anrep0607 - Health Systems Trust

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CHAIRPERSON’S REPORT 2006/07 I am pleased to present this Annual Report of the Board of the Health Systems Trust for the 2006/07 financial year. The year under review started with some good news in the South African health sector with the release of the antenatal HIV survey results, suggesting that infection rates had stabilised in youth, although they continue to rise in older women. This engendered a sense of hope, which was followed later in the year by the incredible collaboration between government, civil society and other sectors in finalising the HIV & AIDS and STI Strategic Plan for South Africa (NSP 2007-2011). Crucially, the NSP also recognised the need to strengthen the overall health system as a key requirement in order to ensure delivery on the NSP targets. The year also saw a very strong focus on tuberculosis (TB). The increase in the rates of multi-drug resistant tuberculosis (MDR-TB) was documented, as were pockets of extensively drug-resistant tuberculosis (XDR-TB), with Tugella Ferry becoming notorious for its outbreak of XDR-TB. Even within the context of an extensive focus on diagnosis and treatment regimens, focus also shifted to health system failures in preventing the emergence of and the management of MDR- TB and XDR-TB. The South African Human Rights Commission (HRC) held hearings on access to health and the implications of health as a human right during this year. After visiting many facilities and speaking to users and service providers, the HRC indicated concerns about poor access in many areas due to inadequate staffing and a lack of transport for patients, among others. These failures have meant that we have not as yet attained the ‘Right to Health’ as enshrined in the Constitution. Globally there has also been a growing focus on the need to strengthen health systems in order to more effectively address global health priorities and achieve global targets, in particular the Millennium Development Goals (MDGs). HST has sought to engage pro-actively with these processes and challenges during 2006/07. Our work in these areas is extensively described in this report. The Trust’s projects have ranged from research on and development of human resources, governance, equity, community development, HEALTH SYSTEMS TRUST 1 ANNUAL REPORT 2006/07
nutrition, district health systems development, HIV & AIDS, research on STI and TB as well as participation in the NSP process. I believe HST is well positioned to further contribute to national and international developments based on its 15 years of experience in researching and strengthening health systems. HST has sadly parted with Health-e news having provided support during a difficult funding transition phase. We wish Health-e further success in their role as the leading media agency in health in South Africa. I extend my appreciation to my fellow Trustees for the tremendous support that they have provided to HST during this year. Unfortunately, Dr Yogan Pillay, a Trustee since 2003/04 was unable to remain on the Board due to competing commitments. We thank him for his willingness to serve and the support given to HST during his tenure. On behalf of the Board, I acknowledge and thank all funders who have generously supported the work of the organisation over this year. It is such support that has enabled HST to continue making progress with achieving the objective of health for all in southern Africa. Finally, I wish to acknowledge the outstanding role that the HST Board has played in providing stewardship to the organisation, and thank all HST staff for their hard work and dedication. Mr. T. Patrick Masobe CHAIRPERSON HEALTH SYSTEMS TRUST 2 ANNUAL REPORT 2006/07
Page 1 and 2: ANNUAL REPORT 2006 / 07 Health Syst
Page 3: TABLE OF CONTENTS Chairperson’s R
Page 7 and 8: 2006, and work commenced on the 200
Page 9 and 10: HIGHLIGHTS OF HST ACHIEVEMENTS FOR
Page 11 and 12: HEALTH SYSTEMS TRUST ANNUAL REPORT
Page 13 and 14: REPRODUCTIVE HEALTH RESEARCH Barrie
Page 15 and 16: Duration: July 2006 to March 2007 P
Page 17 and 18: the Social Sector Cluster (Health,
Page 19 and 20: DISTRICT SUPPORT AND COMMUNITY DEVE
Page 21 and 22: up home visits to trace defaulters.
Page 23 and 24: ▪ ▪ ▪ ▪ Monthly reviews of
Page 25 and 26: Enhancement of Syndromic Management
Page 29 and 30: The District Health Barometer Proje
Page 31 and 32: South African Health Review The Sou
Page 33 and 34: Resource Centre The Resource Centre
Page 37 and 38: HST STAFF Lilian Dudley, CEO HR and
Page 39 and 40: HST published and supported reports
Page 41 and 42: HST BOARD OF TRUSTEES An independen
Page 43 and 44: TRUST FOR HEALTH SYSTEMS PLANNING A
Page 45 and 46: HEALTH SYSTEMS TRUST 42 ANNUAL REPO
Page 47 and 48: TRUST FOR HEALTH SYSTEMS PLANNING A
Page 49 and 50: CASH FLOW STATEMENT for the year en
Page 51 and 52: Foreign exchange risk The trust rec
Page 53 and 54: FOR THE YEAR ENDED 30 JUNE 2006 ISD
Page 55 and 56:
For the purpose of the cash flow st
Page 57 and 58:
Funders and Funding Partners ▪
Page 59 and 60:
The Health Systems Trust’s unique
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