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Chapter 2 - P rogramme 1 - Department of Defence

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Overview<br />

| <strong>Department</strong> <strong>of</strong> <strong>Defence</strong> |<br />

CHAPTER 7<br />

P<strong>rogramme</strong> 5: Military Health Support<br />

The 2007/08 financial year was a watershed year<br />

for the SA Military Health Service (SAMHS) and<br />

the SANDF in showing their direct support to the<br />

people <strong>of</strong> South Africa. The public sector strike<br />

that affected essential hospital services saw the<br />

rapid and effective reaction <strong>of</strong> the SANDF. This<br />

report reflects on the performance <strong>of</strong> the SAMHS<br />

during the past year, in which internal and external<br />

deployments as well as new key initiatives were<br />

taken towards effecting a world-class military health<br />

service, pr<strong>of</strong>essionalism and governance.<br />

During the financial year, the SAMHS supported<br />

all external and internal deployments. The RSA<br />

experienced the impact <strong>of</strong> labour action in the<br />

public health sector over the period 2 to 28 June<br />

2007. The SAMHS was appointed as the lead service<br />

for Operation BATA to ensure the continuation <strong>of</strong><br />

essential health services during the labour action.<br />

This saw the SANDF deploy its members within 24<br />

hours upon receiving the order from Government<br />

and the <strong>Department</strong> <strong>of</strong> Health. At the height <strong>of</strong> the<br />

operation, 2 946 SAMHS members were deployed,<br />

supported by 1 909 SA Army, 179 SA Air Force<br />

and 60 SA Navy members. Thus, altogether 5 094<br />

SANDF members were deployed to support the<br />

<strong>Department</strong> <strong>of</strong> Health at 89 installations across<br />

the country. The SANDF “One Force” concept<br />

was fully implemented, as the members employed<br />

included Reserves.<br />

The SAMHS fulfilled its international obligations<br />

through a set <strong>of</strong> activities ranging from participation<br />

in defence committees to international visits, both to<br />

and from abroad. The quality <strong>of</strong> SAMHS inputs was<br />

enhanced through the new initiative to manage this<br />

environment with dedicated foreign desks. These<br />

desks contributed to continuity and an increase in<br />

the quality <strong>of</strong> the information available.<br />

As a common enemy, infectious diseases were an<br />

area <strong>of</strong> specific focus during the year. The initiative<br />

to host the first <strong>Defence</strong> HIV and AIDS Conference<br />

in the SADC region was concluded successfully<br />

in November 2007. Most SADC countries were<br />

in attendance. On the last day <strong>of</strong> the conference,<br />

an SADC military workshop was held and various<br />

resolutions were considered for utilisation towards<br />

the development <strong>of</strong> a joint comprehensive strategy<br />

for HIV and AIDS in the SADC region. The<br />

Surgeon-General and his team were an integral<br />

part <strong>of</strong> the consultative process adopted in the<br />

development and <strong>of</strong>ficial launch <strong>of</strong> the National<br />

Strategic Plan for HIV and AIDS in South Africa.<br />

A Directorate HIV and AIDS was established in the<br />

Office <strong>of</strong> the Surgeon-General to provide policy<br />

guidelines on HIV and AIDS to all commanders.<br />

The different managerial areas in the SAMHS<br />

were guided by the updated Surgeon-General’s<br />

Intent for the financial year. This resulted in a<br />

reviewed approach to the recruitment and training<br />

<strong>of</strong> healthcare practitioners, as well as a new drive<br />

to increase the benefits to military healthcare<br />

pr<strong>of</strong>essionals. In addition, results were also achieved<br />

in the following:<br />

•<br />

•<br />

•<br />

•<br />

•<br />

The implementation <strong>of</strong> the new dispensation<br />

for the nursing pr<strong>of</strong>ession;<br />

An increase in training capabilities;<br />

The upgrading <strong>of</strong> different SAMHS healthcare<br />

facilities such as the military hospitals;<br />

The review <strong>of</strong> management control mechanisms<br />

across the different staff compartments; and<br />

The implementation <strong>of</strong> change initiatives to<br />

renew the SAMHS as an organisation that is<br />

able to answer the needs <strong>of</strong> the future.<br />

A feasibility study to centralise health services and<br />

provide a one-stop health service to the SANDF<br />

was undertaken in Tempe Military Base area in<br />

Bloemfontein. This initiative resulted in positive<br />

outcomes on service delivery and appreciations<br />

would be extended to other metropolitan areas.<br />

The SAMHS has allocated funds to phase in a new<br />

ambulance fleet over a period <strong>of</strong> three years. The<br />

procurement process <strong>of</strong> the first ambulances was<br />

started and delivery is expected in the first quarter <strong>of</strong><br />

FY 2008/09. The SAMHS has, through the Strategic<br />

Capital Acquisition Master Plan, started with a<br />

renewal process <strong>of</strong> all main medical equipment.<br />

Identified new equipment has been procured as part<br />

<strong>of</strong> the first phase.<br />

143 Annual Report FY 2007 - 2008<br />

| <strong>Chapter</strong> 7 - P<strong>rogramme</strong> 5: Military Health Support |

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