HR STATUS FREE STATE DEPARTMENT OF HEALTH April

HR STATUS FREE STATE DEPARTMENT OF HEALTH (April 2016 – July 2016) 1

TABLE OF CONTENTS Ø Executive summary Ø Summary Post Status Ø Appointments Ø Service terminations Ø Overtime expenditure Ø Expenditure on allowances Ø Feedback on Community Health Workers 2

SUMMARY POST STATUS Filled Posts 17 680 Vacant Posts 3 760 Vacancy Rate 18% A total number of 407 of the filled posts on the staff establishment represents community service officials 3

COMPENSATION OF EMPLOYEES FOR FINANCIAL YEAR UP TO 31 JULY 2016 Budget R 5 899 702 361 Expenses R 1 938 167 570 Commitments R 124 444 Available Budget R 3 961 410 347 4

POST STATUS: FEZILE DABI DISTRICT Institution / Facility Filled Vacant Primary Health Care 942 335 Fezi Ngubentombi District Hospital 281 40 Mafube District Hospital 98 21 Parys District Hospital 118 21 Tokollo District Hospital 132 30 5

POST STATUS: LEJWELEPUTSWA DISTRICT Institution / Facility Filled Vacant 1 141 290 Katleho District Hospital 154 44 Mohau District Hospital 62 8 Nala District Hospital 66 15 Thusanong District Hospital 143 40 Primary Health Care 6

POST STATUS: MANGAUNG DISTRICT Institution / Facility Filled Vacant 1 497 181 Botshabelo District Hospital 357 45 Dr. JS Moroka District Hospital 342 71 National District Hospital 535 59 Primary Health Care 7

POST STATUS: THABO MOFUTSANYANA DISTRICT Institution / Facility Filled Vacant 1 616 416 Elizabeth Ross District Hospital 196 40 Itemoheng District Hospital 80 11 JD Newberry District Hospital 50 7 Nketoana District Hospital 78 9 Phekolong District Hospital 180 29 Phumelela District Hospital 57 5 Phuthuloha District Hospital 61 19 Senorita Ntlabathi District Hospital 170 22 Thebe District Hospital 152 18 Primary Health Care 8

POST STATUS: XHARIEP DISTRICT Institution / Facility Filled Vacant 589 74 Albert Nzula District Hospital 3 194 Diamant District Hospital 90 5 Embekweni District Hospital 54 12 Stoffel Coetzee District Hospital 57 14 Primary Health Care 9

POST STATUS: REGIONAL HOSPITALS & ACADEMIC COMPLEX Institution / Facility Filled Vacant Boitumelo Regional Hospital 563 228 Bongani Regional Hospital 801 210 FSPC 754 137 Universitas Hospital 2 207 399 Pelonomi Regional Hospital 1 686 303 Dihlabeng Regional Hospital 356 63 Mofumahadi Manapo Mopeli Regional Hospital 381 82 10

APPOINTMENTS (APRIL 2016 – JULY 2016) OCCUPATIONAL DESIGNATION PERMANEN T COMMUNITY SERVICE INTERN SESSIONS REGISTRAR Medical Officers, Specialists & related 33 13 4 86 15 Nursing Personnel 69 6 - - - Dentists & Pharmacists 8 7 3 - - Allied Health 33 22 4 1 - Other categories 118 - - A total number of 422 appointments has been effected as reflected above 11

SERVICE TERMINATIONS (APRIL 2016 – JULY 2016) Contract expiry 83 Death 5 Dismissal: Ill Health 5 Resignation 122 Retirement 122 Total 337 12

OVERTIME EXPENDITURE (APRIL 2016 – JULY 2016) Normal Overtime R 12 781 771 Fixed Overtime R 77 426 343 Total R 90 208 114 The vacancy rate of the department impacts on overtime expenditure 13

EXTRACT ON EXPENDITURE ON ALLOWANCES (APRIL 2016 – JULY 2016) Leave Gratuity R 7 963 664 Acting Allowance R 1 454 693 Internship / Learnership R 13 800 494 Qualification Bonus R 3 460 646 Long Service Award (20/30/40 Years) R 2 746 516 The vacancy rate of the department impacts on Acting Allowances 14

FEEDBACK ON CHWs Progress Report 15

OUTLINE OF THE PRESENTATION • Introduction • Stipend payment • Training of CHWs 16

INTRODUCTION The Free State Department of Health started implementing a new criteria for Community Health Worker (CHW) Program as of September 2014. The criteria for admission is as follows: Matric certificate Proficiency in two languages- English & a local language 21 -55 years old South African citizen Physically fit to walk distances The CHWs are expected to work strictly in the community and not in the facilities, in line with the PHC Re-Engineering 17

STIPEND PAYMENT 9 NGOs have been awarded contracts which are reviewed annually for three years as of Feb 2016 The NGOs are contracted to manage the administration and HR issues of the cadres, incl. stipend payment, monitor and supervise their activities for community based services The date of reporting by NGOs has been changed to facilitate timeous payment of stipend and payments are now done on time 18

CONTINUED The 915 Community Care Givers are receiving a stipend of R 1850 pm, according to the Ministerial determination. The 594 Community Health Workers are receiving R 1900 pm The 104 Enrolled Nursing Assistants and 44 Enrolled Nurses, who provide clinical support to CHWs, are getting R 3000 pm They are Outreach Team Leaders (OTL). Stipend payment is only done after receiving the reports on the work done. 19

UPDATE ON TRAINING OF CHWS The training plan is according to the need for coverage of Family Health Teams in the Wards. Training has commenced in the districts, since 2011 96 CHWs from Lejweleputswa were trained in Phase 1 in 2011 20

UPDATE ON TRAINING OF CHWS CONT. From 2011 to 2014 they were in the wards, coached by OTLs Assessment on Phase 1 was done in 2014 36 were competent and proceeded to Phase 2 in 2014 In July 2015, 36 learners commenced with the training for the qualification 21

CONTINUED 61 failed initial assessment, 32 were re-assessed in 2016 Additional 58 CCGs were trained in Phase 1 in March 2016 They will be assessed in December 2016 The training of 11 CCGs from Soutpan is scheduled for Nov 2016 on CHW Program 4 CCGs have been trained on HIV Counselling & testing in March 2016 The 11 CCGs will be trained on TB Management in August 2016 22

THANK YOU 23