ANNUAL REPORT FREE STATE DEPARTMENT OF HEALTH ANNUAL REPORT 2012/ 2013 2nd ...

280 Pages·2013·8.07 MB·English

ANNUAL REPORT
1
2012/2013
FREE STATE
DEPARTMENT OF HEALTH
ANNUAL REPORT
2012/ 2013
2nd DRAFT
FREE STATE PROVINCE
VOTE 5
2 ANNUAL REPORT
2012/2013
TABLE OF CONTENTS
1. GENERAL INFORMATION 7
1.1. Department General Information 7
1.2. List of abbreviations/Acronyms 7
2. STRATEGIC OVERVIEW 11
2.1 Vision 11
2.2 Mission 11
2.3 Values 11
2.4 Strategic Outcome Orientated Goals 11
2.5 Legislative Mandates and Other Mandates 11
3. ORGANISATIONAL STRUCTURE 13
FOREWORD BY THE MINISTER/MEC 15
OVERVIEW OF THE ACCOUNTING OFFICER 16
4. PERFORMANCE INFORMATION 18
4.1 Accounting Officer’s Statement of Responsibility for Performance Information 18
4.2 Auditor General’s Report: Predetermined Objectives 19
4.3 Overview of Departmental Performance 19
4.3.1 The Service Delivery Environment 19
4.3.2 Service Delivery Improvement Plan 21
4.3.3 Organisational Environment 24
4.3.4 Key Policy Developments and Legislative Changes 25
4.3.5 Strategic Outcome Oriented Goals 25
5. PROGRAMME PERFORMANCE INFORMATION 27
5.1 Programme 1: Administration 27
5.1.1 Contribution of the Programme 1 towards Achieving the Department’s Strategic Goals 28 27
5.1.2 Budget Sub-Programme 1.1: Office of the MEC 27
5.1.3 Budget Sub-Programme 1.2: Management 28
5.1.4 Linking Performance with Budgets 31
5.2 Programme 2: District Health Services 32
5.2.1 Contribution of Programme 2 towards achieving the Department’s Strategic Goals 32
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5.2.2 Sub-Programme 2.1: District Management 32
5.2.3 Sub-Programmes 2.2 & 2.3: Community Clinics and Community Health Centres 34
5.2.4 Sub-Programme 2.4: District Hospitals 35
5.2.5 Sub-Programme 2.5: HIV & Aids, STI and TB Control 38
5.2.6 Sub-Programme 2.6: Disease Prevention and Control 40
5.2.7 Sub-Programme 2.7: (Nutrition) Maternal, Child and Women’s Health 41
5.2.8 Linking Performance with Budgets 43
5.3 Programme 3: Emergency Medical Services 44
5.3.1 Budget Sub-Programme 3.1: Emergency Transport 44
5.3.2 Budget Sub-Programme 3.2: Planned Patient Transport 45
5.4 Programme 4: Provincial Hospital Services 46
5.4.1 Budget Program 4: Provincial Hospitals (Combined) 46
5.4.2 Budget Sub-Programme 4.1: Regional Hospitals 46
5.4.3 Budget Sub-Programme 4.2: Psychiatric / Mental Hospital 48
5.4.4 Linking Performance with Budgets 50
5.5 Programme 5: Central and Tertiary Hospitals 51
5.5.1 Contribution of Programme 5 towards achieving the Department’s Strategic Goals 51
5.5.2 Programme 5.1: Central Hospitals 51
5.5.3 Linking Performance with Budgets 53
5.6 Programme 6: Health Sciences and Training 54
5.6.1 Contribution of Programme 6 towards achieving the Department’s Strategic Goals 54
5.6.2 Linking Performance with Budgets 56
5.7 Programme 7: Health Care Support Services 57
5.7.1 Contribution of Programme 7 towards achieving the Department’s Strategic Goals 57
5.7.2 Linking Performance with Budgets 57
5.8 Programme 8: Health Facilities Management 58
5.8.1 Contribution of Programme 8 towards achieving the Department’s Strategic Goals 58
5.8.2 Linking Performance with Budgets 59
5.9 Summary of Financial Information 60
5.9.1 Departmental receipts 60
5.9.2 Programme Expenditure 61
5.9.3 Transfer Payments (Excluding Public Entities) 63
5.9.4 Public Entities 69
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5.10 Conditional Grants and Earmarked Funds Received 70
5.10.1 Comprehensive HIV and AIDS Grant 70
5.10.2 Health Professionals Training and Development Grant 71
5.10.3 National Tertiary Services Grant 72
5.10.4 Health Infrastructure Grant 72
5.10.5 Hospital Revitalization Grant 73
5.10.6 Nursing Colleges and Schools Grant 74
5.10.7 National Health Insurance (NHI) Grant 75
5.10.8 Integrated Expanded Public Works Programme (EPWP) Grant 76
5.11 Donor Funds 77
5.11.1 Sasol Group Services (PTY) LTD 77
5.11.2 Anglo American Chairman’s Fund 77
5.11.3 Other Donations 77
5.12 Capital Investment, Maintenance and Asset Management Plan 78
5.12.1 Progress made on Implementing Asset Management Plan 78
5.12.2 Asset Holding over the Period under Review 78
5.12.3 Measures taken to ensure that the Department’s Asset Register Remains Up-to-date 78
5.12.4 Infrastructure Projects 79
6. GOVERNANCE 83
6.1 Introduction 83
6.2 Risk Management 83
6.3 Fraud and Corruption 84
6.4 Minimizing Conflict of Interest 84
6.5 Code of Conduct 84
6.6 Health Safety and Environmental Issues 85
6.7 Internal Control Unit 85
6.8 Audit Committee Report 86
7. HUMAN RESOURCE MANAGEMENT 88
7.1 Legislature that Govern HR Management 88
7.2 Introduction 88
7.3 Policy Development 90
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7.4 Human Resources Oversight Statistics 91
8. FINANCIAL INFORMATION 126
8.1.1 Accounting Officer’s Statement of Responsibility
8.1.2 Report to the Accounting Officer 128
8.1.3 Report of the Auditor General 134
8.1.4 Annual Financial Statements 140
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PART
A
ANNUAL REPORT
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2012/2013
1. GENERAL INFORMATION
1.1 DEPARTMENT GENERAL INFORMATION
Free State Department of Health
Car Harvey & Charlotte Maxeke Streets
BLOEMFONTEIN
PO Box 227
BLOEMFONTEIN
9300
Tel : [phone]
Email Address : [email protected]
Web Address : www.fshealth.gov.za
1.2 LIST OF ABBREVIATIONS/ACRONYMS
Acronyms Definitions
ABET Adult Basic Education and Training
AG Auditor General
AGSA Auditor General of South Africa
AIDS Acquired Immunodeficiency Syndrome
ALOS Average Length of Stay
ANC Ante – natal care
AO Accounting Officer
AoPO Audit of Predetermined Objectives
APP Annual Performance Plan
ART Anti – Retroviral Treatment/ Therapy
ARV Anti Retroviral
AZT Zidovudine
BAS Basic Accounting System
BBBEE Broad Based Black Economic Empowerment
BFHI Baby Friendly Hospital Initiative
BUR Bed Utilisation Rate
CFO Chief Financial Officer
CHBC Community Home Based Care
CHC Community Health Centre
CHPIP Child Health Problem Identification Programme
CIDB Construction Industry Development Board
CPD Continuous Professional Development
CPT Cotrimoxazole Prophylactic Therapy
DHER District Health Expenditure Review
DHIS District Health Information System
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DHMIS District Health Management Information System
DHMT District Health Management Team
DHP District Health Plan
DHS District Health Services
DOTS Directly Observed Treatment Support
DPSA Department of Public Service
EAP Employee Assistant Programme
EMS Emergency Medical Services
EN Enrolled Nurse
ENE Estimates of National Expenditure
EPE Estimates of Province Expenditure
EPI Expanded Program on Immunization
EPWP Expanded Public Works Programme
ESMOE Essential Steps in the Management of Obstetric Emergencies
FDC Free State Development Corporation
FHT Family Health Teams
FHW Free State Health (Finance tables)
FSDoH Free State Department of Health
FSDPW Free State Department of Public Works
FSPC Free State Psychiatric Hospital
FSSoN Free State School of Nursing
GIAMA Government Immovable Asset Management Act
GS Governance Structures
HAART Highly Active Antiretroviral Treatment
HAST HIV&AIDS/STI and TB
HCP Health Care Practitioner
HCT HIV Counselling and Testing
HDI Historically Disadvantaged Individuals
HIV Human Immunodeficiency Virus
HOA Home Owners Allowance
HTA High Transmission Areas
ICAP International Centre for AIDS Care and Treatment Programs
ICT Information Communication Technology
ICU Intensive Care Unit
IDIP Infrastructure Delivery Improvement Programme
IDMS Infrastructure Delivery Management System
IDP Infrastructure Development Plan
IFS Interim Financial Statements
IMCI Integrated Management of Childhood Illnesses
IPT Isoniazid Preventive Therapy
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IT Information Technology
M&E Monitoring & Evaluation
M&M Morbidity and Mortality
MCWH&N Maternal, Child, Women’s Health and Nutrition
MDG Millennium Development Goal
MDR-TB Multi Drug Resistant Tuberculosis
MEC Member of Executive Council
MHRB Mental Health Review Boards
MHRBs Mental Health Review Boards
MMC Medical Male Circumcision
MMM Mofumahadi Manapo Mopeli
MMR Maternal Mortality Ratio
MTCT Mother to Child Transmission
MTEF Medium Term Expenditure Framework
NA Nursing Assistant
NDoH National Department of Health
NGO Non-Governmental Organizations
NHI National Health Insurance
NHLS National Health Laboratory Services
NIMART Nurse Initiated Management of Anti- Retroviral Treatment
NPO Non-Profit Organisation
O&G Obstetrics & Gynaecology
OD Organisational Development
OHS Occupational Health & Safety
OPD Out Patient Department
OSD Occupation Specific Dispensation
PCR Polymerase Chain Reaction
PCV Pneumococcal Conjugate Vaccine
PCV Pneumococcal vaccine
PDE Patient Day Equivalent
PEP Post Exposure Prophylaxis
PEPFAR President’s Emergency Plan for AIDS Relief
PFMA Public Finance Management Act
PHC Primary Health Care
PICT Provider Initiated Counselling and Testing
PMIS Project Management Information System
PMTCT Prevention of Mother to Child Transmission
PN Professional Nurse
POHU Provincial Occupational Health Unit
PPIP Perinatal Problem Identification Program
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PPP Public Private Partnership
PPT Planned Patient Transport
PSCBC Public Service Coordinating Bargaining Council
PTB Pulmonary Tuberculosis
QA Quality Assurance
QPR Quarterly Progress Report
QPR Quarterly Performance Report
RTC Regional Training Centre
Rv Rotavirus
RWOPS Remunerative Work Outside Public Service
SCM Supply Chain Management
SDC Step down care
SDIP Service Delivery Improvement Plan
SLA Service Level Agreement
UAH Universitas Academic Hospital
VCCT Voluntary Confidential Counselling and Testing
XDR-TB Extreme Drug Resistant TB