HARRY GWALA DISTRICT (SISONKE) KWAZULU-NATAL

1 1 | Page DISTRICT HEALTH PLAN 2015/2016 HARRY GWALA DISTRICT ( sisonke ) KWAZULU-NATAL 2 | Page 1. ACKNOWLEDGEMENTS The DISTRICT Management Team wishes to extend its acknowledgements to the members of DISTRICT office Management, Hospital and CHC Management for their dedication and commitment and involvement in the whole process of data collection, collation and finalization of this plan and guidance and encouragement. A high level of teamwork and active participation of different people in the DISTRICT , including Beyond Zero and BroadReach Healthcare (supporting partners) has resulted in the successful completion of this document. A special thank you goes to the following people: Mrs L Zuma DISTRICT Manager Mrs. Mkhize Deputy DISTRICT Manager Planning, M&E Unit Mr M. Cekwana Cooperate Service Manager Ms A. K. Mtinjana Deputy Manager DISTRICT Planner Mr. Makhaye Deputy Manager Clinical & Programme Services Mr B.

2 Zindela DISTRICT Engineer Mrs. N. Binase CEO - East Griqualand & Usher Memorial Hospital (EG& Usher) Ms Sakyiamah CEO St. Apollinaris hospital Mrs Keswa Acting CEO-Rietvlei Hospital Mthembu Acting CEO St Margaret s TB/MDR hospital Mr S. Mkhize Acting DISTRICT Manager-Emergency Medical Services (EMS) Ms T .Manzi DISTRICT Finance Manager Ms N. Madondo Finance Manager Mr S. Zwane DISTRICT Pharmacist Mrs. DISTRICT Quality Assurance Manager Nursing Manager- CTK Mrs Khumalo Nursing Manager- St Apollinaris Hospital Mrs Sikhakhane Nursing Manager- Pholela PHC Mrs Msomi DISTRICT PMTCT Manager Mrs T.

3 Mhlongo DISTRICT Oral Hygiene Manager Mrs N. DISTRICT Non-Communicable Diseases Manager Ms C. K. Ngubo DISTRICT Nutritionist Mrs DISTRICT HAST Manager Mrs N. Khwela DISTRICT HAST Manager Mrs N. Gcabashe Communicable Disease Manager Ms G. Letsoalo DISTRICT Trainer ( HRD Section) Ms S. Shezi DISTRICT Healthy Lifestyle Manager Mr DISTRICT Information Officer (DIO) Ms N. Mbana Finance Manager EGUM MS T. Zulu Acting Finance Manager- Pholela CHC Ms Shabalala Information Officer ( DISTRICT Office) Mrs B. Wela Human Resource Manager ( & Usher Memorial hospital) Mr N. Hlela DISTRICT TB Program Manager Mr Thwala Human Resource Manager, St Apollinaris Hospital Ms S. Khumalo Finance Manager, Christ the King Hospital Mrs M. Kheswa Finance Manager, St. Apollinaris Mr P. Biyase Finance Manager, Rietvlei Hospital 3 | Page 2.

4 OFFICIAL SIGN OFF It is hereby certified that this DISTRICT Health Plan: Was developed by the DISTRICT management team of HARRY GWALA DISTRICT with the technical support from the provincial DISTRICT development directorate and the strategic planning unit. Was prepared in line with the current Strategic Plan and Annual Performance Plan of the Department of Health of KZN 4 | Page 3. TABLE OF CONTENTS 1. ACKNOWLEDGEMENTS .. 2 2. OFFICIAL SIGN OFF .. 3 3. TABLE OF CONTENTS .. 4 4. LIST OF ACRONYMS .. 5 5. EXECUTIVE SUMMARY BY DISTRICT MANAGER .. 8 PART A - STRATEGIC OVERVIEW .. 13 6. SITUATIONAL ANALYSIS .. 14 MAJOR DEMOGRAPHIC CHARACTERISTICS .. 17 Demographic Data .. 17 SOCIAL DETERMINANTS OF HEALTH .. 23 EPIDEMIOLOGICAL (DISEASE) PROFILE OF THE DISTRICT .. 26 7. DISTRICT SERVICE DELIVERY ENVIRONMENT .. 28 DISTRICT HEALTH FACILITIES .. 28 TRENDS IN KEY DISTRICT HEALTH SERVICE VOLUMES .. 31 8. DISTRICT PROGRESS TOWARDS THE ACHIEVEMENT OF THE MDG S.

5 37 9. PROVINCIAL AND DISTRICT CONTRIBUTION TOWARDS THE HEALTH SECTOR NEGOTIATED SERVICE DELIVERY AGREEMENT (NSDA) .. 39 10. SUMMARY OF MAJOR HEALTH SERVICE CHALLENGES AND PROGRESS MADE FOR THE PREVIOUS THREE FINANCIAL YEARS .. 41 : INTRA DISTRICT EQUITY IN THE PROVISION OF SERVICES .. 41 11. ORGANISATIONAL ENVIRONMENT .. 45 : Organisational Structure of the DISTRICT Management Team .. 45 Human Resources .. 45 12. DISTRICT HEALTH EXPENDITURE .. 48 PART B - COMPONENT PLANS .. 52 13. SERVICE DELIVERY PLANS for DISTRICT health services .. 52 SUB-PROGRAMME: DISTRICT Health Services .. 52 Sub-Program: DISTRICT Hospitals .. 63 14. HIV & AIDS & TB CONTROL (HAST) .. 71 PROGRAMME Overview .. 71 15. MATERNAL, NEONATAL, CHILD AND WOMEN S HEALTH AND NUTRITION .. 87 PROGRAMME Overview .. 87 Strategies/ Activities to be implemented 2015/16 .. 102 16. DISEASE PREVENTION AND CONTROL (Environmental Health Indicators) .. 106 PROGRAMME Overview .. 106 Strategies/ Activities to be implemented 2015/16.

6 110 17. INFRASTRUCTURE, EQUIPMENT AND OTHER SUPPORT SERVICES .. 112 18. SUPPORT SERVICES .. 114 PHARMACEUTICAL SERVICES .. 114 EQUIPMENT AND MAINTENANCE .. 116 EMERGENCY MEDICAL SERVICES (EMS) .. 117 19. HUMAN RESOURCES .. 120 20. DISTRICT FINANCE PLAN .. 124 PART C: LINKS TO OTHER PLANS .. 126 21. CONDITIONAL GRANTS (Where applicable) .. 126 22. PUBLIC-PRIVATE PARTNERSHIPS (PPPs) and PUBLIC PRIVATE MIX (PPM) .. 127 PART E: INDICATOR DEFINITIONS .. 128 5 | Page 4. LIST OF ACRONYMS Abbreviations Description A AIDS Acquired Immune Deficiency Syndrome ANC Ante Natal Care APP Annual Performance Plan ART Anti-Retroviral Therapy ARV Anti-Retroviral B BAS Basic Accounting System BLS Basic Life Support BUR Bed Utilization Rate C CARMMA Campaign on Accelerated Reduction of Maternal and Child Mortality in Africa CCG s Community Care Givers CEO(s) Chief Executive Officer(s) CHC(s) Community Health Centre(s)

7 COE Compensation of Employees D DCST(s) DISTRICT Clinical Specialist Team(s) DHER(s) DISTRICT Health Expenditure Review(s) DHIS DISTRICT Health Information System DHP(s) DISTRICT Health Plan(s) DHS DISTRICT Health System DOH Department of Health DQPR DISTRICT Quarterly Progress Report E EMS Emergency Medical Services Electronic Tuberculosis Register Electronic Register for TB F G G&S Goods and Services H HAST HIV, AIDS, STI and TB HCT HIV Counselling and Testing HIV Human Immuno Virus HOD Head of Department HPS Health Promoting Schools HPV Human papillo virus HR Human Resources HTA High Transmission Area 6 | Page Abbreviations Description I IDP(s) Integrated Development Plan(s)

8 IPT Ionized Preventive Therapy J K KZN KWAZULU-NATAL L LG Local Government M M&E Monitoring and Evaluation MDG Millennium Development Goals MDR-TB Multi Drug Resistant Tuberculosis MEC Member of the Executive Council MNC&WH Maternal, Neonatal, Child & Women s Health MO Medical Officers MOU Maternity Obstetric Unit MTEF Medium Term Expenditure Framework MTSF Medium Term Strategic Framework MUAC Mid-Upper Arm Circumference N NDOH National Department of Health NCS National Core Standards NGO(s) Non-Governmental Organisation(s)

9 NHI National Health Insurance NIMART Nurse Initiated and Managed Antiretroviral Therapy O OSD Occupation Specific Dispensation OSS Operation Sukuma Sakhe P P1 Calls Priority 1 calls PCR Polymerase Chain Reaction PCV Pneumococcal Vaccine PDE Patient Day Equivalent Persal Personnel and Salaries System PHC Primary Health Care PN Professional Nurse R RV Rota Virus Vaccine S SCM Supply Chain Management SHS School Health Services 7 | Page Abbreviations Description SLA Service Level Agreement Stats SA Statistics South Africa STI(s) Sexually Transmitted Infection(s) T TB Tuberculosis U V VCT Voluntary Counselling and Testing W X XDR-TB Extreme Drug Resistant Tuberculosis Y and Z sisonke DISTRICT HEALTH PLAN 2013/14 5.

10 EXECUTIVE SUMMARY BY DISTRICT MANAGER The current DHP will cover all aspects of service delivery in relation to targets and demands of services that is linking service delivery with finance and Human resources. It will however take cognisance of the achievements on 2013/ 2014 DHP like the TB outcomes (see tables on TB outcomes below) and sustain them and more efforts will be directed on areas of poor performance like improvement on DISTRICT hospitals quality and efficiency. 1 DISTRICT SERVICE DELIVERY PERFORMANCE PRIMARY HEALTH CARE (PHC) SERVICE MANAGEMENT Primary health care services in this context refer to services rendered from the household level right up to the community health Centre in a sub- DISTRICT . DISTRICT PHC Utilisation rate remains low at , to reach the target for 2015 /2016 of will be focussing on strengthening of community based programmes including strengthening and efficient management of all WBOT data.