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Annual Operational Plan

annual operational plan doh

Every year, new objectives and goals arise in your business. They arise because there may be a new project , new industry trends, or new opportunities to bring your business to a higher level. Because of that, the flow of your operations should change yearly. Having new objectives and goals means changing the ways you do things. If you don’t change them, it would be nearly impossible to achieve those new objectives and goals. That’s why you must plan your operations annually. The next business year is fast approaching. So, start planning your operations asap using our Annual Operational Plan Template Examples.

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What Is an Annual Operational Plan?

An annual operational plan outlines the yearly activities and targets that a company or organization must follow. It emphasizes what changes were made in the operations or standard operating procedures (SOP). That said, it explains a new strategy to achieve a year’s desired business outcomes. It might also entail changes in training employees and marketing the company’s brand.

How to Prepare an Annual Operational Plan

According to Small Business Trends, business planning doubles a business’s chances of achieving success . Well, it’s not really surprising. We all know how planning, in general, guides us towards what we want to obtain. Operational planning is also a form of business planning . So, if you execute it, the upcoming year’s operations will bring success to your business. With that in mind, make sure to take note of these steps in preparing an annual operational plan.

Step 1: Set the Objectives

It wouldn’t be a plan without the objectives. So, don’t forget to set your business objectives on the operational plan. They’re the purpose of your operations and the reason why you need to plan it in the first place.

Step 2: Create a Timeline

A timeline would help in achieving the objectives on time. In creating it, emphasize what specific processes the staff must complete in every period throughout the year. You can divide the year on a weekly , bi-weekly,  monthly , or quarterly basis. In each period, you can also indicate how much the operating budget will be.

Step 3: Outline the Procedures

Next, you have to outline the operation’s new procedures. Arguably, this is the most important section of the operational plan. They show the detailed step-by-step processes in obtaining the objective you’ve set. So, if they aren’t in the plan, your staff might think that the previous SOPs are still applicable.

Step 4: Define the Employees’ Roles

Let each staff member in every department know what their roles are in the upcoming year’s operations. More or less, their roles remain the same but with some changes. Write brief descriptions about what each of them will do throughout the year.

What are the different types of operational plans?

There are two different types of operational plans. These are:

  • Single-use plans – will only be used once for one-and-done events or projects.
  • Standing plans – will be used permanently and routinely.

What are the essential elements of planning?

The essential elements of planning include:

  • Implementations

How does operational planning differ from strategic planning?

Operational planning focuses on implementing the right processes or procedures. Meanwhile, strategic planning focuses on identifying the best possible approaches to achieve certain goals.

Operational planning is an integral aspect of business management . Every year, you have to invest time and effort in executing it. Your company’s success depends on it. There’ll be challenges as you formulate your operational plan. It entails a lot of analysis and research, not just within your business, but also in the industry. Thankfully, there are available tools to make it easier for you. Among those tools are our Annual Operational Plan Templates and Examples. So download them now!


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annual operational plan doh

The nationwide rollout of implementation of FOURmula One (F1) to 81 F1 sites requires a more efficient process for development, approval and implementation of Province-wide Investment Plans for Health (PIPH) and its Annual Operational Plans (AOP). Fast tracking F1 reforms under a Sectoral Development Approach (SDAH) for Health will accelerate achievement of Millennium Development Goals (MDG) in the country.

Resources and energies for F1 must be maximized. Various procedural delays experienced in the development, approval and implementation of PIPH and AOPs in the country must be addressed. Specific areas for improvement are seen in (i) Complex and confusing instructions and guidelines for PIPH development, (ii) very centralized management of processes from DOH Central Office and SDAH partners, (iii) duplication of transactions for approving AOP and SLA, (iv) repetitive review process at various levels, and (v) low fund utilization of (40-50%) emanating from various delays and many restrictions on the release of funds for Province-wide Health Systems (PWHS) to initiate implementation of their PIPH.


General Objective: This Administrative Order seeks to provide guidelines for improving procedural efficiency relevant to development, approval and implementation of the F1 PIPH and AOP

Specific Objectives:

1. Reduce duration of procedures involved 2. Omit duplication of functions and procedures 3. Delineate specific purpose, roles and functions for all relevant stakeholders


1. Streamlining of Process Flows to simplify and shorten the process of submission and approval of documents and facilitate the release of funds for reform implementation. 2. Empowerment of the CHD as a Major F1 Player by giving them a more active role in the appraisal of the PIPH and AOP. 3. Enhancement of Joint Appraisal Committee (JAC) Review with a more focused format that facilitates substantive application of JAC resources on PIPH/AOPs of local government partners.


This Order shall apply to all bureaus, national centers, services and CHDs of the DOH. This shall also serve as a guideline for LGUs and ARMM with respect to the provision of the Memoranda of Agreement (MOAs) that has been consummated for purposes of the PIPH/AIPH. This shall also be binding upon members of the Joint Appraisal Committee (JAC), pursuant to the implementation of the Sectoral Development Approach for Health (SDAH). It shall also cover all transactions related with PIPH/AIPH development and implementation.


1. F1 – FOUR mula One for Health – a strategic framework for health reforms formulated by DOH using four pillars (Service Delivery, Health Care Financing, Health Governance and Health Regulation) in attaining the National Objectives for Health and the Millennium Development Goals for Health.

2. F1 Sites – provinces or highly urbanized cities considered as implementation sites for F1 for Health.

3. MDG – UN Millennium Development Goals – worldwide effort to attain the following goals by 2015: alleviate extreme poverty and hunger; achieve universal primary education; promote gender equality & empower women; improve maternal health; reduce infant mortality; combat HIV/AIDS, Malaria, TB, Filariasis, etc; ensure environmental sustainability; and develop a global partnership for development.

4. PIPH – Provincial-wide Investment Plan for Health – a five-year medium term plan prepared by F1 convergence provinces using the FOURmula ONE for Health framework to improve the highly decentralized system: financing, regulation, good governance and service delivery.

5. AOP – Annual Operation Plan - specifies program activities for the year including activities covered by Service Level Agreement, within the annual investment cost – as reflected in the five-year PIPH for all sources of funds (i.e. PLGU, MLGU, Development Partners Support, DOH budget support, PHIC, etc.)

6. JAC – Joint Appraisal Committee – a committee headed by the DOH Secretary, DOH Sectoral Management Cluster Head and PhilHealth President as co-chair; and the heads of the DOH National Centers and all government agencies involved in health programs as well as representatives from development partners as members. The committee appraise the PIPH before it is endorse to the development partners for funding, it also provides guidance and recommends appropriate action for investment planning in health reforms.

7. SDAH – Sectoral Development Approach for Heal th – a way of organizing the planning and management of international and national support for health reform under the Fourmula One framework. It aims to eventually involve all Partners supporting the Health Sector.

8. SLA - Service Level Agreement – a signed agreement between the DOH and each of the F1 sites that defines the outputs and milestones to be reached, the amount of funds to be provided through a grant from ODA Partners and the DOH’s counterpart contributions and requirements pertaining to the release of said funds.

9. MOA – Memorandum of Agreement – a signed agreement between the DOH and each of the F1 sites that formalize the collaboration in the implementation of the PIPH and to define the general roles and responsibilities of each of the two parties including financing support from DOH.

10. CHD – Center for Health Development – the regional office of DOH headed by the Regional Director.

11. PWHS – Provincial Wide Health System - a devolved health system headed by the Provincial Governor.

12. Primary TA Provider – Primary Technical Assistance Provider refers to a team or individual with technical expertise provided by Health Partners to assist the CHDs in the development and appraisal of PIPH and AOPs including the presentation of the plan appraisal report for JAC review.

13. MNCHN – Integrated Maternal, Neonatal, Child Health and Nutrition Strategy – this is a F1 Health approach that outlines the specific policies and actions for local health systems to systematically address health risk that lead to maternal and neonatal deaths.


A. Development and appraisal of PIPHs and AOPs will be in accordance with existing guidelines, subject to revisions and focal themes provided for in this issuance.

B. The Service Level Agreement (SLA) and the Annual Operational Plan (AOP) for 2009 shall be processed and integrated as one document. The CHDs shall also be responsible for approval of agreements on the AOPs. The Secretary of Health will approve the Memoranda of Agreement for all PIPHs.

C. Detailed appraisal of new PIPHs and of all AOPs shall be delegated to CHDs.

D. JAC Review of PIPH/AOPs will focus on health outcome results orientation, impact on poor population, and matching plans with available funds.

E. Key local government officials will present their PIPH while key officials of the CHDs will present the AOPs to the JAC. Primary TA providers assigned to the CHD will assist in the appraisal and presentation of PIPHs/AOPs.

F. JAC Review recommendations will serve to enrich PIPHs/AOPs reviewed. The JAC recommendation shall not be cause to hold back immediate implementation of PIPHs/ AOPs, specifically those initiatives funded by the LGU counterpart.


A. Development and Appraisal of PIPH 1. PIPH development and appraisal shall give particular care to the following: a. Better participation of municipalities, NGOs, private providers, peoples organizations and client/consumers in the planning process. b. Setting goals based on ME3 and objectives based on LGU Scorecard parameters c. Reform interventions including the following: - Service Delivery: Public-Private Partnerships (e.g. for TB-DOTS, for CSR & for Health Facility Development, etc.) - Regulation: Botika ng Barangay - Financing: Identification and enrollment of poor in PhilHealth, Increasing local Budgets for health and Extra-budgetary financing sources - Governance: ILHZ formation, Development of Human Resource for Health, Health Information System Development

2. AOP development, appraisal and implementation shall give particular care to the following:

a. By May 2009: Public-Private Partnerships, interventions to benefit the poor and Geographically Isolated and Disadvantaged Areas (GIDA), MNCHN operations, and municipal & city level investment planning

b. By August 2009

Hospitals and Facilities, Drugs and Pharmaceuticals, human resources, province-wide financial guidelines governing multiple sources of funds for PIPH/AOP implementation

c. Utilization of LGU Scorecard Indicators in Situational Assessment, and for planning intervention for PPAs in AOP

d. CHD issuance of clearances on matters concerning technical specifications and program standards arising from the PPMP based on comparisons with technical specifications and program standards, as stipulated the DOH website. The CHDs shall refer the requests for clearances to the appropriate DOH Central Office unit in cases when technical specification and program standards are not provided for in the DOH website.

e. Infrastructure upgrade must be consistent with Rationalization Plan if available, or focused on Provincial Hospitals, Core Referral Hospitals of functional ILHZ and Primary Care Facilities (RHUs, Health Centers, BHS) while Rationalization Plan is not completed

f. Matching Fund requirements with available funds from all sources

3. CHDs shall be accountable for the detailed appraisal of the PIPH/AOPs and for ensuring readiness of plan for submission for JAC review. It shall be the responsibility of the CHD Director to ensure consistency of the SLA and the AOP of the province with the PIPH and the corresponding MOA signed by the Secretary of Health. The DOH, through the respective CHD, and the Provincial Governor shall concur the AOP in writing, with the Provincial Health Officer, and the Assistant Regional Director, being the PIPH point persons shall sign as witnesses.

4. Primary TA providers assigned to CHDs shall assist CHDs and LGUs in developing plans, appraising completed plans, and presenting plans for JAC review.

5. PIPH appraisal will be according to the guidelines found in DM No. 2008-0006 (Adoption of the PIPH Appraisal Tool for the Assessment of the PIPH of the Roll-out Convergence Provinces, January 4, 2008).

6. AOP appraisal will be according to DM No. 2009-0027 (Utilization of the Appraisal Tool in the Review of the 2009 Annual Operational Plan (AOP) in the FOUR mula One (F1) Pilot and Roll-out Sites and Other Provinces, January 27, 2009).

B. Integration of SLA and AOP

1. Upon approval and validation of new PIPHs for the nationwide roll-out provinces, CHDs shall immediately coordinate with LGUs in the drafting of the SLA for 2009 alongside the LGUs formulation of the AOP 2009 and its sub-plans.

2. CHDs shall be guided below with the status of 2009 AOP development and how this will be synchronized with the preparation and approval of the 2009 SLA:

Status of Development Required Support from CHD A. Provinces who have already submitted to the DOH-Central Office but without SLA - Consultation with concerned provinces their 2009 AOP re: 2009 SLA vis-a-vis 2009 AOP - Facilitate the signing of the 2009 SLA and submission of said document to the DOH-Central Office through FIMO B. Provinces whose 2009 AOP are still with the CHD for review and without SLA - Check for consistency and completeness of both documents (2009 SLA and 2009 AOP) C. For those provinces whose AOP are still in the LGUs for finalization and without SLA - Consultation with concerned provinces re: 2009 SLA vis-a-vis 2009 AOP - Facilitate the preparation and signing of the 2009 SLA and AOP and submission of same to DOH-Central Office through FIMO

3. Parties to the SLA shall be the CHDs on behalf of the DOH, and the LCEs on behalf of the provinces. The CHD Director IV and the Provincial Governor shall be the respective signatories. The CHD Director III, Provincial Health Officer II, and the OIC of the DOH Accounting Division shall sign as witnesses (Annex A) [*]

4. The SLA shall be based in part on fund ceilings computed by the DOH Central Office and Foreign Assistance Providers (FAPs), while the AOP shall be based on the PIPH (Annex B) [*] .

C. Streamlined JAC Review

1. The JAC will have access to all copies of the PIPH an AOPs through a web portal where all PIPHs/AOPs submitted for JAC review will be uploaded. The BLHD, with the assistance of the IMS shall upload electronic copies of all submitted AOPs and Appraisal Reports to a secure online portal with access controls restricted to the JAC and the JAC Technical Secretariat.

2. The JAC shall be convened to review and enhance the plans of LGUs with its technical and financial resources, on the premises of CHDs having completed detailed appraisal of the PIPH/AOP submitted for review.

The JAC Review shall: a. Focus review on the orientation of plans on (i) Results, (ii) the poor, (iii) and on appropriate fund ceilings for each specific fund source b. Consist of the following structure: 1. A situationer of trends in F1 results, investments, and status of PIPH/AOP development in the country 2. CHD presentation of appraisal report and highlights of content of AOPs in the province, based on the focus orientation of the JAC 3. Local government presentation of its PIPH highlighting focus orientation of the JAC 4. Discussion with JAC members on recommendations on plans presented

3. The JAC recommendations shall not intend to hold back release of funds nor to hold back LGUs from initiating implementation of PIPHs/AOPs. The comments and recommendations of the JAC shall apply enhancement through measures which may include, but are not limited to the following categories:

a. Recommendations for improvement of the plan that will be delegated to CHDs and its primary TA provider, to oversee application of enhancements to 2009 plans when possible , but certainly to enhance 2010 plans submitted for JAC review. b. Components of the plan that will not be funded by DOH or ODA partners, and as such would necessitate adequate budget allocation from the LGU.

4. The JAC shall ensure the proper facilitation of financing agreements. It shall recommend appropriate financing sources for activities in the PIPHs/AOPs, in consideration of fund availability and fund sources.


In the event that any provision or part hereof is declared unauthorized or rendered invalid by any court or competent authority, those provision that are not affected by such declaration shall remain valid and effective.


Provision from previous issuances that are inconsistent or contrary to the provisions of this Order are hereby rescinded and modified accordingly.


This Order shall take effect immediately.

Adopted: 12 March 2009

(SGD.) FRANCISCO T. DUQUE, III MD, MSc Secretary of Health

[*] Text Available at Office of the National Administrative Register, U.P. Law Complex, Diliman, Quezon City.

annual operational plan doh

  • National Council of Provinces

NCOP Health and Social Services

Department of health 2023/24 annual performance plan, 02 may 2023, chairperson: mr e nchabeleng (anc, limpopo) acting, meeting summary.

The Select Committee on Health and Social Services met virtually with the Department of Health on the DoH Annual Performance Plan and Budget Vote 2023/24. The DoH said there had been significant improvement in health outcomes in South Africa over the past 10 years, with a positive impact on the health status of South Africans, who now live longer than before due to reduction in premature mortality. However, services must still be more cohesive between the public and private sectors. Universal health coverage needs to be realised and supported by reducing the relative cost of private medical care and improving the human capacity and systems of public health. The Department noted that the baseline allocation has been decreased. There is no allocation for the Covid-19 Vaccination Programme in 2023/24 hence the 52% reduction under Goods & Services. There was a decrease in compensation of employees due to the transfer of the Port Health Services function to Border Management Authority (BMA) with effect from 1 April 2023. A decrease in transfers is due to the reduction of R1.957 billion in the allocation for the District Health Programmes Conditional Grant: District Health Component. The Health Facility Revitalization Indirect Grant decreased by 5% in 2023/24. Committee members expressed concern about the need for more public information about the Health Patient Registration System (HPRS). While 50 million people are registered, more awareness about registration should be raised. The poor administration of the patient registration system at Northern Cape hospitals was noted and DoH was asked to prioritise updating the patient registration system there specifically at Robert Sobukwe Hospital. DoH was asked to address this hospital’s poor operation urgently. Members noted concern about the distribution of medical supplies and treatment in rural areas. Most persons in rural areas must travel long distances to collect medication. Members proposed that DoH conduct unannounced visits to the rural health centres for monitoring and evaluation. Members also called for provincial heath departments to be supported to improve expenditure rates, outcomes and audits. Members were concerned that the NHI performance indicators decreased from four to two. This needed increasing due to the budget allocated and to cover the NHI programme’s scope. Medical legal cases were also raised.

Meeting report

Department of Health Annual Performance and Budget Vote 2023/24 Dr Sandile Buthelezi, DoH Director General, provided the basis and context of the National DoH Strategic Plan and APP. He said there had been significant improvement in health outcomes in South Africa over the past 10 years, with a positive impact on the health status of South Africans, who now live longer than before due to reductions in premature mortality. However, services must still be more cohesive between the public and private sectors. Universal health coverage needs to be realised and supported by reducing the relative cost of private medical care and improving public health's human capacity and systems.             MTSF Impact Statements for Health - Universal Health Coverage for all South Africans will be progressively achieved, and all citizens will be protected from the catastrophic financial impact of seeking health care by 2030 through implementing the NHI Policy. - Life expectancy of South Africans will improve to 66.6 years by 2024 and 70 years by 2030: - Recognizes notable progress made on NHI legislative process with public consultation on the NHI Bill and the clause-by-clause review completed by the Portfolio Committee. - Responds to critical diagnostics provided by Presidential Health Summit compact as well as recommendations from Lancet quality commission, Health Market Inquiry and South African Demographic and Health Survey. Annual Performance Plan 2023/2024 The performance indicators were outlined for each of the DoH programmes: Programme 1: Administration Programme 2: NHI Programme 3: Communicable and Non-Communicable Programme 4: Primary Health Care Programme 5: Hospital Systems Programme 6: Health System Governance and Human Resources Annual Budget Vote 2023/2024 The baseline allocation has been decreased due to non-allocation for Covid-19 Vaccination Programme in 2023/24 and the reduction in District Health Programmes Grant. Compensation of employees: Decrease under CoE is due to transferring the Port Health Services function to BMA, effective 01 April 2023. Goods & services: There is no allocation for Covid-19 Vaccination Programme in 2023/24 hence the reduction of 52% from the 2022/23 under Goods & services. Transfers & subsidies: Decrease in transfers is due to the reduction of R1.957 billion in the allocation for the District Health Programmes Conditional Grant: District Health Component. Purchase of capital assets: The Health Facility Revitalization Indirect grant's capital funds decreased by 5% from 2022/23 to 2023/24. Minister of Health Dr Joe Phaahla emphasised the various pillars to strengthen the health system to deal with communicable diseases, particularly HIV/AIDS, TB, and STIs. Provincial support for human resources and infrastructure had been prioritised. Discussion The Chairperson thanked the Department and added that presentations by provincial departments of their APPs and budgets would follow. Ms D Christians (DA, Northern Cape) referred to the HPRS and that approximately 50 million people are registered. She asked DoH to outline about the awareness-raising process for the public to register on the HPRS database. She was concerned about the poor management of patient files at the Robert Sobuwe Hospital (RSH) in the Northern Cape. A patient registered with the hospital since 2019 experienced the loss of her medical file on four occasions. Would DoH update the patient registration system at the hospitals in the Northern Cape? She referred to the recent finding of a legal medical case where poor administration was cited as the main factor for the negligence. It results in substantial expenses as DoH must settle out of court. She asked DoH to explain how medico-legal matters are addressed. On the backlog of forensic mental observations, she noted that 1 423 people await these reports. She requested an update on the plans and timeframes to address this backlog. Severe and acute malnutrition is a significant challenge in the country. She asked DoH to advise on the measures to combat the challenge. What are clinics doing to assist parents in feeding their children? She referred to the DoH plans to conduct unannounced visits to facilities. She asked if Robert Sobuwe Hospital would be included. Ms Christians highlighted the RHS obstetrics challenges. She provided four examples of women awaiting cancer treatment at the hospital since 2019. The four women recently slept in the hospital's passage for four days while awaiting surgery, as no beds were available. The women were provided beds and prepped for surgery on the fifth day. However, the surgeries were not conducted and the women were discharged. There were various reasons for this such as a lack of staff, facilities and medical materials. She asked for an update on the expenditure on the Covid vaccinesin Programme 6. Is there a database tracking the ongoing usage and expiration of the vaccines? She referred to an increase in non-communicable diseases such as hypertension. How will the DoH address this increase and capacitate clinics? The District Health programme budget to address TB and malaria was reduced. How will the decreased funding be addressed? How will provincial departments be supported to improve expenditure rates and outcomes? Ms S Luthuli (EFF, KZN) asked how DoH would address future strikes in the public health sector following the March 2023 strike. She noted concerns about the distribution of medical supplies and treatment in the rural areas. Most persons residing in rural areas must travel long distances to collect medication. She proposed that DoH conduct unannounced visits to the KZN rural clinics and health centres. She asked DoH to update them on the funding provided for infrastructure. Ms N Ndongeni (ANC, Eastern Cape) said the NHI performance indicators decreased from four to two. This needs to be revised due to the budget allocated and to cover the NHI programme’s scope. She requested an update on the NHI grant deliverables, outputs and outcomes. She asked DoH to provide lessons learnt from the Covid pandemic and how these will be incorporated into its operations. What was the impact on HIV and TB, and what steps were undertaken to address the implications? She asked for an update on the registration of beneficiaries on the HPRS. Mr M Bara (DA, Gauteng) said that the Auditor General recently found the DoH Annual Report contained unreliable performance information. Besides removing specific performance indicators, what steps were taken to prove the reliability of performance and expenditure information? He requested an update on the forensic laboratories’ backlogs, infrastructure needs, staff vacancies and morale. He requested an update on the North West Health Department placed under administration in April 2018. DoH responses Dr Buthelezi replied about the support to provinces on audit outcomes. National DoH works closely with the provinces through the CFO Forum and SA Chartered Accountants Forum. Resources are deployed to provinces to ensure proper financial management. Recently a meeting was convened at the Office of the Auditor General to discuss generic issues leading to adverse outcomes. The Limpopo Central Academic Hospital was supported by the deployment of a contractor to set up a site to commence the construction work. The project will be launched in 2028. On Covid 19 vaccines, 21 million doses of the Johnson & Johnson vaccine and 7.6 million doses of the Pfizer vaccines are housed at the central depot. None have expired, and no new procurements were made. The total procurement cost was R9.1 billion. Some of the NHI indicators depend on passing the Bill into an Act. This process depends on Parliament and not DoH. Dr Aquina Thulare, DoH Technical Specialist on Health Economics for the NHI, reiterated that NHI indicators depended on the legislation’s approval. The AG had advised that the indicators were not SMART as there were too many dependencies. Thus, the indicators were amended accordingly and in line with audit requirements. On registering medical aid members on the HPRS, she confirmed that these members are registered according to facility visits. There are discrepancies in the information gathered by DoH and the medical schemes. Medical schemes do not approve the transfer of their members’ database information to the HPRS. It will attempt to address this lacuna in the amendment of the Medical Schemes legislation. On conditional grant deliverables, plans are designed according to Treasury’s guidance on how grants should perform. Some of the grants are aimed at addressing improved administration and registration. Medicine stock systems are under review to improve stock visibility and track shortages, especially in rural areas. Central Chronic Medicines Dispensing and Distribution (CCMDD) grants are in place to deliver medicines and reduce medicine shortages. Primary health care at clinics would be prioritised. Quality services are a significant deliverable. Contracting for services at the primary health care level would be researched and designed to ensure proper implementation of the NHI. Lessons learnt from Covid will be incorporated into the NHI rollout. The health system must be unified. Ms Milani Wolmarans, DoH Chief Director: Policy Coordination and Integrated Planning, responded to the outpatient registration questions. DoH prioritised the digitalisation of electronic health records. This requires intensive and ongoing training of staff. A health-identifying number would be provided to patients. The technician would utilise the number to access the clinical results and treatment. The intention is to provide the number to every patient in anticipation of the rollout of the NHI. DoH collaborates with the Department of Home Affairs  (D HA) to access documentation status and population information to verify the information for the database. The National DoH is collaborating with the Northern Cape DoH to address the challenges at Robert Sobukwe Hospital. The DoH would develop a fully-fledged electronic health record which is resource dependent. Connectivity, mainly due to load shedding, is a significant challenge. Mr Ayana Dakela, DoH Head of Infrastructure, added about Limpopo Central Hospital that a contractor was deployed and a site work permit was approved. A budget of R2.9 million was approved. The site handover is scheduled for 10 May 2023. Job creation would be an advantage. A budget was allocated for refurbishment and upgrades of hospitals. Funding was earmarked for monitoring expenditure by provinces. Monitoring of the procurement and performance of contractors would be prioritised to ensure proper oversight and compliance. Ms Jeanette Hunter, DoH Primary Health Care and Hospital Management Systems, responded to the reduced primary health care  ( PHC) budget. The DoH overall budget was reduced, and it reprioritised activities accordingly. PHC would be the flagship of the health system. Thus the increase in the budget would be done on an eventual basis. The health promotion levy would be utilised to educate South Africans on health care and wellness. She advised that the DoH employs the use of the levy regularly. On the forensic observations backlog, staffing is provided by the Department of Justice. DoH aids when required. The backlog was reduced, but the backlog will not be eradicated. South Africa does not have a general shortage of medicines, but there may specific shortages in specific areas. She encouraged the Committee to submit the details of cases to DoH for follow-up. The screening of non-communicable diseases is conducted by the community health workers in various areas. The workers advise on wellness education and make referrals to PHC facilities. The primary health course provided integrated training for health staff on early detection and management. The North West Hospital was placed under administration and report has been submitted to the NCOP. DoH awaits feedback from the NCOP if the administration will be concluded. Mr Phaswa Mamogale, DoH CFO, replied that DoH regularly holds the CFO Forum to support provinces on audit action plans. The forum was convened to prepare for the audit in May 2023. The forum prioritised discussions on compliance inconsistencies as well as the guidance from the AG for compliance. Dr Buthelezi noted that further information would be provided in writing on the backlog of obstetrics in the Northern Cape Province. Deputy Minister Sibongiseni Dhlomo said that the DoH visited the Robert Sobukwe Hospital in Kimberley two weeks ago. He noted that there are suggestion boxes at the hospital. He recommended that Members encourage their constituencies to submit complaints and suggestions accordingly. NCDs relate to the need for behavioural change. Members should encourage communities to live a healthy lifestyle. Minister Phaahla responded about the prevention of further strikes. Freedom to strike is part of the labour dispensation. He emphasised that the law also protects health services. The Labour Court ruled that persons on the frontline of services should not be involved in the strikes. A risk counter plan should be provided to prevent strike action. The Chairperson thanked the Department for their attendance. The Committee adopted 25 April 2023 meeting minutes and the meeting was adjourned.  

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    [ DOH ADMINISTRATIVE ORDER NO. 2009-0008, March 12, 2009 ] ... (Utilization of the Appraisal Tool in the Review of the 2009 Annual Operational Plan (AOP) in the FOURmula One (F1) Pilot and Roll-out Sites and Other Provinces, January 27, 2009). B. Integration of SLA and AOP. 1. Upon approval and validation of new PIPHs for the nationwide roll ...

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