Achievements listed in the National Department of Health Annual Report 2016/17 include:
- In August 2014 the Department of Health launched the MomConnect project.
This project uses cellphone technology to register pregnant women – all pregnant women in both public and private healthcare. They receive all the information and instructions necessary for them to ensure a healthy pregnancy and deliver a healthy vibrant baby. After delivery, the messages switch to information on the health needs of a new-born and continue for up to one year after birth.
By 31 March 2017, a total of 917 053 pregnant women had registered for the programme. The aim is to ensure that every one of the 1, 2 million women who get pregnant annually register on MomConnect.
- The She Conquers campaign was launched in June 2016. The three-year campaign focuses on HIV infections, unwanted pregnancies, keeping girls at school, sexual and gender-based violence, and economic empowerment. Since the launch of the campaign, adolescent girls and young women have received HIV testing and care services, post violence care, life skills and sexuality education in 22 priority districts.
- In the 2016/17 financial year, a national TB treatment success rate of 85,6% was achieved against a target of 84%. Access to bedaquiline and Delamanid for drug-resistant TB was accelerated and a nine-month short MDR-TB treatment regimen was implemented. Preliminary results from some sites are already showing treatment success rates of about 60% for XDR-TB patients.
- In preparation for the implementation of National Health Insurance (NHI), the national Department of Health (NDoH)in partnership with the Department of Science and Technology and the Council for Scientific and Industrial Research (CSIR), developed the Health Patient Registration System (HPRS), which commenced in July 2013. By 31 March 2017, 6 355 759 South Africans were registered in the system. A key component in the development of this system has been the roll-out of a standardised electronic patient filing system and the use of the new standardised patient files.
- By the end of March 2017, 1 252 000 patients were receiving their prescribed medicines through the Centralised Chronic Medicines Dispensing and Distribution (CCMDD) programme. In addition, national surveillance systems were established whereby information on medicine availability at clinics and hospitals is received and analysed to manage stock challenges.
- The Stock Visibility System (SVS) was implemented in 3 121 clinics, and an electronic stock management system was implemented in 123 hospitals at the different levels of care. Successful implementation of SVS has resulted in improved drug availability as follows: antiretrovirals (ARVs) from 69,5% to 92,5%; tuberculosis (TB) medication from 65,7% to 88,5%; and vaccines from 64,5% to 94,5%.
- The Ideal Clinic (IC) initiative was designed to improve primary healthcare (PHC). Thus far 786 facilities have been renovated and qualified as ready for National Health Insurance (NHI) implementation.
- The DoH continued to implement the Integrated School Health Programme (ISHP), which contributes to the health and wellbeing of learners by screening them for health barriers to leaning. The ISHP exceeded its target to screen 28% of Grade 1 and 12% of Grade 8 learners. A total number of 3 330 926 learners have been screened through this programme since inception, and 352 766 learners were identified with health problems, and referred for intervention.
- The Human Papilloma Virus Vaccination Campaign targeting girls in Grade 4 was introduced to protect them against cervical cancer – a major cause of death especially among black women. The programme has been largely successful, reaching 420 356 targeted girls for the 1st dose HPV immunisation, and 327 460 for the 2nd dose HPV immunisation coverage.
The National Development Plan 2030, released on 15 August 2012, proposes among others:
- Broadening coverage of antiretroviral treatment to all HIV-positive people
- Speeding up training of community specialists in medicine, surgery including anaesthetics, obstetrics, paediatrics and psychiatry
- Recruiting, training and deploying between 700 000 and 1.3 million community health workers to implement community-based healthcare
- Setting minimum qualifications for hospital managers and ensuring that all managers have the necessary qualifications
- Implementing national health insurance in a phased manner
- Promoting active lifestyles and balanced diets and controlling alcohol abuse to reduce non-communicable diseases.
- Minister Aaron Motsoaledi: Health Dept Budget Vote 2017/18, 16 May 2017
- Deputy Minister Joe Phaahla: Health Dept Budget Vote 2017/18, 16 May 2017
Government undertook to improve healthcare by:
- appointing appropriate and qualified heads of department, chief financial officers, hospital chief executive officers, district health officers and clinic managers
- reviving nursing colleges countrywide, to train more nurses
- renovating and upgrading hospitals and clinics
- providing reproductive health rights and services that include contraception, sexually transmitted infections, teenage pregnancies and sanitary towels for the poor
- continuing to implement programmes that promote various HIV and AIDS prevention measures, including medical male circumcision, prevention of mother-to-child transmission and the promotion of HIV testing.
- Human Papilloma Virus Vaccination Campaign
- HIV and AIDS Counselling and Testing (HCT) Campaign.
Milestones for National Health Insurance:
- Minister of Health Aaron Motsoaledi announced the 10 pilot districts on 22 March 2012.
- He released a Green Paper on National Health Insurance [PDF] on 12 August 2011.
- A National Health Insurance White Paper [PDF] was released for comments on 11 December 2015.
- The National Health Insurance policy document [PDF] was published on 30 June 2017.
It is seen as a 14-year project with the first five years used for building and preparation. Dr Motsoaledi emphasises that the cornerstone of the proposed system of NHI is universal coverage. He gave an update on the progress towards a full roll-out in the Health Dept Budget Vote 2017/18.
Cabinet resolved on 23 November 2011 that all government departments that are signatories to the Negotiated Service Delivery Agreement (NSDA) 2010-2014 continue to work together to address cross-cutting issues such as increasing life expectancy, combating HIV and AIDS and TB and improving maternal and child health. This must also extend to work involving nutrition and measures to reduce the incidence of underweight and stunted growth among children. Accurate measurement of these indicators will assist in tracking the extent to which health and socio-economic interventions are reaching the intended beneficiaries.
The health minister and MECs have signed performance agreements based on Outcome 2: A long and healthy life for all South Africans. These documents list standards against which performance are measured.