Page 194 - Demo

Estimates of the Provincial Revenue and Expenditure (EPRE) %u2013 2025/26 Financial YearEmergency Medical Services The department will continue its efforts of improving response times for calls related to maternal and neonatal care, cardiac related incidents, and trauma incidents in both rural districts and urban metropolitan municipalities. As a result, the department will invest in increasing the number of paramedics that have specialised skills to manage emergencies. The placement of these paramedics will prioritise the rural districts such as Alfred Nzo, Joe Gqabi, Amathole, OR Tambo, and Sarah Baartman. Maternal Child and Women%u2019s Health and Nutrition (MCWH&N) Priorities in the coming year are to reduce the maternal mortality to less than 100 per 100 000 live births. Key strategies to achieve this target include provision of contraceptives to child-bearing population a target of 50 per cent with those that are pregnant, at least 65 per cent must receive antenatal services before 20 weeks of pregnancy thus increasing early booking to promote safe pregnancy and treat existing infections and conditions. The department will also prioritise early identification of pregnant and HIV infected women to minimise pregnancy-associated complications, identify congenital birth defects, Prevent Mother-to-Child Transmission (PMTCT). In addressing the issue of teenage pregnancy, prioritizing family planning will be crucial in mitigating the risks associated with unintended teenage pregnancies. This objective will be accomplished through collaboration with tertiary institutions to enhance the availability of sexual reproductive health services to students on campus. Non-Communicable Diseases The Provincial targets are aligned to the NCD Cascade of 90-60-50 for hypertension and diabetes, wherein 90 per cent of individuals aged 18 and above will be informed about their status regarding elevated blood pressure and/or blood glucose levels; 60 per cent of those with elevated blood pressure or blood glucose levels will receive necessary interventions and 50 per cent of those on treatment will be controlled. The primary strategies that will be deployed to drive the aforementioned cascade encompass advocating for healthful lifestyles, conducting screenings for early detection, promoting adherence to treatment, and managing non-communicable diseases (NCDs) to mitigate the need for extensive care required to address complications arising from untreated conditions. Medico Legal Claims The department aims on improving clinical governance by enhancements in maternal and child health outcomes are becoming apparent as the emphasis shifts towards clinical governance at healthcare facilities, harmonized across regions; bolstering the capability to deliver fundamental orthopaedic and surgical services at central hospitals, while concurrently diminishing backlogs at regional, tertiary, and central medical centers. Conducting forensic examinations in medico-legal cases, concentrating on historical or resolved lawsuits to dispel any doubts regarding the rationale behind losing these cases and the terms and sums at which government settlements were reached will be an area of focus Rationalisation of facilities The current service delivery platform is financially unsustainable and requires alignment with an NHI,based system. With the ultimate goal of improving efficiency and reducing costs. This process is at a stage of consultation with internal stake holders and especially those facilities that may be repurposed and reclassified. 173