Annual Performance Plan : 2017/18 - 2019/20

1 Annual Performance plan 2017 /18 2019 /20 KWAZULU-NATAL DEPARTMENT OF HEALTH Fighting Disease, Fighting Poverty, Giving Hope TABLE OF CONTENT FOREWORD BY THE EXECUTIVE AUTHORITY .. 5 STATEMENT BY THE HEAD: HEALTH .. 7 OFFICIAL 8 Annual Performance plan 2017 /18 2019 /20 .. 8 PART A: strategic OVERVIEW .. 9 strategic OVERVIEW .. 11 Vision, Mission and Values .. 11 strategic Goals .. 11 Situation Analysis .. 19 Demographic Profile .. 19 Socio-Economic Profile .. 22 Epidemiological Profile/ Burden of Disease .. 23 Organisational Environment.

2 30 Organisational Structure and Human Resources .. 30 Performance against 2015- 2019 strategic Goals .. 33 Revision of Legislative and Other Mandates .. 50 Constitutional Mandates .. 50 Legal Mandates .. 51 Policy Mandates .. 52 Planning Frameworks .. 53 Planned Policy Initiatives .. 55 strategic Planning Process .. 57 Overview of the 2017 /18 Budget and MTEF Estimates .. 59 Expenditure Estimates .. 60 Expenditure Trends .. 62 PART B: PROGRAMME & SUB-PROGRAMME PLANS .. 65 PROGRAMME 1: ADMINISTRATION .. 67 PROGRAMME 2: DISTRICT HEALTH SERVICES.

3 81 Sub-Programme: Primary Health Care .. 82 Sub-Programme: District Hospitals .. 94 Sub-Programme: HIV, AIDS, STI & TB 101 Sub-Programme: Maternal, Neonatal, Child & Women s Health and Nutrition .. 110 Sub-Programme: Disease Prevention & Control .. 127 PROGRAMME 3: EMERGENCY MEDICAL SERVICES .. 139 PROGRAMME 4: PROVINCIAL HOSPITALS (REGIONAL AND SPECIALISED) .. 147 Sub-Programme: Regional 148 Sub-Programme: Specialised TB Hospitals .. 154 Sub-Programme: Specialised Psychiatric Hospitals .. 159 Sub-Programme: Chronic/ Sub-Acute Hospitals.

4 163 Sub-Programme: Oral and Dental Training Centre .. 167 PROGRAMME 5: CENTRAL AND TERTIARY HOSPITALS .. 173 Sub-Programme: Tertiary Hospitals (Greys, King Edward Vlll & Ngwelezana Hospitals) .. 175 Sub-Programme: Central Hospital (Inkosi Albert Luthuli Central Hospital) .. 180 PROGRAMME 6: HEALTH SCIENCES AND TRAINING .. 189 PROGRAMME 7: HEALTH CARE SUPPORT SERVICES .. 199 PROGRAMME 8: HEALTH FACILITIES MANAGEMENT .. 209 PART C: LINKS TO OTHER PLANS .. 219 INFRASTRUCTURE PROJECT plan .. 221 Annual Performance plan 2017 /18 2019 /20 KWAZULU-NATAL DEPARTMENT OF HEALTH 2 Fighting Disease, Fighting Poverty, Giving Hope CONDITIONAL GRANTS.

5 230 PUBLIC ENTITIES .. 231 PUBLIC PRIVATE PARTNERSHIPS .. 233 PART D: 2015- 2019 strategic plan REVIEW .. 235 2015 2019 strategic plan Changes .. 236 CONCLUSION .. 243 BIBLIOGRAPHY .. 244 ABBREVIATIONS .. 246 PART E: ANNEXURES .. 251 Annexure 1: Addendum to the 2016/17 2018/19 Service Delivery Improvement plan .. 251 Annexure 2: Population-Based 258 Annexure 3: 2017 /18 2019 /20 APP Indicator Descriptions .. 262 TABLES Table 1: strategic Goals, Objectives and Objective Statements .. 12 Table 2: (A1) Alignment of Macro 17 Table 3: Impact indicators and targets.

6 18 Table 4: Changes to Districts and Local Municipalities .. 19 Table 5: Change in age cohorts between 2001 and 2016 .. 21 Table 6: (A2) Health Personnel 2015/16 .. 31 Table 7: Admissions per 1 000 population .. 38 Table 8: Diarrhoea, Pneumonia and Severe Acute Malnutrition admissions and deaths .. 46 Table 9 (A2): Expenditure Estimates Summary of Payments and Estimates (R 000) .. 60 Table 10 (A3): Summary of Provincial Expenditure Estimates by Economic Classification (R 000) .. 60 Table 11: (A4) Trends in Provincial Public Health Expenditure (R 000).

7 62 Table 12: Conditional Grants Expenditure Trends (R 000) .. 63 Table 13: 2015- 2019 strategic plan Targets .. 69 Table 14: (ADMIN2) strategic Objectives, Indicators and Targets .. 70 Table 15: (ADMIN3) Quarterly and Annual Targets .. 76 Table 16: (ADMIN4 a) Expenditure Estimates (R 000) .. 78 Table 17: (ADMIN4 b) Summary of Payments and Estimates by Economic Classification (R 000) .. 78 Table 18: Risk Management .. 80 Table 19: (DHS1) District Health Service Facilities by Health District (DHIS - November 2016) .. 82 Table 20: (DHS2) Situation Analysis Indicators.

8 86 Table 21: 2015- 2019 strategic plan Targets .. 88 Table 22: (DHS3) strategic Objectives, Indicators & Targets .. 89 Table 23: (DHS4) Quarterly and Annual Targets 2017 /18 .. 93 Table 24: (DHS5) Situation Analysis Indicators .. 95 Table 25: 2015- 2019 strategic plan Targets .. 97 Table 26: (DHS6) strategic Objectives, Indicators and Targets .. 97 Table 27: (DHS7) Quarterly and Annual Targets .. 100 Table 28: (DHS8) Situation Analysis Indicators 2015/16 .. 102 Table 29: 2015- 2019 strategic plan Targets .. 104 Table 30: (DHS9) strategic Objectives, Indicators and Targets.

9 105 Table 31: (DHS10) Quarterly and Annual Targets .. 109 Table 32: (DHS11) Situation Analysis Indicators .. 111 Table 33: strategic plan 2015- 2019 Targets .. 115 Table 34: (DHS12) strategic Objectives, Indicators and Targets .. 116 Table 35: (DHS13) Quarterly and Annual Targets .. 125 Table 36: (DHS14) Situation Analysis Indicators .. 128 Table 37: strategic plan 2015- 2019 Targets .. 129 Annual Performance plan 2017 /18 2019 /20 KWAZULU-NATAL DEPARTMENT OF HEALTH 3 Fighting Disease, Fighting Poverty, Giving Hope Table 38: (DHS15) strategic Objectives, Indicators and Targets.

10 129 Table 39: (DHS16) Quarterly and Annual Targets .. 133 Table 40: (DHS17 a) Summary of Payments and Estimates (R 000) .. 134 Table 41: (DHS17 b) Summary of Payments and Estimates by Economic Classification (R 000) .. 135 Table 42: Risk Management .. 137 Table 43: (EMS1) Situation Analysis Indicators .. 140 Table 44: strategic plan 2015- 2019 Targets .. 141 Table 45: (EMS2) strategic Objectives, Indicators and 141 Table 46: (EMS3) Quarterly and Annual Targets .. 143 Table 47: (EMS4 a) Expenditure Estimates .. 144 Table 48: (EMS4 b) Summary of Provincial Expenditure Estimates by Economic Classification.