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 .. 30 Organisational Structure and Human Resources .. 30 Performance against 2015- 2019 strategic Goals .. 33 Revision of Legislative and Other Mandates .. 50 Constitutional Mandates.

2 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 .. 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).

3 147 Sub-Programme: Regional 148 Sub-Programme: Specialised TB Hospitals .. 154 Sub-Programme: Specialised Psychiatric Hospitals .. 159 Sub-Programme: Chronic/ Sub-Acute Hospitals .. 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.

4 230 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 .. 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.

5 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) .. 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).

6 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 .. 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.

7 105 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 .. 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).

8 135 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 .. 144 Table 49: Risk Management .. 146 Table 50: 2015- 2019 strategic plan Targets .. 149 Table 51: (PHS1) strategic Objectives, Indicators and Targets .. 150 Table 52: (PHS2) Quarterly and Annual Targets .. 153 Table 53: (PHS3 a) strategic Objectives, Indicators and Targets .. 155 Table 54: (PHS4 a) Quarterly and Annual Targets .. 158 Table 55: (PHS3 b) strategic Objectives, Indicators and Targets.

9 160 Table 56: (PHS4 b) Quarterly and Annual Targets .. 162 Table 57: (PHS3 c) strategic Objectives, Indicators and Targets .. 164 Table 58: (PHS4 c) Quarterly and Annual Targets .. 166 Table 59: strategic Objectives, Indicators and Targets .. 167 Table 60: Quarterly and Annual Targets .. 168 Table 61: (PHS5 a) Summary of Payments and Estimates (R 000) .. 168 Table 62: (PHS5 b) Summary of payments and expenditure by Economic Classification (R 000) .. 169 Table 63: Risk Management .. 171 Table 64: strategic plan 2015- 2019 Targets .. 174 Table 65: (C&THS1) strategic Objectives, Indicators and Targets .. 176 Table 66: (THS2) Quarterly and Annual Targets .. 179 Table 67: (C&THS3) strategic Objectives, Indicators and Targets .. 181 Table 68: (C&THS4) Quarterly and Annual Targets.

10 184 Table 69: (C&THS7 a) Summary of Payments and Estimates (R 000) .. 185 Table 70: (C&THS7 b) Summary of Payments and Estimates by Economic Classification (R 000) .. 185 Table 71: Risk Management .. 187 Table 72: strategic plan 2015- 2019 Targets .. 190 Table 73: (HST1) strategic Priorities, Indicators and Targets .. 191 Table 74: (HST2) Quarterly and Annual Targets .. 193 Table 75: (HST4 a) Expenditure Estimates (R 000) .. 194 Table 76: (HST4 b) Summary of Provincial Expenditure Estimates by Economic Classification (R 000).. 195 Table 77: Risk Management .. 197 Table 78: strategic plan 2015- 2019 Targets .. 201 Table 79: (HCSS1) strategic Objectives, Indicators and 202 Table 80: (HCSS2) Quarterly and Annual Targets .. 205 Table 81: (HCSS4 a) Expenditure Estimates (R 000).