CLUSTER: DISEASE PREVENTION AND CONTROL

PORTFOLIO COMMITTEE HEARINGS: 7 MARCH 2000

CLUSTER: DISEASE PREVENTION AND CONTROL

OFFICE OF THE CLUSTER MANAGER: DISEASE PREVENTION AND CONTROL

POLICY ISSUES: GENERAL

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

PERFORMANCE TARGET	PRIORITY	ACHIEVED	NOT ACHIEVED
1. Transfer of medicolegal mortuaries	High	Report adopted by MINMEC on 10 September 1999. MINMEC requested costing figures for the upgrading of the mortuaries. Framework Implementation Plan finalised on 1 March 2000. Cabinet has been informed about progress on 16 February 2000.	Report not submitted to Cabinet for final decision. Reasons for not achieving target - Costing figures awaited from the SAPS.
2. Rationalisation of blood transfusion services	Medium	Agreement on forming a single corporate entity has been reached Constitution of Transitional Board has been adopted and signed by all blood transfusion services on 4 February 2000. The framework of a corporate model for the new corporate structure has been developed.	None
3. Increasing representativeness in Cluster	Very high	Of 16 new appointments in the Cluster during 1999, 15 (94%) were from the designated groups. Appointments ranged from administration clerk to a medical specialist.	Only one (17%) of the Directors is from the designated group. Reasons for not achieving target - Historically, the posts have been filled by persons from non-designated groups. - A Director’s post has become vacant recently but has not been filled yet.
4. Policy on the Safety of the Blood Supply	High	Policy adopted by PHRC on 17 February 2000.	None

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

TARGET	OBJECTIVE	PRIORITY	TIME FRAME	LEGISLATION	CONSTRAINTS	SOLUTIONS
1. Transfer of medicolegal mortuaries	The Report and Framework Implementation Plan will be submitted to Cabinet once the costing figures for the upgrading of the mortuaries have been received from the SAPS.	High	15 March 2000	None	Costing figures awaited from the SAPS	Discussions were held with the SAPS and the Department of Public Works to expedite the process.
2. Rationalisation of blood transfusion services	Task group has been formed to develop a draft memorandum of articles of association for adoption by the Boards of the blood transfusion services.	Medium	December 2000	None	None	Not applicable
3. Increasing representativenesin Cluster	As Director’s posts become vacant (as with all other posts) representative appointments will be made.	Very high	Ongoing	None	No suitable candidature from designated groups	Approach educational institutions to identify suitable candidates Advertise in appropriate newspapers Head hunting on a personal basis Providing training and bridging courses for personal development

BUDGET WRITTEN INPUTS FOR THE 2000/01 BUDGET HEARING

CLUSTER: DISEASE PREVENTION AND CONTROL

DIRECTORATE: CHRONIC DISEASES, DISABILITIES AND GERIATRICS

BUDGET AND EXPENDITURE INFORMATION

Budget: R4 560 000

Expenditure 31/2000 R2 075 979

Projected exp. till 31/3/2000 R1 332 470

Balance R 1 151 551

Under expenditure percentage 31/01/00 55%

Projected under expenditure 31/03/00 25%

PROPOSED BUDGET FOR 2000/01

(Including transfers and Capital Expenditure)

BUDGET SUMMARY:2000/2001

	PERS	ADMIN	STORES	EQUIP- MENT	EQUIP- CAPITAL	PROF & SPEC	TRANSFER	MISCELL	TOTAL
2000/01
Management	483	92	4	38	20	20	0	8	665
Chronic Diseases	367	63	12	0	0	759	350	6	1557
Disabilities	504	76	15	5	0	880	0	8	1488
Geriatrics	211	17	1	0	0	340	0	4	573
TOTAL	1565	248	32	43	20	1999	350	26	4283

Capital Expenditure: R20 000 Transfers: R350 000

MTEF

1998/99 = 4430

1999/2000 = 4560

2000/2001 = 4148 (requested amount = 4283)

NB: No unauthorised expenditure incurred

POLICY ISSUES

projected under expenditure as at 31/3/2000 = R1 161 551

projected under expenditure percentage as at 31/3/200 = 29%

Deviation from budget occurred because of :

Delay in:

Approval of 7 guidelines by PHRC (up to 6 months)

Editing and layout of the guidelines

Certain training to be postponed because provinces could not release employees.

Policy consequences

No implementation of guidelines by the end-users thus ad hoc management of diseases/conditions of older persons and chronic diseases e.g.

National guideline on prevention early detection/identification and intervention of physical abuse of older persons at primary level.
National guideline on foot health at primary level.
National guideline on prevention of falls of older persons.
Guideline for the promotion of active ageing in older adults at primary level.
The prevention of hearing impairment due to otitis media at clinic level.
National guideline on management and control of eye conditions at primary level.
National guideline on primary prevention of Chronic Diseases of Lifestyle

What is to be done to deal with surplus

Busy with negotiations to spend the money before end 31/3/2000. Make use of different companies.

Any disciplinary actions

Nil

DONOR FUNDING

Donor funding requested for 1999/2000 and proposed expenditure for 2000/01

Flemish Funding Project 2

Name: Community-Based Rehabilitation Strategy

Region: (A) European Union

Country: Belgium

Status of agreement: Technical agreement for 1997-1999 signed

2 October 1996

Type of Grant: Grant Aid

Contract value: R2 530 000

Tender Amount: R2 300 000

Balance: R230 000 (for printing will be spend 31/3/2000)

Expenditure percentage: 91%

Flemish Funding Project 1B

Name: Maintenance of assistive devices

Region: A European Union

Country: Belgium

Status agreement: Technical agreement for 1999-2001 signed

2 October 1996

Type of Aid: Grant Aid

Contract value: R1 639 404

Expenditure: R19 000

Funds committed: R159 000

Total expenditure: R178 000

Balance: R1 461 404 (to be spend in 2000/01)

Oral Health	Budget	Expenditure	Deviation	%Spent	Comment re over/under expenditure	Budget 2000/01
Personnel expenditure	992	684	308	68.95	Vacant Deputy- Director: Dentistry post	928
Administrative expenditure	104	64	40	61.54	Vacant Deputy Director- Dentistry post	129
Stores and livestock	183	23	160	12.57	Regulations not published	139
Equipment – current	8	10	-2	125.00	Recurrent breakdown of labour saving device	10
Equipment – capital	45	5	40	11.11	No funds recovered for replaced Y2K computers	15
Professional & Special services	128	10	118	7.81	± R 112 000 will be paid out to Statomet plus Calibrators	86
Transfer payments-current			0			-
Transfer payments-capital			0			-
Miscellaneous	15	12	3	80.00	Stabilisation fund contributions	15
Total	1,475	808	667	54.78		1,322

There are no policy consequences as a result of the indicated under-or over-expenditure

The surplus will be used by other units in the Cluster, which have over-expenditures

No unauthorised expenditure.

No disciplinary actions required.

Comment: Over/under expenditure

Personnel expenditure:

Under expenditure due to vacant post of Deputy Director: Dentistry for 10 months. The post has been filled with effect from 1 February 2000.

Administrative expenditure:

Under expenditure due to vacant post of Deputy Director: Dentistry

Stores and Livestock

Under expenditure due to:

Publication of the regulations on the fluoridation of water supplies not materialised. The final draft regulations is awaiting the approval of the Minister of Water Affairs and Forestry, ± R 30 000
Draft regulations regarding the registration and training of student dental technicians and student dental technologists are back from the State Law Advisers and the SA Dental Technicians Council, and currently with the Legal Unit of the Department. Consultation took a long time. Not published ± R30 000.
Draft regulations regarding the registration of informally trained persons as dental technicians have been received back from the State Law Advisers indicating that it is ultra vires the Dental Technicians Amendment Act. Not published.

±R30 000

Oral health education material has to be reprinted by the Government Printer (GP). It is with GP and expected that the ± R 70 000 will still flow in the current financial year.

Equipment-current:

Over expenditure:

Due to recurrent breakdown of labour saving device (photostat machine)

Equipment-capital:

Under expenditure:

Due to IT committee not approving replacement of all computer equipment.

Funds for replaced Y2K computer equipment not yet recovered from Oral Health’s responsibility.

Professional and Special services:

Under expenditure is indicated. However, an invoice has been received from a contracted institution (Statomet) assisting with determining the sample size and capturing of data, as well as data analysis of the national children’s oral health survey. The invoice has been processed and a payment of R101 574 will be done in this financial year.

A further ±R 10 000 will be paid out to the calibrators of the said survey for S&T expenditure.