........
1024
REPORT To EXECUTIVE MAYOR
17 JUNE 2009
CITV Of tAP!: TOWN i ISIXEKO SI\SEKAPA i STAD KAAPSTAD
1
ITEM NUMBER:
2
SUBJECT
Me 44/06/09
200912010 SERVICE DELIVERY AND BUDGET IMPLEMENTATION PLANS
(SDBIPs) AND BUSINESS PLANS
ISIHLOKO
UNIKEZELO LWEENKONZO LWANGO-2009/201 0 KUNYE NEZICWANGCISO
ZOKLIMISELWA KWEBHAJETHI (SDBIPs) NEZICWANGCISO ZOSHISHINO
ONDERWERP
DIENSLEWERINGS- EN BEGROTINGSIMPLEMENTERINGSPLANNE
(SDBIPs) EN SAKEPLANNE VIR 2009/2010
3.
RECOMMENDATION OF THE HEALTH PORTFOLIO COMMITTEE
02 JUNE 2009:
RECOMMENDED that
(a)
the Mayoral Committee approves the 2009/2010 Directorate Service
Delivery and Budget Implementation Plans and Business Plans.
(b)
Council notes the 2009/2010 Directorate Service Delivery and Budget
Implementation Plans and Business Plans.
ISINDLILULO SEKOMITI YEMICIMBI YEZEMPILO SOMHLA
WE-02 JUNI 2009:
KUNDULULWE ukuba
(a)
iKomiti kaSodolophu/yoLawulo mayiphumeze uNikezelo IweeNkonzo
IweCandelo loLawulo lowama-2009/2010 neziCwangciso zokuMiselwa
kweBhajethi kunye neziCwangciso zoShishino.
SUMMARY PAGE - REPORT TO MAY
[T emplate updated August 2005]
eo
Page 1 of 2
1025
(b)
Ukuba iBhunga maliqaphele uNikezelo IweeNkonzo IweCandelo loLawulo
lowama-2009/2010 neziCwangciso zokuMiselwa kweBhajethi kunye
neziCwangciso zoShishino.
AANBEVEEL PORTEFEUL..IEKOMITEE VIR GESONOHEIO:
02 JUNIE 2009
AAN BEVEEL OAT
(a)
die burgemeesterskomitee die dienslewerings- en
begrotingsimplementeringsplanne en sakeplanne van direktorate vir
2009/2010 goedkeur.
(b)
die raad kennis neem van die dienslewerings- en
begrotingsimplementeringsplanne en sakeplanne van direktorate vir
2009/2010.
SUMMARY PAGE - REPORT TO MAyeO
[Template updated August 2005J
Page 2 of 2
1026
REPORT To
HEALTH PORTFOLIO COMMITTEE
MAYCO
COUNCIL
1.
ITEM NUMBER:
2.
SUBJECT
CITY OF CAPE TOWN ISIXEKO SASEKAPA I STAO KAAPSTAD
(LSU - 8340)
2009/2010 SERVICE DELIVERY AND BUDGET IMPLEMENTATION PLANS
(SDBIPs) AND BUSINESS PLANS
2.
ISIHLOKO
UNIKEZELO LWEENKONZO LWANGO-2009/2010 KUNYE NEZICWANGCISO
ZOKUMISELWA KWEBHAJETHI (SDBIPs) NEZICWANGCISO ZOSHISHINO
2.
ONDERWERP
DIENSLEWERINGSEN
BEGROTINGSIMPLEMENTERINGSPLANNE
(SDBIPs) EN SAKEPLANNE VIR 2009/2010
3.
PURPOSE
To submit to the Health Portfolio Committee for their consideration and
recommendation, the 2009/2010 Directorate: City Health SDBIP and 2009/2010
Directorate: City Health Business Plan - narrative.
These documents underpin the 2009/2010 Corporate SDBIP that will be
submitted to the Executive Mayor for approval in terms of Section 53(1 )(c)(ii) and
69(3)(a) of Act No. 56 of 2003: Local Government: Municipal Finance
Management Act (MFMA).
Directorate City Health SDBIP Report to HPC, MAYCa & Council
[Template updated April 2009]
Page 1 of 6
4.
STRATEGIC INTENT
. ... 1027
.,
The SDBIP is a detailed plan for implementing the municipality's service delivery
as outlined in the Integrated Development Plan (lDP) and budget. It includes the
service delivery targets and performance indicators for each quarter which should
be linked to the performance agreements for senior management.
The
performance criteria contained in the SDBIP are designed to achieve Good
Governance and Regulatory Reform, as well as facilitating the accomplishment of
Council's other strategic focus areas i.e.
•
•
•
•
•
•
•
5.
Shared Economic Growth and Development
Sustainable Urban Infrastructure and Services
Energy Efficiency for a Sustainable Future
Public Transport Systems
Integrated Human Settlements
Safety and Security
Health, Social and Community Development
FOR DECISION BY
Health Portfolio Committee, Mayco and Council.
6.
EXECUTIVE SUMMARY
The 2009/2010 Directorate: City Health SDBIP contains the objectives, indicators
and quarterly targets by which progress will be measured during the 2009/2010
financial year. These are derived from the Integrated Development Plan of the
City, which serves before Council on 27 May 2009, and are an elaboration of the
Five Year Corporate Scorecard contained in the IDP. The 2009/2010 Directorate:
City Health Business Plan provides the narrative to understanding the SDBIP.
The purpose of this report is to submit the 2009/2010 Directorate: City Health
SDBIP and 2009/2010 Directorate: City Health Business Plan to the Health
Portfolio Committee for consideration and recommendation to the Executive
Mayor. The Directorate: City Health SDBIP is attached as Annexure A and the
2009/2010 Directorate: City Health Business Plan is attached as Annexure B.
The electronic versions will be placed on the city website at
www.capetown.gov.za/idp after it has been noted by Council.
Directorate City Health SDBIP Report to HPC, MAyea & CO:Jnc'l
[Template updated April2009j
Page 2 of 6
7.
7.
7.
RECOMMENDATIONS
7.1.
That the Portfolio Committee makes recommendation to the Executive
Mayor on the contents of the 2009/2010 Directorate Service Delivery and
Budget Implementation Plans and Business Plans.
7.2.
That the Mayoral Committee approves the 2009/2010 Directorate Service
Delivery and Budget Implementation Plans and Business Plans.
7.3
That Council notes the 2009/2010 Directorate Service Delivery and Budget
Implementation Plans and Business Plans.
ISINDULULO
7.1
Ukuba iKomiti yeMicimbi yeSebe yenze isindululo kuSodolophu
weSigqeba ngokumalunga neziqulatho zoNikezelo IweeNkonzo lowama2009/2010
kunye
neziCwangciso
zokuMiselwa
kweBhajethi
neziCwangciso zoShishino.
7.2
Ukuba
iKomiti
kaSodolophu/yoLawulo
mayiphumeze
uNikezelo
IweeNkonzo IweCandelo 10Lawulo lowama-2009/2010 neziCwangciso
zokuMiselwa kweBhajethi kunye neziCwangciso zoShishino.
7.3
Ukuba iBhunga maliqaphele uNikezelo IweeNkonzo IweCandelo 10Lawulo
lowama-2009/2010 neziCwangciso zokuMiselwa kweBhajethi kunye
neziCwangciso zoShishino.
AANBEVELING
7.1
Dat die portefeuljekomitee aanbevelings by die uitvoerende burgemeester
van
die
diensleweringsen
maak
oor
die
inhoud
begrotingsimplementeringsplanne en sakeplanne van direktorate vir
2009/2010.
7.2
Dat
die
burgemeesterskomitee
die
diensleweringsen
begrotingsimplementeringsplanne en sakeplanne van direktorate vir
2009/2010 goedkeur.
7.3
Oat
die
raad
kennis
neem
van
die
diensleweringsen
begrotingsimplementeringsplanne en sakeplanne van direktorate vir
2009/2010.
Directorate City Health SDBIP Report to HPC. MAyea & Council
[Template updated April 2009]
Page 3 of 6
• r " ~
8.
1029
DISCUSSION/CONTENTS
8.1.
Constitutional and Policy Implications
The process is driven by legislation.
8.2.
Environmental implications
Does your report result in any of the following:
No
I:3:l
Yes
(if yes, please complete the section below by clicking on the relevant tick boxes)
Loss of or negative impact on natural space
and/or natural vegetation, rivers, vleis or
wetlands?
An increase in waste production or
concentration, pollution or water usage?
0
Loss of or negative impact on the city's
heritage, cultural and scenic resources?
0
0
Development or any construction within
500m of the coastline?
0
Does your activity comply with the National Environmental Management Act (NEMA)?
(mark by clicking on the tick box)
Yes
0
No
o
Does your report complement and support the City's approved IMEP strategies?
(if yes, please select from list below by clicking on the relevant tick box)
Biodiversity Strategy and
Biodiversity Network
Environmental Education
and Training Strategy
Integrated Waste
Management Strategy
0
0
0
Coastal Zone
Management Strategy
Heritage Management
Strategy
Invasive Species Strategy
0
0
Energy and Climate
Change Strategy
Air Quality
Management Plan
0
0
0
Do the activities/actions arising from your report:
(if yes, please select from list below by clicking on the relevant tick box)
Enhance Cape Town's unique environmental
assets?
8.3.
0
Negatively impact on Cape Town's
unique environmental assets?
0
Legal Implications
The process of preparing a Service Delivery and Budget implementation
plans must inter alia, comply with:
Section 53 (1 )(c)(ii) and 69(3)(a) of Act No. 53 of 2003: Local Government:
Municipal Finance Management Act.
Directorate City Health SDBIP Report to '-I PC , MAyea & Council
[Template updated April2009j
Page 4 of 6
. .
"
8.4.
Staff Implications
.
,,
~
1030
Does your report impact on staff resources or result in any additional staffing resources
being required?
8.5.
No
rgj
Yes
0
Risk Implications
Does this report and/or its recommendations expose the City to any risk?
(Le. does it have any adverse influence on service delivery?)
No
Yes
8.S.
[gJ
0
Other Services Consulted
All relevant Directorates
Directorate City Health SDBIP Report to HPC, MAYCa & Council
{Template updated April2009j
Page 5 of 6
...... 1031
ANNEXURES
Annexure A: 2009/2010 Directorate: City Health Service Delivery and Budget
Implementation Plan (SDBIP)
Annexure 8: 2009/2010 Directorate: City Health Business Plan
FOR FURTHER DETAILS CONTACT:
~NAME
CONTACT NUMBERS
. E-MAIL ADDRESS
DIRECTORA TE
, FILE REF No
r-:;:-'
SIGNA TURE : DIRECTOR
I
Dr Ivan Bromfield
021 4002100
Ivan. Bromfield@capefown. gov. za
' City Health
-~
ua-'REPORT COMPLIANT WITH THE PROVISIONS OF
COUNCIL'S DELEGATIONS, POUCIES, By-LAWS
AND ALL LEGISLATION RELATING TO THE MATTER
UNDER CONSIDERATION.
LEGAL COMPLIANCE
o
NON-COMPLIANT
(Author to obtain signature before submission to
Executive Support)
COMMENT:
DATE
Comment:
Directorate City Health SDBIP Report to HPC, MAYCa & Council
[Templale updated April2009j
Page 6 of 6
-:-,.--1
B
I
I
C
0
I
E
I
F
I
G
ANNEXURE A
'-
H
I
I
I
J
I
I
K
L
I
M
2009/2010 DIRECTORATE SDBIP: CITY HEALTH (Version 03 - 19 May 2009)
2
Alignment to IDP
3
(SFA and
Directorate
Objective
Number)
Corporate 1 Directorate
Objective
(Corporate
Scorecard
Indicator
Number)
Corporate I Directorate
Indicator
-n
Baseline
Unit of
Measure
OJ
Annual Target
200912010
200812009
(Target in brackets)
.
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
Bi-Annually
#
1975
#
19.50
.,"
.0
("I
'<
4
7 & 7.5
7A.6
7A r acllitaling the development of a healthy and socially
,ncluslve society
7.5 Provision of effective primary health care services in
clos" collaboration with Provincial Health Services with a
special emphasis on maternal and Child health care and
HIV/AIDS/STI and TS with a focus on Aids orphans
5
---
7 & 7.5
6
---
7A Facilitating the development ot a healthy and socially
inclusive society
7.5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDS/STI and TB with a focus on Aids orphans
#
~~~.
-
lA.6 Reduction of the Infant
mortality rate (Number infant
deaths per 1,000 live births)
Mortalily Rate
per 1,000
births
2007- 19.37
(20.00)
-----
<5 year Mortality Rate
19.50
-
Rate
I
Mid Year - 5.69
(5.20)
-
5.20
---
Si-Annually
#
~
7 & 7.5
#
#
I mmunization coverage
%
Mid Year 95%
(99%)
..
#
Vitamin A Coverage <1 year
%
Mid Year. 105%
(90%)
;;:;
Monthly
99%
99%
99%
90%
Quarterly
90%
90%
99%
I
~~
90%
8
Page 1
I
I
99%
--
7 & 7.5
5.20
c:::::
-
--
7
7A Facilitating the development of a healthy and socially
inClusive society
7.5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasiS on maternal and Child health care and
HIV/AIDSISTI and TB with a focus on Aids orphans
:
......
---
7A Facilitating the development of a healthy and socially
inClusive sociely
7.5 Provision of effeclive primary health care services in
close collaboralion with ProvinCial Health Services with a
special emphasis on maternal and Child health ,.are and
HIVIAIDSIS II and TB with a focus on Aids orphans
5.45
030910 SDBIP City Health 19052009
90%
-
B
(SFA and
Directorate
Objective
Number)
C
(Corporate
Scorecard
Indicator
Number)
0
Corporate 1 Directorate
Objective
E
F
Corporate 1 Directorate
Indicator
Unit of
Measure
G
H
Baseline
200812009
(Target in brackets)
t
-n
~
Annual Target
2009/2010
.0
.,.::>c
J
K
l
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
"
'<
4
I
7&7.5
I
#
7A Facilitating the development of a healthy and socially
inclusive society
7.5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on malrernal and child heallh care and
HIVlAIOS/STI and TB wilh a focus on Aids orphans
Rate of Oiahoroea Deaths <5
years per 100,000 population
Rate
Mid Year - 114
(60)
110
Quarteny
110
110
110
110
#
7A Facilitating the development of a healthy and SOCially
inclusive society
7.5 Provision of effective primary heallh care services in
close collaboration wilh Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and TB with a focus on Aids orphans
% pre schools visited
%
Mid Year 100%
(97%)
97%
Quarterly
97%
97%
97%
97%
#
7A Facilitating the development of a healthy and SOCially
inclusive society
75 Provision of effective primary health care services in
close collaboralion with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and TB wilh a focus on Aids orphans
Number of cases <5 yrs not
gaining weight
Number
Mid Year - 13,837
(25,000)
26,000
Monthly
6,500
13,000
19,500
9
7 & 7.5
10
7 & 7,5
·
··
26,000.
~
Q
W
~
11
---
7 & 7.5
#
7A Facilitating lhe development of a healthy and socially
inclusive society
7.5 Provision of effective primary health care services in
close collaboration wiilh Provincial Health Services with a
special emphasis on matemal and child health ,;are and
HIV/AiDSISTI and TB with a focus on Aids orphans
% cervical smear coverage
%
---
Mid Year - 58%
(City Target 50%)
--
---
70%
Monthly
70%
70%
70%
12
-'--
Page 2
030910 SOBIP Cily Health 19052009
70%
B
C
D
E
F
G
H
I
J
K
L
M
.
"
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
Quarterly
50%
50%
50%
50%
."
(SFA and
Directorate
Objective
Number)
(Corporate
Scorecard
Indicator
Number)
Corporate 1 Directorate
Objective
Corporate 1 Directorate
Indicator
Baseline
200812009
(Target in brackets)
Unit of
Measure
Annual Target
200912010
;;l
c
.Q
"
'<
4
7 A Facilitating the development of a healthy and socially
7 & 7,5
#
inclusive society
7,5 Provision of effective primary hea1th care services in
close collaboration with Provincial Heallh Services with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and T8 with a focus on Aids orphans
% of new Antenatal Clients
booked before 20 weeks
Mid Year - 1,510
(City Contribution
3,000)
%
50%
13
,--,
7 & 7_5
#
7A Facilitating the development of a healthy and socially
inclusive society
7,5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and TB with a focus on Aids orphans
Woman Year Protection Rate
Rate
Mid Year - 59123
(61125)
14
26
Monthly
- r----- ---
7 & 7,5
#
~
7A Facilitating the d(welOpment of a healthy and SOcially
inclusive society
' 7,5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDSISTI and TB with a locus on Aids orphans
% Teenage births <18 years
Mid Year" 5,2%
(5,0%)
%
7 & 7,5
~
#
7 & 7,5
#
26
26
#
5,0%
#
26
.
5.0%
8i-Annually
5,0%
.......
<::;
,----
Number of visits to schools for
Health Promotion Outreach
programs
-----
Number
----
7A Facilitating the development of a healthy and socially
inclusive society
7,5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVfAIDS/STI and TB With a focus on Aids orphans
26
---r-
.
7A Facilitating the development of a healthy and socially
inclusive society
7,5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and T8 with a focus on Aids orphans
---
I
Number of <18 yrs
Reproductive Health Clients
~
...-
-----
Mid Year - 211
(350)
350
Quarteriy
138
175
263
350
Mid Year - 47,471
(90,000)
93,000
Monthly
23,250
46,500
69,750
93,000
---
Number
17
Page 3
030910 SDBIP City Health 19052009
B
(SFA and
Directorate
Objective
Number)
C
(Corporate
Scorecard
Indicator
Number)
D
E
F
G
H
I
Corporate I Directorate
Objective
Corporate I Directorate
Indicator
Unit of
Measure
Baseline
200812009
(Target In brackets)
Annual Target
200912010
.0
";;;
c
<II
"n
J
K
L
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
'<
J
4
I
7 & 7.6
7A Facilitating the development of a healthy and socially
Number of Clients seen at Matrix
inclusive society
Outpatient Centres
7.6 Implementation of the City's Substance Abuse Plan
#
18
I
Number
Base + 10%
TBD as at 01 July 2009
(New)
Base + 10%
Quarterly
Base + 10%
7 & 7.5
#
Base + 10%
._-_.
-
7A Facilitating the development of a healthy and SOCially
inclusive SOciety
7.5 Provision of effective primary health care services in
% of adults> 15 tested for HIV
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and TA with a focus on Aids orphans
Base + 10%
Mid Year 12.9%
(11.0%)
%
12.0%
Quarterly
12.0%
12.0%
12.0%
120%
19
~
8 & 7.5
7A Facilitating the development of a healthy and socially
inclusive society
% HIV +ve clients with CD4
7.5 ProviSion of effective primary health care services in
count result recorded in the VCT
close collaboration with Provincial Health Services with a
Register
special emphasis on maternal and child health care and
HIVIAIDSISTI and TB with a focus on Aids orphans
#
---~-----
.
%
(New)
Quarterly
70%
70%
70%
.....
70%
70%
Q
20
c....:>
-
~l
7 & 7.5
7A Facilitating the development of a healthy and socially
inclusive society
Number of clients on Anti
7.5 Provision of effective primary health care services in
Retroviral treatment (ARl) at
close collaboration with Provincial Health Services wiilh a City sites according to an agreed
special emphasis on maternal and child heallh care and
City Health Strategy
HIVIAIDSISTI and TB with a focus on Aids orphans
#
Number
I
I
12,764
(Using PGWC Financial
Year)
Mid Year 7,504
(7,915)
Monthly
10,011
(June 2009)
11,015
(SepI2009)
11,686
(Dec 2009)
.1l
.
I
7 & 7.5
22
12,764
(March 2010)
#
7A Facilitating the development of a healthy and socially
inclusive society
7,5 Provision of effective primary health care services In
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and TB With a focus on Aids orphans
--
Number of condoms >15 yrs
annualised
--
Number
.
Mid Yeal
(60)
--
50
-
Page 4
60
-
c_ .
-
Monthty
-
I
60
60
-
60
.
030910 SDBIP City Health 19052009
----
60
S
C
D
E
F
G
H
I
J
K
L
M
Septem ber 09
Target
December 09
Target
March 10
Target
June 10
Targets
."
(SFA and
Directorate
Objective
Number)
Corporate 1 Directorate
Objective
(Corporate
Scorecard
Indicator
Number}
4
Corporate 1 Directorate
Indicator
aaseline
200812009
(Target in brackets)
Unit of
Measure
OJ
c:
CD
Annual Target
200912010
J:I
"n
I
'<
,
I
7A FacHilating Ihe developmenl of a heaRhy and soCially
8 & 7.5
#
inclusive society
Number of Female Condoms
7.5 Provision of effective primary health care services in
distributed from Plimary Heallh
close collaboration with Provincial Health Services with a
Sites
special emphasis on maternal and child health care and
HIV/AIDS/STI and TB with a focus on Aids orphans
Number
(New)
Base + 10%
TSD as at 01 July 2009
Quarterly
Base + 10%
Base + 10%
Rase.f 10%
Base + 10%
TBD as at 01 July TSD as at 01 July TSD as at 01 July TSD as at 01 July
2009
2009
2009
2009
23
--
-
7 & 7.5
#
7A Facilitating the development of a healthy and socially
inclusive society
7 5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and T8 with a Focus on Aids orphans
24
Number of outreach prevention
interventions in communities
Number
Mid Tear - 223
(344)
344
Quarterly
86
-
7 & 7.5
#
7A FaCilitating the development of a healthy and socially
inclusive society
7.5 Provision of effective primary health ,.are services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and TB with a focus on Aids orphans
PMTCT Transmission Rate
~
Rate
Mid Year 3.3%
(5.0%)
5.0%
25
Quarterly
.. -
5.0%
172
258
[',0%
5.0%
344
r---~-
I
5~0%
-6-.-
-~
~
7 & 7.5
#
7A Facilitating the development of a healthy and socially
inclusive SOciety
7.5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIV/AIDS/STI and TS with a focus on Aids orphans
c:n
% of STI clients accepted VCT
%
Mid Year- 45.7%
(60.0%)
26
70.0%
SI-Annually
#
70.0%
#
70.0%
23%
Quarterly
23%
23%
23%
23%
\----
7 & 7~5
#
7A Facilitating the development of a healthy and socially
inclusive SOCiety
7.5 Provision of effective primary health care services in
ciose collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDS/STI and TB with a focus on Aids orphans
STI Partner Treatmen! Rate
Rate
Mid Year -16%
(21%)
27
Page 5
030910 SDSIP City Health 19052009
B
C
D
E
F
G
H
I
J
K
l
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
19.3%
19.3%
19.3%
-n
(SFAand
Directorate
Objective
Number)
(Corporate
Scorecard
Indicator
Number)
Corporate J Directorate
Objective
Corporate / Directorate
Indicator
Baseline
Unit of
Measure
Annual Target
2009/2010
2008/2009
(Target in brackets)
iil
.tl
c
to
::>
0
'<
4
,
7 & 7,5
7A8
7A FaciUlating the development of a healthy and socially
inclusive society
7A.8 Stow the rate of increase of
7.5 Provision of effective primary health care services in
the City's ante-natal HIV
close collaboration with Provincial Hp.alth Services with a
prevalence
. special emphasis on maternal and child health care and
HIVIAIDSISTI and T8 with a focus on Aids orphans
Mid Year - 16.7%
(19,0%)
%
19.3%
Quartef1y
19.3%
I
28
I
~--
7 & 7,5
29
7A,7
7A Facilitating the development of a healthy and socially
inClusive SOCiety
7A, 7 Slow the rate of increase of
7,5 Provision of effective primary health care services in
T8 Rate per
TB per 100,000 of Cape Town
close collaboration with Provincial Health Services with a
100,000
Population
special emphasis on maternal and child health care and
HIVIAIDSISTI and T8 with a fOCtls on Aids orphans
Mid Year - 856
(1,040)
1,090
8i-Annually
#
#
7A Facilitating the development of a healthy and SOCially
inclusive society
7,5 Provision of effective primary health care services in New smear positive T8 cure rate
close collaborallon with Provincial Health Services with a
per quarter
special emphasis on mate mal and child health care and
HIVIAIDSISTI and T8 with a focus on Aids orphans
Mid Year - 79,6%
(78,0%)
%
30
78,0%
.-
7 & 7,5
#
1,090
.~ ~
r-
---
7 & 7,5
1,065
Quartef1y
'---
78,0%
...
78.0%
78,0%
..
780%
.....
<:t
r-------- 1----
.........
-..J
#
7A FaCilitating the development of a healthy and socially
inclusive society
7.5 Provision of elfective primary health ('.are services in Retreatment smear positive T8
close collaboration with Provincial Health Services with a
cure rate per quarter
special emphasis on matemal and child health care and
HIVIAIDS/STI and TB with a focus on Aids orpllans
%
Mid Year - 58%
(New)
60,0%
Quartef1y
600%
60,0%
60,0%
60,0%
#
7A Facilitating the development of a healthy and socially'
inclusive society
7,5 Provision of effectivp. primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and TB with a focus on Aids orphans
%
Mid Year 41%
(New)
60%
Quarterly
60%
60%
60%
60%
31
8 & 7,5
% of Retreatment PTB cases
having a pretreatment culture
32
Page 6
030910 SDBIP City Health 19052009
B
!,
C
D
E
F
G
Corporate 1 Directorate
Objective
Corporate 1 Directorate
Indicator
Unit of
Measure
2008/2009
,
(SFAand
Directorate
Objective
Number)
(Corporate
Scorecard
Indicator
Number)
Baseline
(Target in brackets)
H
I
Annual Target
2009/2010
.tl
";;;
.
c:
::>
J
K
L
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
("I
'"
4
I
7 & 7.5
#
7A Facilitating the development of a healthy and sodatly
inclusive society
7.5 Provision of effective primary health care services In
close collaboration With Provincial Health Servic.es with a
special emphasis on maternal and child health care and
HIVIAIDSISTI and TB with a focus on Aids olphans
% TS Clients tosted for HIV
33
.
7 & 7.5
#
Mid Year - 92%
(90%)
%
7A Facilitating the development of a healthy and soCially
induslve society
7.5 Provision of effective primary health cale services in % HIV +ve T8 Clients that had a
close collaboration with Provincial Health Services with a
CD4 Count
special emphasis on maternal and child heallh care and
HIVIAIDS/STI and TB with a focus on Aids orphans
Mid Ym" - 93%
(95%)
#
90(/1)
90%
90%
90%
95%
Quarlerly
95%
95%
95%
!J5%
I
-.-
7 & 7.5
Quarterly
,-
-
%
34
7A Facliitatlng the development of a healthy and socially
inclusive society
7.5 Provision of effective primary health care services in
close collaboration with Provincial Health Services with a
special emphasis on maternal and child health care and
IIIVlAIDS/STI and TB with a focus on Aids orphans
90%
Number of funclioOlng Health
Committees
-
Mid Year - 53
(65)
Number
·
Bi-Annually
65
#
33
#
·· ........
65 :
Q
W
00
~-
--
7 & 7.7
#
36
% implementation of Air Quality
Management Plan (AQMP) to
meet a schedule of deliverables
.
-
7 & 7.7
37
7.7 Provision of effective environmental health services
induding Air Quality Management and Pollution Control
Programmes (including noise pOllution)
#
......
--~-
Mid Year ?
(90%)
%
goO/a
Bi-Annually
#
90%
-
.....
-
#
90%
--
7A Facilitating the development of a healthy and socially
inclusive society
7.7 Provision of effective environmental health services Number of diesel vehicles tested
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
----_
1-·
Number
L
-
Mid Year- 3,794
(7,500)
Qualterly
7,500
1,875
3,750
5,625
7,500
--
03 0910 SDBIP City Health 19052009
B
C
F
E
D
,
G
J
K
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M
II>
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
Quarterly
34
69
103
137
I
H
.."
(SFA and
Directorate
Objective
Number)
(Corporate
Scorecard
Indicator
Number}
Corporate 1 Directorate
Objective
Corporate I Directorate
Indicator
Unit of
Measure
Baseline
200812009
(Target In brackets)
Annual Target
200912010
7A Facilitating the development of a healthy and socially
inclusive society
7.7 Provision of effeclive environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
7 A.!J Number 01 days when air
pollution exceeds WHO
guidelines
Days
Mid Year - 84
(140)
137
til
.r>
c:
...
"""
4
I
7A.5
7 & 7.7
38
-.
r
7 & 7.7
I
I
#
7A FaCilitating tha development of a healthy and socially
inclusive society
7.7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
39
% routine domestic water
samples complying with quality
standards
.
--.----
-c-'
Mid Year 98%
(95%)
%
95%
Monthly
95%
95%
95%
95%
---
- - f -.
~.
7A Facilitating the development of a healthy and socially
inclusive sodety
7 & 7,7
#
7.7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (incJuding noise pollution)
Incidence of notifiable walerborne diseases per 100,000
population
~.
-~--
#
7 & 7,7
I
7A Facilitating the development of a healthy and socially
inclusive society
% health care wasle generators
inspected that comply with
7.7 Provision of eflective environmental health services
minimum standards
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
41
i
Mid Year - 5,06
(4.65)
I---
----_.
#
7A Facilitating the development of a healthy and socially
inclUSive society
7.7 Provision of effective environmental health services
including Air Quality Management and Pollulion Control
Programmes (including noise pollution)
Rate of new pesticide poisoning
cases reported per 100,000
population
-t. .
5,50
Quarterly
5.50
5,50
5.50
.
5.50
.-
.......
Q
<:.I.!I
c:.o
%
Annual Target
(95%)
--'
7 & 7,7
42
Rate
95%
1--
Rate
Annual Target
(1.00)
Annually
#
#
#
95%
Annually
#
#
#
1,00
-
1.00
-.
03 0910 SDBIP City Health 19052009
B
C
D
E
F
G
I
H
J
K
L
M
September 09
Targel
December 09
Targel
March 10
Target
June 10
Targets
."
(Corporate
Scorecard
Indicator
Number)
(SFAand
Directorate
Objective
Number)
Corporate 1 Directorate
Objective
Corporate I Directorale
Indicalor
Unit of
Measure
Baseline
200812009
(Targel in brackets)
,
4
7 & 7,7
."
"
'""
I
I
43
..,;;!
Annual Target
200912010
#
7A FaCilitating the development Of a healthy and socially
inclusive society
% total noise complaints
7,7 Provision of effective environmental health services received that were resolved in 3
including Air Quality Management and Pollution Control
months
Programmes (including noi~e pollution)
-
7 & 7,7
%
Mid Year 94%
(90%)
I
90%
Quarterly
#
#
7A Facilitating the development of a healthy and socially
InclUSive society
Number of block baiting stations
7,7 ProviSion of effective environmental health services
for vector control of rats
including Air Qualily Management and Pollution Control
Programmes (including noise pollution)
% premises inspected without
vector infestation
90%
90%
90%
90%
90%
90%
90%
90%
-
c~··-
7A Facilitating the development of a healthy and socially
inclusive SOciety
7,7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
I
%
Mid Year· 92%
(90%)
90%
Quarterty
Number
Mid Year- 21,762
(33,000)
HID as at 01 July 2009
Quarterly
I
44
7 & 7,7
45
I
TSD as at 01 July TBD as at 01 July TElD as at 01 July TBD as al 01 July
2009
2009
2009
2009
..
. ' - f--
lo000oiio.
=
.-
I
#
7 & 7,7
7A F adUtating the development of a healthy and socially
inclusive society
7.7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
0
% of formal food handling
premises with COA
%
Mid Year - 96%
(98%)
98%
46
Quarterly
-
7 & 7,7
i
I
I
47
w::::..
#
7A Facilitating the development of a healthy and socially
inclusive society
7,7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (inciuding noise pollution)
% of informal food vendors with
COA
%
Mid Year - 90%
(90%)
90%
25%
49%
74%
98'ljo
23%
45%
68%
90%
--
Quarterty
030910 SDIJIP City Health 19052009
.-
{SFA and
Directorate
Objective
Number)
i
0
E
F
G
Corporate 1 Directorate
Objective
Corporate 1 Directorate
Indicator
Unit of
Measure
2008/2009
C
B
(Corporate
Scorecard
Indicator
Number)
Baseline
(Target in brackets)
H
I
Annual Target
200912010
.c
J
K
L
M
.,"
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
0,06
Bi-Annually
#
0,06
#
0,06
75%
QuarteJ1y
75%
75/%
75%
75%
"OJ
"
"""
4
7 & 7,7
I
7A Facilitating the development of a healthy and socially
inclusive society
Rate of new cases of food
7.7 Provision of effective environmental health services
poisoning per 100,000 population
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
#
48
I
Rate
-
7A Facilitating the development of a healthy and socially
inClusive SOCiety
7,7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
I
7 & 7,7
#
I
Mid Year - 0.03
(0.06)
-
% food samples complying with
rolevant legislation standards
%
MidYear-73%
(75%)
49
---
7 & 77
I
-
7A Facilitating Ihe development of a healthy and socially
inclusive society
7.7 Provision of effective environmental health services
inciuding Air Quality Management and PolluIion Control
Programmes (including noise pollution)
% operational milling
establishments inspected
%
MidYear-l00%
(100%)
100%
#
Bi-Annually
100%
#
100%
.......
--
I
50
I
~
I
7 & 7,7
i
#
7A Facilitating the development of a healthy and socially
inclusive SOCiety
7,7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
~
% maize meal/bread flour
samples that comply with
fortification regulations
%
Mid Year 0'%
(70%)
1 SO once clarified by
Nalional Health
51
--r-----
7 & 7,7
52
Quarterly
TBO once clarified TBO once clarified TBO once clanfied TBO once clarified
by National Health by National Health· by National Health by Naiional Health
#
i
7A Facilitating the developmenl of a healthy and socially
inclusive soCiety
7,7 ProviSion of effective environmental health services
including Alr Quality Management and Pollution Control
Programmes (including noise pollution)
L.
- _ _--_.
.....
__
......
------
% salt samples complying with
iodine requirement at pOint of
processinglimport
- - - - - - - - -......
--
%
Mid Year - 50%
(95%)
95%
QuaJ1erly
-
95%
95%
95%
.
030910 SOBIP City Health 19052009
95%
!3
D
C
E
F
G
H
I
J
K
L
M
.
::I
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
."
(SFA and
Directorate
Objective
Number)
(Corporate
Scorecard
Indicator
Number)
Corporate I Directorate
Objective
Corporate 1 Directorate
Indicator
Baseline
200812009
(Target in brackets)
Annual Target
2009/2010
%
Mid Year 95%
(98%)
98%
Bi·Annually
#
98%
#
98%
%
Mid Year· 100%
(98%)
98%
Quarterly
98%
98%
98%
98%
Unit of
Measure
OJ
J:>
c:
n
'<
4
7 & 7.7
53
#
7A ~acilitating the development of a healthy and socially
inclusive society
% premises inspected complying
7.7 Provision of effective environmental health services
with tobacco legislation
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
-------
7 & 7.7
#
-----
7A F acilita!ing the development of a healthy and socially
inclusive society
% funeral undertakers premises
7.7 Provision of effective environmental health services
inspected that comply with
including Air Quality Management and Pollution Control
regulations
Programmes (includirlg noise pollution)
54
-------
7 & 7.7
#
------
7A Facilitating the development of a healthy and SOCially
inclusive SOCiety
7.7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
55
Number of Health & Hygiene
Projects related to informal
settlements
Number
Mid Year· 308
(300)
400
-----
Quarterly
100
200
300
.
.-
400
......
c:::=
----\----
-------
~
7 & 7.7
#
~ 1---
7A Facilitating the development of a healthy and socially
inclusive society
Number of monitoring visits done
7.7 Provision of effective environmental health services
to informal settlements
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
Number
MidYear· 7,510
(12,288)
TBD USing number of
informal settlements as
at 01 July 2009
Monthly
Number
M,d Year 5
(4)
4
Quarterly
TBD using numbe, TBD using numbe r TBD using nllmbcr TBD using number
of informal
of informal
of informal
of informal
settlements as at settlements as at settlements as at settlements as at
01 July 2009
01 July 2009
01 July 2009
01 July 2009
-----
7 & 7.7
#
7A Facilitating the development of a healthy and socially
inclUSive society
Number of Infonnal settlements
7.7 Provision of effective environmental health services that do not have refuse removal
including Air Quality Management and Pollution Control
weekly
Programmes (including noise pollution)
4
4
4
57
'--
Page 11
03 0910 SDBIP City Health 19052009
4
!3
C
D
E
F
,
H
G
J
K
L
M
.."
(SFA and
Directorate
Objective
Number)
Corporate I Directorate
Objective
(Corporate
Scorecard
Indicator
Number)
Corporate I Directorate
Indicator
<i
Unit 01
Measure
Baseline
200812009
(Target In brackets)
Annual Target
200912010
.0
.,c:
"
'""
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
Number
Mid Year - 37
(22)
22
Quarteny
22
22
22
22
4
7 & 7,7
#
17A Facilitahng the development of a healthy and socially
inclusive society
Number of Informal settlements
7,7 Provision of effective environmental health services
that do not meet functioning
including Air Quality Management and Pollution Control
sanitation norms
Programmes (including noise pollution)
58
-+-- -
7&7.7
#
7A Facilitating the development of a healthy and SOCially
inclusive society
Number of Informal selLlements
7,7 Provision of effective environmental health services
that do not have functioning
including Air Quality Management and Pollution Control
standpipes within the norm
Programmes (including noise pollution)
~
Number
-
Mid Year - 31
(13)
13
Quarlerly
--
7 & 7.7
60
#
------
,, ,
,
Number of Community
7A FacltltatlOg the development of a healthy and SOCially Ed
t IF T\ t
'
inclusive societ
uca ors aCI' a ors apPOinted
-"y
,
and trained VIa extemal fundmg
T 7 ProvIsion of effecllvc envlfonmental health services
rt
. b
including Air Quality Management and Pollution Control
to s~ppo comm~OIty ~sed
,
" ,
nVlfonmenta Healt
Programmes (Including nOise pollution)
interventions
---
---
13
13
Mid Year 52
(8)
TBD as at 01 July 2009
13
J
,-~
Number
13
-
TBD as at 01 July TBD as at 01 ,Iuly lBO as at 01 July TBD as at 01 July
2009
2009
2009
2009
.
Quarterly
-.
~
--
--
---
,-
Q
~
7 & 7-7
#
7A Facilitating the development of a healthy and socially
inclUSive SOCiety
7.7 Provision of effective environmental health services
including Air Quality Management and Pollution Control
Programmes (including noise pollution)
~
,
Ratio of EHP's to population
Ratio
Annual Target
(>1:15,000)
>1:15,000
Annually
61
--
8 & 8.5
BB.3
8 B Management of key financial and governance areas
such as income control, cash fiow, indigent support,
alternative income opportunities, asset and lisk
management
8B,3 % of Capital Budget spent
8,5 Management of key financial areas and governance
areas (such as income control, cash flow, indigent
support, altemalive income opportunities, asset
management and lisk management) review
--
%
MidYear-15%
(95%)
---\--
.-~
95%
#
Quarterly
-
#
#
>1:15,000
Based on
Directirate
prOjected cash
flow
Based on
Directirate
projected cash
!Iow
95%
._-
Based on
Directirale
projected cash
flow
62
Page 12
030910 SDBIP City Health 19052009
E>
C
D
G
F
E
H
I
J
K
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M
September 09
Target
December 09
Target
March 10
June 10
Targets
."
(SFA and
Directorate
Objective
Number)
Corporate 1 Directorate
Objective
(Corporate
Scorecard
Indicator
Number)
Corporate I Directorate
Indicator
Baseline
2001112009
(Target In brackets)
Unit of
Measure
Annual Target
2009/2010
iil
c:
.
.Q
::l
Target
('>
'"
4
I
8 B Management of key financial and governance areas
such as income control, cash flow, indigent support,
8 & 8.5
8BA
alternalive income opportunities, asset and risk
management
8.5 Management of key financial areas and governance
areas (such as income control, cash flow, indigent
support, alternative income opportunities, asset
managemenl and risk management) review
8BA % of Operaling Budget
spent
63
..
Mid Year, 50%
(98%)
%
95%
Quarterly
S & 8.1
BA.2
Based on
Directirale
projected cash
flow
Based On
Directirate
projected cash
flow
5 to 8% overall
5 to 8% overall
5 to 8% overall
turnover
turnover
5 10 8% overall
turnover
8 to 12% within
skilled categories
8 10 12% within
skilled categories
8 10 12% within
skilled categories
8 to 12% witllin
skilled categories
-
---
5 to 8% overall turnover
8A Ensuring enhanced service delivery with efficient
institutional arrangements
8.1 Enhance service delivery through the development
and implementation of institutional frameworks and
business systems, including alternative service delivery
mechanisms
Based on
Direclirale
projected cash
flow
8A2 Retention of Skills as
measured by staff turnover
%
(New)
98%
-~-
turnover
Quarteny
8 to 12% within skilled
categories
~-
-1---
.~-
SA Ensuring enhanced service delivery with efficient
8 & 8.1
#
institutional arrangements
% Line (non-support) posls
8.1 Enhance service delivery through the development
unfilled at the end of Ihe financial
and implementation of institutional frameworks and
year
business systems, induding alternative service delivery
mechanisms
65
Mid Year 8%
(10%)
%
s10%
Quarterly
510%
:s10%
:510%
$19%
.......
--
c:::::
---'-
NO:;:.
8 & 8.1
8A3
8A Ensuring enhanced service delivery wllh efficient
institutional arrangements
8.1 Enhance service delivery through the development
and Implementation of jnstilutional frameworks and
business syslems, including allemative service delivery
~
8A3 Staff availability as
measure by % absenteeism
%
(New)
:s 4% average for the
period 1 July 2009 to 30
June 2010
Annually
#
#
#
mechanisms
66
-
8 & 8.1
--
8AS
8A Ensuring enhanced service delivery wjth effiCient
institutional arrangements
8.1 Enhance service delivery through Ihe development
and implementation of inslltutional frameworks and
business syslems, induding alternative service delivery
mechanisms
---
8AS % of capital projects
meeling original planned
milestones
%
t-
I---
Mid Year - 76%
(80%)
80%
Quarterly
80%
:s 4% average for
Ille period 1 July
2009 10 30 June
2010
..
---
80%
80%
67
Page 13
030910 SDBIP City Health 19052009
80%
_-
B
C
D
---
E
F
G
H
I
J
K
L
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
3% reduction on
200812009
baseline
6% reduction on
200812009
bm;eline
gO/n reduction on
70%
70%
-n
(SFAand
Directorate
Objective
Number)
Corporate 1 Directorate
Objective
(Corporate
Scorecard
Indicator
Number)
Corporate I Directorate
tndicator
Unit of
Measure
Baseline
2008/2009
(Target in brackets)
Annual Target
200912010
Baseline to be
detel mined on 30 June
2009
12% reduction in time
taken to close
notifications (measured
against the baseline)
iil
.0
.,c
'"
'<
0
4
!
S &8_1
1
SA.7
8A Ensuring enhanced service delivery with efficient
institutional arrangements
i SA.7 % improvement in the lime
8.1 Enhance service delivery through the development
taken to close notifications in
and implementation of institutional frameworks and
terms 01 the Corporate Works
Management process
business systems, including alternative service delivery
mechanisms
8B.7
8 B Management of key financial and governance areas
such as income control, cash now, indigent supporl,
alternative income opportunities, asset and risk
management
8 5 Management of key financial areas and govemance
areas (such as Income control, cash flow, indigent
support, alternative income opportunities, asset
management and risk management) review
I
%
Quarterly
68
200B12009
baseline
12% reduction in
time taken to
clOSe notifications
(measured agains
the baseline)
r----
8 &8,5
8B.7 % reduction In the number
of recumng findings emanating
from Internal Alldit
%
Mid Year - TBD
(60%)
70%
Quarlerly
70%
70%
69
---
8 & 8.5
8B.l0
70
8 B Management of key financial and govemance areas
such as income control, cash flow, indigent support,
alternative income opportunities, asset and risk
management
8.5 Managemenl of key financial areas and governance
areas (such as income control. cash flow, indigent
support, alternative income opporlunities, asset
management and risk management) review
---
8 & B.1
#
RS, 10 % annual asset
verific"tion process completed
- j-----
%
Annual Target
(100%)
100%
Annually
#
8A Ensuring enhanced service delivery wllh efficient
institutional arrangements
Number of Health Service Point"
8.1 Enhance service delivery through the development
with Continuous Quality
and implementation of institutional frameworks and
Improvement Projects
bUSiness systems, including altemative service delivery
mechanisms
Number
Mid Year - 86
(115)
115
Bi-Annually
-----
#
~ ""'"~,
.,..m. '"""'.. '".~". ~"•• ""_
100% completed
,by 30 June 2009.
%of quarterly supervisory visits
to Pile facilities done and using
the Supervisory Tool
%
Mid Year - ?
(100%)
.....
<:.n
c:2
---'---
~.
#
71
8 & 8.1
#
.......
---~-
8A Ensuring enhanced service delivery with efficient
Institutional arrangements
8.1 Enhance service delivery through the development
and implemenlation of institutional frameworks and
#
100%
Quarterly
58
#
115
--
~
100%
100%
---
100%
100%
mechanisms
72
Page 14
03 0910 SDBIP City Heallh 19052009
..
-
8
(SFAand
Directorate
Objective
Number)
0
C
Corporate 1 Directorate
Objective
(Corporate
Scorecard
Indicator
Number)
---
E
F
G
H
I
Corporate 1 Directorate
Indicator
Unit of
Measure
Baseline
200812009
(Target in brackets)
Annual Target
200912010
.D
"
;;J
c:
m
::l
J
K
L
M
September 09
Target
December 09
Target
March 10
Target
June 10
Targets
8
16
24
32
0
'"
4
,
I
8 & 8.1
#
SA Ensuring enhanced service delivery with efficient
institutional arrangements
8.1 Enhance service delivery through the development
and implementation of institutional frameworks and
business systems, including altemative service delivery
mechanisms
Number of quarterly ISDMT's
meetings
I
Mid Year 16
Number
32
(32)
~-
Quarterly
I
---
8 & 8.1
SAA
SA Ensuring enhanced service delivery with efficient
institutional arrangements
8.1 Enhance service delivery through the development
and implementation of institutional frameworks and
business systems, including alternative service delivery •
mechanisms
8AA % budget spent on
implementation of WSP
Mid Year· 18%
(90%)
%
90%
Quarterly
r-21-
c-
B & 8.1
F
BA.5
8A Ensuring enhanced service delivery with efficient
institutional arrangements
8.1 I"nhance service delivery through the development
and implementation of institutional frameworks and
business systems, including alternative service delivery
mechanisms
SA. 5 % improvement in the
positive employee climate as
per annual Culture Climate
Survey
(International Nann
41%)
%
rE-
~
84
#
#
90%
,--~
#
-- [-----
I
---
31 % Corporalely
(Directorate &
Departmental
targets Will only be
available once the
currept survey has
been compleled)
---- r---
~
.~---
Q
O":l
1#
8.1 Optimise the staff structure, strategies and policies
and promote skills development
% Implementation of EE ill line
with the plan
Annual Target
(>98%)
%
>98%
Annually
#
#
>98%
Dependant on
Corporate Plan
~
76
81
I"-
--
---
Annually
60%
30%
~
.!1..
~
~
31 % Corporately
(Directorale &
Departmental targets will
only be available once
the current survey has
been completed)
c--- --
-
8 Good
governance
and regulatory
reform
~
10%
Sig"·off by E,.,utivo
Dire::, ... .......~ ~ .
__~ __ __._______...____:;.~-::._I-r2.'!- ______
___.
Sign off by Mayea Member:
Date:
~
._1...
_.____.1__.
~eTeS72-eoq
Page 15
.
03 0910 SDBIP City Health 19052009
ANNEXURE B
(Iff OF em laJlW ; ISIWirJ meUPl i lI,!AO 1411'31 A$
DIRECTORATE BUSINESS PLAN
2009/2010
DIRECTORATE
: City Health
EXECUTIVE DIRECTOR
: Dr I Bromfield
.....
c=
~
-...J
Contact Person
: Dr R B Chute
Page 1 of 10. 0910 Directorate Business Plan City Health
1.
EXECUTIVE SUMMARY
The Directorate: City Health is committed to provide a quality service to all the citizens of Cape Town. These Primary
Health Care Services include both Environmental Health and Personal Primary Health Care components. They are
integrated and delivered within a District Health System, which divides the City into 8 decentralised Sub-Districts.
Municipal Health Services are defined in the National Health Act (No. 61 of 2003) as including water quality monitoring;
food control; waste management; health surveillance of premises; surveillance and prevention of communicable diseases
(excluding immunisations); vector control; environmental pollution control; disposal of the dead and chemical safety. These
services form an integral part of the Sub-District based model.
Despite the definition of Municipal Health Services City Health delivers, on the behalf of the Provincial Government, the
Personal Primary Health Care component, (clinic services), via an infrastructure of 82 clinics, 4 Community Health Centres
(CHC's), 24 satellite clinics and 4 mobile clinics. Services include Women and Child Health Services (Preventive &
Promotive Services i.e.: Family Planning and Immunisation and treating sick children under 13 years); HIV/AIDS/STI and
TB Control and Substance Abuse. The Constitution does make provision for these services to be assigned to Local
Government via mutual agreement. In the interim City Health continues to render them under a Service Level Agreement
with the Provincial Health Department. These clinic services are delivered in partnership with the Provincial Health
Department Metro District Health Services (PGWC: MDHS) who run 47 Community Health Centres and 24-hour
emergency services at primary level along with 6 District Hospitals.
Specialist Support and Air Quality Management is centralised. Air Pollution is a key factor, which affects the health of a city. .
Air pollution levels are frequently high in our informal areas and even inside shacks. City Health is responsible for dealing
.......
with noise pollution and due to development in certain areas; noise is becoming a serious problem for certain communities .
Q
The Directorate Business Plan discusses the roles and responsibilities key partners and stakeholders, identifies backlogs
and resource constraints, unpacks assumptions and risks, illustrates the strategic alignment to the Integrated Development
Plan (lOP) and lists objectives and indicators that link to the Corporate SDBIP.
Page 2 of 10. 0910 Directorate Business Plan City Health
~
Q()
2.
PURPOSE AND OBJECTIVES
Vision:
"A Health City For All"
Mission:
"In five years time Cape Town will be a healthier city with adequate and equitably distributed resources delivering improved
quality, comprehensive, cost-effective, primary health care services. This will be achieved through a district health system
with a committed and dynamic workforce supported by strong, competent shared leadership who will develop strong teams
in collaboration with and commitment from the community and other partners. "
The core business of City Health is Environmental Health Services or Municipal Health Services. Municipal Health Services
are defined in the National Health Act (No. 61 of 2003) as including water quality monitoring; food control; waste
management; health surveillance of premises; surveillance and prevention of communicable diseases, excluding
immunisations; vector control; environmental pollution control; disposal of the dead and chemical safety.
Despite the definition of Municipal Health Services City Health delivers, on the behalf of the Provincial Government, the
Personal Primary Health Care component, (clinic services), via an infrastructure of 82 clinics, 4 Community Health Centres
(CHC's), 24 satellite clinics and 4 mobile clinics. Services include Women and Child Health Services (Preventive &
Promotive Services Le.: Family Planning and Immunisation and treating sick children under 13 years); H IVIAl DS/STI and
TB Control and Substance Abuse. These clinic services are delivered in partnership with the Provincial Health Department .
Metro District Health Services (PGWC: MDHS) who run 47 Community Health Centres and 24-hour emergency services at .......
primary level along with 6 District Hospitals.
Q
......-::..
Air pollution is a key factor, which affects the health of a city. Air pollution levels are frequently high in our informal areas c:.o
and even inside shacks. The City has adopted an Air Quality Management plan, which outlines the strategies to be used to
deal with air pollution. City Health also deals with all aspects of noise pollution.
The City of Cape Town is committed to working with all spheres of government to meet the National and Provincial targets
so that there is a coordinated and integrated District Health Service to the citizens of Cape Town.
Page 3 of 10. 0910 Directorate Business Plan City Health
3.
LEGAL REQUIREMENTS FOR THE PLAN
Clinic health services are now the statutory responsibility of the Provincial Health Department as stated in the National
Health Act, No. 61 of 2003. Most sections of the Act came into effect on 2 May 2005. However the Constitution does make
provision for these services to be assigned to Local Government via mutual agreement. In the interim City Health continues
to render them under a Service Level Agreement with the Provincial Health Department.
Municipal Health Services as a Local Government function as per schedule 4B of the Constitution.
Air Pollution is a Local Government function as per schedule 4B of the Constitution. The key Act is the National
Environment Management Act: Air Quality Act 39 of 2004 (which requires the City to have an air quality management plan).
We also enforce the City of Cape Town Environmental Health By-law 13333 of 30 June 2003 and Air Pollution Control Bylaw 12649 of 4 February 2003.
Noise Pollution is a Local Government function as per schedule 5B of the Constitution.
4.
PARTNERS AND STAKEHOLDERS IN THE PLAN
1P;~nersl Stakeholders l~~les and Responsibilities
INational Gove~nment
PGWC: MDHS
NGO's/CBO's
I
•
Legal and consultative.
•
The major partnership is with the Provincial Health Department so that we
together offer a coordinated comprehensive health sector response.
•
.
d
I
Consultative and partnerships. NGOs and CBOs at a local level who join the
local Multi-Sectoral Action Team (MSAT) and may develop a local project to .
impact on the epidemic. The City using Global fund resources then fund these
_________
.......
Q
c:.n
r=>
p~ro_je_c_t_s.
Health Committees, Sub- .•
District Health Forums &
Cape
Metro
Health
Forum
I
To improve governance and accountability of health services and to work.
together with the services to increase community participation and self-care.
Communities
I •
Consultative and partnerships.
Page 4 of 10. 0910 Directorate Business Plan City Health
9.
OBJECTIVES AND INDICATORS OF THE STRATEGY I OPERATIONAL PLAN
The objectives, indicators and targets below are an extract of the City Health SDBIP that link to the Corporate SDBIP .
.
~-
Indicator
Directorate Objective
Target
(by Sept
09)
Target
(by Dec
09)
Target
(by Mar
10)
~
-~
7. Provision of effective primary health
ca e services in close collaboration with
P Ivincial Health Services with a special
em phasis on maternal and child health
ca e and HIV/AIDS/STI and TB with a
fo us on Aids orphans
7A.6 Reduction of the infant
mortality rate (Number infant
deaths per 1000 live births)
#
19.75
#
19.3%
19.3%
19.3%
19.
,
~~
7. Provision of effective primary health
ca e services in close collaboration with
P Ivincial Health Services with a special
em phasis on maternal and child health
ca e and HIV/AIDS/STI and TB with a
fo us on Aids orphans
7A.8 Slow the rate of
. increase of the City's antenatal HIV prevalence
~
Provision of effective primary health
ca re services in close collaboration with
P Dvincial Health Services with a special
e lphasis on maternal and child health
ca re and HIV/AIDS/STI and TB with a
fo ~us on Aids orphans
7
~
7 7 Provision of effective environmental
h ~alth services including Air Quality
Management and Pollution Control
P rogrammes (including noise pollution)
#
7 A. 7 Slow the rate of
increase of TB per 100,000 of
Cape Town Population
7A.5 Number of days when
air pollution exceeds WHO
guidelines
-
~-
1,065
#
1,090
iI
i .....
ic::
-~
34
69
~.
I~
~
I
~
Page 9 of 10. 0910 Directorate Business Plan City Health
10.
AUTHORISATION
The undersigned do hereby indicate their agreement with the contents of this document and the outcomes.
!
~xecutive Director
Name
Signature
Date
Dr I Bromfield
....
e
c:.n
c:r::
Page 10 of 10. 0910 Directorate Business Plan City Health