of the 2006/07 Annual Report
4 December 2007
Honourable Speaker
When our government identified key priorities for the current term of office
we were informed by the imminent challenges that faced us.
I am therefore pleased to report to this august house that we have made
significant progress in many priority areas of our work. These areas of
progress include:
* improved immunisation coverage,
* promotion of healthy lifestyles,
* reducing maternal and neonatal deaths,
* significant improvement of the tuberculosis (TB) cure rate,
* improved access to maternity and obstetric services,
* revitalisation of hospitals.
Mr Speaker most of our targets were met and almost half of those were
exceeded.
While it has indeed been a challenging task, we intend to build on these
achievements and improve from the previous years and ensure that the people of
the Gauteng province continue receiving better health care.
These and other commitments have been met and I am glad to report back that
in some instances we have exceeded our targets.
When I tabled the budget for the year in discussion I also made public
commitments which were eventually used as a yardstick to measure our
performance.
These commitments continued to guide our work throughout the year. We never
shied away from those commitments and indeed we made good on most of them.
Promoting health
We took a conscious decision to ensure that our programmes are geared
towards reducing the burden of illness. Our programmes are now proactive in
that they are not just a knee jerk reaction to conditions of illnesses.
Our focus is on enhancing the Quality of Health of the people of this
province, hence we have redoubled our health promotion efforts, to ensure that
our people do not fall victims of chronic diseases of lifestyle, such as
stroke, obesity, diabetes and heart conditions.
In the year under review, we have embarked on health promotion radio
programmes which are broadcast through community radio stations. Soshanguve
Community Radio, Technikon Northern Gauteng and Vaal Technikon Community Radio
Stations are some of the media we used to communicate with our communities
about preventing illness, and managing health problems.
We have taken our message of healthy living directly to our communities.
Child health
Honourable Speaker, in order to ensure that our children do not suffer from
preventable diseases we increased immunisation coverage of children under the
age of one from 83% to 91%.
In order to maintain this momentum we have ensured that everyday is
immunisation day at our primary health care facilities.
We have also intensified a programme to immunise children between the age of
six months and 15 years at our hospitals' in-and out patient departments and in
children's homes in order to ensure that those who could have missed
immunisation do not fall victim to preventable illnesses.
Our Community Health Workers are also assisting us in ensuring that the
families they visit are well informed and educated about the importance of
vaccinating infants against preventable illnesses. We also contributed to our
country being declared Polio free in 2006.
Maternal health
In order to reduce maternal deaths, we established a dedicated maternal and
neonatal clinical care unit. This is aimed at reducing avoidable maternal
deaths.
I would like to continue to encourage expectant mothers to attend antenatal
clinics religiously, as this will assist in identifying complications early in
their pregnancy.
It has been proven that most maternal deaths are attributable to negligible
attendance of antenatal clinics.
Approximately 101 000 women were screened for cervical cancer, this amounted
to a 61% increase from 2005/06 financial year.
About 8 861 women had mammography performed to detect breast cancer in the
year under review.
Effective implementation of the comprehensive HIV and AIDS strategy:
Voluntary Counselling and Testing is now offered at all our Primary Health
Care facilities - with a total of 252 130 people being tested.
Honourable Speaker
We regard Voluntary Testing as the entry point in the continuum of care for
HIV and AIDS. We encourage everybody to know their status in order to take
appropriate measures in response to their HIV status.
Ninety eight percent of our health facilities now offer the Prevention of
Mother to Child Transmission of HIV programme. We will soon introduce the dual
therapy. We have a total of 47 accredited sites where anti-retroviral Therapy
is provided. We have exceeded the target of the number of people on treatment.
We are treating the highest number of adults and children compared to any other
province in the country.
In the year under review we funded 115 non governmental organisations (NGOs)
that provide home based care. We have taken measures to ensure that these NGOs
are accountable in order to eliminate problems that are associated with
non-compliance which in some cases has resulted in delays in the transfer of
grants.
We have also increased the number of facilities that support victims of
sexual assault.
Honourable Speaker
Post exposure prophylaxis is now offered in 58 facilities which is an
increase from 52 in the previous financial year.
Treatment completion remains a challenge, as in the year under review the
treatment completion rate was at 39%. This course of treatment Honourable
Speaker is meant to last only for 28 days.
Once more we plead with those who have been victimised to present themselves
within 72 hours of the incident.
Honourable Speaker, this intervention does not even begin to address the
nucleus of this malady because 60% of victims of sexual assault that have been
seen at these facilities are children.
Violence against women and children continues unabated, I therefore make a
call to men as partners to intensify their role in preventing this malady as we
have begun the 16 Days of Activism for No Violence Against Women and Children
campaign.
Tuberculosis (TB)
The overall cure rate for TB has improved from 64% to 69%. I would like to
commend the health workers and community health workers in their tireless
efforts in tracking down TB Patients and ensure that they adhere to prescribed
treatment regimens.
The emergence of XDR TB had a severe impact on the day-to-day management of
the TB programme. We have therefore declared Sizwe Hospital a dedicate multi
drug resistant and extreme drug resistant (XDR) TB hospital.
Primary Healthcare
Primary Healthcare is the bedrock of our health system. If the Primary
Healthcare System collapses, then our hospital services will follow suit. In
order to strengthen Primary Healthcare we have put in place statutory
structures to ensure co-operative governance in the delivery of these services.
This co-operative governance is evident in the fact that I meet quarterly with
Members of the Mayoral Committee for Health in three metropolitan councils and
three district councils, under the auspices of the Provincial Health Council.
This Provincial Health Council discusses policy and monitors implementation of
Primary Healthcare.
Honourable Speaker, the increase in the number of people who visit our
primary health care facilities means that our people are voting with their
feet. They acknowledge the quality of health services being offered at our
clinics. This increase in clinic visits has also been partly due to the shift
of some patients from hospital outpatient departments. Our clinics also
undertook extensive management of chronic conditions such as hypertension and
diabetes. To illustrate this point I will provide you with the following
statistics:
* over two million visits for hypertension,
* 472 847 visits for diabetes,
* 144 094 visits for epilepsy.
I do not want to enter into a debate whether our people are becoming sicker
or not. What we acknowledge is that after we launched the Quality Health Care
campaign this year, health awareness has increased, there have been more visits
to our clinics by risk patients. Management of conditions that were previously
managed at hospitals has also increased confidence of our people in primary
health care facilities.
Emergency medical services
Our emergency medical services are the busiest in the country. In the year
under review a total of 519 948 incidents were responded to and of these, 44%
were priority one cases.
The percentage of priority one cases that were responded to within 15
minutes increased from 54% to 59% in the year under review. We have undertaken
measures to address those areas that affect our rapid response times.
Human Resources
Shortage of health professionals remains a challenge. In the year under
review we filled 22 900 critical posts out of 27 140 vacancies. Recruitment and
retention of health professionals remains a priority for us.
Hospital services
We have begun a process of de-linking beds and treatment of minor ailments
from Chris Hani Baragwanath, Johannesburg, Pretoria Academic, and Dr George
Mukhari Hospitals.
This is aimed at ensuring that the resources that are at our disposal are
utilised optimally.
We urge our people not to present minor ailments at these hospitals as this
clogs the health system and leads to resources â human, financial and equipment
not being deployed optimally.
We have strengthened District Health Services in order to achieve this end
results.
At the beginning of February this year we opened a state of the art Pretoria
Academic Hospital. This hospital is a national treasure which renders tertiary
health services even to people who come from outside our province and beyond
our borders.
Johannesburg Hospital was voted for the third time in 2006 since 2004 by the
readers of The Star Newspaper as the best hospital.
Chris Hani Baragwanath Hospital continues to provide a unique range of
services and it is the biggest hospital in the Southern Hemisphere.
Dr George Mukhari Hospital reduced its surgical backlog drastically in the
year under review.
Revenue
The department generated revenue of R264 million compared to R254 million
collected in 2005/06 financial year.
Patient fees constituted 79% of the total revenue that was collected.
Honourable Speaker, within the budgetary constrains that face us our health
services continue being rendered. We have not sat back and moaned about
insufficient budget allocations. We have stretched the rand into rubber. We
have been innovative in many instances in order to ensure that the people
receive the best medical care available at our facilities.
Being mindful of the above we acknowledge that budget allocations will never
be sufficient, especially in a province such as ours.
In most instances we have become victims of our own successes. People
continue to flock to our province because they believe the grass is greener on
our side and this puts more pressure on the resources that are available to
us.
Honourable Speaker, we will take to heart those matters of concern that will
be raised in the Oversight Reports of the Health Portfolio Committee and the
Public Accounts Committee.
As I promised in last year's debate we managed to obtain an unqualified
audit, we will also endeavour to strengthen our systems in order to obtain an
even cleaner audit.
I thank you
Issued by: Department of Health, Gauteng Provincial Government
4 December 2007
