Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694840267489.pdf (Mauritius)
STRATEGIC OVERVIEW I.

Mission Statement  To provide quality and accessible patient-centred public health services and pursue medical excellence by leveraging on digitalisation and innovative technologies  To sustain the promotion of healthy lifestyles and well-being of the population towards achievement of scalable health outcomes II.

Current Situation & Challenges  The public health services are designed to achieve Universal Health Coverage.
 The public health system consists of 5 Regional Hospitals, 2 District Hospitals, 2 Community Hospitals, 6 Specialised Hospitals, 7 Mediclinics, 19 Area Health Centres, 113 Community Health Centres and 13 Health Offices.

 The medical, paramedical and other staff of the Ministry are dedicated in offering health care services on a 24/7 basis.

 Around 73 percent of the population uses the public health system for healthcare needs.
 In 2022, some 5 million cases were attended by doctors as outpatients in the public healthcare system and some 166,000 persons were treated as in-patients.
The key health indicators for the Republic of Mauritius are as follows: Key Health Indicators Life Expectancy at Birth (Both Sexes) Life Expectancy at Birth (Male) Life Expectancy at Birth (Female) Mortality Rate due to Non-Communicable Diseases (NCDs) (per 100,000 population) Infant Mortality Rate (per 1,000 live births) Population per doctor Bed Occupancy (Government Hospitals) Source: Statistics Mauritius and Ministry of Health and Wellness 2022 73.6 years 70.2 years 77.2 years 650 14.2 320 70.3%  At primary health care level, all services are being upscaled, including maternal and child health, sexual and reproductive health, Non-Communicable Diseases (NCD), community health care rehabilitation and harm reduction services.
 At Hospital Level (Secondary Health Care), numerous new services have been introduced and reinforced, including 24/7 Primary Coronary Intervention and Neonatal Services.

 At Tertiary level, new high-tech services are being provided such as open-heart surgery for paediatric cases, renal transplant, new cancer therapies, fertility clinics, dental specialities, spine surgery and minimal invasive laparoscopic surgeries.
VOTE 18-1: MINISTRY OF HEALTH AND WELLNESS 395 Key Challenges  Further improving quality of customer care and patients’ experience in public health institutions  Digitalisation of the health system, including use of tele-medicine  Reducing the prevalence of NCDs such as diabetes, cardiovascular diseases, cancer and chronic respiratory diseases  Prevention of substance abuse and rehabilitation of victims  Addressing the healthcare needs of the ageing population  Catering for the health needs of the adolescent population  Reducing Infant Mortality Rate  Bringing behavioural change and health literacy in the population for better health outcomes  Reinforcing surveillance systems for emerging and re-emerging infectious diseases and achieving health security  Developing competencies to keep pace with super speciality medicine and emerging medical technologies  Maintaining health infrastructure and improving implementation rate of new health infrastructural projects  Timely procurement of medical supplies for public health institutions III.
Strategic Direction 2023-2026 Strategic Direction Enabler Reduce preventable and premature morbidity, mortality and disability due to NCDs  Develop and implement the National Service Framework for NCD and NCD Action Plan 2023–2028  Ensure implementation of the Tobacco Control Action Plan 2022-2026, the National Breastfeeding Action Plan 2022-2027, the National Cancer Control Programme 2022-2025, National Action Plan for Oral Health 2022-2027, the National Action Plan on Alcohol 2020-2025 and the Integrated Care for Older People Action Plan 2022-2026  Enhance and scale-up the screening services for early detection of NCDs, including mental health, cancer and chest diseases  Pursue Human Papillomavirus vaccination for girls and introduce the vaccination for boys (aged 9 to 14 years)  Strengthen cardiac prevention services through Cardiac Risk Assessment Score and Cardiac Registry  Fully operationalise the Mauritius Food Standards Agency  Implement the mandatory Food Fortification Programme for wheat flour VOTE 18-1: Ministry of Health and Wellness - continued 396 Strategic Direction Enabler  Implement the National Health Laboratory Services Centre, new Cardiac Centre, new Modern Warehouse for medicines and new Victoria Hospital projects with private sector participation  Operationalise the National Cancer Hospital, the New Eye Hospital, the Flacq Teaching Hospital and construct the Renal Transplant Unit to provide specialised clinical care Upgrade public health infrastructure for improved health care service delivery Reinforce health resilience against emerging and re- emerging infectious diseases Ensure health for all and enhance the quality of patient-centred services  Operationalise additional five Mediclinics and five Community Health Centres during Financial Year 2023-2024  Construct additional Mediclinics, Area Health Centres (AHC), Community Health Centres (CHC) and Health Offices and upgrade existing primary healthcare infrastructures  Establish an AYUSH Centre of Excellence with the
 collaboration of the Indian Authorities and the World Health Organization (WHO)  Set up a dedicated unit for the timely maintenance and construction of health infrastructure  Finalise and implement the National Action Plan for Health Security  Set up the Public Health Emergency Operations Centre  Improve Infection Prevention and Control measures in all healthcare institutions  Scale-up services of the Government Analyst Division  Improve Primary Healthcare services comprehensive care and treatment to patients to provide a  Strengthen personalised-patient services, including care for the elderly, palliative care and community-based rehabilitation and community psychiatric services  Modernise the legal framework for Private Health Institutions  Undertake quality assurance and audit of hospital services to improve overall care  Continuous capacity building for medical and paramedical staff  Implement the Sexual and Reproductive Health Action Plan 2022-2027 and the Action Plan for the prevention of Sexually Transmitted Infections 2023-2027  Enhance logistics for HIV treatment and implement the HIV National Action Plan 2023 – 2027  Scale up the existing Fertility Clinic services at the SSRN Hospital and extend these services to other Regional Hospitals  Set up facilities in all health regions to integrate patients with autistic spectrum disorder  Enhance tertiary health care services including renal transplant, spine surgery, endodontics and orthodontics  Modernise the Public Health legal framework to cater for genomics, human tissue transplant, cord blood and assisted reproductive technologies  Improving the procurement framework of medical supplies VOTE 18-1: Ministry of Health and Wellness - continued 397 Strategic Direction Enabler Achieve efficiency through digitally enabled health care delivery  Accelerate the implementation of the eHealth in public health institutions  Enhance the District Health Information System (DHIS-2) with the support of
 the WHO for vaccination programmes, diseases surveillance and HIV/AIDS prevention, care and treatment  Implement the “SMART Health Mobile App” with the support of the WHO  Implement real-time monitoring of healthcare expenditures and  Reinforce operations of public health facilities through eHealth the Digital Health Office implementation of Digital Health initiatives for the effective Encourage community participation for wellness of population  Restructure Local Health Committees to implement health literacy programmes  Strengthen the collaboration with NGOs and peer to peer patient support groups  Revamp the competencies of community health care cadres to address evolving health and wellness needs  Optimise ICT tools in sensitising the population on healthy lifestyle  Reinsert rehabilitated patients of Brown Sequard Mental Health Care Centre in Residential Care Homes  Operationalise the Drug Users Administrative Panel for a holistic approach for victims of substance abuse IV.
Key Deliverables and Key Performance Indicators Outcome An efficient and effective healthcare delivery system Outcome Indicator Mortality rate due to NCDs per 100,000 population Infant Mortality Rate per 1,000 live births Actual 2022/23 (Prov.)

650 14.2 Target 2023/24 Target 2025/26 Target 2030 < 600 < 575 < 500 13.5 13.0 < 10 Delivery Unit Main Service Key Performance Indicator Actual 2022/23 (Prov.)
Target 2023/24 Target 2024/25 Target 2025/26 Hospital and Specialised Services Reduce prevalence of NCDs Implementation of National NCD Action Plan 2023 - 2028 Fully operational Mauritius Food Standards Agency - - 45 % 60 % 75 % March 2024 - - VOTE 18-1: Ministry of Health and Wellness - continued 398 Delivery Unit Main Service Key Performance Indicator Actual 2022/23 (Prov.)
Target 2023/24 Target 2024/25 Target 2025/26 Improve neonatal services Enhance primary healthcare services to provide more people-centred services Strengthen laboratory services Number of neonatal ICU ventilators 43 50 60 60 Number of new Mediclinics / AHCs / CHCs constructed Percentage of common laboratory results available within 24 hours 5 5 8 5 87% 90% 100% 100% Primary Health Care Management and Administration Digitalise health services through an effective eHealth system Percentage of public health facilities covered with eHealth V. Human Resource & Gender Distribution Staff in Post Top Management (Salary ≥ Rs 110,000) Middle Management (Rs 47,000 ≤ Salary <Rs 110,000) Support (Salary <Rs 47,000) Overall CISD Figures – May 2023 - 30% 60% 80% Number Male Female 77 2,577 10,301 79% 52% 43% 12,955 45% 21% 48% 57% 55% Staff in Statutory Bodies / Public Bodies Number Male Female Trust Fund for Specialised Medical Care Mauritius Institute of Health 320 25 50% 60% 50% 40% VOTE 18-1: Ministry of Health and Wellness - continued 399 FINANCIAL RESOURCES Summary by Economic Categories Rs 000 Code Economic Categories 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned VOTE 18-1: TOTAL EXPENDITURE 14,700,000 15,700,000 16,000,000 15,400,000 Recurrent Expenditure 20 21 22 25 26 27 28 Allowance to Minister Compensation of Employees Goods and Services Subsidies Grants Social Benefits Other Expense Capital Expenditure Grants Acquisition of Non-Financial Assets 5,000 3,000 3,000 3,000 2,495,000 2,387,000 2,457,000 1,607,000 Summary by Sub-Heads Details Sub-Head 18-101: General Sub-Head 18-102: Hospital and Specialised Services Sub-Head 18-103: Primary Health Care and Public Health Sub-Head 18-104: Treatment and Prevention of HIV, AIDS and Drug Abuse Sub-Head 18-105: Prevention of Non- Communicable Diseases and Promotion of Quality of Life Rs 000 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned 711,900 784,300 881,000 758,000 12,420,900 13,272,700 13,283,500 12,981,900 1,364,200 1,430,800 1,611,300 1,434,700 80,400 99,500 108,600 109,000 122,600 112,700 115,600 116,400 TOTAL 14,700,000 15,700,000 16,000,000 15,400,000 Sub-Head 18-101: General Item No.
Details Recurrent Expenditure 20 20100 21 21110 Allowance to Minister Annual Allowance Compensation of Employees Personal Emoluments .001 .002 .004 .005 .006 .009 Basic Salary Salary Compensation Allowances Extra Assistance Cash in lieu of Leave End-of-year Bonus 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned 538,300 566,200 588,300 595,400 Rs VOTE 18-1: Ministry of Health and Wellness - continued 400 Item No.
Details 21111 Other Staff Costs .001 .002 .100 .200 Wages Travelling and Transport Overtime Staff Welfare 21210 Social Contributions .001 Contribution to the National Savings Fund 22 22010 22020 22030 22040 22050 22060 22070 22100 22120 22130 Goods and Services Cost of Utilities Fuel and Oil Rent Office Equipment and Furniture Office Expenses Maintenance Cleaning Services Publications and Stationery Fees Studies and Surveys (a) National Health Accounts (b) Cost Centre Project (c) Rodrigues Nutrition Survey 2023 (d) Quality Assurance and Audit of Hospital Services (e) Mauritius Salt Intake Survey 22140 22200 22900 Medical Supplies, Drugs and Equipment Overseas Travel - Treatment & Incoming Medical Teams Other Goods and Services of which .955 Gender Mainstreaming 25 25510 Subsidies Medical Subsidies .001 Interest Subsidy on Medical Loans (Zero-Interest Medical Loan Scheme) 26 26210 Grants Contribution to International Organisations .106 .107 .108 .109 .110 .111 .112 .113 .114 .115 .201 .208 World Health Organisation Commonwealth Regional Health Community United Nations Children's Fund (UNICEF) International Committee of Red Cross United Nations Population Fund International Planned Parenthood Federation International Society of Disaster Medicine International Atomic Energy Agency Trust Fund of Rotterdam Convention WHO Framework Convention on Tobacco Control African Public Health Emergency Fund (APHEF) Biological Weapons Convention 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned Rs - - 3,000 6,000 - - 1,000 500 500 500 500 19,500 30,000 32,000 35,000 - - VOTE 18-1: Ministry of Health and Wellness - continued 401 Item No.
Details 26313 Extra-Budgetary Units Mauritius Institute of Health .037 .162 Mauritius Food Standard Agency 27 27210 Social Benefits Social Assistance Benefits .008 .018 Assistance to Patients Inoperable in Mauritius (Overseas Treatment Scheme) Assistance to Patients referred for treatment in Local Private Health Institutions 28 28211 Other Expense Transfers to Non-Profit Institutions Dental Council Medical Council Nursing Council Pharmacy Council Allied Health Professional Council .007 .014 .017 .065 .066 .075 Optical Council 28212 Transfers to Households .007 Savings Culture Campaign Capital Expenditure 31 31112 Acquisition of Non-Financial Assets Non-Residential Buildings .401 Upgrading of Office Buildings (Head Office) 31121 Transport Equipment .801 Acquisition of Vehicles 31122 Other Machinery and Equipment .414 Upgrading of Air Conditioning Equipment .802 Acquisition of IT Equipment .999 Acquisition of Other Machinery and Equipment 31132 Intangible Fixed Assets .118 Digitalisation of Hospital Services (a) e-Health (b) Upgrading of National Blood Transfusion Service Computer System (c) Laboratory Information Management System for Government Analyst Division 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned Rs 000 26,000 1,000 25,000 27,000 31,000 31,000 26,000 25,000 - - 450 1,000 1,000 1,000 1,000 1,000 1,000 895 895 410 450 500 450 895 895 410 450 500 450 1,000 1,000 173,600 218,100 292,700 162,600 173,600 218,100 292,700 162,600 Project Value Rs - 10,000 257,200 252,000 - 184,600 180,000 - 633,000 27,000 15,000 5,000 4,600 5,200 5,200 TOTAL 711,900 784,300 881,000 758,000 VOTE 18-1: Ministry of Health and Wellness - continued 402 Sub-Head 18-102: Hospital and Specialised Services Rs 000 Item No.
Details Recurrent Expenditure 21 21110 Compensation of Employees Personal Emoluments .001 .002 .004 .005 .006 .009 .013 Basic Salary Salary Compensation Allowances Extra Assistance Cash in lieu of Leave End-of-year Bonus Allowance (Pre-Registration Trainees) 21111 Other Staff Costs .001 .002 .100 .200 Wages Travelling and Transport Overtime Staff Welfare 21210 Social Contributions .001 Contribution to the National Savings Fund 22 22010 22020 22030 22040 22050 22060 Goods and Services Cost of Utilities Fuel and Oil Rent Office Equipment and Furniture Office Expenses Maintenance of which .001 .003 .004 Buildings Plant and Equipment Vehicles 22070 22090 22100 22120 Cleaning Services Security Publications and Stationery Fees of which Transaction Advisor for Public Private Partnership Projects Inspection and Audit Fees .020 22140 Medical Supplies, Drugs and Equipment .001 Medicine, Drugs and Vaccines of which Human Papillomavirus Vaccination Programme .002 .003 .004 .005 .006 .007 C.T Scan and MRI Fees and Materials Dental Materials and Equipment Orthopaedic Materials and Equipment Medical Disposables and Minor Equipment Ayurvedic and Other Traditional Medicine Renal Dialysis - Consumables and Fees 22150 Scientific and Laboratory Equipment and Supplies 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned - - 40 40 40 1,856,600 2,140,400 2,043,400 2,101,400 1,230,000 1,120,000 40 1,285,000 1,180,000 - VOTE 18-1: Ministry of Health and Wellness - continued 403 Item No.
Details 22900 Other Goods and Services of which .005 .021 Provision and Stores Clothing and Bedding 26 26313 Grants Extra-Budgetary Units .095 Trust Fund for Specialised Medical Care Capital Expenditure 26 26323 Grants Extra-Budgetary Units .095 Trust Fund for Specialised Medical Care Project Value Rs 000 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned 258,200 318,200 323,200 328,200 Rs Acquisition of Non-Financial Assets Non-Residential Buildings .003 Construction/Extension of Hospitals of which (a) New ENT Hospital (b) New Flacq Teaching Hospital (Phase 1) (c) New Cancer Centre (d) New Eye Hospital (e) Refurbishment of wards for New Out Patient Department at Victoria Hospital (f) Extension and Renovation of the Pharmacy at Jawaharlal Nehru Hospital (g) New Orthopaedic Appliance Workshop at Brown Sequard Mental Health Care Centre (h) New Autistic Ward at Brown Sequard Mental Health Care Centre (i) Replacement of Skydome and Ancillary Works at Dr A. G. Jeetoo Hospital (j) New Haemodialysis Building at SSRN Hospital (Consultancy) (k) Heating, Ventilation and Air Conditioning Systems in Haemodialysis Units (Consultancy) (l) Lightning Protection for Health Facilities (Consultancy) 1,965,800 1,841,000 1,693,100 1,169,600 1,638,800 1,575,500 1,534,000 1,361,100 802,600 717,500 1,280,800 1,443,200 979,690 4,039,000 4,700 876,100 - 950,000 - 840,000 - 496,500 1,582,000 735,000 101,120 453,000 192,000 15,000 210,000 225,000 15,000 159,600 190,000 3,000 - 184,100 - 32,000 10,000 10,000 11,000 11,000 84,000 10,000 10,000 50,000 24,000 14,900 4,500 10,000 3,000 1,900 17,400 5,200 6,200 11,200 - 5,000 5,000 - - - 1,000 6,500 - - 1,000 6,500 - .403 Upgrading of Hospitals (a) SSRN Hospital (b) Dr. A. G Jeetoo Hospital (c) Dr. Bruno Cheong Hospital (d) Jawaharlal Nehru Hospital 63,300 9,200 8,000 1,500 13,000 90,800 13,200 12,000 10,500 16,000 80,300 10,200 10,000 2,500 13,000 85,100 20,200 10,000 4,500 15,000 VOTE 18-1: Ministry of Health and Wellness - continued 404 Item No.
Details 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned Rs 000 (e) Victoria Hospital (f) Brown Sequard Hospital (g) S. Bharati Eye Hospital (h) Day Care Wards for Autistic Children 31122 Other Machinery and Equipment .801 .806 .811 Acquisition of Medical Equipment Acquisition of Generators Acquisition of CCTV Cameras in Hospitals Project Value Rs 000 15,000 6,100 500 10,000 18,000 10,100 1,000 10,000 25,000 6,100 500 13,000 26,000 8,000 400 1,000 327,000 307,000 332,000 367,000 360,000 325,000 325,000 300,000 - 2,000 5,000 2,000 5,000 2,000 5,000 2,000 TOTAL 12,420,900 13,272,700 13,283,500 12,981,900 Sub-Head 18-103:Primary Health Care and Public Health Rs 000 Recurrent Expenditure 21 21110 Compensation of Employees Personal Emoluments .001 .002 .004 .005 .006 .009 Basic Salary Salary Compensation Allowances Extra Assistance Cash in lieu of Leave End-of-year Bonus 21111 Other Staff Costs .001 .002 .100 .200 Wages Travelling and Transport Overtime Staff Welfare 21210 Social Contributions .001 Contribution to the National Savings Fund 22 22010 22020 22030 22040 22050 22060 22070 22090 22100 22120 22130 22140 Goods and Services Cost of Utilities Fuel and Oil Rent Office Equipment and Furniture Office Expenses Maintenance Cleaning Services Security Publications and Stationery Fees Studies and Surveys Medical Supplies, Drugs and Equipment .001 .003 .005 Medicine, Drugs and Vaccines Dental Materials and Equipment Medical Disposables and Minor Equipment - - - 100 112,000 117,000 122,000 132,000 80,000 70,000 2,000 2,000 50,000 40,000 72,000 2,000 43,000 75,000 2,000 45,000 10,000 VOTE 18-1: Ministry of Health and Wellness - continued 405 Item No.
22150 Details Scientific and Laboratory Equipment and Supplies .001 .002 Laboratory Apparatuses and Supplies Chemicals and Disinfection Materials 22900 Other Goods and Services of which .001 Uniforms Capital Expenditure 31 Acquisition of Non-Financial Assets Project Value Rs 000 42,800 32,300 72,800 32,300 75,000 102,800 24,000 71,000 40,000 40,000 38,000 34,300 23,800 50,140 99,600 100,600 105,000 110,900 80,500 80,500 31112 Non-Residential Buildings .001 Construction of Office Buildings (New Souillac Health Office) .004 Construction of Area Health Centres (AHC) (a) Henrietta AHC (b) Cap Malheureux AHC (c) New Grove AHC (d) Plaine Magnien AHC (e) Curepipe AHC (f) Extension of Bramsthan AHC (g) Bambous AHC .005 Construction of Community Health Centres (CHC) (a) St Francois Xavier CHC (b) Roche Bois CHC (c) Grand Bay CHC (d) Pointe Aux Sables CHC (e) Trou D'Eau Douce CHC (f) Camp De Masque CHC .006 Construction of Mediclinics (a) Stanley Mediclinic (b) Coromandel Mediclinic (c) Bel Air Mediclinic (d) Quartier Militaire Mediclinic (e) Chemin Grenier Mediclinic (f) Grand Bois Mediclinic .401 Upgrading of Health Offices .404 Upgrading of Area Health Centres .405 Upgrading of Community Health Centres .406 Upgrading of Mediclinics .419 Upgrading of Laboratories 31122 Other Machinery and Equipment 31132 .804 Acquisition of Laboratory Intangible Fixed Assets .801 Acquisition of Software 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned 11,800 11,500 13,500 16,500 Rs - - 5,000 5,000 10,000 12,000 3,600 4,500 5,700 13,800 88,100 23,000 300 10,100 24,700 10,000 20,000 6,000 20,000 29,000 9,500 10,000 - - - 19,300 127,400 27,000 - 11,400 17,000 45,000 27,000 6,000 15,000 20,000 - 14,200 - - - 5,000 39,400 - - - - 24,500 14,900 7,000 17,000 22,000 - 1,000 5,000 6,000 5,000 6,000 5,000 8,000 28,000 28,000 28,000 29,000 28,000 29,000 500 500 500 500 500 500 28,000 500 500 28,000 TOTAL 1,364,200 1,430,800 1,611,300 1,434,700 VOTE 18-1: Ministry of Health and Wellness - continued 406 Sub-Head 18-104: Treatment and Prevention of HIV, AIDS and Drug Abuse Rs 000 Item No.
Details Recurrent Expenditure 21 21110 Compensation of Employees Personal Emoluments .001 .002 .004 .006 .009 Basic Salary Salary Compensation Allowances Cash in Lieu of Leave End-of-year Bonus 21111 Other Staff Costs .002 .100 Travelling and Transport Overtime 21210 Social Contributions .001 Contribution to the National Savings Fund 22 22010 22020 22030 22040 22060 22100 Goods and Services Cost of Utilities Fuel and Oil Rent Office Equipment and Furniture Maintenance Publications and Stationery .007 Publicity 22120 Fees of which Drug Offenders Administrative Panel Medical Supplies, Drugs and Equipment 22140 .001 .005 Medicine, Drugs and Vaccines Medical Disposables and Minor Equipment 22900 Other Goods and Services of which 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned .915 .982 Multi-sectoral Response to HIV/AIDS Programme 18,000 18,000 18,000 18,000 Synthetic Drugs Prevention Programme 8,500 8,500 8,500 8,500 TOTAL 80,400 99,500 108,600 109,000 Sub-Head 18-105: Prevention of Non-Communicable Diseases and Promotion of Quality of Life Recurrent Expenditure 21 21110 Compensation of Employees Personal Emoluments .001 .002 .004 .006 .009 Basic Salary Salary Compensation Allowances Cash in lieu of Leave End-of-year Bonus 21111 Other Staff Costs .002 .100 Travelling and Transport Overtime VOTE 18-1: Ministry of Health and Wellness - continued 407 Item No.
Details 21210 Social Contributions .001 Contribution to the National Savings Fund 22 22010 22020 22030 22040 22050 22060 22100 22120 22130 22140 22900 Goods and Services Cost of Utilities Fuel and Oil Rent Office Equipment and Furniture Office Expenses Maintenance Publications and Stationery Fees Studies and Surveys Medical Supplies, Drugs and Equipment Other Goods and Services of which 2022/23 Estimates 2023/24 Estimates 2024/25 Planned 2025/26 Planned Rs - 15,000 5,500 5,500 5,500 5,500 21,100 21,100 21,100 21,100 - - .903 Awareness and Sensitisation Campaign 20,000 20,000 20,000 20,000 Capital Expenditure 500 500 500 500 31 31132 Acquisition of Non-Financial Assets Intangible Fixed Assets .801 Acquisition of Software 500 500 500 500 500 500 500 500 500 500 500 500 TOTAL 122,600 112,700 115,600 116,400 VOTE 18-1: Ministry of Health and Wellness - continued 408 HUMAN RESOURCES SN Position Titles VOTE 18-1: Ministry of Health and Wellness Sub-Head 18-101: General Minister Permanent Secretary Deputy Permanent Secretary Assistant Permanent Secretary Director-General, Health Services Director, Health Services Director, Dental Services Pharmacy Cadre Director, Pharmaceutical Services Deputy Director, Pharmaceutical Services Principal Pharmacist Chief Pharmacy Technician Quality Control Pharmacist/Chemist Nursing Cadre Director, Nursing Deputy Director, Nursing National Dialysis Co-ordinator Health Complaints Co-ordinator/Senior Health Complaints Co-ordinator formerly Complaints Co-ordinator Health Information, Education and Communication Cadre Chief Health Information, Education and Communication Officer Principal Health Information, Education and Communication Officer Senior Health Information, Education and Communication
 Officer Health Information, Education and Communication Officer Director, Health Promotion and Research Chief Health Promotion and Research Co-ordinator Health Promotion Co-ordinator Health Promotion Officer/Senior Health Promotion Officer Lead Health Analyst Analyst/Senior Analyst (Health) Chief Demographer Demographer Mechanical Engineer/Senior Mechanical Engineer Technical and Mechanical Officer Civil Engineer/Senior Civil Engineer Technical Officer (Civil) Lead Programme Manager Systems Analyst Assistant System Analyst Computer Support Officer Funded 2022/23 2023/24 15,895 15,890 628 650 1 2 6 12 1 5 1 1 2 6 12 1 5 1 1 1 8 - - 1 1 8 1 - 1 1 - - 1 1 1 1 1 1 1 4 1 - - - 1 2 1 1 2 2 - - - 6 - - 1 - 1 3 1 - - - 1 2 1 1 4 4 2 3 1 6 5 10 VOTE 18-1: Ministry of Health and Wellness - continued 409 SN Position Titles Finance Cadre Manager, Financial Operations Assistant Manager, Financial Operations Principal Financial Operations Officer Financial Operations Officer/Senior Financial Operations Officer Assistant Financial Operations Officer Accounts Officer (Ex-NATReSA) Accounts Clerk (Ex-NATReSA) Procurement Cadre Manager (Procurement and Supply) Assistant Manager (Procurement and Supply) Principal Procurement and Supply Officer Procurement and Supply Officer/Senior Procurement and Supply Officer Assistant Procurement and Supply Officer Internal Control Cadre Manager, Internal Control Principal Internal Control Officer Internal Control Officer/Senior Internal Control Officer Human Resources Cadre Manager, Human Resources Assistant Manager, Human Resources Senior Human Resource Executive Human Resource Executive Hospital Administrator Cadre Chief Hospital Administrator Deputy Chief Hospital Administrator Health Records Cadre Chief Health Records Officer Principal Health Records Officer Senior Health Records Officer Senior Health Records Clerk Higher Health Records Clerk Health Statistics Cadre Chief Health Statistician Senior Health Statistician Health Statistician
 Principal Statistical Officer Senior Statistical Officer Statistical Officer General Support Services Cadre Office Management Executive Office Management Assistant Higher Executive Officer (Personal) Office Supervisor Management Support Officer Confidential Secretary Funded 2022/23 2023/ VOTE 18-1: Ministry of Health and Wellness - continued 410 SN Position Titles Senior Word Processing Operator 75 76 Word Processing Operator 77 78 Executive Officer (Ex-NATReSA) Confidential Secretary (Ex-NATReSA) Operations Support Services Cadre Senior Manager, Operations Support Services Manager, Operations Support Services (New) Co-ordinator (Operations Support Services) (New) Print Finishing/Book Binding Operator (on roster) Driver (Ordinary vehicles up to 5 tonnes) Driver/Handy Worker (Skilled) (Ex-NATReSA) Head Office Auxiliary Office Auxiliary/Senior Office Auxiliary General Assistant (Personal) General Worker 79 80 81 82 83 84 85 86 87 88 Sub-Head 18-102: Hospital and Specialised Services Doctors Cadre Regional Health Director Consultant-in-Charge Medical Superintendent Specialist/Senior Specialist Medical and Health Officer/Senior Medical and Health Officer Director, Emergency Services Senior Emergency Physician Emergency Physician Head, Ayurvedic Unit formerly Head of Ayurvedic Services (New) Ayurvedic Medical Officer/Senior Ayurvedic Medical Officer Ophthalmic Optician/Senior Ophthalmic Optician Pre-Registration House Officer Dental Services Cadre Specialist (Dental Services) Regional Dental Superintendent Dental Surgeon/Senior Dental Surgeon Principal Dental Assistant Senior Dental Assistant Dental Assistant Dental Technician Laboratory Services Cadre Director, Laboratory Services Deputy
 Director, Laboratory Services Hospital Administrator Cadre Regional Health Services Administrator Hospital Administrator Hospital Administrative Assistant Executive Officer (Health Services) (Personal) Hospital Executive Assistant (on shift) 26 Funded 2022/23 2023/24 1 16 1 1 1 15 1 1 1 - - 2 1 - - 2 8 1 2 24 1 4 8 1 2 24 1 4 13,009 12,939 5 58 12 348 1,206 1 4 13 - 10 2 345 5 58 12 353 1,197 1 4 13 - 10 - 320 13 5 15 1 6 30 2 13 5 15 2 6 30 4 1 1 1 1 5 10 16 2 33 5 11 16 2 48 VOTE 18-1: Ministry of Health and Wellness - continued 411 SN Position Titles Nursing Cadre Head, School of Nursing Principal Nurse Educator Senior Nurse Educator Nurse Educator Senior Midwife Educator (New) Midwife Educator (New) Regional Nursing Administrator Nursing Administrator (Male) Nursing Administrator (Female) Nursing Supervisor (Male) Nursing Supervisor (Female) Principal Public Health Nursing Officer 27 28 29 30 31 32 33 34 35 36 37 38 39 Ward Manager (Male) 40 Ward Manager (Female) 41 Ward Manager (Psychiatric) (Male) 42 Ward Manager (Psychiatric) (Female) 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 Charge Nurse (Male) Charge Nurse (Female) Charge Nurse (Psychiatric) (Male) Charge Nurse (Psychiatric) (Female) Specialised Nurse (Neonatal) Nursing Officer (Psychiatric) Trainee Nurse (Psychiatric) Nursing Officer Trainee Nurse Neonatal Paediatric Respiratory Therapist Principal Permanencier Permanencier/Senior Permanencier Specialised Health Care Assistant (Retinal) Health Care Assistant (Haemodialysis) Health Care Assistant/Senior Health Care Assistant (General) Attendant Nursing School Midwife Cadre Chief Midwife Senior Midwife (on shift) Midwife Trainee Midwife Medical Imaging Technologist Cadre Chief Medical Imaging Technologist Principal Medical Imaging Technologist Senior Medical Imaging Technologist Medical Imaging Technologist Trainee Medical Imaging Technologist Principal Nuclear Medicine Technologist (New)
 Senior Nuclear Medicine Technologist Nuclear Medicine Technologist 59 60 61 62 63 64 65 66 67 68 69 70 Funded 2022/23 2023/24 - 2 3 2 - - 5 9 9 32 32 1 91 95 2 5 315 361 5 14 5 - - 2,079 283 - 4 22 12 1 1,006 10 1 2 3 9 - - 5 9 9 32 32 1 91 95 2 5 315 361 3 14 5 - 15 1,961 283 1 4 22 25 1 1,006 10 1 44 135 35 1 44 131 60 - 7 42 58 55 - 1 10 - 7 42 54 65 - 1 10 VOTE 18-1: Ministry of Health and Wellness - continued 412 SN Position Titles Radiation Therapist Cadre Principal Radiation Therapist Senior Radiation Therapist Radiation Therapist Trainee Radiation Therapist Medical Imaging Assistant Cadre Principal Medical Imaging Assistant Senior Medical Imaging Assistant Medical Imaging Assistant (Personal) Senior Medical Imaging Assistant (on shift) Medical Imaging Assistant (on shift) Pharmacy Cadre Pharmacist/Senior Pharmacist Pharmacist/Senior Pharmacist (on roster - day and night) Pre-Registration Pharmacist Radiopharmacist (New) Regional Pharmacy Technician Principal Pharmacy Technician Pharmacy Stores Manager Senior Pharmacy Technician Pharmacy Technician Trainee Pharmacy Technician Physiotherapy Cadre Chief Physiotherapist Principal Physiotherapist (New) Physiotherapist/Senior Physiotherapist Senior Physiotherapy Assistant Physiotherapy Assistant Pool Attendant (Hydrotherapy Unit) Occupational Therapy Cadre Chief Occupational Therapist Principal Occupational Therapist (New) Occupational Therapist/Senior Occupational Therapist Senior Occupational Therapist (Personal) Senior Occupational Therapy Assistant Occupational Therapy Assistant Speech & Hearing Therapy Cadre Chief Speech Therapist and Audiologist Principal Speech Therapist and Audiologist (New) Speech Therapist and Audiologist/Senior Speech Therapist and Audiologist Senior Speech and Hearing Therapy Assistant Speech and Hearing Therapy Assistant Trainee Speech and Hearing Therapy Assistant
 Medical Physicist Cadre Principal Medical Physicist 108 109 Medical Physicist/Senior Medical Physicist 110 Nuclear Medical Physicist (New) Funded 2022/23 2023/24 2 5 18 7 2 5 16 7 4 9 10 5 52 4 9 7 5 52 25 10 4 - 5 18 20 41 118 69 24 10 4 - 5 18 20 41 86 69 2 - 30 6 38 2 2 - 35 6 43 2 1 - 11 1 4 13 1 - 12 - 4 15 1 - 8 1 11 6 1 - 6 2 10 - 1 16 - 1 16 - VOTE 18-1: Ministry of Health and Wellness - continued 413 SN 111 112 113 114 115 116 117 118 119 120 121 122 Position Titles ECG Technician Cadre Senior ECG Technician (Male) Senior ECG Technician (Female) ECG Technician (Male) ECG Technician (Female) EEG Technician Cadre Clinical Psychologist Senior EEG Technician EEG Technician Clinical Scientist Cadre Head, Biochemistry Services Principal Clinical Scientist (Biochemistry) Clinical Scientist/Senior Clinical Scientist (Biochemistry) Principal Clinical Scientist (Virology) Clinical Scientist/Senior Clinical Scientist (Virology) Medical Laboratory Technician Cadre Chief Medical Laboratory Technologist Principal Medical Laboratory Technologist 123 124 125 Medical Laboratory Technologist/Senior Medical Laboratory Technologist 126 127 Assistant Medical Laboratory Technologist Trainee Medical Laboratory Technologist Blood Bank Cadre Blood Donor Co-ordinator Senior Blood Bank Officer Blood Bank Officer Blood Bank Assistant/Senior Blood Bank Assistant Pathological Laboratory Cadre Principal Pathological Laboratory Technician Senior Pathological Laboratory Technician Pathological Laboratory Technician Senior Health Laboratory Auxiliary Health Laboratory Auxiliary Health Laboratory Auxiliary (on roster) (New) 128 129 130 131 132 133 134 135 136 137 Medical Social Worker Cadre Principal Medical Social Worker 138 139 Medical Social Worker/Senior Medical Social Worker 140 Welfare Assistant 141 142 Psychiatry Rehabilitation and Welfare Officer/Senior Psychiatry Rehabilitation and Welfare Officer (Male) Psychiatry Rehabilitation and Welfare Officer/Senior Psychiatry Rehabilitation
 and Welfare Officer (Female) 143 Ward Assistant (Male and Female) 144 Life Care Officer Funded 2022/23 2023/ - 1 1 21 13 72 - 1 11 12 5 1 11 12 5 5 5 147 2 147 2 VOTE 18-1: Ministry of Health and Wellness - continued 414 Position Titles SN 145 146 147 148 149 150 151 152 Catering Services Cadre Catering Manager Senior Catering Officer Catering Officer Catering Officer (Ex-SPI) Assistant Catering Officer Catering Supervisor Senior Cook Cook (on roster) Finance Cadre 153 Manager, Financial Operations 154 155 156 157 Assistant Manager, Financial Operations Principal Financial Operations Officer Financial Operations Officer/Senior Financial Operations Officer Assistant Financial Operations Officer Procurement Cadre 158 Manager (Procurement and Supply) 159 160 161 162 Assistant Manager (Procurement and Supply) Principal Procurement and Supply Officer Procurement and Supply Officer/Senior Procurement and Supply Officer Assistant Procurement and Supply Officer Human Resources Cadre 163 Manager, Human Resources 164 165 166 Assistant Manager, Human Resources Senior Human Resource Executive Human Resource Executive Health Records Cadre Senior Health Records Officer Health Records Officer Senior Health Records Clerk Higher Health Records Clerk Health Records Clerk Biomedical Engineering Cadre Lead Biomedical Engineer (Health) (New) Biomedical Engineer/Senior Biomedical Engineer (Health) Trainee Biomedical Engineer Principal Biomedical Engineering Technician Senior Biomedical Engineering Technician Biomedical Engineering Technician Health Sterile Services Cadre Health Sterile Services Superintendent Health Sterile Services Supervisor Health Sterile Services Assistant Superintendent, Healthcare Technology Workshop Senior Healthcare Technologist Healthcare Technologist Receptionist (Health Services) 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182
 183 184 Funded 2022/23 2023/24 - 5 5 1 5 10 7 139 - - 6 - 2 4 15 - 9 - 2 4 20 5 7 66 1 4 5 5 5 7 66 1 4 5 8 VOTE 18-1: Ministry of Health and Wellness - continued 415 SN Position Titles Senior Telephonist (Health) (on shift) Telephonist (Health) (on shift) Senior Linen Health Officer Linen Health Officer Laundry Attendant (on roster) Transport Services Facilitator (on shift) 185 186 187 188 189 190 191 Mortuary Attendant (on roster) 192 193 194 195 196 197 198 199 Incinerator Operator (Health Services) Senior Attendant (Hospital Services) (on shift) Attendant (Hospital Services) (on shift) Ambulance Care Attendant (on shift) Ambulance Driver (on shift) Driver (on shift) Driver (Heavy vehicles above 5 tonnes) Driver (Ordinary vehicles up to 5 tonnes) Orthopaedic Cadre 200 Manager, Orthopaedic Appliances Workshop 201 Orthopaedic Technician (Orthosis/Prosthesis) 202 Orthopaedic Technician (Podo Orthosis) 203 Assistant Orthopaedic Technician (Orthosis/Prosthesis) 204 Assistant Orthopaedic Technician (Podo Orthosis) 205 Trainee Assistant Orthopaedic Technician (Orthosis/Prosthesis) 206 Trainee Assistant Orthopaedic Technician (Podo Orthosis) (New) 207 Orthopaedic, Appliance Maker (Metal) 208 Orthopaedic, Appliance Maker (Wood) 209 Orthopaedic, Appliance Maker (Leather) Orthopaedic, Appliance Maker (Seamstress) 210 General Support Services Cadre Office Management Executive 211 Office Management Assistant 212 213 Management Support Officer 214 Confidential Secretary 215 Word Processing Operator 216 217 Head Office Auxiliary Office Auxiliary/Senior Office Auxiliary Operations Support Services Cadre Supervisor, Operations Support Services (on shift) 218 219 Motor/Diesel Mechanic 220 Motor Mechanic 221 Panel Beater Tradesman Cadre 222 Workshop Supervisor 223 224 225 226 Welder Foreman Field Supervisor Electrician Funded 2022/23 2023/24 - 104 13 54 65 74 9 7
 303 1,870 144 149 65 8 99 1 2 1 10 - 5 - 8 3 9 6 5 104 13 54 65 68 9 4 303 1,870 144 149 65 15 99 1 2 2 10 - 5 - 8 3 9 6 5 8 102 17 19 3 20 5 8 102 17 19 3 20 6 3 3 - 10 3 3 - 1 8 16 5 6 1 10 15 6 9 VOTE 18-1: Ministry of Health and Wellness - continued 416 SN Position Titles Operator Waste Water Pumping Station (on shift) Cabinet Maker 227 Carpenter 228 Plumber and Pipe Fitter 229 230 Painter 231 Mason 232 233 Waste Water Pipe Cleaner (on roster) General Assistant (Personal) 234 Surveillant (on shift) 235 Tradesman's Assistant (Seamstress) 236 Tradesman's Assistant 237 Handy Worker (Special Class) 238 Handy Worker (General) (Health) (Personal) 239 Handy Worker (Skilled) (Health) (Personal) 240 Gardener/Nursery Attendant 241 Stores Attendant 242 Sanitary/Cleaning Attendant 243 Lorry Loader 244 General Worker (Ex-SMEDA) 245 General Worker 246 Funded 2022/23 2023/ Sub-Head 18-103: Primary Health Care and Public Health 2,013 2,034 Regional Public Health Superintendent Dental Surgeon/Senior Dental Surgeon Senior Community Physician Community Physician Charge Nurse (Male) Charge Nurse (Female) Nursing Officer Health Care Assistant/Senior Health Care Assistant (General) Principal Midwife Senior Midwife (Personal) Midwife Management Support Officer Word Processing Operator 14 Office Auxiliary/Senior Office Auxiliary Community Health Cadre Senior Public Health Nursing Officer Public Health Nursing Officer Senior Community Health Rehabilitation Officer Community Health Rehabilitation Officer Principal Community Health Care Officer Senior Community Health Care Officer Community Health Care Officer Motivator (Community Health) Senior Pharmacy Technician Pharmacy Technician VOTE 18-1: Ministry of Health
59 1 8 100 3 29 20 VOTE 18-1: Ministry of Health and Wellness - continued 417 SN Position Titles Health Records Clerk Senior Dental Assistant Dental Assistant Senior Dental Assistant (on roster - day and night)(New) Dental Assistant (on roster - day and night) (New) Handy Worker (Special Class) Occupational Health Cadre Head, Occupational Health Unit Senior Occupational Health Physician Occupational Health Physician Epidemiologist/Senior Epidemiologist Government Analyst Cadre Chief Government Analyst Principal Government Analyst Government Analyst/Senior Government Analyst Chemical Laboratory Cadre Principal Technical Officer (Chemical Laboratory) Senior Technical Officer (Chemical Laboratory) Technical Officer (Chemical Laboratory) Trainee Technical Officer (Chemical Laboratory) (New) Vector Biology and Control Cadre Head, Vector Biology and Control Division Scientific Officer/Senior Scientific Officer, Vector Biology and Control Division Principal Vector Biology and Control Laboratory Technician Senior Vector Biology and Control Laboratory Technician Vector Biology and Control Laboratory Technician Nutritionist Cadre Chief Nutritionist Principal Nutritionist Nutritionist/Senior Nutritionist Health Inspector Cadre Director, Public Health and Food Safety Deputy Director, Public Health and Food Safety Principal Public Health and Food Safety Inspector Senior Public Health and Food Safety Inspector Public Health and Food Safety Inspector Sanitary Engineer Cadre Director, Environmental Health Engineering Unit Deputy Director, Environmental Health Engineering Unit Lead Sanitary Engineer Sanitary Engineer/Senior Sanitary Engineer Principal Health Engineering Officer Senior Health Engineering Officer Health Engineering Officer Funded 2022/23 2023/24 34 8 37 - - 51 34 8 52 - - 51 1 1 6 1 1 1 6 1 1 1 7 1 1 7 1 3 15 - 1 3 11 - 1 3 1 1 3 1 3 1 1 3 1 2 11 1 2 11 1 3 18 33 110 1 3 18 33 122 1 1 - 2 - 5 8 1 1 1 1 1
 5 8 VOTE 18-1: Ministry of Health and Wellness - continued 418 SN 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 Position Titles Health Surveillance Cadre Principal Health Surveillance Officer Senior Health Surveillance Officer Health Surveillance Officer Senior Supervisor, Rodent Control Supervisor, Rodent Control Assistant Supervisor, Rodent Control Rodent Control Attendant Field Supervisor Senior Health Laboratory Auxiliary Health Laboratory Auxiliary General Assistant (Personal) Driver (Ordinary vehicles up to 5 tonnes) Insecticide Sprayer Operator Surveillant (on shift) General Worker Funded 2022/23 2023/ Sub-Head 18-104: Treatment and Prevention of HIV, AIDS and Drug Abuse 53 60 AIDS Unit Head, AIDS Unit Senior AIDS Physician AIDS Physician Medical and Health Officer/Senior Medical and Health Officer Project Co-ordinator (AIDS) (New) Senior Specialised Nurse Specialised Nurse Specialised Health Care Assistant Officer-in-charge, Harm Reduction Section Harm Reduction Co-ordinator Assistant Programme Officer (Ex-NATReSA) National AIDS Secretariat Monitoring and Evaluation Specialist Programme Officer, National AIDS Secretariat National HIV/AIDS Co-ordinator Communication Officer, National AIDS Secretariat Health Information, Education and Communication Officer Office Management Assistant Word Processing Operator 19 Office Auxiliary/Senior Office Auxiliary Sub-Head 18-105: Prevention of Non-Communicable Diseases and Promotion of Quality of Life NCD Co-ordinator Nutritionist/Senior Nutritionist Health Information, Education and Communication Officer Senior Community Health Development Motivator Community Health Development Motivator Health Promotion Officer/Senior Health Promotion Officer - - 3 10 - 2 21 9 1 - 1 - - 3 12 - 2 21 13 1 - 1 - 1 1 1 1 1 - 1 - 1 1 1 1 1 1 1 192 207 5 5 4 1 6 - 5 6 2 1 8 1 VOTE 18-1: Ministry of
 Health and Wellness - continued 419 SN Position Titles Senior Specialised Nurse (Diabetes) Specialised Nurse (Diabetes) Senior Specialised Nurse (Diabetes Foot Care) Specialised Nurse (Diabetes Foot Care) Senior Specialised Nurse Specialised Nurse Nursing Officer Specialised Health Care Assistant Audio-Visual and Documentation Officer (Ex-NATReSA) TOTAL Funded 2022/23 2023/24 3 53 - 17 1 31 15 50 1 6 53 1 16 1 31 15 60 1 15,895 15,890 VOTE 18-1: Ministry of Health and Wellness - continued 420