PORTFOLIO COMMITTEE HEARINGS : 7 MARCH 2000
CLUSTER: Corporate Services and external Relations
POLICY ISSUES: GENERAL
Mental Health & Substance Abuse |
Budget |
Expenditure |
Deviation |
% |
Comment re over/ under expenditure |
Budget |
Spent |
2000/01 |
|||||
Personnel expenditure |
1,597 |
1,379 |
218 |
86.35 |
Final month R130,000 |
1,554 |
Administrative expenditure |
395 |
183 |
212 |
46.33 |
Additional R10 000 anticipated |
812 |
Stores and livestock |
393 |
76 |
317 |
19.34 |
Goods valued at R117 000 ordered and awaiting delivery |
205 |
Equipment- current |
15 |
10 |
5 |
66.66 |
30 |
|
Equipment- capital |
51 |
29 |
22 |
56.86 |
Goods received for R16 000 – still to be paid |
34 |
Professional & Special services |
2,289 |
1,014 |
1275 |
44.29 |
Accounts submitted or to be submitted this year R1192000 |
2,105 |
Transfer payments-current |
722 |
490 |
232 |
67.86 |
Transfer of R232 000 to go through |
1,152 |
Transfer payments-capital |
0 |
- |
||||
Miscellaneous |
26 |
19 |
7 |
73.07 |
23 |
|
Total |
5,488 |
3,200 |
2288 |
58.30 |
Total year expenditure expected to be 89% of allocation |
5,915 |
PERFOMANCE TARGETS (OPERATIONAL PLANS) AND ACHIEVEMENTS FOR 1999/00
PERFOMANCE TARGET |
PRIORITY |
ACHIEVED (WITH EXPLANATION) |
NOT ACHIEVED (STATE REASONS WHY NOT) |
Mental Health Care Act submitted to parliament |
Very High |
Bill gazetted for public comment |
Additional public comment required to get greater consensus before submission to parliament |
Policy documents
|
High |
Drug Master plan passed Other policy documents in draft stage |
|
Improve care and conditions for psychiatric patients
|
High |
|
|
Epidemiological prevalence of mental health problems |
High |
Project started with University and international partners |
|
Implement Health lead projects of National Crime Prevention Strategy
|
High |
Operating in 10 mortuaries 240 Health workers trained Two centers started Programme being implemented Project tender awarded |
|
Prevent substance Abuse amongst target groups
- Integrate substance abuse life-skills programme into HIV/AIDS Life-Skills -Support innovative prevention programmes through the South African Alliance for the Prevention of Substance Abuse and WHO - Participate in intersectoral campaign to highlight substance abuse issues (International Days)
-Educational Video -Epidemiology
Assess harmful affects
|
High |
Programme developed and currently being tested Five programmes running
Reasonably successful campaign
Video made Research supported CSIR report received |
SAAPSA is still a relatively weak organisation requiring more assistance
Campaign launch delayed until further research is conducted in other areas |
2 PERFOMANCE TARGETS (OPERATIONAL PLANS) FOR THE 2000/01 FISCAL YEAR
TARGET |
OBJECTIVE |
PRIORITY |
TIME FRAME |
LEGISLATION |
CONSTRAINTS |
SOLUTIONS |
Pass Mental Health Care Bill through parliament |
Very high |
Submit to cabinet in June. Submit to parliament in second half of the year |
Yes |
None foreseen – though there is likely to be some opposition |
As much consensus as possible to be achieved before submission to parliament |
|
Draw up regulations for the Mental Health care Act |
Very High |
Second half of financial year |
||||
Finalise four policy documents
|
High |
July November January
April
|
Once the policies are finalized, it may be difficult to implement them in all provinces due to resource constraints |
Policies will need to be phased in over time. |
||
Address mental health aspects of HIV/AIDS |
|
Very high |
December
Initial programmes in May
July |
Providing for all the counselling needs of HIV/AIDS is a massive undertaking
|
NGOs will have to be brought in as partners. Nurses in clinics will have to be given time for counselling. |
|
Improve care and conditions for psychiatric patients |
Integrate mental health into primary and secondary general health care |
High |
May June Ongoing March Ongoing Ongoing |
A number of blockages which delayed delivery in the previous year have been worked on and smooth delivery is expected However certain intersectoral issues such as funding for forensics and NGOs for community care will need special attention. |
||
Mental Health Epidemiology |
Research to continue |
High |
March |
|||
Continue with implementation of NCPS Health Lead projects Conduct assessments |
|
High |
Ongoing March
Ongoing
August
December |
|
Plans will have to be drawn up for the expansion of these projects beyond the initial sites (if they are shown to be effective). Financial restraints may seriously inhibit this expansion |
The Health and the cost benefits of these programmes will have to be demonstrated to show that these are indeed worthwhile programmes |
Prevent substance Abuse amongst target groups
|
The Health objectives of the National Drug Master Plan will be implemented.
Youth programmes will continue through the Department’s partnership with the WHO and the South African Alliance for the Prevention of Substance Abuse Possibilities of putting restrictions on alcohol advertising/warning labels on bottles etc will be assessed |
High |
Ongoing
June
Programme finalized in June – then must be implemented in all schools Ongoing
August |
Legislation will be required though probably only in 2001/2002 |
Resources within provinces are lacking |