

ART

rate

Ante

nata

l clie

nt

initi

ated

on

ART

rate

Annu

al%

Ante

nata

l clie

nt s

tart

on A

RT

An

tena

tal

clie

nt e

ligib

le

for A

RT

initi

atio

n

DH

ISAn

tena

tal c

lient

s w

ho

star

ted

on A

RT

as a

pr

opor

tion

of th

e to

tal

num

ber o

f ant

enat

al

clie

nts

who

are

HIV

po

sitiv

e an

d no

t pr

evio

usly

on

ART

Mon

itors

im

plem

enta

tion

of

PMTC

T gu

idel

ines

in

term

s of

AR

T in

itiat

ion

of e

ligib

le H

IV p

ositi

ve

ante

nata

l clie

nts.

U

p un

til 2

013/

04/0

1 th

e cr

iteria

for A

RT

initi

atio

n fo

r ant

enat

al

clie

nts

wer

e: H

IV

posi

tive

ante

nata

l cl

ient

with

a C

D4

coun

t und

er th

e sp

ecifi

ed th

resh

old

and/

or a

WH

O s

tagi

ng

of 4

. Fr

om 2

013/

04/0

1 al

l H

IV p

ositi

ve a

nten

atal

cl

ient

s w

ho a

re n

ot

alre

ady

on A

RT

are

elig

ible

for t

he A

RT

142 142143

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Fixe

d D

ose

Com

bina

tion

(FD

C)

From

201

5/01

/01

all

HIV

pos

itive

ant

enat

al

clie

nts

go o

nto

lifel

ong

treat

men

t reg

ardl

ess

of th

eir C

D4

stat

us

Infa

nt 1

st

Poly

mer

ase

Cha

in R

eact

ion

(PC

R) t

est

posi

tive

arou

nd

6 w

eek

rate

Infa

nt 1

st P

CR

te

st p

ositi

ve

arou

nd 6

w

eeks

rate

Qua

rterly

%In

fant

1st

PC

R te

st

posi

tive

arou

nd 6

w

eeks

Infa

nt 1

st

PCR

test

ar

ound

6

wee

ks

DH

ISIn

fant

s te

sted

PC

R

posi

tive

for t

he fi

rst t

ime

arou

nd 6

wee

ks a

fter

birth

as

prop

ortio

n of

In

fant

s PC

R te

sted

ar

ound

6 w

eeks

Mon

itors

pos

itivi

ty in

H

IV e

xpos

ed in

fant

s ar

ound

6 w

eeks

Imm

unis

atio

n co

vera

ge u

nder

1

year

(a

nnua

lised

)

Imm

unis

atio

n co

vera

ge u

nder

1

year

(a

nnua

lised

)

Qua

rterly

%Im

mun

ised

fully

und

er

1 ye

ar n

ewPo

pula

tion

unde

r 1 y

ear

DH

ISC

hild

ren

unde

r1 y

ear

who

com

plet

ed th

eir

prim

ary

cour

se o

f im

mun

isat

ion

as a

pr

opor

tion

of p

opul

atio

n un

der 1

yea

r. Th

e po

pula

tion

will

be

divi

ded

by 1

2 in

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

The

child

sho

uld

only

be

cou

nted

ON

CE

as

fully

imm

unis

ed w

hen

rece

ivin

g th

e la

st

vacc

ine

in th

e co

urse

(u

sual

ly th

e 1s

t m

easl

es a

nd P

CV3

va

ccin

es) A

ND

if th

ere

is d

ocum

ente

d pr

oof

of a

ll re

quire

d va

ccin

es (B

CG

, OP

V1,

DTa

P-IP

V/H

ib 1

, 2, 3

, H

epB

1, 2

, 3, P

CV

1,2,

3, R

V 1

,2 a

nd

mea

sles

1) o

n th

e R

oad

to H

ealth

C

ard/

Boo

klet

AN

D th

e ch

ild is

und

er 1

yea

r ol

dM

easl

es 2

nd

dose

cov

erag

eM

easl

es 2

nd

dose

cov

erag

e Q

uarte

rly%

Mea

sles

2nd

dos

ePo

pula

tion

1 ye

arD

HIS

Chi

ldre

n 1

year

(12-

23m

onth

s) w

ho re

ceiv

ed

mea

sles

2nd

dos

e,

norm

ally

at 1

8 m

onth

s as

a p

ropo

rtion

of

popu

latio

n un

der 1

yea

r.

Mon

itors

pro

tect

ion

of

child

ren

agai

nst

mea

sles

. Bec

ause

the

1st m

easl

es d

ose

is

only

aro

und

85%

ef

fect

ive

the

2nd

dose

144 144145

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

is im

porta

nt a

s a

boos

ter.

Vacc

ines

gi

ven

as p

art o

f mas

s va

ccin

atio

n ca

mpa

igns

sh

ould

not

be

coun

ted

here

DTa

P-IP

V/H

IB

3-M

easl

es 1

st

dose

dro

p-ou

tra

te

DTa

P-IP

V-H

epB-

Hib

3 -

Mea

sles

1st

do

se d

rop-

out

rate

Qua

rterly

DTa

P-IP

V-H

epB-

Hib

3

to M

easl

es1s

t dos

e dr

op-o

ut

DTa

P-IP

V-H

epB-

Hib

3rd

do

se

DH

ISC

hild

ren

who

dro

pped

ou

t of t

he im

mun

isat

ion

sche

dule

bet

wee

n D

TaP-

IPV-

Hep

B-H

ib 3

rd

dose

, nor

mal

ly a

t 14

wee

ks a

nd m

easl

es 1

st

dose

, nor

mal

ly a

t 9

mon

ths

as a

pro

porti

on

of p

opul

atio

nun

der 1

ye

ar

Mon

itors

chi

ldre

n w

ho

drop

s ou

t of t

he

vacc

inat

ion

prog

ram

af

ter 1

4 w

eek

vacc

inat

ion.

Vac

cine

s gi

ven

as p

art o

f mas

s va

ccin

atio

n ca

mpa

igns

sh

ould

not

be

coun

ted

here

.D

TaP-

IPV-

Hep

B-H

ib

(als

o kn

own

as

Hex

axim

) willl

be

impl

emen

ted

in 2

015

and

DTa

P-IP

V/H

ib

(Pen

taxi

m) w

ill be

ph

ased

out

as

stoc

ks

are

repl

aced

with

H

exax

im.

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

Qua

rterly

%C

hild

und

er 5

yea

rs

with

dia

rrho

ea d

eath

Chi

ld u

nder

5

year

s w

ithdi

arrh

oea

adm

itted

DH

ISC

hild

ren

unde

r 5 y

ears

ad

mitt

ed w

ith d

iarr

hoea

w

ho d

ied

as a

pr

opor

tiion

of c

hild

ren

unde

r 5 y

ears

with

di

arrh

oea

adm

itted

Mon

itors

trea

tmen

t ou

tcom

e fo

r chi

ldre

n un

der 5

yea

rs w

ho

wer

e ad

mitt

ed w

ith

diar

rhoe

a. In

clud

e un

der 1

yea

r dia

rrho

ea

deat

hsC

hild

und

er 5

ye

ars

pneu

mon

ia

case

fata

lity

rate

Qua

rterly

%C

hild

und

er 5

yea

rs

pneu

mon

ia d

eath

Chi

ld u

nder

5

year

s pn

eum

onia

ad

mitt

ed

DH

ISC

hild

ren

unde

r 5 y

ears

ad

mitt

ed w

ith

pneu

mon

ia w

ho d

ied

as

a pr

opor

tion

of c

hild

ren

unde

r 5 y

ears

pn

eum

onia

adm

itted

Mon

itors

trea

tmen

t ou

tcom

e fo

r chi

ldre

n un

der 5

yea

rs w

ho

wer

e ad

mitt

ed w

ith

pneu

mon

ia. I

nclu

des

all c

hild

ren

unde

r 5

144 144145

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

year

s w

ho d

ied

of

pneu

mon

iaC

hild

und

er 5

ye

ars

seve

re

acut

e m

alnu

tritio

n ca

se fa

talit

yra

te

Chi

ld u

nder

5

year

s se

vere

ac

ute

mal

nutri

tion

case

fata

lity

rate

Qua

rterly

%C

hild

und

er 5

yea

rs

seve

re a

cute

m

alnu

tritio

n de

ath

Chi

ld u

nder

5

year

s se

vere

ac

ute

mal

nutri

tion

adm

itted

DH

ISC

hild

ren

unde

r 5 y

ears

ad

mitt

ed w

ith s

ever

e ac

ute

mal

nutri

tion

who

di

ed a

s a

prop

ortio

n of

ch

ildre

n un

der 5

yea

rs

pneu

mon

ia a

dmitt

ed

Mon

itors

trea

tmen

t ou

tcom

e fo

r chi

ldre

n un

der 5

yea

rs w

ho

wer

e ad

mitt

ed w

ith

seve

re a

cute

m

alnu

tritio

n. In

clud

es

unde

r 1 y

ear s

ever

e ac

ute

mal

nutri

tion

deat

hs a

s de

fined

in

the

IMC

I gui

delin

esSc

hool

Gra

de

R s

cree

ning

co

vera

ge

Qua

rterly

%Sc

hool

Gra

de R

le

arne

rs s

cree

ned

Scho

ol G

rade

R

lear

ners

DH

ISPr

opor

tion

of G

rade

R

lear

ners

scr

eene

d by

a

nurs

e in

line

with

the

ISH

P se

rvic

e pa

ckag

e.

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

im

plem

enta

tion

of th

e In

tegr

ated

Sch

ool

Hea

lth P

rogr

am

(ISH

P)

Scho

ol G

rade

1

scre

enin

g co

vera

ge

(ann

ualis

ed)

Scho

ol G

rade

1

scre

enin

g co

vera

ge

Qua

rterly

%Sc

hool

Gra

de 1

le

arne

rs s

cree

ned

Scho

ol G

rade

1

lear

ners

DH

ISPr

opor

tion

of G

rade

1

lear

ners

scr

eene

d by

a

nurs

e in

line

with

the

ISH

P se

rvic

e pa

ckag

e.

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

im

plem

enta

tion

of th

e In

tegr

ated

Sch

ool

Hea

lth P

rogr

am

(ISH

P)

Scho

ol G

rade

8

scre

enin

g co

vera

ge

(ann

ualis

ed)

Scho

ol G

rade

8

scre

enin

g co

vera

ge

Qua

rterly

%Sc

hool

Gra

de 4

le

arne

rs s

cree

ned

Scho

ol G

rade

4

lear

ners

DH

ISPr

opor

tion

of G

rade

4

lear

ners

scr

eene

d by

a

nurs

e in

line

with

the

ISH

P se

rvic

epa

ckag

e.

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e

Mon

itors

im

plem

enta

tion

of th

e In

tegr

ated

Sch

ool

Hea

lth P

rogr

am

(ISH

P)

146 146147

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

prov

isio

n fo

r an

nual

isat

ion

Cou

ple

year

pr

otec

tion

rate

Cou

ple

year

pr

otec

tion

rate

Qua

rterly

%C

ontra

cept

ive

year

sdi

spen

sed

: C

ontra

cept

ive

year

s ar

e th

e to

tal o

f (O

ral

pill

cycl

es /

13) +

(M

edro

xypr

oges

tero

ne

inje

ctio

n / 4

) +

(Nor

ethi

ster

one

enan

that

e in

ject

ion

/ 6)

+ (I

UC

D x

4) +

) +

(Sub

derm

al im

plan

t x3

) + M

ale

cond

oms

dist

ribut

ed /

200)

+

(Fem

ale

cond

oms

dist

ribut

ed /

200)

+

(Mal

e st

erilis

atio

n x

20) +

(Fem

ale

ster

ilisat

ion

x 10

). Th

e po

pula

tion

will

be

divi

ded

by 1

2 in

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

Popu

latio

n 15

-49

year

s fe

mal

es

DH

ISW

omen

pro

tect

ed

agai

nst p

regn

ancy

by

usin

g m

oder

n co

ntra

cept

ive

met

hods

, in

clud

ing

ster

ilisat

ions

, as

pro

porti

on o

f fem

ale

popu

latio

n 15

-49

year

.

Mon

itors

acc

ess

to

and

utilis

atio

n of

m

oder

n co

ntra

cept

ives

to

pre

vent

unp

lann

ed

preg

nanc

ies.

Ser

ves

as p

roxy

for t

he

indi

cato

r con

trace

ptiv

e pr

eval

ence

rate

by

mon

itorin

g tre

nds

betw

een

offic

ial

surv

eys

Cer

vica

l can

cer

scre

enin

g C

over

age

(am

ongs

t w

omen

)

Cer

vica

l can

cer

scre

enin

g C

over

age

(am

ongs

t w

omen

)

Qua

rterly

%C

ervi

cal c

ance

r sc

reen

ing

in w

oman

30

yea

rs a

nd o

lder

Popu

latio

n 30

ye

ars

and

olde

r fe

mal

e/10

DH

ISC

ervi

cal s

mea

rs in

w

omen

30

year

s an

d ol

der a

s a

prop

ortio

n of

10

% o

f the

fem

ale

popu

latio

n 30

yea

rs a

nd

olde

r. Th

e po

pula

tion

will

be d

ivid

ed b

y 12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

im

plem

enta

tion

of

polic

y on

cer

vica

l sc

reen

ing

146 146147

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Hum

an

Papi

llom

a Vi

rus

Vacc

ine

cove

rage

1st

do

se ((

HP

V Va

ccin

e C

over

age

amon

gst 9

and

10

yea

r old

gi

rls)

Hum

an

Papi

llom

a Vi

rus

Vacc

ine

1st

do

se c

over

age

Annu

al%

DH

IS

Vita

min

A d

ose

12-5

9 m

onth

s co

vera

ge

Qua

rterly

%Vi

tam

in A

dos

e 12

-59

mon

ths

Popu

latio

n 12

-59

mon

ths*

2

DH

ISC

hild

ren

12-5

9 m

onth

s w

ho re

ceiv

ed v

itam

in A

20

0,00

0 un

its, e

very

six

m

onth

s as

a p

ropo

rtion

of

po

pula

tion

12-

59m

onth

s. T

he p

opul

atio

n w

ill be

div

ided

by

12 in

th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

vita

min

A

supp

lem

enta

tion

to

child

ren

aged

12-

59

mon

ths.

The

de

nom

inat

or is

m

ultip

lied

by 2

be

caus

e ea

ch c

hild

sh

ould

rece

ive

supp

lem

enta

tion

twic

e a

year

Mat

erna

l M

orta

lity

Rat

ioM

ater

nal

mor

talit

y in

fa

cilit

y ra

tio

Annu

alpe

r 100

00

0 Li

ve

Birth

s

Mat

erna

l dea

th in

fa

cilit

yLi

ve b

irth

in

faci

lity

DH

ISM

ater

nal d

eath

is d

eath

oc

curr

ing

durin

g pr

egna

ncy,

chi

ldbi

rth

and

the

puer

periu

m o

f a

wom

an w

hile

pre

gnan

t or

with

in 4

2 da

ys o

f te

rmin

atio

n of

preg

nanc

y, ir

resp

ectiv

e of

the

dura

tion

and

site

of

pre

gnan

cy

and

irres

pect

ive

of th

e ca

use

of d

eath

(obs

tetri

c an

d no

n-ob

stet

ric) p

er

1000

lve

birts

n fa

cilit

y

This

is a

pro

xy fo

r the

po

pula

tion-

base

d m

ater

nal m

orta

lity

ratio

, aim

ed a

t m

onito

ring

trend

s in

he

alth

faci

litie

s be

twee

n of

ficia

l su

rvey

s. F

ocus

es o

n ob

stet

ric c

ause

s (a

roun

d 30

% o

f all

mat

erna

l mor

talit

y).

Prov

ides

indi

catio

n of

he

alth

sys

tem

resu

lts

in te

rms

of p

reve

ntio

n of

unp

lann

ed

preg

nanc

ies,

ant

enat

al

care

, del

iver

y an

d po

stna

tal s

ervi

ces

Infa

nt m

orta

lity

Rat

eEa

rly n

eona

tal

deat

h in

faci

lity

rate

Annu

alpe

r 100

0D

eath

in fa

cilit

y 0-

7da

ysLi

ve b

irth

in

faci

lity

DH

ISEa

rly n

eona

tal d

eath

s (0

-7 d

ays)

as

a pr

opor

tion

of in

fant

s w

ho

wer

e bo

rn a

live

in h

ealth

fa

cilit

ies

Mon

itors

tren

ds in

ea

rly n

eona

tal d

eath

s in

hea

lth fa

cilit

ies.

In

dica

tion

of h

ealth

sy

stem

resu

lts in

148 148149

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

term

s of

ant

enat

al,

deliv

ery

and

early

ne

onat

al c

are

Prog

ram

me

2.4:

Dis

tric

t H

ospi

tals

Prog

ram

me

2.4:

Dis

tric

t H

ospi

tals

U

se s

ame

indi

cato

rs a

s Pr

ogra

mm

e 4

and

5.Pr

ogra

mm

e 2.

5: D

isea

se

Prev

entio

n an

d C

ontr

ol

Prog

ram

me

2.5:

Dis

ease

Pr

even

tion

and

Con

trol

N

umbe

r of

peop

le

coun

selle

d an

d sc

reen

ed fo

r hi

gh b

lood

pr

essu

re

Clie

nts

scre

ened

for

hype

rtens

ion

Q

uarte

rlyN

o

Num

ber o

f clie

nts,

not

on

trea

tmen

t for

hy

perte

nsio

n,

scre

ened

for

hype

rtens

ion

Non

eD

HIS

Num

ber o

f clie

nts

not o

n tre

atm

ent f

or

hype

rtens

ion

scre

ened

fo

r hyp

erte

nsio

n in

PH

C

clin

ics

and

OPD

This

sho

uld

assi

st w

ith

incr

easi

ng th

e nu

mbe

r of

clie

nts

dete

cted

and

re

ferr

ed fo

r tre

atm

ent

Num

ber o

f pe

ople

co

unse

lled

and

scre

ened

for

rais

ed b

lood

gl

ucos

e le

vels

Clie

nts

scre

ened

for

diab

etes

Q

uarte

rlyN

o

Num

ber o

f clie

nts,

not

on

trea

tmen

t for

di

abet

es, s

cree

ned

for

diab

etes

Non

e

DH

IS

Num

ber o

f clie

nts

not o

n tre

atm

ent f

or d

iabe

tes

scre

ened

for d

iabe

tes

in

PHC

clin

ics

and

OPD

This

sho

uld

assi

st w

ith

incr

easi

ng th

e nu

mbe

r of

clie

nts

with

dia

bete

s de

tect

edan

d re

ferr

ed

for t

reat

men

t

Perc

enta

ge

peop

le

scre

ened

for

men

tal

diso

rder

s

Perc

enta

ge o

f pe

ople

sc

reen

ed fo

r M

enta

l di

sord

ers

Qua

rterly

%PH

C C

lient

scr

eene

d fo

r m

enta

l di

sord

ers

PHC

he

adco

unt

tota

l

DH

ISC

lient

s sc

reen

ed fo

r m

enta

ldis

orde

rs

(dep

ress

ion,

anx

iety

, de

men

tia,

psyc

hosi

s,m

ania

, su

icid

e, d

evel

opm

enta

l di

sord

ers,

beh

avio

ral

diso

rder

s an

d su

bsta

nce

use

diso

rder

s at

PH

C

faci

litie

s

Mon

itors

acc

ess

to

and

qual

ity o

f men

tal

heal

th s

ervi

ces

in P

HC

fc

ilitie

s

148 148149

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Perc

enta

ge o

f pe

ople

trea

ted

for m

enta

l di

sord

ers

Perc

enta

ge o

f pe

ople

trea

ted

for m

enta

l di

sord

ers

Qua

rterly

%C

lient

trea

ted

for

men

tal d

isor

ders

at

PHC

leve

l

Clie

nts

scre

ened

for

men

tal

diso

rder

s at

PH

C le

vel

DH

ISC

lient

s tre

ated

for

men

tal d

isor

ders

(d

epre

ssio

n, a

nxie

ty,

dem

entia

, ps

ycho

sis,

man

ia,

suic

ide,

dev

elop

men

tal

diso

rder

s, b

ehav

iora

l di

sord

ers

and

subs

tanc

e us

e) a

s a

prop

ortio

n of

cl

ient

s sc

reen

ed fo

r m

enta

l dis

orde

rs a

t PH

C

leve

l

Mon

itors

acc

ess

to

men

tal h

ealth

ser

vice

s

Cat

arac

t Su

rger

y R

ate

Cat

arac

t Su

rger

y R

ate

Qua

rterly

Rat

e pe

r 1

Milli

onC

atar

act s

urge

ry to

tal

Uni

nsur

ed

popu

latio

nD

HIS

Clie

nts

who

had

cat

arac

t su

rger

y pe

r 1 m

illion

un

insu

red

popu

latio

n.

The

popu

latio

n w

ill be

di

vide

d by

12

in th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Acce

ssib

ility

of

thea

tres.

A

vaila

bilit

y of

hum

an re

sour

ces

Mal

aria

cas

e fa

talit

y ra

te

Qua

rterly

%D

eath

s fro

m m

alar

iaTo

tal n

umbe

r of

Mal

aria

ca

ses

repo

rted

Mal

aria

In

form

atio

n S

yste

m

Dea

ths

from

mal

aria

as

a pe

rcen

tage

of t

he

num

ber o

f cas

es

repo

rted

Prog

ram

me

3:

EMS

and

Plan

ned

Patie

nt

Tran

spor

t

Prog

ram

me

3:

EMS

and

Plan

ned

Patie

nt

Tran

spor

t

EMS

P1

urba

n re

spon

se u

nder

15

min

utes

rate

Q

uarte

rly%

EMS

P1

urba

n re

spon

se u

nder

15

min

utes

EMS

P1

urba

n ca

llsD

HIS

Emer

genc

y P

1 ca

lls in

ur

ban

loca

tions

with

re

spon

se ti

mes

und

er 1

5 m

inut

es a

s a

prop

ortio

n of

EM

S P1

urb

an c

alls

. R

espo

nse

time

is

calc

ulat

ed fr

om th

e tim

e

the

call

is re

ceiv

ed to

the

time

of th

e fir

st

Mon

itors

com

plia

nce

with

the

norm

for

criti

cally

ill o

r inj

ured

pa

tient

s to

rece

ive

EMS

with

in 1

5 m

inut

es in

urb

an

area

s

150 150151

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

disp

atch

ed m

edic

al

reso

urce

arr

ives

on

scen

e

EMS

P1

rura

l re

spon

se u

nder

40

min

utes

rate

Q

uarte

rly%

EMS

P1

rura

l re

spon

se u

nder

40

min

utes

EMS

P1

rura

l ca

llsD

HIS

Emer

genc

y P

1 ca

lls in

ru

ral l

ocat

ions

with

re

spon

se ti

mes

und

er 4

0 m

inut

es a

s a

prop

ortio

n of

EM

S P1

rura

l cal

l

Mon

itors

com

plia

nce

with

the

norm

for

criti

cally

ill o

r inj

ured

pa

tient

s to

rece

ive

EMS

with

in 4

0 m

inut

es in

rura

l are

as

EMS

inte

r-fa

cilit

y tra

nsfe

r ra

te

Q

uarte

rly%

EMS

inte

r-fa

cilit

y tra

nsfe

rEM

S cl

ient

s to

tal

DH

IS

Inte

r-fa

cilit

y (fr

om o

ne

inpa

tient

faci

lity

to

anot

her i

npat

ient

faci

lity)

tra

nsfe

rs a

s pr

opor

tion

of to

tal E

MS

patie

nts

trans

porte

d

Mon

itors

use

of

ambu

lanc

es fo

r int

er-

faci

lity

trans

fers

as

oppo

sed

to

emer

genc

y re

spon

ses

Prog

ram

me

2.4:

Dis

tric

t H

ospi

tals

Pr

ogra

mm

e 4:

R

egio

nal

(Gen

eral

) H

ospi

tals

, Pr

ogra

mm

e 5:

Te

rtia

ry a

nd

Cen

tral

H

ospi

tals

(One

se

t of

indi

cato

rs p

er

cent

ral

hosp

ital)

Prog

ram

me

2.4:

Dis

tric

t H

ospi

tals

Pr

ogra

mm

e 4:

R

egio

nal

(Gen

eral

) H

ospi

tals

, Pr

ogra

mm

e 5:

Te

rtia

ry a

nd

Cen

tral

H

ospi

tals

Perc

enta

ge o

f ho

spita

ls th

at

have

co

nduc

ted

gap

asse

ssm

ents

fo

r com

plia

nce

agai

nst t

he

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent

rate

Qua

rterly

%

Num

ber o

f Hos

pita

ls

that

con

duct

ed

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent t

o da

te in

th

e cu

rren

t fin

anci

al

year

Tota

l num

ber

ofH

ospi

tals

DH

IS -

NC

S S

yste

m

Fixe

d he

alth

faci

litie

s th

at h

ave

cond

ucte

d an

nual

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent a

s a

prop

ortio

n of

fixe

d he

alth

fa

cilit

ies.

The

pop

ulat

ion

will

be d

ivid

ed b

y 12

in

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

mea

surin

g th

eir

own

leve

l of

com

plia

nce

with

st

anda

rds

in o

rder

to

clos

e ga

ps in

pr

epar

atio

n fo

r an

150 150151

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Nat

iona

l Cor

e St

anda

rds

the

form

ula

to m

ake

prov

isio

n fo

r an

nual

isat

ion

exte

rnal

ass

essm

ent

by th

e O

ffice

of H

ealth

St

anda

rds

Com

plia

nce

Qua

lity

impr

ovem

ent

plan

afte

r sel

f as

sess

men

t ra

te

Qua

rterly

%

Num

ber o

f H

ospi

tals

th

at d

evel

oped

a

Qua

lity

impr

ovem

ent

plan

to d

ate

in th

e cu

rren

t fin

anci

al y

ear

Num

ber o

f H

ospi

tals

that

co

nduc

ted

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent

to d

ate

in th

e cu

rren

t fin

anci

al y

ear

DH

IS-N

CS

Sys

tem

Fixe

d he

alth

faci

litie

s th

at h

ave

deve

lope

d a

qual

ity im

prov

emen

t pl

an a

fter s

elf

asse

ssm

ent a

s a

prop

ortio

n of

fixe

d he

alth

fa

cilit

ies

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

deve

lopi

ng a

pla

n to

clo

se g

aps

iden

tifie

d af

ter s

elf

asse

ssm

ents

Prop

ortio

n of

H

ospi

tals

co

mpl

iant

with

th

e ex

trem

e an

d vi

tal

mea

sure

s of

th

e na

tiona

l co

re s

tand

ards

fo

r hea

lth

faci

litie

s

Perc

enta

ge o

f H

ospi

tals

co

mpl

iant

with

al

l ext

rem

e an

d vi

tal m

easu

res

of th

e na

tiona

l co

re s

tand

ards

Qua

rterly

%

Tota

l num

ber o

f H

ospi

tals

that

are

co

mpl

iant

to a

ll ex

trem

e m

easu

res

and

at le

ast 9

0% o

f vi

tal m

easu

res

of

natio

nal c

ore

stan

dard

s

Num

ber o

f H

ospi

tals

that

co

nduc

ted

Nat

iona

l Cor

e St

anda

rds

self

asse

ssm

ent

to d

ate

in th

ecu

rren

t fin

anci

al y

ear

DH

IS -

NC

S S

yste

m

Fixe

d he

alth

faci

litie

s th

at h

ave

pass

ed a

ll ex

trem

e m

easu

res

of

NC

S in

sel

f ass

essm

ent

as a

pro

porti

on o

f fix

ed

heal

th fa

cilit

ies

prop

ortio

n of

fa

cilit

ies

that

co

nduc

t pat

ient

sa

tisfa

ctio

n su

rvey

s at

leas

t on

ce a

yea

r

Patie

nt

Expe

rienc

e of

C

are

Sur

vey

Rat

e

Qua

rterly

%

Tota

l num

ber o

f H

ospi

tals

tha

t co

nduc

ted

a Pa

tient

Sa

tisfa

ctio

n Su

rvey

to

date

in th

e cu

rren

t fin

anci

al y

ear

Tota

l num

ber

of H

ospi

tals

D

HIS

-N

CS

Sys

tem

Fixe

d he

alth

faci

litie

s th

at h

ave

cond

ucte

d Pa

tient

Sat

isfa

ctio

n Su

rvey

s as

a p

ropo

rtion

of

fixe

d he

alth

faci

litie

s.

The

targ

et p

opul

atio

n w

ill be

div

ided

by

12 in

th

e fo

rmul

a to

mak

e pr

ovis

ion

for

annu

alis

atio

n

Mon

itors

whe

ther

he

alth

est

ablis

hmen

ts

are

cond

uctin

g pa

tient

sa

tisfa

ctio

n su

rvey

s

Patie

nt

Satis

fact

ion

Rat

e

Patie

nt

Expe

rienc

e of

C

are

Rat

eAn

nual

%

Sum

of P

atie

nt

Satis

fact

ion

Scor

es

Hos

pita

ls th

at

cond

ucte

d a

Patie

nt

Satis

fact

ion

Surv

ey to

Tota

l num

ber

of H

ospi

tals

th

atco

nduc

ted

a Pa

tient

Patie

nt

Satis

fact

ion

Surv

ey to

ol

Aver

age

Pat

ient

Sa

tisfa

ctio

n sc

ore

of a

ll H

ospi

tals

that

con

duct

ed

the

annu

al p

atie

nt

satis

fact

ion

surv

ey.

Mon

itors

the

outc

ome

of p

atie

nt s

atis

fact

ion

surv

eys

152 152153

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

date

in th

e cu

rren

t fin

anci

al y

ear

Satis

fact

ion

Surv

ey to

da

te in

the

curr

ent

finan

cial

yea

r

Aver

age

Leng

th o

f Sta

yQ

uarte

rlyN

oIn

patie

nt d

ays

+ 1/

2 D

ay p

atie

nts

Inpa

tient

se

para

tions

DH

IS

The

aver

age

num

ber o

f cl

ient

day

s an

adm

itted

cl

ient

spe

nds

in h

ospi

tal

befo

re s

epar

atio

n.

Inpa

tient

sep

arat

ion

is

the

tota

l of d

ay c

lient

s,

Inpa

tient

dis

char

ges,

In

patie

nt d

eath

s an

d In

patie

nt tr

ansf

er o

uts

Mon

itors

effe

ctiv

enes

s an

d ef

ficie

ncy

of

Inpa

tient

m

anag

emen

t. Pr

oxy

indi

cato

r bec

ause

id

eally

it s

houl

d on

ly

incl

ude

Inpa

tient

day

s fo

r tho

se c

lient

s se

para

ted

durin

g th

e re

porti

ng m

onth

. Use

in

all

hosp

itals

ad

CH

Cs

with

Inpa

tient

be

ds

Inpa

tient

Bed

U

tilis

atio

n R

ate

Qua

rterly

%In

patie

nt d

ays

+ 1/

2 D

ay p

atie

nts

Inpa

tient

bed

da

ys

avai

labl

eD

HIS

Inpa

tient

bed

day

s us

ed

as p

ropo

rtion

of

max

imum

Inpa

tient

bed

da

ys a

vaila

ble.

(Num

ber

of In

patie

nt b

eds

X d

ays

in p

erio

d)

Mon

itors

effe

ctiv

enes

s an

d ef

ficie

ncy

of

Inpa

tient

man

agem

ent

Men

tal h

ealth

ad

mis

sion

rate

Q

uarte

rly%

Men

tal h

ealth

ad

mis

sion

tota

l

Inpa

tient

se

para

tions

to

tal

DH

IS

Prop

ortio

n of

clie

nts

adm

itted

for m

enta

l he

alth

pro

blem

s.

Inpa

tient

sep

arat

ions

is

the

tota

l of d

ay c

lient

s,

inpa

tient

dis

char

ges,

in

patie

nt d

eath

s an

d in

patie

nt tr

ansf

er o

uts

Mon

itors

tren

ds in

m

enta

l hea

lth

adm

issi

ons

in n

on-

men

tal h

ealth

in

stitu

tions

. The

dat

a el

emen

t inp

atie

nt

sepa

ratio

ns is

use

d as

a

prox

y fo

r ad

mis

sion

s. M

onito

r in

gene

ral h

ospi

tals

onl

y an

d N

OT

in m

enta

l he

alth

inst

itutio

ns

152 152153

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Expe

nditu

re

per P

DE

Qua

rterly

No

Expe

nditu

re to

tal

Pa

tient

day

eq

uiva

lent

Num

erat

or: B

AS

-Den

omin

ator

: D

HIS

Aver

age

cost

per

pat

ient

da

y eq

uiva

lent

(PD

E).

PDE

is th

e In

patie

nt

days

tota

l + D

ay

Patie

nts

* 0.5

+

(Em

erge

ncy

head

coun

t +

OPD

hea

dcou

nt to

tal)

* 0.3

3333

333

Mon

itors

effe

ctiv

e an

d ef

ficie

nt m

anag

emen

t of

inpa

tient

faci

litie

s.

Not

e th

at m

ultip

lied

by

0.5

is th

e sa

me

as

divi

sion

by

2, a

ndm

ultip

lied

by

0.33

3333

33 is

the

sam

e as

div

isio

n by

3

Com

plai

nts

reso

lutio

n ra

te

Qua

rterly

%C

ompl

aint

s re

solv

edC

ompl

aint

s re

ceiv

edD

HIS

Com

plai

nts

reso

lved

as

a pr

opor

tion

of

com

plai

nts

rece

ived

Mon

itors

pub

lic h

ealth

sy

stem

resp

onse

to

cust

omer

con

cern

sC

ompl

aint

R

esol

utio

n w

ithin

25

wor

king

day

s ra

te

Qua

rterly

%C

ompl

aint

s re

solv

ed

with

in 2

5 w

orki

ng d

ays

Com

plai

nts

reso

lved

D

HIS

Com

plai

nts

reso

lved

w

ithin

25

wor

king

day

s as

a p

ropo

rtion

of a

ll co

mpl

aint

s re

solv

ed

Mon

itors

pub

lic h

ealth

sy

stem

resp

onse

to

cust

omer

con

cern

s

Prog

ram

me

6:

Hea

lth

Scie

nces

and

Tr

aini

ng

Prog

ram

me

6:

Hea

lth

Scie

nces

and

Tr

aini

ng

Inta

ke o

f M

edic

ine

Stud

ents

in

crea

sed

Num

ber o

f Bu

rsar

ies

awar

ded

for

med

icin

e st

uden

ts

Annu

alN

oN

ot A

pplic

able

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

Num

ber o

f Bur

sarie

s aw

arde

d fo

r med

icin

e st

uden

ts

Num

ber o

f Bu

rsar

ies

awar

ded

for

first

yea

r nu

rsin

g st

uden

ts

Annu

alN

oN

ot A

pplic

able

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

Num

ber o

f Bur

sarie

s aw

arde

d fo

r firs

t yea

r nu

rsin

g st

uden

ts

Prog

ram

me

8:

Infr

astr

uctu

re

Nor

ms

and

Stan

dard

s

Prog

ram

me

8:

Infr

astr

uctu

re

Nor

ms

and

Stan

dard

s

154 154155

MTS

F 20

14-

2019

Indi

cato

r In

dica

tor

Freq

uenc

y Ty

pe

Num

erat

or

Den

omin

ator

In

form

atio

n Sy

stem

/ So

urce

D

efin

ition

U

se a

nd C

onte

xt

(NID

S In

dica

tors

)

Num

ber o

f he

alth

faci

litie

s th

at h

ave

unde

rgon

e m

ajor

and

m

inor

re

furb

ishm

ent

Num

ber o

f he

alth

faci

litie

s th

at h

ave

unde

rgon

e m

ajor

and

m

inor

re

furb

ishm

ent

Annu

alN

oN

ot A

pplic

able

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

Num

ber o

f Pr

ovin

cial

D

epar

tmen

ts o

f H

ealth

that

ha

ve

esta

blis

hed

Serv

ice

Leve

l Ag

reem

ents

(S

LAs)

with

D

epar

tmen

ts o

f Pu

blic

Wor

ks

Esta

blis

hSe

rvic

e Le

vel

Agre

emen

ts

(SLA

s) w

ith

Dep

artm

ents

of

Publ

ic W

orks

(a

nd a

ny o

ther

im

plem

entin

g ag

ent)

Annu

alN

ot A

pplic

able

Not

Appl

icab

leD

ocum

ente

d ev

iden

ce

TAB

LE A

DM

IN 1

: PR

OVI

NC

IAL

STR

ATEG

IC O

BJE

CTI

VES

AND

AN

NU

AL T

ARG

ETS

FOR

AD

MIN

ISTR

ATIO

N

Indi

cato

r Titl

e Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

N

umbe

r of

med

ical

do

ctor

s an

d de

ntis

ts

appo

inte

d

Sta

ffing

of

med

ical

do

ctor

s an

d de

ntis

ts

Pro

visi

on o

f m

edic

al

doct

ors

and

dent

ists

Sta

ff-es

tabl

ishm

ent

Num

bers

per

sta

ff-es

tabl

ishm

ent

Dep

endi

ng

on accu

racy

of

data

in

pers

al

Pro

cess

Num

bers

Qua

rterly

No

Red

uctio

n va

canc

ies

HR

Pla

nnin

g

Num

ber o

f m

edic

al

spec

ialis

ts

appo

inte

d

Sta

ffing

of

med

ical

sp

ecia

lists

Pro

visi

on o

f m

edic

al

spec

ialis

ts

in th

e ho

spita

ls

Sta

ff-es

tabl

ishm

ents

Num

bers

per

sta

ff-es

tabl

ishm

ent

Dep

endi

ng

on accu

racy

of

data

in

pers

al

Pro

cess

Num

bers

Qua

rterly

No

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f pr

ofes

sion

al

nurs

es

appo

inte

d

Sta

ffing

of

prof

essi

onal

nu

rses

in th

e in

stitu

tions

Pro

visi

on o

f pr

ofes

sion

al

nurs

es in

th

e in

stitu

tions

Sta

ff-es

tabl

ishm

ents

Num

bers

per

sta

ff-es

tabl

ishm

ent

Dep

endi

ng

on accu

racy

of

data

in

pers

al

Pro

cess

Num

bers

Qua

rterly

No

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

154 154155

Indi

cato

r Titl

e Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

N

umbe

r of

phar

mac

ists

ap

poin

ted

Sta

ffing

of

phar

mac

ists

in

the

inst

itutio

n

Pro

visi

on o

f ph

arm

acis

ts

in th

e in

stitu

tions

Sta

ff-es

tabl

ishm

ents

Num

ber p

er s

taff-

esta

blis

hmen

tD

epen

ding

on ac

cura

cy o

f da

ta in

pers

al

Pro

cess

Num

bers

Qua

rterly

No

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f cl

eane

rs

appo

inte

d

Sta

ffing

of

clea

ners

in

the

inst

itutio

ns

Pro

visi

on o

f cl

eane

rs in

th

e in

stitu

tions

Sta

ff-es

tabl

ishm

ent

Num

ber p

er s

taff-

esta

blis

hmen

tD

epen

ding

on ac

cura

cy o

f da

ta in

pe

rsal

Pro

cess

Num

bers

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f ar

tisan

s,

appo

inte

d

Sta

ffing

of

artis

ans

in th

e in

stitu

tions

Pro

visi

on o

f ar

tisan

s in

th

e in

stitu

tions

Sta

ff-es

tabl

ishm

ent

Nub

er p

er s

taff-

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

Pro

cess

Num

bers

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f gr

ound

s m

en

appo

inte

d

Sta

ffing

of

grou

ndsm

en

in th

e in

stitu

tion

Pro

visi

on o

f gr

ound

smen

in

the

inst

itutio

ns

Sta

ff-es

tabl

ishm

ent

Num

ber p

er s

taff

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

proc

ess

Num

bers

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

ning

Num

ber o

f po

rters

ap

poin

ted

Sta

ffing

of

Por

ters

in th

e ho

spita

ls

Pro

vidi

ng o

f po

rters

in

the

hosp

itals

Sta

ff es

tabl

ishm

ent

and

pers

al

Num

ber p

er s

taff

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

proc

ess

num

bers

Qua

rterly

yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f IC

T pe

rson

nel

appo

inte

d

Sta

ffing

of

ICT

pers

onne

l

Pro

vidi

ng o

f IC

T pe

rson

nel

Sta

ff es

tabl

ishm

ent

and

pers

al

Num

ber p

er s

taff

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

Pro

cess

Num

bers

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f re

venu

e pe

rson

nel

appo

intm

ent

Sta

ffing

of

reve

nue

pers

onne

l

Pro

vidi

ng o

f IC

T pe

rson

nel

Sta

ff es

tabl

ishm

ent

and

pers

al

Num

ber p

er s

taff

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

Pro

cess

Num

ber

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

Num

ber o

f se

nior

m

anag

emen

t m

embe

rs

appo

inte

d

Sta

ffing

of

mem

bers

of

seni

or

man

agem

ent

Sta

ff es

tabl

ishm

ent

and

pers

al

Num

ber p

er s

taff

esta

blis

hmen

tD

epen

d on

th

e ac

cura

cy o

f da

ta in

pe

rsal

Pro

cess

Num

ber

Qua

rterly

Yes

Red

uctio

n of

va

canc

ies

HR

Pla

nnin

g

156 156157

Indi

cato

r Titl

e Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

N

umbe

r in

stitu

tion

with

C

redi

ble

Ass

et

Reg

iste

r

Per

cent

age

of

inst

itutio

ns

with

cre

dibl

e as

set

regi

ster

s

Pro

per

reco

rdin

g as

sets

Exc

el a

sset

re

gist

er

BA

S

Num

erat

orN

umbe

r of

inst

itutio

ns w

ith

cred

ible

ass

et

regi

ster

D

enom

inat

or

Tota

l num

ber o

f in

stitu

tions

by

100%

Dep

ende

d on

the

accu

racy

of

data

by

inst

itutio

ns

Pro

cess

Per

cent

age

Ann

ual

No

Acc

ount

for a

ll go

vern

men

t as

sets

Sup

ply

Cha

in

Man

agem

ent

Rev

enue

co

llect

edA

mou

nt o

f re

venu

e co

llect

ed fo

r th

e ye

ar

Sup

plem

ent

reso

urce

s to

im

plem

ent

gove

rnm

ent

prog

ram

mes

BA

SA

mou

nt c

olle

cted

ag

ains

t the

set

ta

rget

Rel

y on

pa

ymen

t by

patie

nts

proc

ess

Am

ount

Ann

ual

No

Impr

oved

fu

ndin

g fo

r de

liver

ing

of

serv

ices

to

the

com

mun

ity

Fina

ncia

l bu

dget

ing

and

reve

nue

Tabl

e D

HS

3: P

rovi

ncia

l Obj

ectiv

es, p

erfo

rman

ce in

dica

tors

and

Ann

ual T

arge

ts fo

r Dis

tric

t Hea

lth S

ervi

ces

Indi

cato

r Titl

e Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

Num

ber o

f P

HC

faci

litie

s pr

ovid

ing

24

hour

s se

rvic

e

Num

ber

of

PHC

fa

cilit

ies

open

fo

r 24

ho

urs

Acc

ess

PH

C

serv

ices

Li

st o

f P

HC

fa

cilit

ies

Num

eric

alM

anip

ulat

ion

of d

ata

Out

put

Num

eric

al

Qua

rterly

N

oA

ll P

HC

fa

cilit

ies

to

prov

ide

24

hour

s se

rvic

e

Sen

ior

Man

ager

: IP

HC

Num

ber o

f P

HC

faci

litie

s on

cal

l sys

tem

s

Num

ber

of

PHC

fa

cilit

ies

impl

emen

ting

the

on

call

serv

ice

syst

em

Acc

ess

PH

C

serv

ices

Li

st o

f P

HC

fa

cilit

ies

Num

eric

al

Man

ipul

atio

n of

dat

a O

utpu

t N

umer

ical

Q

uarte

rly

No

All

PH

C

faci

litie

s to

pr

ovid

e 24

ho

urs

on c

all

syst

em

Sen

ior

Man

ager

: IP

HC

Num

ber o

f m

obile

clin

ics

proc

ured

Mon

itor

num

ber o

f m

obile

cl

inic

sav

aila

ble

Proc

urem

ent

docu

men

ts

Num

eric

alN

one

Inpu

tN

umbe

rQ

uarte

rlyYe

sIn

crea

sed

pool

of

mob

ile c

linic

s to

impr

ove

acce

ss to

PH

C s

ervi

ces

156 156157

TAB

LE D

HS

15 &

17: P

ERFO

RM

ANC

E IN

DIC

ATO

RS

FOR

MAT

ERN

AL, C

HIL

D A

ND

WO

MAN

HE

ALTH

Indi

cato

r Ti

tle

Shor

t Def

initi

on

Purp

ose/

Im

port

ance

So

urc

e M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r

Cal

cula

tion

Type

R

epor

ting

Cyc

le

New

In

dica

tor

Des

ired

Perf

orm

ance

In

dica

tor R

espo

nsi

bilit

y H

PV

2nd

dose

co

vera

ge

Pro

porti

on o

f gra

de 4

gi

rl le

arne

rs ≥

9

year

s va

ccin

ated

per

ye

ar w

ith th

e 1s

t do

se o

f the

HP

V

vacc

ine

durin

g th

e fir

st ro

und

This

indi

cato

r w

ill p

rovi

de

over

all y

early

co

vera

ge v

alue

w

hich

will

ag

greg

ate

as

the

cam

paig

n pr

ogre

ss a

nd

refle

ct th

e co

vera

ge s

o fa

r

DH

ISN

umer

ator

:G

irls

9 ye

ars

and

olde

r tha

t rec

eive

d H

PV

2nd

dose

Den

omin

ator

:G

rade

4 g

irl le

arne

rs

≥ 9

year

s

N/A

Out

put

Per

cent

age

annu

alis

edA

nnua

llyYe

sH

ighe

r pe

rcen

tage

in

dica

te b

ette

r co

vera

ge

MN

CW

H

Pro

gram

me

Man

ager

Scho

ol G

rade

4

scre

enin

g co

vera

ge

(ann

ualis

ed)

Pro

porti

on o

f Gra

de

4 le

arne

rs s

cree

ned

by a

nur

se in

line

w

ith th

e IS

HP

ser

vice

pa

ckag

e

Mon

itors

im

plem

enta

tion

of th

e In

tegr

ated

S

choo

l Hea

lth

Pro

gram

(IS

HP

)

Num

erat

or:

DH

IS

Den

omin

ator

:D

BE

(Dep

artm

ent

of

Bas

ic

Edu

cat

ion)

Num

erat

or:

Sch

ool G

rade

4 -

lear

ners

scr

eene

d

Den

omin

ator

: S

choo

l Gra

de 1

-le

arne

rs to

tal

Non

eO

utpu

tP

erce

ntag

eQ

uarte

rlyYe

sH

ighe

r pe

rcen

tage

in

dica

tes

grea

ter

prop

ortio

n of

sc

hool

ch

ildre

n re

ceiv

ed

heal

th

serv

ices

at

thei

r sch

ool

Sch

ool

heal

th

serv

ices

Scho

ol

Gra

de10

scre

enin

g co

vera

ge

(ann

ualis

ed)

Pro

porti

on o

f Gra

de

8 le

arne

rs s

cree

ned

by a

nur

se in

line

w

ith th

e IS

HP

ser

vice

pa

ckag

e

Mon

itors

im

plem

enta

tion

of th

e In

tegr

ated

S

choo

l Hea

lth

Pro

gram

(IS

HP

)

Num

erat

or:

DH

IS

Den

omin

ator

:D

BE

(Dep

artm

ent

of

Bas

ic

Edu

cat

ion)

Num

erat

or:

Sch

ool G

rade

10

-le

arne

rs s

cree

ned

Den

omin

ator

: S

choo

l Gra

de 1

-le

arne

rs to

tal

Non

eO

utpu

tP

erce

ntag

eQ

uarte

rlyYe

sH

ighe

r pe

rcen

tage

in

dica

tes

grea

ter

prop

ortio

n of

sc

hool

ch

ildre

n re

ceiv

ed

heal

th

serv

ices

at

thei

r sch

ool

Sch

ool

heal

th

serv

ices

158 158159

TAB

LE E

MS

2: P

ERFO

RM

ANC

E IN

DIC

ATO

RS

FOR

EM

ERG

ENC

Y M

EDIC

AL &

PAT

IEN

T TR

AN

SPO

RT

SER

VIC

ES

In

dica

tor

Title

Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r

Cal

cula

tion

Type

R

epor

ting

Cyc

le

New

In

dica

tor

Des

ired

Perf

orm

ance

Indi

cato

r R

espo

nsib

ilit

y R

atio

of

ambu

lanc

e pe

r po

pula

tion

Rat

io o

f am

bula

nce

s pe

r po

pula

tion

1:18

000

)

Mon

itor

num

ber o

f am

bula

nces

pe

r po

pula

tion

ratio

EMS

Info

rmat

ion

Sys

tem

s

Num

erat

orTo

tal n

umbe

r of

ambu

lanc

es

rost

ered

Den

omin

ator

Tota

l Pro

vinc

ial

Popu

latio

n

Accu

racy

de

pend

ant

on q

ualit

y of

dat

a fro

m

repo

rting

EM

S st

atio

n

Qua

lity

Num

ber

Qua

rterly

No

Hig

her

num

ber o

f am

bula

nce

s pe

r po

pula

tion

impr

oves

re

spon

se

times

Seni

or

Man

ager

: Em

erge

ncy

Med

ical

Se

rvic

es

(EM

S)

Num

ber o

f op

erat

iona

l am

bula

nce

Num

ber o

f am

bula

nce

s ro

ster

ed

for

oper

atio

ns

Mon

itors

co

mpl

ianc

e w

ith th

e no

rm

for

oper

atio

nal

ambu

lanc

es

to m

eet

popu

latio

n ne

eds.

EMS

Info

rmat

ion

Sys

tem

s

Num

eric

alAc

cura

cy

depe

ndan

t on

qua

lity

of d

ata

from

re

porti

ng

EMS

stat

ion

Out

put

Num

ber

Qua

rterly

Yes

Hig

her

num

ber o

f op

erat

iona

l am

bula

nce

s im

prov

es

resp

onse

tim

es

Seni

or

Man

ager

: Em

erge

ncy

Med

ical

Se

rvic

es

(EM

S

Num

ber o

f am

bula

nce

s pr

ocur

ed

Mon

itor

num

ber o

f am

bula

nces

av

aila

ble

per

popu

latio

n ra

tio

Proc

urem

ent do

cum

ents

Num

eric

alN

one

Inpu

tN

umbe

rQ

uarte

rlyYe

sIn

crea

sed

pool

of

oper

atio

nal

ambu

lanc

es

will

impr

ove

resp

onse

tim

es

Seni

or

Man

ager

: Em

erge

ncy

Med

ical

Se

rvic

es

(EM

S &

Se

nior

M

anag

er

Tran

spor

t

158 158159

TAB

LE 4

, 7 :

PRO

VIN

CIA

L ST

RAT

EGIC

OB

JEC

TIVE

S AN

D A

NN

UAL

TAR

GET

S FO

R H

OSP

ITAL

S (D

ISTR

ICT,

REG

ION

AL, a

nd T

ERTI

ARY,

C

ENTR

AL)

In

dica

tor T

itle

Shor

t D

efin

ition

Pu

rpos

e/

Impo

rtan

ce

Sour

ce

Met

hod

of

Cal

cula

tion

Dat

a Li

mita

tions

Ty

pe o

f In

dica

tor

Cal

cula

tion

Type

R

epor

ting

Cyc

le

New

In

dica

tor

Des

ired

Perf

orm

ance

In

dica

tor

Res

pons

ibili

ty

Num

ber

of

faci

litie

s th

at

are

80%

co

mpl

iant

w

ith

the

6 pr

iorit

ies

of

the

na

tiona

l co

re

stan

dard

s

Num

ber o

f ho

spita

ls

com

plia

nt to

80

%w

ith th

e 6

prio

ritie

s of

th

e N

atio

nal

Cor

e S

tand

ards

Mon

itors

qu

ality

in

hosp

itals

Sel

f-as

sess

men

t re

ports

Num

ber

Non

eO

utco

me

Num

ber

Qua

rterly

Yes

Hig

her

num

ber

indi

cate

s gr

eate

r nu

mbe

r of

faci

litie

s co

mpl

iant

to

6 pr

iorit

ies

of

the

Nat

iona

l C

ore

Sta

ndar

ds

Qua

lity

Ass

uran

ce

TAB

LE H

ST1

&3:

Pro

vinc

ial S

trat

egic

Obj

ectiv

es a

nd A

nnua

l tar

gets

for H

ealth

Sci

ence

s an

d Tr

aini

ng

In

dica

tor T

itle

Shor

t D

efin

ition

Pu

rpos

e/

Impo

rtan

ce

Sour

ce

Met

hod

of

Cal

cula

tion

Dat

a Li

mita

tions

Ty

pe o

f In

dica

tor

Cal

cula

tion

Type

R

epor

ting

Cyc

le

New

In

dica

tor

Des

ired

Perf

orm

ance

In

dica

tor

Res

pons

ibili

ty

Num

ber o

f pos

t ba

sic

nurs

epr

ofes

sion

als

train

ed

Num

ber o

f pr

ofes

sion

al

nurs

es tr

aine

d on

pos

t-bas

ic

nurs

ing

prog

ram

mes

Pro

fess

iona

l nu

rses

tra

ined

for

deve

lopm

ent

of a

ll le

vels

of

car

e

Col

lege

re

cord

sN

o of

pos

t ba

sic

nurs

es

train

ed

Dep

ende

nt o

n st

udy

leav

e an

d av

aila

bilit

y of

pos

ts

outp

utS

um to

tal

Ann

ual

No

Des

ired

pass

ra

te o

n al

l pr

ogra

mm

es

Sen

ior

Man

ager

: N

ursi

ng

Edu

catio

n

Tabl

e H

CSS

1:

Prov

inci

al S

trat

egic

Obj

ectiv

es a

nd A

nnua

l Tar

gets

for H

ealth

Car

e Su

ppor

t Ser

vice

s

In

dica

tor

Title

Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

P

erce

ntag

e av

aila

bilit

y of

es

sent

ial

med

icin

es i

n D

epot

, H

ospi

tal a

nd

Clin

ics

This

is th

e pe

rcen

tage

of

esse

ntia

l m

edic

ines

and

su

rgic

al

sund

ries

mon

itore

d at

th

e de

pot,

hosp

itals

and

cl

inic

s

To e

nsur

e th

at

esse

ntia

l m

edic

ines

an

d su

rgic

al

sund

ries

are

avai

labl

e at

th

e de

pot,

hosp

itals

an

d cl

inic

s

Qua

rterly

re

ports

Num

erat

or:

Tota

ls n

umbe

r of

med

icin

es

avai

labl

e at

de

pot,

Hos

pita

ls a

nd

clin

ics.

Den

omin

ator

: To

tal n

umbe

r of

med

icin

es

Dat

a qu

ality

fro

m h

ospi

tals

an

d cl

inic

s de

pend

on

good

re

cord

kee

ping

by

hos

pita

l P

harm

acie

s.

Out

com

eP

erce

ntag

eQ

uarte

rlyN

oH

igh

perc

enta

ge

indi

cate

s th

e av

aila

bilit

y of

or

dere

d m

edic

ines

and

su

rgic

al

sund

ries

from

th

e su

pplie

rs

Sen

ior

Man

ager

: P

harm

aceu

tical

S

ervi

ces

160 160

Indi

cato

r Ti

tle

Shor

t D

efin

ition

Pu

rpos

e/

Impo

rtan

ce

Sour

ce

Met

hod

of

Cal

cula

tion

Dat

a Li

mita

tions

Ty

pe o

f In

dica

tor

Cal

cula

tion

Type

R

epor

ting

Cyc

le

New

In

dica

tor

Des

ired

Perf

orm

ance

In

dica

tor

Res

pons

ibili

ty

to b

e m

onito

red.

To

tal f

or

Dep

ot=

683

Hos

pita

ls=

101

Clin

ics=

273

Tabl

e H

FM 1

: Pr

ovin

cial

Str

ateg

ic O

bjec

tives

and

Ann

ual T

arge

ts fo

r Hea

lth F

acili

ties

Man

agem

ent

Indi

cato

r Titl

e Sh

ort

Def

initi

on

Purp

ose/

Im

port

ance

So

urce

M

etho

d of

C

alcu

latio

n D

ata

Lim

itatio

ns

Type

of

Indi

cato

r C

alcu

latio

n Ty

pe

Rep

ortin

g C

ycle

N

ew

Indi

cato

r D

esire

d Pe

rfor

man

ce

Indi

cato

r R

espo

nsib

ility

N

umbe

r of d

istri

cts

spen

ding

mor

e th

an 9

0% o

f m

aint

enan

ce

budg

et

Num

ber o

f di

stric

ts

spen

ding

mor

e th

an 9

0% o

f m

aint

enan

ce

budg

et

To m

onito

r th

at

infra

stru

ctur

e bu

dget

s ar

e be

ing

used

to

impr

ove

heal

th

infra

stru

ctur

e

DoH

No

deno

min

ator

Non

eO

utpu

tS

um to

tal

Qua

rterly

Yes

Dis

trict

s sh

ould

sp

end

thei

r al

loca

ted

budg

et

to im

prov

e he

alth

car

e in

frast

ruct

ure

Infra

stru

ctur

e P

rogr

amm

e M

anag

er

Num

ber o

f hea

lth

faci

litie

s co

mpl

eted

No

of h

ealth

fa

cilit

ies

com

plet

ed

Impr

ovin

g he

alth

ou

tcom

es.

Hig

h

IRM

Com

plet

edN

one

Pro

gres

s in

dica

tor

No

Qua

rterly

NA

Per

form

ance

as

per

IA's

pr

ogra

mm

e

FPW

I

Num

ber o

f ho

spita

ls w

ith

mec

hani

cal a

nd

elec

trica

l co

nditi

on

asse

ssm

ent

cond

ucte

d (in

clud

ing

Old

Th

abaz

imbi

H

ospi

tal a

nd th

e M

DR

Uni

t)

No

of

hosp

itals

w

here

el

ectro

-m

echa

nica

l in

stal

latio

ns

have

un

derg

one

a co

nditi

on

asse

ssm

ent.

Impr

ovin

g he

alth

ou

tcom

es.

Hig

h

ND

oH

info

and

up

date

All

hosp

itals

as

sess

edN

one

Pro

gres

s in

dica

tor

No

Qua

rterly

NA

Com

plet

ion

of

asse

ssm

ents

FPW

I

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