FREE STATE DEPARTMENT OF HEALTHpmg-assets.s3-website-eu-west-1.amazonaws.com/... · PPTICRM PR...

IDEAL CLINIC REPORT

FREE STATE DEPARTMENT OF HEALTH

OVERVIEW

Free State Province have five District's consisting of 220 PHC rendering service to 2,2 million uninsured population of the 2,7 million total population

PHC facilities are distributed as follows in all five District Thabo Mofutsanyana (73, currently only 72 are operational, one clinic was vandalized) Mangaung Metro (45)Lejweleputswa (43)Fezile Dabi (39)Xhariep (20)

All PHC facilities are expected to be Ideal by the end of 2018/2019

As stipulated on the Free State Department of Health Annual performance Plan . The province will enrol a specific number of facilities into Ideal clinic program over 3-year period starting 2015/2016 , until all facilities reach an ideal clinic status

District 2015/16 2016/17 2017/18

Fezile Dabi 20 8 11

Lejweleputswa 20 12 13

Mangaung Metro 20 12 11

Thabo Mofutsanyana

30 15 28

Xhariep 10 5 5

Free State 100 52 68

FREE STATE DEPARTMENT OF HEALTH IDEAL CLINIC SCALE UP PLAN

Opens on time in the morning, according to its set operating hours, and which does not close untilthe last patient has been assisted, even if this is beyond the normal closing hours.

It is staffed by health care providers who treat people with dignity.

Provides community-based health promotion.

Is very clean, promotes hygiene and takes all precautionary measures to prevent the spread of diseases.

Has reasonable waiting times.

Provides a comprehensive package of good quality health services every day.

Has basic necessities available, such as essential medicines.

Refers people to higher levels of care timeously when this is required.

Community members call it “our own clinic”, rather than a “government clinic” or a “state healthfacility

Good Infrastructure

Sufficient bulk supplies

DEFINITION OF AN IDEAL CLINIC

Developing and sustaining the ‘Ideal’ PHC clinic involves that a number of components to be in place and functions well. These components include:

1. Administration 2. Integrated Clinical Services Management 3. Medicines, Supplies and Laboratory Services 4. Human Resources for Health 5. Support Services 6. Infrastructure 7. Health Information Management 8. Communication 9. District Health System Support 10. Implementing Partners and Stakeholders

Each of the above components are made up of different numbers of subcomponents each having a number of specific elements that need to be in place

For a facility to be ideal , it has to score a certain percentage of specific elements

DEFINITION OF AN IDEAL CLINIC CONTINUED.

Weights Silver Gold Platinum Diamond

Elements % Elements % Elements % Elements %

Vital 15 100% 15 100% 15 100% 15 100%

Essential 57 70% 66 80% 75 91% 82 100%

Important 48 65% 56 75% 63 86% 74 100%

VitalExtremely important (vital) elements that require immediate and full correction. These are elements that affect direct service delivery and clinical care to patients and they may have immediate and long-term adverse effects on the health of the population.

EssentialVery necessary (essential) elements that require resolution within a given time period. These are process and structural elements that indirectly affect the quality of clinical care given to patients.

ImportantSignificant (important) elements that require resolution within a given time period. These are process and structural elements that affect the quality of the environment in which health care is given to patients.

IDEAL CLINIC ELEMENTS

CATEGORIES

100 facilities were enrolled into Ideal Clinic program in Free State

However , National Department of Health reduced the number of faculties to be assessed in the Ideal Clinic program

In Free State Province, only 46 of 100 facilities were assessed in 2015/16

District Number of facilities assessed in 2015/2016

Fezile Dabi 15

Lejweleputswa 4

Mangaung Metro 4

Thabo Mofutsanyana 13

Xhariep 10

Total 46

FREE STATE PROVINCE IDEAL CLINIC ASSESSMENT IN 2015/2016

Each district appoint a PPTICRM team

The PPTICRM team assess each facility enrolled into

Ideal Clinic Program to determine the baseline

District PPTICRM develop a quality

improvement plan and monitor its

implementation

The District PPTICRM asses facilities and

score the facility on the Ideal Clinic

Dashboard

Peer review of the same facility by a

Cross District PPTICRM asses and

score the facility

PROCESS OF IDEAL CLINIC ASSESSMENT

Free State Province Ideal Clinic Peer review conduct in 2015/2016

District reviewed # of Facilities # of Teams Peer Review PPTICRM team

Fezile Dabi 8 1 Northen Cape 7 2

Lejweleputswa 4 1Northen Cape Mangaung

Metropolitan 4 2

T/M 7 1Kwazulu-Natal

6 2

Xhariep 5 1Northen cape

5 2

Total 46 10

Results of the Mangaung Metro PPTICRM Review vs Cross District Peer Review(2015/2016)

SUB -DISTRICT NAME OF FACILITY

DISTRICT PPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINIC STATUS

Bloemfontein Bayswater Clinic

67% 81% Not achieved

Botshabelo Harry Gwala (Bots) Clinic


TS Mahloko Clinic


Daniel Ngatane Clinic


Results of the Lejweleputswa PPTICRM Review vs Cross District Peer Review(2015/2016)

SUB -DISTRICT NAME OF FACILITY

DISTRCIT PPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINIC STATUS

Matjhabeng Thabong Clinic 64% 58% Not achieved

Bronville Clinic 71% 60% Not achieved

Nala DA MalehoClinic


Tswelopele Chief Albert Luthuli


RESULTS OF THE FEZILE DABI

PPTICRM REVIEW VS CROSS

DISTRICT PEER REVIEW(2015/2016)SUB -DISTRICT NAME OF

FACILITYDISRTCIT PPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINIC STATUS PR

Metsimaholo Sasolburg Clinic


Zamdela CHC 48% 63% Not achieved

Refenkgotso Clinic


Metsimaholo Clinic


Mafube Philani Clinic 52% 58% Not achieved

Qalabotjha Clinic


Phedisong Clinic


Rainbow Clinic 45% 48% Not achieved

RESULTS OF THE FEZILE DABIPPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)

SUB -DISTRICT

NAME OF FACILITY

PPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINIC STATUS PR

Ngwathe Schonkenville Clinic


Kganya CHC 75% 85% Not achieved

Heilbron Clinic 69% 72% Not achieved

Relebohile Clinic


Moqhaka PAX CHC 46% 41% Not achieved

Sedibeng saBophelo Clinic


Seeisoville Clinic


RESULTS OF THE XHARIEP PPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)

SUB -DISTRICT

NAME OF FACILITY DISTRICT PPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINIC STATUS

Kopanong Nelson Mandela Clinic

79% 70% Not Achieved

Phekolong Clinic 79% 73% Not Achieved

Mamello Clinic 79% 77% Not Achieved

Thembalethu Clinic 81% 79% Not Achieved

Sehularo Tau Clinic 80% 53% Not Achieved

Naledi Lebohang Clinic 73% 65% Not Achieved

Mohokare Lephoi Clinic 83% 68% Not Achieved

Letsemeng Bophelong CHC 81% 53% Not Achieved

Jacobsdal Clinic 71% 70% Not Achieved

Ethembeni Clinic 76% 73% Not Achieved

RESULTS OF THE THABO MOFUTSANYANA PPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)

SUB -DISTRICT NAME OF FACILITY DistrctictPPTICRM RESULTS

PPTICRM PR RESULTS

IDEAL CLINICSTATUS

Maluti A Phofung Marakong Clinic Not scored 35% Not Achieved

Tina Moloi Clinic Not scored 39% Not Achieved

Riverside Clinic Not scored 41% Not Achieved

Tebang Clinic 72% 37% Not Achieved

Phumelela Thusa Bophelo Clinic 61% 57% Not Achieved

Bophelong (Vrede) Clinic

Not scored 47% Not Achieved

Dihlabeng Mphohadi clinic Not scored 72% Not Achieved

Masebabatso Clinic Not scored 54% Not Achieved

Mantsopa Hobhouse Clinic Not scored 60% Not Achieved

Ladybrand Clinic 78% 84% Not Achieved

Manyatseng Clinic Not scored 66% Not Achieved

Setsoto Mamello CHC Not scored 81% Not Achieved

Itumeleng(Clarens) Clinic

Not scored 77% Not Achieved

SUMMARY OF FREE STATE PROVINCE IDEAL CLINIC PROGRESS AFTER SECOND REASSEMENT IN APRIL 2016 (2015/2016)

1/15

10/13

7/10

1/43/4

22/46

Best Performing District in Free State (2015/2016)

BEST PERFORMING SUB-DISTRICT IN FREE STATE

(2015/2016)

BEST PERFORMING FACILITIES IN FREE STATE (2015/2016)

FREE STATE PROVINCE SUMMARY OF RESULTS END OF 2015/2016• 21 of 46 facilities enrolled on ideal clinic program in Free State reached

ideal clinic status in 2015/2016 year : On the Ideal clinic dashboard

- 20 facilities were scoring 80 % 4 facilities scored between 70-79 %- 8 facilities scored between 60-69%- 8 facilities scored between 60-69%- 11 facilities scored between 40-59%- 3 facilities scored less than 40 %

• Xhariep was the best preforming district in the province followed by Mangaung Metro and Fezile Dabi

• Lejweleputswa was the lowest performing district , but improved towards closing of the 2015/2016 attaining ideal clinic status on 3 of the 4 facilities enrolled

• In Mangaung Metro (MM) only 1 facilities achieved an ideal clinic status , • However, status determination results showed that majority of the facilities

in MM are preforming above (66 % )

Poor Infrastructure

Human Resources for Health: Appointments of Staff

(Lack of Ideal Clinic Cost analysis ) Insufficient budget for Ideal Clinic

Slow supply Chain Management process to procure ideal clinic equipments

FREE STATE PROVINCE CHALLENGES

District Total number of Facilities in each

district

Number of Facilities with IC status

Number of facilities to be Ideal in 2016/17

Number of facilities marked

for 2016/17

Free State Province 221 25 103 112Fezile Dabi

39 4 10 17Lejweleputswa

45 3 11 11Mangaung

43 1 10 13

Thabo Mofutsanyane 73 10 62 62Xhariep

21 7 5 8

Number of with ideal clinics status in Free State is 25/221 (11 %) of total PHC facilities in the Province

104 new clinics were added on the ideal clinic program for 2016/2017 Thabo Mofutsanyana as NHI Pilot district added all remaining 63 clinics for 2016/2017

FREE STATE PROVINCE SCALE UP PLAN 2016/2017

2016/2017 IDEAL CLINIC PERFORMANCE IN FREE STATE PROVINCE

0/8 0/62 0/13 0/11 3/17 3/104

104 new clinics were added on the ideal clinic program for 2016/2017

Thabo Mofutsanyana as NHI Pilot district added all remaining 62 clinics for 2016/2017

Four of 5 district’s in Free State have yet to update facilities with an Ideal Clinic status in 2016/2017

To date , 3 facilities attained Ideal clinic status in Fezile Dabi

Lesson learned from 2015/2016 : prioritize procurement of vital elements equipment (resuscitation equipment's)

Weekly monitoring of ideal clinics improve progress

Challenges in 2016/2017

Delay in submission of facilities to be enrol on the 2016/2017 Ideal Clinic Progress

Centralization of procurement of medical equipment's delayed

Lack of dedication from Perfect Permanent Team for Ideal Clinic Realization and Maintenance ( PPTICRM Teams) on closely monitoring of the clinics (lead to regression of the status )

SUMMARY OF FREE STATE PROVINCE IDEAL CLINIC PROGRESS 2016/2017

QUALITY IMPROVEMENT PLANS

Cost analysis of Ideal Clinic Requirements

Allocate budget for ideal Clinic Equipments on equitable share

Prioritize procurement of Ideal Clinic Medical equipments

Centralize Medical equipments

Align Departmental Infrastructure plan ( refurbishment and Maintenance over MTEF period

Weekly monitoring of Ideal Clinic progress

COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : MANAGAUNG METRO

DESCRIPTION BLOEMFONTEIN THABA NCHU BOTSHABELO TOTAL

7 CLINICS 3 CLINICS 10 CLINICS

1. Signage and Notices: Monitor whether there is communication about the facility and the services provided R 350,000 R 150,000 R 500,000 R 1,000,000

3. Client service organization: Monitor the processes that enable responsive client service. R 140,000 R 60,000 R 200,000 R 400,000

4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records are filed appropriately R 630,000 R 270,000 R 900,000 R 1,800,000

5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete streams (acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this results in improvements in key population health and service indicators R 164,000 R 72,000 R 240,000 R 476,000

6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to. R 140,000 R 60,000 R 200,000 R 400,000

12 Medicines and supplies: Monitor consistent availability of required good quality medicines and supplies. R 196,000 R 84,000 R 280,000 R 560,000

19. Security : Monitor whether systems processes, procedures are in place to protect the safety of assets, infrastructure, clients and staff of the PHC facility. R 2,100,000 R 900,000 R 3,000,000 R 6,000,000

21. Physical Space and Routine Maintenance: Monitor whether the physical space is adequate for the PHC facility workload and whether timely routine maintenance is undertaken. R 70,000 R 4,500 R 100,000 R 174,500

23. Bulk supplies: Monitor whether the required electricity supply, water supply and sewerage services are constantly available. R 750,000 R 300,000 R 1,500,000 R 2,550,000

24. ICT Infrastructure and Hardware: Monitor whether systems for internal and external electronic communication are available and functioning. R 164,500 R 70,500 R 235,000 R 470,000

26. Internal communication: Monitor whether the communications system required for improved quality for service delivery is in place. R 35,000 R 15,000 R 50,000 R 100,000

Total R 4,109,500 R 1,716,000 R 7,205,000 R 13,030,500

COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : XHARIEP

DESCRIPTION KOPANONG LETSEMENG

MOHOKA

RE NALEDI TOTAL

5 CLINICS 3 CLINICS 1 CLINIC 1 CLINIC

1. Signage and Notices: Monitor whether there is communication about the facility

and the services provided

R

160,000

R

96,000

R

32,000

R

32,000

R

320,000

2. Clinical Service provision: Monitor whether clinical integration of clinical care

services allowing for 3 discrete streams (acute, chronic and MCWH) of service

delivery is adhered to as per service package and whether this results in

improvements in key population health and service indicators

R

225,000

R

15,000

R

5,000

R

5,000

R

250,000

3. Management of client appointments: Monitor whether an ICSM client appointment

system is adhered to.

R

100,000

R

60,000

R

20,000

R

20,000

R

200,000

4. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols

are available, whether staff have received training on their use and whether they are

being appropriately applied.

R

45,000

R

27,000

R

9,000

R

9,000

R

90,000

5. Finance and supply chain management: Monitor the consistent availability of a

functional supply chain management system as well as the availability of funds

required for optimal service provision.

R

13,300

R

7,980

R

2,660

R

2,660

R

26,600

5. Hygiene and Cleanliness: Monitor whether the required systems and procedures

are in place to ensure consistent cleanliness in and around a facility.

R

75,000

R

45,000

R

15,000

R

15,000

R

150,000

6. Security : Monitor whether systems processes, procedures are in place to protect

the safety of assets, infrastructure, clients and staff of the PHC facility.

R

1,500,000

R

900,000

R

300,000

R

300,000

R

3,000,000

7. Physical Space and Routine Maintenance: Monitor whether the physical space is

adequate for the PHC facility workload and whether timely routine maintenance is

undertaken.

R

602,500

R

4,500

R

1,500

R

1,500

R

610,000

8. Essential Equipment and Furniture: Monitor whether essential equipment and

required furniture are available.

R

1,250,000

R

750,000

R

250,000

R

250,000

R

2,500,000

9. Bulk supplies: Monitor whether the required electricity supply, water supply and

sewerage services are constantly available.

R

600,000

R

360,000

R

120,000

R

120,000

R

1,200,000

10. ICT Infrastructure and Hardware: Monitor whether systems for internal and

external electronic communication are available and functioning.

R

117,500

R

70,500

R

23,500

R

23,500

R

235,000

11. Internal communication: Monitor whether the communications system required

for improved quality for service delivery is in place.

R

50,000

R

30,000

R

10,000

R

10,000

R

100,000

Total

R

4,738,300

R

2,365,980

R

788,660

R

788,660

R

8,681,600

COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : LEJWELEPUTSWA

DESCRIPTION 2015-16 FY

21 CLINICS

1. Signage and Notices: Monitor whether there is communication about the facility and the services provided R 787,500

2. Staff identity and dress code: Monitor whether staff uniform, protective clothing and mode of staff identification are

according to policy prescripts R 210,000

3. Client service organization: Monitor the processes that enable responsive client service. R 42,000

4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical

Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records are

filed appropriately R 315,000

5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete streams

(acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this results in

improvements in key population health and service indicators R 315,000

6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to. R 210,000

7. Coordination of PHC Services: Monitor whether there is coordinated planning and execution between PHC facility,

School Health Team, WBPHCOT and DCST R 157,500

8. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols are available, whether staff have

received training on their use and whether they are being appropriately applied. R 189,000

9. Infection Prevention and Control: Monitor whether prescribed infection prevention and control policies and

procedures are adhered to. R -

10. Client waiting time: Monitor whether the facility's prescribed waiting times are adhered to. R -

11 Patient experience of care: Monitor whether an annual client experience of care survey is conducted and whether

clients are provided with an opportunity to complain about or compliment the facility and whether complaints are

managed within the prescribed time. R 105,000


DESCRIPTION 2015-16 FY

21 CLINICS

1. Signage and Notices: Monitor whether there is communication about the facility and the services provided

R

787,500

2. Staff identity and dress code: Monitor whether staff uniform, protective clothing and mode of staff identification

are according to policy prescripts

R

210,000

3. Client service organization: Monitor the processes that enable responsive client service.

R

42,000

4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical

Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records

are filed appropriately

R

315,000

5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete

streams (acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this

results in improvements in key population health and service indicators

R

315,000

6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to.

R

210,000

7. Coordination of PHC Services: Monitor whether there is coordinated planning and execution between PHC facility,

School Health Team, WBPHCOT and DCST

R

157,500

8. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols are available, whether staff

have received training on their use and whether they are being appropriately applied.

R

189,000

9. Infection Prevention and Control: Monitor whether prescribed infection prevention and control policies and

procedures are adhered to.

R

-

10. Client waiting time: Monitor whether the facility's prescribed waiting times are adhered to.

R

-

11 Patient experience of care: Monitor whether an annual client experience of care survey is conducted and whether

clients are provided with an opportunity to complain about or compliment the facility and whether complaints are

managed within the prescribed time.

R

105,000


25. District Health Information System (DHIS): Monitor whether there is an appropriate information system that

produces information for service planning and decision making.

R

302,400

26. Internal communication: Monitor whether the communications system required for improved quality for

service delivery is in place.

R

210,000

27. Community engagement: Monitor whether the community participates in PHC facility activities through

representation in a functional clinic committee.

R

105,000

28. District Health Support (DHS): Monitor the support provided to the facility through guidance from district

management, regular Ideal Clinic status measurement by the PPTICRM as well as through visits from the district

support and health programme managers.

R

199,500

29. Planned and Emergency patient transport: Monitor the availability of planned and emergency transport for

clients.

R

262,500

30. Referral System: Monitor whether clients have access to appropriate levels of health care.

R

283,500

31. Implementing Partners support: Monitor the support that is provided by implementing partners

R

31,500

32. Multi-sectoral collaboration: Monitor the systems in place to respond to the social determinants of health

R

73,500

33. Filing Cabinets for patient files

R

1,260,000

34. Renovations and refurbishments of facilities

R

6,300,000

35. Building / erection of guard houses

R

840,000

36. Bulk water and reservoirs at facilities

R

1,660,000

Total R 25,278,400

COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : THABO MOFUTSANYANA

DESCRIPTION

MALUTI-A-

PHOFUNG SETSOTO DIHLABENG NKETOANA PHUMELELA MANTSOPA TOTAL

4 CLINICS 2 CLINICS 2 CLINICS 1 CLINIC 1 CLINIC 1 CLINIC

1. Signage and Notices: Monitor whether

there is communication about the facility

and the services provided R 64,000.00 R 64,000.00 R 64,000.00 R 32,000.00 R 32,000.00 R 256,000.00

2. Staff identity and dress code: Monitor

whether staff uniform, protective clothing

and mode of staff identification are

according to policy prescripts R 20,000.00 R 40,000.00 R 20,000.00 R 10,000.00 R 10,000.00 R 20,000.00 R 120,000.00

3. Client service organization: Monitor

the processes that enable responsive

client service. R 10,000.00

4. Management of client record: Monitor

whether clients' record content is

organised according to Integrated

Clinical Services Management (ICSM)

prescripts, whether the prescribed

stationary is used and whether the client

records are filed appropriately R 40,000.00 R 120,000.00 R 40,000.00 R 20,000.00 R 20,000.00 R 20,000.00 R 260,000.00

5. Clinical Service provision: Monitor

whether clinical integration of clinical

care services allowing for 3 discrete

streams (acute, chronic and MCWH) of

service delivery is adhered to as per

service package and whether this results

in improvements in key population health

and service indicators R 10,000.00 R 20,000.00 R 10,000.00 R 5,000.00 R 5,000.00 R 5,000.00 R 55,000.00

6. Management of client appointments:

Monitor whether an ICSM client

appointment system is adhered to. R 40,000.00 R 60,000.00 R 40,000.00 R 20,000.00 R 20,000.00 R 180,000.00

7. Coordination of PHC Services: Monitor

whether there is coordinated planning

and execution between PHC facility,

School Health Team, WBPHCOT and

DCST R 60,000.00 R 60,000.00


8. Clinical guidelines and protocols:

Monitor whether clinical guidelines and

protocols are available, whether staff have

received training on their use and whether

they are being appropriately applied. R 18,000.00 R 27,000.00 R 18,000.00 R 20,000.00 R 20,000.00 R 5,000.00 R 108,000.00

9. Infection Prevention and Control:

Monitor whether prescribed infection

prevention and control policies and

procedures are adhered to. R 30,000.00 R 4,000.00 R 4,000.00 R 2,000.00 R 40,000.00

10. Client waiting time: Monitor whether

the facility's prescribed waiting times are

adhered to. R 2,000.00

11 Patient experience of care: Monitor

whether an annual client experience of

care survey is conducted and whether

clients are provided with an opportunity to

complain about or compliment the facility

and whether complaints are managed

within the prescribed time. R 20,000.00 R 20,000.00

12 Medicines and supplies: Monitor

consistent availability of required good

quality medicines and supplies. R 56,000.00 R 484,000.00 R 56,000.00 R 20,000.00 R 20,000.00 R 120,000.00 R 756,000.00

13. Management of Laboratory Services:

Monitor consistent availability and use of

laboratory services. R 50,000.00

14. Staff allocation and use: Monitor

whether the PHC facility has the required

HRH capacity and whether staff are

appropriately applied. R 50,000.00 R 180,000.00 R 230,000.00

15. Professional standards and

Performance Management Development

System (PMDS): Monitor whether staff are

managed according to Department of

Public Service Administration (DPSA)

prescripts.

DESCRIPTION

MALUTI-A-



Costing of IDEAL clinic equipments per District : Thabo Mofutsanyana

16. Availability of Medical, Mental health,

and Allied health practitioners: Monitor

client access to clinical expertise at PHC

level. R 10,000.00 R 10,000.00

17. Finance and supply chain

management: Monitor the consistent

availability of a functional supply chain

management system as well as the

availability of funds required for optimal

service provision. R 5,320.00 R 10,000.00 R 5,320.00 R 2,660.00 R 2,660.00 R 10,000.00 R 25,960.00

18. Hygiene and Cleanliness: Monitor

whether the required systems and

procedures are in place to ensure

consistent cleanliness in and around a

facility. R 30,000.00 R 45,000.00 R 30,000.00 R 15,000.00 R 15,000.00 R 45,000.00 R 135,000.00

19. Security : Monitor whether systems

processes, procedures are in place to

protect the safety of assets, infrastructure,

clients and staff of the PHC facility. R 600,000.00 R 1,000,000.00 R 600,000.00 R 3,000.00 R 3,000.00 R 300,000.00 R 2,206,000.00

20. Disaster preparedness: Monitor

whether firefighting equipment is available

and whether staff know how to use it and

whether disaster drills are conducted. R 5,000.00 R 5,000.00

21. Physical Space and Routine

Maintenance: Monitor whether the physical

space is adequate for the PHC facility

workload and whether timely routine

maintenance is undertaken. R 3,000.00 R 45,000.00 R 3,000.00 R 1,500.00 R 1,500.00 R 54,000.00

22. Essential Equipment and Furniture:

Monitor whether essential equipment and

required furniture are available. R 500,000.00 R 250,000.00 R 500,000.00 R 250,000.00 R 250,000.00 R 180,000.00 R 1,930,000.00

23. Bulk supplies: Monitor whether the

required electricity supply, water supply

and sewerage services are constantly

available. R 420,000.00 R 360,000.00 R 420,000.00 R 120,000.00 R 120,000.00 R 1,440,000.00

DESCRIPTION

MALUTI-A-



24. ICT Infrastructure and Hardware:

Monitor whether systems for internal and

external electronic communication are

available and functioning. R 47,000.00 R 50,000.00 R 47,000.00 R 23,500.00 R 167,500.00

25. District Health Information System

(DHIS): Monitor whether there is an

appropriate information system that

produces information for service

planning and decision making.

26. Internal communication: Monitor

whether the communications system

required for improved quality for service

delivery is in place. R 20,000.00 R 40,000.00 R 20,000.00 R 10,000.00 R 10,000.00 R 10,000.00 R 100,000.00

27. Community engagement: Monitor

whether the community participates in

PHC facility activities through

representation in a functional clinic

committee.

28. District Health Support (DHS):

Monitor the support provided to the

facility through guidance from district

management, regular Ideal Clinic status

measurement by the PPTICRM as well as

through visits from the district support

and health programme managers.

29. Planned and Emergency patient

transport: Monitor the availability of

planned and emergency transport for

clients.

30. Referral System: Monitor whether

clients have access to appropriate levels

of health care.

31. Implementing Partners support:

Monitor the support that is provided by

implementing partners

32. Multi-sectoral collaboration: Monitor


DESCRIPTION

MALUTI-A-



Province

MangaungMetro

Thabo Mofutsanyana Lejweleputswa Fezile Dabi Xhariep Total

Required Budget 13,030,500.00 8,585,460.00 25,278,400.00 8,827,286.00 8,681,600.00 64,403,246.00

Number of clinics 20.00 11.00 21.00 8.00 10.00 70

Average Cost 651,525.00 780,496.36 1,203,733.33 1,103,410.75 868,160.00 920,046.37

Costing analysis show that for the Free state Province will need approximately R64 million rands to attend an Ideal Clinic Status on 70 clinics

For 2016/2017 Free State Province allocated for “Ideal clinic” under voted funds Programme 2 -R3,22 million on minor asset ( medical equipments < R5000)-R 8,063 million on Capital

SUMMARY OF IDEAL CLINIC COST ANALYSIS IN FREE STATE PROVINCE

2016/2017 2017/2018 2018/2019 2019/2020 Total

ManagungMetro

1,9 80 9,020 11,000 11.211 33,422

Fezile Dabi 900 4,100 5,000 5,454 15,907

Lejweleputswa 1,440 6.560 8,000 8,053 24,105

TBM 360 1,640 2.000 8,206 18,411

Xhariep 360 1,640 2,000 2,226 6,452

INFRASTRUCTURE BUDGET TO REFURBISH AND MAINTAIN CLINIC IN FREE STATE PROVINCE OVER MTEF

Prioritize refurbishment of facilities enrolled on Ideal Clinic

Program under Infrastructure Budget

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