PORTFOLIO COMMITTEE HEARINGS: 7 MARCH 2000
TB CONTROL PROGRAMME
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 |
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