annrep 1011 1 to 148.qxp - Department of Defence

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D E P A R T M E N T O F D E F E N C Eat the School for Logistical Training. These members willreinforce the SAMHS logistical capability.A comprehensive appreciation was done on patient administrationto facilitate service delivery improvements and adherenceto the Public Finance Management Act, ie to ensure thatthe payment of all medical accounts are finalised within 30days. Turnkey solutions are being implemented and havedelivered results.The establishing of an integrated health system as a strategicresource has become indispensable to the delivery of anincreasingly sophisticated primary and tertiary health caresystem. The development of new systems promotes best businesspractices and accountability through tested technologies.Good progress has been made with the development of newtechnology such as digital scanning, clinical imaging, electronichandheld palmtops, telemedicine and smart card identificationcards.The HIV counselling and testing campaign launched byPresident Zuma and the National Department of Health on25 April 2010 was executed under the auspices of theComprehensive Care and Management Treatment programme.Focused activities took place on 1 December 2010,World Aids Day. During a training visit in December 2010 toSan Antonio, Texas, the Directorate HIV and Aids presenteda HIV Prevention poster.Although the retention of health care practitioners remains astrategic issue, the Occupational Specific Dispensation formedical officers, dentists and pharmacists, Resolution 1 of2010, has been implemented.A total number of 108 members of the Military SkillsDevelopment System were translated to the Core ServiceSystem and 160 members were translated to the Reserves.The roll-out of the University Reserve Training programmecontinued. The challenge of recruiting and remuneratinghealth care practitioners in the Reserves remains unresolved.The SAMHS continued to promote a culture of good governanceduring the reporting period by implementing and executingrectification plans after negative audit findings. TheSAMHS Accountability Management Committee stands centralto the monitoring of the rectification plans.P u r p o s e o f t h e P r o g r a m m eThe Military Health Support Programme provides preparedand supported health capabilities and services for the defenceand protection of South Africa.S u b p r o g r a m m e sStrategic Direction formulates strategy, policies andplans, and gives advice from the Surgeon General'sOffice to prepare and provide the capabilities requiredby the Chief of the SANDF. Funding is based on thecost of operating the military health headquarters.Mobile Military Health Support provides health supportelements for deployed and contingency forces.Funding is distributed according to the number and sizeof units, systems and equipment operating and maintenancerequirements and the number of force preparationactivities.Area Military Health Service provides a comprehensive,self-supporting, multidisciplinary geographic militaryhealth service through a formation headquarterscommanding and controlling nine area military healthunits to ensure a healthy military community. Fundingis distributed according to the number and size of unitsand health care facilities, systems and equipment operatingand maintenance requirements and the number andtype of patient health services rendered, as well as forcepreparation activities.Specialist/Tertiary Military Service provides a specialisthealth service to develop and maintain tertiarymilitary health capabilities within the parameters of relevantlegislation as contained in the South AfricanMilitary Health Service (SAMHS) strategy. Funding isdistributed according to the number and size of militaryhospitals and specialist units, systems and equipmentoperating and maintenance requirements, the number ofand type of patient health services rendered as well asforce preparation activities.Military Health Product Support Capability providesfor warehousing pharmaceuticals, sundries, militaryhealth mobilisation equipment and unique stock, procuringunique military health products, materials and services;and an asset management service, military healthproduct systems and cooperative common militaryhealth logistics. Funding is distributed according to thenumber and size of units and the use of military healthproducts, equipment and consumables and the requirementsfor maintaining strategic military health reserves.Military Health Maintenance Capability providesgeneral base support services to identified SAMHS unitsto sustain and maintain the approved force design andstructure. Funding is distributed according to the numberand size of units, systems and equipment operatingand maintenance requirements.Military Health Training Capability provides a militaryhealth training service to develop and maintain militaryhealth capabilities within the parameters of relevantlegislation and policies. Funding is distributedaccording to the training inputs of the sub-units, equipmentoperating and maintenance requirement and thenumber of force preparation exercises and trainingcourses presented to Southern Africa DevelopmentCommunity (SADC) countries.78ANNUAL REPORT FY 2010/2011
D E P A R T M E N T O F D E F E N C EO b j e c t i v e s a n d M e a s u r e sProvide prepared and supported health capabilities and servicesby providing:a health support capability of five medical battaliongroups, including one specialist medical battaliongroup, for deployed and contingency forces; anda comprehensive multidisciplinary health service to aprojected patient population of 230 000 members peryear.O u t p u t D e t a i lTable 9.1 below reports on the achievement of the outputs,performance indicators and targets as specified in the DODStrategic Plan FY2010/11Table 9.1:Military Health Support Programme Output Detail for FY2010/11Output PerformanceIndicatorMobile Military Health Support CapabilityCombat-readyMilitaryHealthSupportElements fordeployed andcontingencyforcesNumber of units preparedaccording toforce requirementsAnnualTargetOne conventionalmedical battaliongroupOne specialistbattalion groupThree Reserve medicalbattalion groupsActual TargetAchievementOne conventionalmedical battaliongroup (minus)One specialist battaliongroup (minus)Three Reserve medicalbattalion groups(minus)25% of the unitstrengthReasons for Over/ UnderAchievementPartially achieved. Insufficientstaff to fulfil the dual missionof the SAMHS and to staff theRegular ConventionalMedical Battalion Group. Thecombat readiness of theSAMHS is compromised bythe inability to retain scarceskills, especially health carepractitioners, and the inabilityto procure and upgrade mainmedical equipment from theinsufficient budget allocationPartially achieved. Insufficienthealth care practitioners andinability to recruit and retainscarce skills such as healthcare practitioners, eg medicalofficers and air-borne andparachute qualified members.Also the inability to procureand upgrade main medicalequipment from the insufficientbudget allocationPartially achieved. Althoughthere was an increase in thelevel of staffing, the correctprofile of members, eg therecruitment and retention ofhealth care practitionersremains challenging. Theremuneration of health carepractitioners for the Reserveshas not been resolved. Thedecentralised and modulartraining of SAMHS Reserveshad been approvedANNUAL REPORT FY 2010/2011 79
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Chapter 1D E P A R T M E N T O F D
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Chapter 4D E P A R T M E N T O F D
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