Date: 16/02/2004
Source: Free State Provincial Government
Title: O Tsopo: Debate on Free State State of Province Address
SPEECH OF THE FREE STATE MEC FOR HEALTH, MS OUMA TSOPO, ON THE OCCASION OF THE DEBATE ON THE PREMIER'S STATE OF THE PROVINCE ADDRESS, BLOEMFONTEIN , 16 February 2004
Mr Speaker
Honourable Premier
Honourable Members of the Executive Council
Honourable Members of the Legislature
Ladies and Gentlemen.
INTRODUCTION
As we celebrate the ten years of our democratic advance the fact of the achievements of this government is one of the realities that has been subjected to the ideological onslaught of the liberal centre-right, which attempts to reduce the freedom that is so priceless to us into nothingness. I am mandated by my party today to continue to demystify the myths of this ideological onslaught. I will reflect on some of the achievements that my party has registered specifically concentrating on people development.
ENHANCING PEOPLE'S SKILLS AND SELF RELIANCE
The Free State Provincial Government expanded adult literacy and numeracy in the province. The Free State Department of Education increased its number of adult education centres to one in each town so that the people of our province can have maximum access to learning opportunities. 5 982 people are enrolled to these centres in this financial year. 420 lecturers in the four restructured Further Education and Training (FET) Colleges were reskilled to enable them to deliver the transformed curriculum. Learnerships were established in Agriculture, Construction, Furniture Making, Hair Care, Adult Basic and Education Training (ABET), Ancillary Health, Information Technology, Financial Management and Early Childhood Development. There are presently more than 200 Free State citizens registered in learnerships at our FET Colleges. Since 2000/2001 provincial departments allocated an amount equivalent to 1% of the salary bill for the skills development of employees. This is in accordance with the Skills Development and Skills Levy Legislation. More that 300 public servants are enrolled for ABET courses. 275 public servants were awarded bursaries to attend FET courses. The Free State Provincial Government has awarded bursaries in various fields, viz. engineering, social work, medicine, allied work, financial management and information technology to address scarce skills in the public service.
IMPROVE ACCESS TO QUALITY EDUCATION
The Free State Provincial Government improved the grade 12 pass rate from 42,3% in 1999 to almost 80% at the end of 2003. The quality of the pass rate improved with the achievement of a matric exemption rate of more than 22% in 2003 compared to 18% in 2002. This achievement was made possible by the implementation of the Holistic Intervention Program where there was focussed attention with a variety of measures to support the low performing schools. This intervention decreased the number of low performing schools from 78 to 14 at the end of 2003.
Another achievement was the support of 870 unqualified and the 4 359 under-qualified educators to become qualified. This is being achieved through the awarding of bursaries for formal studies to 2 619 of these educators - some of whom became qualified at the end of 2003 and others will qualify at the end of 2004 - thereby reducing the number of un- and under-qualified educators in the system from 5 229 to 2 610.
It is also one of our objectives to increase the number of qualified educators in Science, Mathematics, Information Technology, Information Science, Computer Science and Technology. 778 educators are improving their formal qualifications in these subjects. Another objective was the reskilling of all of the 16 940 educators teaching in the GET Phase (Grade R - Grade 9) to build their capacity in curriculum delivery in an outcomes based education system and the assessment thereof. Since the beginning of the implementation of the outcomes based education system, all of these educators have been trained and thereby ensuring that the outcomes based education system is successfully implemented in all our schools that offer education in the GET Phase.
A Department of Optometry was established with the University of the Free State in 2002. The intake is about 30 per annum and the first group is now in its third year. An optometry clinic was opened at Universitas Hospital for the treatment of citizens as well as the practical training of these students. I would like to thank the Head of the Optometry Department, Prof Pax Ramela, and the Dean of the Faculty, Prof Letitia Moja, for this achievement. The Department of Health entered into agreements with the University of Pretoria and the Medical University of South Africa (MEDUNSA) to train our dentists to become dental specialists.
SPECIAL PROGRAMMES FOR THE SURVIVAL, DEVELOPMENT, CARE AND PROTECTION OF THE VULNERABLE
At the heart of the Provincial Government's efforts during the past ten years to push back the frontiers of poverty and create a better life for all, has been a commitment to provide effective services for the development, care and protection to the most vulnerable sectors of the populace, especially women, children, people with disabilities, the elderly and frail who are under severe pressure to cope with the devastating impact of poverty, HIV, AIDS, unemployment and other social ills.
The number of women and people with disabilities has improved in the senior management service. Much more needs to be done especially regarding people with disabilities and health professionals. Most provincial departments implemented the code of good practice on disability.
The budget for the provision of assistive devices for people with disabilities was increased from R1, 5 million in the 2002/2003 financial year to R2, 7 million in the 2003/2004 financial year. As a result of this and other interventions the backlog of assistive devices was addressed quite considerably. Four workshops for the repair of assistive devices were established at Heilbron, Smithfield, Botshabelo and Petrusburg. The aim is to establish ten District Assistive Devices Repair Workshops in the province in the next three years.
A Vocational Evaluation and Rehabilitation Centre was established on 19 April 2002 in the province. The purpose of this centre is to ensure that people with disabilities are assessed, observed and evaluated for specific abilities and skills that can enable them to find opportunities in the job market and become fully-fledged members of society. From 2003, people with disabilities receive free health services.
Blindness is a major problem throughout South Africa that poses a burden to families, communities as well as the society. It is estimated that there are approximately 16 878 blind people in the Free State Province, with cataract as the leading cause of blindness followed by glaucoma. The province has been able to reduce the backlog of cataract operations by 2 255 between 1999 and 2001. The Free State Province was awarded the National Award for the Best Improvement in Cataract Surgery in 2001. During 2001, the Free State Province was privileged to have doctors from Tunisia, who helped perform cataract surgeries at Bongani hospital. A new Eye Care Centre was established at Mofumahadi Manapo Mopeli hospital and the one at Boitumelo hospital is in the pipeline.
The provincial government introduced programmes targeting vulnerable children. The Department of Social Development established a transformed youth and child care system that is child-centred and based on intersectoral work. Street children programmes reached 10% of towns. 230 000 children aged 0 to 9 years are beneficiaries of the child support grants. The immunisation of children improved to a coverage of 80%. The Integrated Management of Childhood Illnesses (IMCI) strategy, is a comprehensive child health management approach for the appropriate care of common childhood diseases. Prevalence of wasting and stunting as well as underweight for age amongst children less than six years needs to be reduced from 9% to 5%. The Free State is presently at 7%.
Free State Provincial Government also prioritises services to vulnerable older and frail persons by restructuring of service delivery to older persons through equitable funding of residential care prioritising the frail and shifting services towards community based care. 80% of residential care facilities have community outreach programmes. Through Project Itireleng services from the institutions are now more accessible and involve a broad spectrum of structures that are operational in the communities. A large proportion of old age homes admit people from all racial groups. The launch of Operation Dignity in 1999 raised awareness of the rights of older persons, sensitised communities and government officials to the needs of older persons, and promoted a positive image of older persons. In partnership with the Department of Local Government and Housing, the Department of Social Development ensured that 1700 houses were allocated to older persons.
PREVENTING THE SPREAD OF HIV/AIDS AND OTHER INFECTIOUS DISEASES AND PROVIDING SUPPORT AND CARE TO THOSE INFECTED AND AFFECTED
The Free State is already implementing the Comprehensive plan for HIV and AIDS. Communities are reminded that prevention remains the corner stone of this plan. Plans are in an advanced stage to implement the antiretroviral (ARV) component of the comprehensive plan. The plan is to establish one treatment site per district before the end of this year. The partnership with civil society has been entrenched with the establishment of the Provincial AIDS Council and the five District AIDS Councils. Extensive HIV and AIDS awareness campaigns such as door-to-door campaigns, radio campaigns and outreach campaigns have been undertaken in the province. Approximately two million condoms are being distributed monthly in the Free State. Female condom distribution sites were increased.
Community home-based care has been established in 85% of towns in the province. There are more than 1300 trained home-based carers in the province. All of our volunteers who are registered with us now receive a stipend of R500. A malnutrition programme and a food supplementation and alternative wellness programme have been added to the home-based care programme. The core package of prevention on mother to child transmission is available in all districts. All 31 hospitals provide Nevirapine. There are 207 operational voluntary confidential counselling and testing (VCCT) sites and 235 trained lay VCCT counsellors in the province.
Since 2001 more than 200 non-governmental organisations (NGOs), community based organisations (CBOs) and faith-based structures were funded by the Free State Provincial Government to render various HIV and AIDS services in partnership with government departments. The management of tuberculosis (TB) is a good measure of how this government is managing infectious diseases. The cure rate for new smear positive TB in the Free State was 71,8% at the end of the 2002/03 financial year. This is 100% better that in around 1996. This achievement was made possible by the implementation of the directly observed treatment schedule (DOTS) policy. The DOTS supporter system is implemented in 75% of services. The payment of R500 stipend to DOTS supporters commenced in 2002. The Free State has a treatment interruption rate of less than 10% and therefore the second lowest rate of multi-drug resistant tuberculosis (MDR TB) in South Africa. A new MDR TB unit was built at Dr JS Moroka Hospital and was commissioned in 2003. Much still needs to be done to achieve the national target cure rate of 85%. The Free State is participating in a national effort to eradicate polio in South Africa and the whole of the Southern African Development Community (SADC) region. Not a single case of polio was notified in this financial year. The provincial government will focus on the surveillance system for acute flaccid paralysis and ensure that all suspected cases of polio are adequately investigated. The Department of Health will remain alert to detect outbreaks such as cholera, and in particular Congo fever in the Free State.
IMPROVING ACCESS TO QUALITY HEALTH SERVICES
Free State Provincial Government aims to reduce the death of women during pregnancy, childbirth and the puerparium. The number of maternal deaths has been reduced to 107 in 2002 and 115 in 2001. The choice on termination of pregnancy act was implemented to prevent the deaths of women due to septic back street abortions. During 2000, 5 834 pregnancies were safely terminated in the Free State Province. During 2001, 4 833 pregnancies were terminated in the Free State Province. There are 30 designated termination of pregnancy centres in the Free State.
ENGAGING AND PROMOTING MASS PARTICIPATION IN SPORT, RECREATION AND CULTURAL ACTIVITIES AND ACCELERATING PERFORMANCE IN SPORT
The other major advancement in the cultural arena is the Phuthaditjhaba Grass Weaving Factory, which was officially opened in October 2003 with the main objective of establishing a sustainable grass weaving industry in order to contribute to the development of people and to create employment opportunities in the Maluti-a-Phofung area. Twenty people from Qwa-Qwa have been trained in various grass weaving techniques. More than 100 people have been commissioned to do the grass cutting in the mountains surrounding Phuthaditjhaba.
The Free State Province has 153 library service points, which include 134 public libraries, 15 service points at prisons, hospital and children's homes and four specialised libraries that include a library for officials of the government and three libraries at nursing colleges. Visitors to the libraries increased from 43 699 in 2001 to 89 418 in 2003 thus 104,62%. Enquiries at the libraries increased with approximately 400% from 747 in 2001 to 3 429 in 2003. Forty basic sporting facilities have been built and upgraded.
CONCLUSION AND CHALLENGES
The People Development Cluster will continue to implement programmes to achieve the objectives in the Free State Development plan. Some of these objectives are as follows:
* Achieve a grade 12 pass rate of 85%
* Implement the ARV treatment component of the comprehensive plan in one treatment site per district
* Extend the social security programme
* Expand the school nutrition programme
The goals for the next five years are:
* Take more and more young people through learnerships so they can gain skills and work experience in order for them to access jobs
* Improve services in health facilities staffed by adequate well-trained and caring staff
* Provide comprehensive care, management and treatment of HIV and AIDS
* Ensure that all children have decent classrooms, further reduce the teacher/pupil ratio
* Expand the school nutrition programme
* Ensure that all who are eligible for social grants, including poor children up to 14 years of age, receive these grants which increase at least at the rate of inflation
* Speed up the extension of free health services to persons with disabilities.
In the second decade of our freedom we aim to reach the following objectives:
* Reduce unemployment by half through new jobs, skills development, assistance to small business, opportunities for self-employment and sustainable community livelihoods
* Reduce poverty by half through economic development, comprehensive social security, land reform and improved household and community assets
* Provide the skills required by the economy, build capacity and provide resources across society to encourage self employment with an education system that geared for productive work, good citizenship and caring society
* Ensure that all South Africans including, especially and those at risk - children, youth, women, the aged and people with disabilities - are fully able to exercise their constitutional rights and enjoy the full dignity of freedom
* Massively reduce cases of TB, diabetes, malnutrition and maternal deaths, and turn the tide against HIV and AIDS, and, working with the rest of South Africa, strive to eliminate malaria, and improve services to achieve a better national health profile and reduction of preventable causes of death including violent crimes and road.
I thank you.
Issued by: Department of Health, Free State Provincial Government
16 February 2004
Source: Free State Provincial Government
Title: O Tsopo: Debate on Free State State of Province Address
SPEECH OF THE FREE STATE MEC FOR HEALTH, MS OUMA TSOPO, ON THE OCCASION OF THE DEBATE ON THE PREMIER'S STATE OF THE PROVINCE ADDRESS, BLOEMFONTEIN , 16 February 2004
Mr Speaker
Honourable Premier
Honourable Members of the Executive Council
Honourable Members of the Legislature
Ladies and Gentlemen.
INTRODUCTION
As we celebrate the ten years of our democratic advance the fact of the achievements of this government is one of the realities that has been subjected to the ideological onslaught of the liberal centre-right, which attempts to reduce the freedom that is so priceless to us into nothingness. I am mandated by my party today to continue to demystify the myths of this ideological onslaught. I will reflect on some of the achievements that my party has registered specifically concentrating on people development.
ENHANCING PEOPLE'S SKILLS AND SELF RELIANCE
The Free State Provincial Government expanded adult literacy and numeracy in the province. The Free State Department of Education increased its number of adult education centres to one in each town so that the people of our province can have maximum access to learning opportunities. 5 982 people are enrolled to these centres in this financial year. 420 lecturers in the four restructured Further Education and Training (FET) Colleges were reskilled to enable them to deliver the transformed curriculum. Learnerships were established in Agriculture, Construction, Furniture Making, Hair Care, Adult Basic and Education Training (ABET), Ancillary Health, Information Technology, Financial Management and Early Childhood Development. There are presently more than 200 Free State citizens registered in learnerships at our FET Colleges. Since 2000/2001 provincial departments allocated an amount equivalent to 1% of the salary bill for the skills development of employees. This is in accordance with the Skills Development and Skills Levy Legislation. More that 300 public servants are enrolled for ABET courses. 275 public servants were awarded bursaries to attend FET courses. The Free State Provincial Government has awarded bursaries in various fields, viz. engineering, social work, medicine, allied work, financial management and information technology to address scarce skills in the public service.
IMPROVE ACCESS TO QUALITY EDUCATION
The Free State Provincial Government improved the grade 12 pass rate from 42,3% in 1999 to almost 80% at the end of 2003. The quality of the pass rate improved with the achievement of a matric exemption rate of more than 22% in 2003 compared to 18% in 2002. This achievement was made possible by the implementation of the Holistic Intervention Program where there was focussed attention with a variety of measures to support the low performing schools. This intervention decreased the number of low performing schools from 78 to 14 at the end of 2003.
Another achievement was the support of 870 unqualified and the 4 359 under-qualified educators to become qualified. This is being achieved through the awarding of bursaries for formal studies to 2 619 of these educators - some of whom became qualified at the end of 2003 and others will qualify at the end of 2004 - thereby reducing the number of un- and under-qualified educators in the system from 5 229 to 2 610.
It is also one of our objectives to increase the number of qualified educators in Science, Mathematics, Information Technology, Information Science, Computer Science and Technology. 778 educators are improving their formal qualifications in these subjects. Another objective was the reskilling of all of the 16 940 educators teaching in the GET Phase (Grade R - Grade 9) to build their capacity in curriculum delivery in an outcomes based education system and the assessment thereof. Since the beginning of the implementation of the outcomes based education system, all of these educators have been trained and thereby ensuring that the outcomes based education system is successfully implemented in all our schools that offer education in the GET Phase.
A Department of Optometry was established with the University of the Free State in 2002. The intake is about 30 per annum and the first group is now in its third year. An optometry clinic was opened at Universitas Hospital for the treatment of citizens as well as the practical training of these students. I would like to thank the Head of the Optometry Department, Prof Pax Ramela, and the Dean of the Faculty, Prof Letitia Moja, for this achievement. The Department of Health entered into agreements with the University of Pretoria and the Medical University of South Africa (MEDUNSA) to train our dentists to become dental specialists.
SPECIAL PROGRAMMES FOR THE SURVIVAL, DEVELOPMENT, CARE AND PROTECTION OF THE VULNERABLE
At the heart of the Provincial Government's efforts during the past ten years to push back the frontiers of poverty and create a better life for all, has been a commitment to provide effective services for the development, care and protection to the most vulnerable sectors of the populace, especially women, children, people with disabilities, the elderly and frail who are under severe pressure to cope with the devastating impact of poverty, HIV, AIDS, unemployment and other social ills.
The number of women and people with disabilities has improved in the senior management service. Much more needs to be done especially regarding people with disabilities and health professionals. Most provincial departments implemented the code of good practice on disability.
The budget for the provision of assistive devices for people with disabilities was increased from R1, 5 million in the 2002/2003 financial year to R2, 7 million in the 2003/2004 financial year. As a result of this and other interventions the backlog of assistive devices was addressed quite considerably. Four workshops for the repair of assistive devices were established at Heilbron, Smithfield, Botshabelo and Petrusburg. The aim is to establish ten District Assistive Devices Repair Workshops in the province in the next three years.
A Vocational Evaluation and Rehabilitation Centre was established on 19 April 2002 in the province. The purpose of this centre is to ensure that people with disabilities are assessed, observed and evaluated for specific abilities and skills that can enable them to find opportunities in the job market and become fully-fledged members of society. From 2003, people with disabilities receive free health services.
Blindness is a major problem throughout South Africa that poses a burden to families, communities as well as the society. It is estimated that there are approximately 16 878 blind people in the Free State Province, with cataract as the leading cause of blindness followed by glaucoma. The province has been able to reduce the backlog of cataract operations by 2 255 between 1999 and 2001. The Free State Province was awarded the National Award for the Best Improvement in Cataract Surgery in 2001. During 2001, the Free State Province was privileged to have doctors from Tunisia, who helped perform cataract surgeries at Bongani hospital. A new Eye Care Centre was established at Mofumahadi Manapo Mopeli hospital and the one at Boitumelo hospital is in the pipeline.
The provincial government introduced programmes targeting vulnerable children. The Department of Social Development established a transformed youth and child care system that is child-centred and based on intersectoral work. Street children programmes reached 10% of towns. 230 000 children aged 0 to 9 years are beneficiaries of the child support grants. The immunisation of children improved to a coverage of 80%. The Integrated Management of Childhood Illnesses (IMCI) strategy, is a comprehensive child health management approach for the appropriate care of common childhood diseases. Prevalence of wasting and stunting as well as underweight for age amongst children less than six years needs to be reduced from 9% to 5%. The Free State is presently at 7%.
Free State Provincial Government also prioritises services to vulnerable older and frail persons by restructuring of service delivery to older persons through equitable funding of residential care prioritising the frail and shifting services towards community based care. 80% of residential care facilities have community outreach programmes. Through Project Itireleng services from the institutions are now more accessible and involve a broad spectrum of structures that are operational in the communities. A large proportion of old age homes admit people from all racial groups. The launch of Operation Dignity in 1999 raised awareness of the rights of older persons, sensitised communities and government officials to the needs of older persons, and promoted a positive image of older persons. In partnership with the Department of Local Government and Housing, the Department of Social Development ensured that 1700 houses were allocated to older persons.
PREVENTING THE SPREAD OF HIV/AIDS AND OTHER INFECTIOUS DISEASES AND PROVIDING SUPPORT AND CARE TO THOSE INFECTED AND AFFECTED
The Free State is already implementing the Comprehensive plan for HIV and AIDS. Communities are reminded that prevention remains the corner stone of this plan. Plans are in an advanced stage to implement the antiretroviral (ARV) component of the comprehensive plan. The plan is to establish one treatment site per district before the end of this year. The partnership with civil society has been entrenched with the establishment of the Provincial AIDS Council and the five District AIDS Councils. Extensive HIV and AIDS awareness campaigns such as door-to-door campaigns, radio campaigns and outreach campaigns have been undertaken in the province. Approximately two million condoms are being distributed monthly in the Free State. Female condom distribution sites were increased.
Community home-based care has been established in 85% of towns in the province. There are more than 1300 trained home-based carers in the province. All of our volunteers who are registered with us now receive a stipend of R500. A malnutrition programme and a food supplementation and alternative wellness programme have been added to the home-based care programme. The core package of prevention on mother to child transmission is available in all districts. All 31 hospitals provide Nevirapine. There are 207 operational voluntary confidential counselling and testing (VCCT) sites and 235 trained lay VCCT counsellors in the province.
Since 2001 more than 200 non-governmental organisations (NGOs), community based organisations (CBOs) and faith-based structures were funded by the Free State Provincial Government to render various HIV and AIDS services in partnership with government departments. The management of tuberculosis (TB) is a good measure of how this government is managing infectious diseases. The cure rate for new smear positive TB in the Free State was 71,8% at the end of the 2002/03 financial year. This is 100% better that in around 1996. This achievement was made possible by the implementation of the directly observed treatment schedule (DOTS) policy. The DOTS supporter system is implemented in 75% of services. The payment of R500 stipend to DOTS supporters commenced in 2002. The Free State has a treatment interruption rate of less than 10% and therefore the second lowest rate of multi-drug resistant tuberculosis (MDR TB) in South Africa. A new MDR TB unit was built at Dr JS Moroka Hospital and was commissioned in 2003. Much still needs to be done to achieve the national target cure rate of 85%. The Free State is participating in a national effort to eradicate polio in South Africa and the whole of the Southern African Development Community (SADC) region. Not a single case of polio was notified in this financial year. The provincial government will focus on the surveillance system for acute flaccid paralysis and ensure that all suspected cases of polio are adequately investigated. The Department of Health will remain alert to detect outbreaks such as cholera, and in particular Congo fever in the Free State.
IMPROVING ACCESS TO QUALITY HEALTH SERVICES
Free State Provincial Government aims to reduce the death of women during pregnancy, childbirth and the puerparium. The number of maternal deaths has been reduced to 107 in 2002 and 115 in 2001. The choice on termination of pregnancy act was implemented to prevent the deaths of women due to septic back street abortions. During 2000, 5 834 pregnancies were safely terminated in the Free State Province. During 2001, 4 833 pregnancies were terminated in the Free State Province. There are 30 designated termination of pregnancy centres in the Free State.
ENGAGING AND PROMOTING MASS PARTICIPATION IN SPORT, RECREATION AND CULTURAL ACTIVITIES AND ACCELERATING PERFORMANCE IN SPORT
The other major advancement in the cultural arena is the Phuthaditjhaba Grass Weaving Factory, which was officially opened in October 2003 with the main objective of establishing a sustainable grass weaving industry in order to contribute to the development of people and to create employment opportunities in the Maluti-a-Phofung area. Twenty people from Qwa-Qwa have been trained in various grass weaving techniques. More than 100 people have been commissioned to do the grass cutting in the mountains surrounding Phuthaditjhaba.
The Free State Province has 153 library service points, which include 134 public libraries, 15 service points at prisons, hospital and children's homes and four specialised libraries that include a library for officials of the government and three libraries at nursing colleges. Visitors to the libraries increased from 43 699 in 2001 to 89 418 in 2003 thus 104,62%. Enquiries at the libraries increased with approximately 400% from 747 in 2001 to 3 429 in 2003. Forty basic sporting facilities have been built and upgraded.
CONCLUSION AND CHALLENGES
The People Development Cluster will continue to implement programmes to achieve the objectives in the Free State Development plan. Some of these objectives are as follows:
* Achieve a grade 12 pass rate of 85%
* Implement the ARV treatment component of the comprehensive plan in one treatment site per district
* Extend the social security programme
* Expand the school nutrition programme
The goals for the next five years are:
* Take more and more young people through learnerships so they can gain skills and work experience in order for them to access jobs
* Improve services in health facilities staffed by adequate well-trained and caring staff
* Provide comprehensive care, management and treatment of HIV and AIDS
* Ensure that all children have decent classrooms, further reduce the teacher/pupil ratio
* Expand the school nutrition programme
* Ensure that all who are eligible for social grants, including poor children up to 14 years of age, receive these grants which increase at least at the rate of inflation
* Speed up the extension of free health services to persons with disabilities.
In the second decade of our freedom we aim to reach the following objectives:
* Reduce unemployment by half through new jobs, skills development, assistance to small business, opportunities for self-employment and sustainable community livelihoods
* Reduce poverty by half through economic development, comprehensive social security, land reform and improved household and community assets
* Provide the skills required by the economy, build capacity and provide resources across society to encourage self employment with an education system that geared for productive work, good citizenship and caring society
* Ensure that all South Africans including, especially and those at risk - children, youth, women, the aged and people with disabilities - are fully able to exercise their constitutional rights and enjoy the full dignity of freedom
* Massively reduce cases of TB, diabetes, malnutrition and maternal deaths, and turn the tide against HIV and AIDS, and, working with the rest of South Africa, strive to eliminate malaria, and improve services to achieve a better national health profile and reduction of preventable causes of death including violent crimes and road.
I thank you.
Issued by: Department of Health, Free State Provincial Government
16 February 2004
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