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Chapter 2 - P rogramme 1 - Department of Defence

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

Table 7.3 Military Health Support P<strong>rogramme</strong>: Risks and Mitigation Actions for FY 2007/08<br />

(continued)<br />

Risk Mitigation Action Actual Achievement<br />

Unacceptably high workload <strong>of</strong> health<br />

pr<strong>of</strong>essionals<br />

Public-Private Partnership Agreements<br />

Collaboration and liaison with<br />

Directorate Human Resources<br />

Acquisition<br />

Recruitment drive and marketing<br />

Centralisation <strong>of</strong> health services at<br />

identified service points after performing<br />

feasibility studies<br />

Extended working hours to<br />

accommodate increased demands<br />

for health service amidst healthcare<br />

practitioner shortages<br />

Utilisation <strong>of</strong> healthcare practitioner<br />

managers to perform clinical duties<br />

The SAMHS registered a Public-Private Partnership<br />

(PPP) directed towards identifying suitable health<br />

facilities where the SAMHS can admit patients at<br />

its own discretion for surgical procedures and/or as<br />

inpatients for consultation by SAMHS healthcare<br />

practitioners. The project is in its Treasury approval<br />

phase IIA, and the request for Treasury approval was<br />

submitted to National Treasury during December<br />

The SAMHS initiated several consultations<br />

with the Directorate Human Resources<br />

Acquisition in an effort to shorten and<br />

expedite the appointment <strong>of</strong> healthcare<br />

practitioners who had been recruited and<br />

who had applied for employment in the<br />

DOD. SAMHS statutory career managers<br />

have initiated marketing and recruiting<br />

strategies by means <strong>of</strong> presentations at,<br />

e.g. universities. These interventions are<br />

ongoing.<br />

A feasibility study was performed at<br />

Area Military Health Unit Free State,<br />

Bloemfontein, to centralise health<br />

services and provide a one-stop health<br />

service in the Tempe Military Base area.<br />

An identified facility was upgraded and<br />

the implementation <strong>of</strong> this management<br />

intervention had positive outcomes on<br />

service delivery amidst initial apprehensions<br />

<strong>of</strong> the stakeholders and clients.<br />

Several health facilities have instituted<br />

working hours for their personnel in shifts<br />

to meet the current demands for service<br />

delivery. This management intervention<br />

has ensured that pre-identified health<br />

facilities are open for extended hours to<br />

cater for the needs <strong>of</strong> clients.<br />

Due to the shortages <strong>of</strong> healthcare<br />

practitioners to perform clinical work,<br />

the managers/staff <strong>of</strong>ficers are also<br />

performing clinical duties.<br />

2007. The SAMHS also registered two new PPPs<br />

during January 2008, namely for the new SAMHS<br />

Headquarters and new facilities for the Military<br />

Health Training Formation.<br />

Additional Funding<br />

The report on outputs <strong>of</strong> specific policy options<br />

where additional funds were allocated for expenditure<br />

in FY 2007/08 is reflected in Table 7.4.<br />

Table 7.4 Military Health Support P<strong>rogramme</strong>: Additional Funding for FY 2007/08<br />

Policy Option Allocation (R’000) Output Targets Actual Achievement<br />

Comprehensive care,<br />

management and treatment<br />

plan for HIV and AIDS<br />

(antiretroviral rollout)<br />

32 000 Personnel development and<br />

monitoring <strong>of</strong> ARV processes<br />

Directorate HIV and<br />

AIDS was established. The<br />

International DOD HIV and<br />

AIDS Conference was hosted<br />

by the SAMHS. The USA’s<br />

National Institute for Health<br />

(NIH) was the original host<br />

but withdrew.<br />

151 Annual Report FY 2007 - 2008<br />

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

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