Mid Term Report - Gauteng Online

• Completion of the new Pretoria Academic Hospital,a state of the art health facility• Construction of Soshanguve Block L, Hillbrow,Stretford and Stanza Bopape Community HealthCentres• Completion of a new kitchen and other facilitiesat Sizwe Hospital, new maternity unit at Far EastRand Hospital, renovated theatres at KalafongHospital and two new wards at WeskoppiesHospital• New pharmacies completed at Dr Yusuf Dadoo,Kopanong, Edenvale, Pholosong, Weskoppies,Coronation and Pretoria Academic Hospitals.Pharmacies were renovated at Carletonville, DrGeorge Mukhari and Natalspruit Hospitals• Commissioning of Johannesburg Hospital oncologyunit• Completion of stores at Chris Hani BaragwanathHospital and breast clinic at Helen JosephHospital• Acquiring over R600 million worth of new equipment,including high tech medical equipmentsuch as MRI and CT scanners, gamma cameras,digital mammography units, radiological equipmentincluding multifunctional digital x-rays,linear accelerators and Cath labs for variousGauteng hospitals.Revitalisation projects are underway at Chris HaniBaragwanath hospital and Mamelodi hospital. Newhospitals are being built in Kathorus and Zola andnine new clinics are under construction.NutritionThe number of children experiencing severe malnutritionhas dropped from 0.5% in 2004/2005 to0.34% in 2005/2006 due to improve nutrition riskidentification and management. In addition to theBana Pele programme and school feeding aimedat the poorest children, pre-schools are funded toprovide nutrition to poor children. Supplements areprovided to needy children and post-partum womenat health care facilities, while special attention isgiven to the nutrition of patients with HIV and Aidsand TB. Fortified porridge, multivitamins and nutritionalsupplements have been distributed to all facilitiesand NGOs. Since 2004/5 over 70 000 patientsreceived nutritional supplements, including more than20 000 patients from comprehensive HIV and AIDScare and treatment sites.Improving motherand child healthSince 2004, the provincial government has madegreat strides in improving the health of women andchildren in Gauteng through a range of programmes.These include:• Strategies and programmes arising from the Savingthe Mother Report have been implementedin maternal and neonatal care units establishedin 2004. The focus is on preventing and reducingavoidable maternal deaths and deaths ofbabies. So far 94% of health facilities are complyingwith the recommendations of the reportand further steps will be taken to ensure 100%compliance.• All health facilities implement protocols andguidelines for the management of pregnantwomen and staff have been trained on the useof the protocols. Provincial facilities are pilotingthe World Health Organisation Basic AntenatalCare (BANC) programme, a strategy to improvethe health of pregnant women and their unbornbabies.• The Integrated Management of ChildhoodIllnesses programme, a child survival strategyfor children under six years of age, is beingimplemented in 86% of our primary health carefacilities, as compared to 64% in 2004.• The Expanded Programme on Immunisation isbeing implemented to reach all children underthe age of five in the province. Mass immunisationcampaigns have resulted in immunisationcoverage increasing to 90%.• The Perinatal Problem Identification Programme(PPIP) is being implemented in all hospitals andin 22 maternity and obstetric units (MOUs). Inaddition, the Kangaroo Mother Care (KMCs) isimplemented in all hospitals.• Cervical cancer screening has benefited 266843 women since the inception of the programmein 2000. More than 21 000 mammogramswere performed to improve earlydetection of breast cancer since 2004. Thesescreening services afford women the opportunityto be offered early treatment and follow up. Anew project will ensure access to surgery forbreast cancer patients at the Johannesburg andChris Hani Baragwanath hospitals, as well asthe Helen Joseph hospital’s new breast clinicopened in 2006.• Teachers are being assisted to provide childrenwith basic knowledge about common healthconditions, including immunisation, nutrition andadolescent sexual health.• Widespread health awareness programmeshave been undertaken, including focusing onhealthy lifestyles.The provincial government is addressing the followingkey challenges in improving child health andreducing maternal deaths:• Ensuring triple therapy ART is accessible to allmothers who need it, following up childrenwhose mothers returned to their province of42 • Midterm Report - 2004/06