PORTFOLIO COMMITTEE HEARINGS: 7 MARCH 2000

TB CONTROL PROGRAMME

  1. PERFORMANCE TARGETS (OPERATIONAL PLANS) AND ACHIEVEMENTS FOR 1999/2000
  2. PERFORMANCE TARGET

    PRIORITY

    ACHIEVED (WITH EXPLANATION)

    NOT ACHIEVED (STATE REASON WHY NOT)

    Expand the DOTS strategy to cover at least two thirds of health districts (114/174)

    Very high

    DOTS strategy expanded to 94 districts by the end of 1999.

    20 new districts are in the process of establishment and have not reached the desired targets. The main reason for not achieving the targets is poor monitoring of activities at district level

    80% of Demonstration and Training Districts (DTDs) with 48 hour turn around time for sputum results

    High

    80% of DTDs have a turn around time of 48 hours for sputum results

     

    90% of DTDs submitting quarterly reports on smear conversion rates

    High

    94% DTDs submitting smear conversion rates

     

    Standardised MDR TB guidelines developed and distributed. NTCP guidelines updated

    Medium

    Standardised MDR TB guidelines developed and distributed

    Guidelines updated

     

    Established 5 TB/HIV pilot sites

    High

    4 TB/HIV pilot sites established

    1 TB/HIV pilot site is in the process of establishment

  3. PERFORMANCE TARGETS (OPERATIONAL PLANS) FOR THE 2000/01 FISCAL YEAR

TARGET

OBJECTIVE

PRIORITY

TIME FRAME

LEGISLATION

CONSTRAINTS

SOLUTIONS

90% of health districts implementing DOTS

Expand DOTS strategy coverage

Very high

March 2001

 

Poor monitoring and management at district level

Strengthen district management

One public awareness activity per month

Improve public awareness of TB

High

March 2001

 

Key role players not recognizing TB as a serious public health problem

Strong advocacy on TB

4 Provinces implementing revised recording and reporting system

Establish monitoring system for progress in monitoring TB control

Very high

March 2001

 

Not all health facilities computerised

Provision of computers and training of staff

Determine extend of MDR TB

Establish MDR TB treatment centres in each province

Implement effective MDR TB guidelines

Medium

Medium

March 2001

March 2001

 

Time constraint

Structures not in place

 

 

Partnerships established with HIV/AIDS/STD programme

Integrate TB activities in HIV/AIDS/STD programme

Very high

March 2001

 

Slow expansion of TB/HIV pilot sites

TB/HIV pilot sites in all provinces

TB CONTROL PROGRAMME

BUDGET AND EXPENDITURE INFORMATION

Financial year: 1999/2000

- Copy of latest Monthly Report attached.

- Over expenditure at: R199 000

Proposed budget for 2000/2001

Copy attached.

Capital expenditure – computers and data projector

POLICY ISSUES

General

- The deviation from the budget occurred because:

- Policy consequences resulted – none

- To deal with the surplus / deficit – funds will be shifted towards the -end of the financial year

- Resulting disciplinary actions - none