presentation of the national department of health’s annual report 2004/05 and the strategic plan...

PRESENTATION OF THE NATIONAL DEPARTMENT OF HEALTH’S ANNUAL

REPORT 2004/05 AND THE STRATEGIC PLAN & BUDGET

2006/07-2008/09

NATIONAL COUNCIL OF PROVINCES

09 MAY 2006

2

FLOW OF PRESENTATION

VISION & MISSION LEGISLATIVE MANDATES KEY PRIORITIES, 2004-2009 (THE 10

POINT PLAN OF THE NHS) SUMMARY OF ACHIEVEMENTS AND

KEY CHALLENGES AS REFLECTED IN THE NDOH ANNUAL REPORT 2004/05

3

FLOW OF PRESENTATION PRIORITIES FOR 2006/07 AS

REFLECTED IN THE NDOH STRATEGIC PLAN FOR 2006/07-2008/09

NDOH BUDGET FOR 2006/07-2008/09 CONCLUSIONS

4

VISION & MISSION VISION

AN ASSESSIBLE, CARING AND HIGH QUALITY HEALTH SYSTEM

MISSION TO IMPROVE HEALTH STATUS THROUGH

PREVENTION OF ILLNESS & DISEASE AND THROUGH THE PROMOTION OF HEALTHY LIFESTYLES AND TO CONSISTENTLY IMPROVE THE HEALTH CARE DELIVERY SYSTEM BY FOCUSING ON ACCESS, EQUITY, EFFICIENCY, QUALITY AND SUSTAINABILITY

5

LEGISLATIVE MANDATES 49 ACTS MENTIONED IN THE ANNUAL

REPORT, INCLUDING: THE CONSTITUTION OF THE REPUBLIC NATIONAL HEALTH ACT MENTAL HEALTH CARE ACT PUBLIC FINANCE MANAGEMENT ACT MEDICINES & RELATED SUBSTANCES ACT MEDICAL SCHEMES ACT

6

KEY PRIORITIES, 2004-2009 IMPROVE GOVERNANCE &

MANAGEMENT OF THE NHS PROMOTE HEALTHY LIFESTYLES CONTRIBUTE TOWARDS HUMAN DIGNITY

BY IMPROVING QUALITY OF CARE IMPROVE MANAGEMENT OF

COMMUNICABLE & NON-COMMUNICABLE DISEASES

STRENGTHEN PHC, EMS AND HOSPITAL SERVICE DELIVERY SYSTEMS

7

KEY PRIORITIES, 2004-2009 (CONTD)

STRENGTHEN SUPPORT SERVICES HUMAN RESOURCE PLANNING,

MANAGEMENT AND DEVELOPMENT PLANNING, BUDGETING AND

MONITORING & EVALUATION PREPARATION AND IMPLEMENTATION

OF LEGISLATION STRENGTHEN INTERNATIONAL

RELATIONS

8

BUDGET PROGRAMME STRUCTURE OF THE NDOH IN 2004/05

PROGRAMME 1: ADMINISTRATION (OFFICE OF MINISTER. DEPUTY MINISTER,LEGAL, PLANNING, COMMUNICATION)

PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (DISTRICTS; HEALTH PROGRAMMES; IHL; M/E)

PROGRAMME 3: HEALTH SERVICE DELIVERY (HOSPITALS; COMMUNICABLE & NCDs; HR)

9

KEY ACHIEVEMENTS 2004/05: PROGRAMME 1

AS REFLECTED ON P22 A NUMBER OF BILLS WERE TABLED DURING THE 04/05 FINANCIAL YEAR

NATIONAL HEALTH ACT SIGNED INTO LAW COURTS UPHELD RIGHT OF DOH TO SET

POLICY RE: LICENSING OF DESPENSERS & SINGLE EXIT PRICING

RANGE OF PUBLICATIONS, RADIO AND TV INTERVIEWS TO ENHANCE COMMUNICATION (PP24-25)

10

KEY ACHIEVEMENTS 2004/05: PROGRAMME 1(CONT)

IMPROVED INTEGRATED PLANNING WITH PROVINCES & DISTRICTS

REVIEW OF ANNUAL REPORTS OF PROVINCES

PACKAGES OF CARE (PHC, DISTRICT HOSPITALS AND TERTIARY CARE) HAVE BEEN COSTED

INTER-PROVINCIAL EQUITY ANALYSED

11


66% OF HEALTH DISTRICTS PROVIDE FULL BASKET OF PHC SERVICES WITH INCREASING PHC UTILISATION (P 29)

PROVINCES ARE MOVING TOWARDS FUNCTIONAL INTEGRATION USING A NATIONAL CHECKLIST

ALL DISTRICTS HAVE STARTED TO USE THE NATIONAL DISTRICT HEALTH PLANNING GUIDELINES

12


A NUMBER OF BI AND TRILATERAL AGREEMENTS HAVE BEEN SIGNED INCLUDING THOSE WITH IRAN, RWANDA, MALI, INDIA AND BRAZIL TO NAME A FEW (P 31)

ADDITIONAL RESOURCES FROM DONORS HAVE BEEN MOBILISED E.G., R80M FROM THE ITALIAN GOVERNMENT

13


30% OF HEALTH INSTITUTIONS HAVE A FUNCTIONAL HEALTH INFORMATION SYSTEM & MORE THAN 17% RECEIVE HEALTH BROADCASTS

12% OF HOSPITALS HAVE TELEMEDICINE FACILITIES

SIGNIFICANTLY MORE BIRTHS AND DEATHS ARE BEING REGISTERED

14


A NUMBER OF HEALTH REPORTS HAVE BEEN PUBLISHED (E.G., QUARTERLY REPORTS ON THE COMPREHENSIVE PLAN, ANTENATAL SURVEY, SADHS, CONFIDENTIAL INQUIRIES INTO MATERNAL DEATHS)

15


INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES STRATEGY EXPANDED TO ALL 53 HEALTH DISTRICTS

8 000 HEALTH PROVIDERS TRAINED (64% OF THOSE WHO PROVIDE SERVICES TO CHILDREN)

70% OF DISTRICTS REACHED IMMUNISATION COVERAGE OF 80%

SCHOOL HEALTH SERVICES EXTENDED - 30% OF PROVINCES PROVIDE 100% OF PHASE 1 SERVICES

16


80% OF PUBLIC HEALTH FACILITIES OFFER VCT & 60% OFFER PMTCT

MORE THAN 347m MALE & OVER 1m FEMALE CONDOMS DISTRIBUTED

BUSINESS CASES APPROVED BEFORE FUNDING FROM CONDITIONAL GRANT FOR HIV AND AIDS ARE DISBURSED TO PROVINCES – 97% OF FUNDS WERE USED

17


NUMBER OF ACCREDITED SITES – 139 (AGAINST TARGET OF 113)

74 NGOs FUNDED WITH CLOSE MONITORING

18


57% OF NEW SMEAR-POSTIVE CASES OF TB CURED AT THE FIRST ATTEMPT (TARGET IS 65%)

12% OF TB PATIENTS DEFAULT (TARGET IS 10%)

42% OF TB PATIENTS OFFERED VCT & 59% OF THESE ACCEPT

19


USER-FRIENDLY SERVICE NORMS FOR PHC LAUNCHED

PROCESS PUT IN PLACE TO STRENGTHEN THE NATIONAL COMPLAINTS CENTRE

PRIORITY AREAS FOR QA TRAINING DEVELOPED

20


ALL NEW PHARMACIES HAVE BEEN LICENSED

WORK ON REVIEW OF HOSPITAL EDL BOOKS LARGELY COMPLETED

75% COMPLIANCE REACHED ON COMPLETION OF EXPEDITED APPLICATIONS FOR DRUG REGISTRATION WITHIN 9 MONTHS

21


COVERAGE OF INDOOR RESIDUAL SPRAYING INCREASED TO 83% OF TARGETED HOUSES

GOOD COLLABORATION WITH NEIGHBOURING STATES ACHIEVED

10 407 WHEELCHAIRS AND 4 547 HEARING AIDS DISTRIBUTED – BACKLOG ELIMINATED

NO OF CATARACT SURGERIES EXCEEDED TARGET (1 039/M DONE)

22


11% OF HOSPITALS ARE PART OF THE HOSPITAL REVITALISATION PROGRAMME

CONDITIONAL GRANT FOR REVITALISATION OF HOSPITALS EFFECTIVELY MANAGED (BUSINESS CASES, REPORTS ETC)

60% OF HOSPITALS ADOPTED GUIDELINES TO IMPROVE MANAGEMENT

23


DRAFT HR PLAN COMPLETED AND CONSULTATION PROCESS UNDERWAY

WORK ON MID LEVEL WORKERS ADVANCED EG. MEDICAL ASSISTANTS

CO-ORDINATION OF POLICY ON COMMUNITY CARE GIVERS WITH SOCIAL DEVELOPMENT COMPLETED

ON MORE THAN 9 000 HEALTH WORKERS TRAINED TO IMPLEMENT THE COMPREHENSIVE PLAN

24


IMPROVING EMPLOYEE RELATIONS WITHIN THE NDOH: 55% OF GRIEVANCES RESOLVED

INTERNALLY 83% OF DISCIPLINARY HEARINGS

FINALISED WITHIN 6 MONTHS

25

CHALLENGES 2004/05

IMPLEMENTATION OF POLICIES WITHIN RESOURCE CONSTRAINTS

RECRUITMENT & RETENTION OF HUMAN RESOURCES

TB CONTROL REMAINS A CHALLENGE –- CURE RATE IS 56.7%

26

CHALLENGES 2004/05

IMPROVEMENT OF EMERGENCY MEDICAL SERVICES REQUIRED

FURTHER STEPS NEEDED TO IMPROVE SERVICES IN PUBLIC HOSPITALS

27

BUDGET AND EXPENDITURE FOR 2004/05

AdjustedAppropriation Virement

FinalAppropriation

ActualExpenditure Variance

Expenditure as % of final appropriation

R'000 R'000 R'000 R'000 R'000 % Administration Current payment 115,631 0 115,631 111,474 4,157 96.40 Transfers and subsidies 191 0 191 518 -327 271.20 Expenditure for capital assets 14,915 0 14,915 10,902 4,013 73.09 Strategic Health Programmes Current payment 481,447 -13,500 467,947 391,320 76,627 83.62 Transfers and subsidies 1,181,849 13,500 1,195,349 1,130,687 64,662 94.59 Expenditure for capital assets 7,472 0 7,472 4,599 2,873 94.59 Health Service Delivery Current payment 124,491 0 124,491 100,644 23,847 80.84 Transfers and subsidies 6,876,560 0 6,876,560 6,626,201 250,359 96.36 Expenditure for capital assets 15,844 0 15,844 10,894 4,950 68.76 Total 8,818,400 0 8,818,400 8,387,239 431,161 95.11

28

NATIONAL DEPARTMENT OF HEALTH: 2004/05Appropriation per programme

Programme 1: Administration - 94% Programme 2: Strategic Health

Programme - 91% Condoms ordered but not delivered HIV/Aids Conditional Grant transferees

withheld Programme 3: Health Services Delivery -

96% Laboratory equipment ordered but not

delivered Conditional Grant transfers withheld

29

KEY PRIORITIES FOR 2006/07 – 2006/07 STRAT PLAN

DEVELOPMENT & IMPLEMENTATION OF SERVICE TRANSFORMATION PLANS

IMPLEMENTATION OF THE NATIONAL HUMAN RESOURCES FOR HEALTH PLAN

STRENGTHENING PHYSICAL INFRASTRUCTURE (PHC, HOSPITALS)

IMPROVING QUALITY OF CARE PRIORITY HEALTH PROGRAMMES (HEALTHY

LIFESTYLES, TB CRISIS MANAGEMENT PLAN, ACCELERATED HIV PREVENTION STRATEGY)

30

DEVELOPMENT & IMPLEMENTATION OF SERVICE TRANSFORMATION PLANS

ALL PROVINCIAL DOHs TO FINALISE

SERVICE TRANSFORMATION PLANS BY MAY 2006

THESE WILL BE ANALYSED AND COLLATED INTO AN ANNUAL NATIONAL HEALTH PLAN FOR 2007/08 (IN TERMS OF SECTION 21(5) OF THE NHA OF 2003)

EMS BEING STRENGTHENED TO REDUCE RESPONSE TIMES

31

IMPLEMENTATION OF THE NATIONAL HUMAN RESOURCES FOR HEALTH PLAN

WHO DECLARED 2006 AS HUMAN RESOURCES FOR HEALTH YEAR NATIONAL HR PLAN COMPLETED & LAUNCHED ON 7 APRIL (WORLD HEALTH DAY) SCOPES OF PRACTICE OF MID LEVEL WORKERS FINALISED

32

HR PLAN PREPARATIONS FINALISED FOR

INITIATION OF CLINICAL ASSOCIATE PROGRAMME IN 2007

POLICY ON COMMUNITY CARE GIVERS FINALISED

DISCUSSIONS WITH TREASURY AND DPSA ABOUT REMUNERATION LEVELS AND CONDITIONS OF SERVICE INITIATED

33

STRENGTHENING PHYSICAL INFRASTRUCTURE (HOSPITALS & PHC)

HOSPITAL REVITALISATION IS IN ITS 4TH YEAR 4 HOSPITALS COMPLETED IN 2004/05 (MP, NW AND 2 IN NC) 45 HOSPITALS TO BE ENROLLED INTO THE PROGRAMME OVER THE NEXT 3 YEARS HOSPITAL IMPROVEMENT PLANS TO BE DEVELOPED BY EACH HOSPITAL IN 2006/07

34

STRENGTHENING PHYSICAL INFRASTRUCTURE (HOSPITALS & PHC)

PLAN FOR IMPLEMENTING MODERNISATION OF TERTIARY SERVICES TO COMMENCE IN 2006

BY SEPTEMBER 2006 ALL HOSPITAL CEOs WILL HAVE APPROPRIATE DELEGATIONS

TRAINING PROGRAMME FOR CEOS COMMENCED PHC FACILITIES AUDIT TO BE CONDUCTED PER

PROVINCE IN 2006, INCLUDING IDENTIFICATION OF FACILITIES REQUIRING ACCOMMODATION FOR STAFF

REQUIRED PROFILE AND DISTRIBUTION OF CHC’S BY PROVINCE WILL BE COMPILED AND COSTED

35

CLINICAL AUDITS WILL BE ROUTINELY MONITORED IN ALL TERTIARY HOSPITALS AND 25% OF LEVEL 2 HOSPITALS; COMPLAINTS MECHANISMS WILL BE ROUTINELY

MANAGED IN ALL TERTIARY HOSPITALS AND 25% OF LEVEL 2 HOSPITALS;

INFECTION CONTROL MANAGEMENT WILL BE EFFECTED IN ALL LEVEL 1 HOSPITALS AND CHCS AND ALL CLINICS; PLANNED PATIENT TRANSPORT DEPLOYED FLEET

WILL INCREASE BY 10%

IMPROVING QUALITY OF CARE

36

STRENGTHENING PRIORITY HEALTH PROGRAMMES

IN KEEPING WITH WHO-AFRO RESOLUTIONS AN ACCELERATED HIV PREVENTION PLAN WILL BE DEVELOPED

TB CRISIS MANAGEMENT PLAN WILL BE IMPLEMENTED TO OBTAIN IMPROVEMENT OF 10% IN SMEAR CONVERSION RATES AND TB CURE RATES IN THE NELSON MANDELA METRO, AMATOLE DISTRICT, ETHEKWINI METRO AND CITY OF JOHANNESBURG

ALL PROVINCES WILL DEVELOP DETAILED, CONTEXT SPECIFIC IMPLEMENTATION PLANS FOR THE HEALTH LIFESTYLES CA\MPAIGN INCLUDING, COMMUNITY-BASED HEALTH PROGRAMMES WILL BE IMPLEMENTED IN ALL 53 DISTRICTS & THE NUMBER OF HEALTH PROMOTING SCHOOLS WILL BE ESCALATED AND 60% OF SCHOOLS WILL IMPLEMENT THE SCHOOL HEALTH POLICY.

37

RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: NATIONAL DOH (INCLUDING

PROVINCIAL CONDITIONAL GRANTS)

PROGRAMME ADJUSTED APPROPRIATION

MEDIUM-TERM EXPENDITURE ESTIMATES

R’ 000 2005/06 2006/07 2007/08 2008/09

ADMINISTRATION

166 771 188 067 195 467 205 914

STRATEGIC HEALTH PROGRAMMES

1 689 176 2 105 211 2 217 976 2 330 915

HEALTH SERVICE DELIVERY

8 124 917 8 907 558 9 526 669 10 083 100

HUMAN RESOURCES

57 535 69 160 75 020 82 834

TOTAL 10 039 399 11 269 996 12 015 132

12 702 763

38

NATIONAL DEPARTMENT OF HEALTH

In view of the fact that the National Department was projecting a substantial under spending at the time of the drafting of the 2005/06 budget, the Department requested additional funds in the following areas –

(a) Project Management and Risk Equalization fund – (R 15 m for 2006/07, R 9 m for 2007/08

and R 10 m for 2008/09). (b) Hospital Revitalization – (R 100 m for 2006/07, R 300 m for 2007/08 and R 500 m for

2008/09). (c) Forensic Pathology Services – (R 525.176 m for 2006/07, R 551,383 m for 2007/08 and

R 466.878 m for 2008/09). (d) Cost of accommodation – (R 35.021 m for 2006/07, R 38.156 m for 2007/08 and R 41.062 m for 2008/09). (e) Medical Research Council – R 31.888 m for 2006/07, R 32.057 million for 2007/08 and

R 30.141 m for 2008/09).

39


2. The “earmarked amounts” for the Department were amended as follows – (a) An amount of R 5 million in 2006/07 – R 9 million in 2007/08 and R 10 million in 2008/09

per year was earmarked for the first time. This amount funds the establishment of project management sections in various units to ensure through planning to facilitate the establishment priority programmes such as * Forensic Pathology - R 1.7 million * Emergency Medical Services - R 1.7 million * HR (for Community Health Workers) - R 1.7 million

(b) The earmarked amounts for the following activities were reduced – Previous Earmarked Earmarked amount amount * Condoms R 143.280 m R 138.280 m * Global Fund R 20.0 m R 16.0 m * Comprehensive Plan R 48.0 m R 40.0 m

40


PROGRAMMES Actual

2002/2003 R' 000

Actual 2003/2004

R' 000

Actual 2004/2005

R' 000

Adjusted Estimate 2005/2006

R' 001

Budget 2006/2007

R' 000

MTEF 2007/2008

R' 000

MTEF 2008/2009

R' 000

Programme 1: Administration

Minister 691 746 791 837 887 934 981

Deputy Minister - 644 593 680 721 759 797

Management 4,966 7,001 10,172 16,543 20,862 21,976 23,075

Corporate Services 83,477 83,115 104,472 117,587 130,571 133,634 139,991

S/Total Progm 1 Admin (excl Property Management ) 89,134 91,506 116,028 135,647 153,041 157,303 164,844

Property Management 23,108 25,928 29,736 32,124 35,026 38,164 41,070

Total: Programme 1 112,242 117,434 145,764 167,771 188,067 195,467 205,914

Programme 2: Strategic Health Programmes

Maternal, Child and Women's Health 19,718 18,950 20,081 25,025 27,093 28,819 30,391

Medicines Regulatory Affairs 20,330 25,807 32,052 20,994 29,093 30,554 32,221

HIV and AIDS 117,173 86,842 56,841 131,449 129,696 155,913 166,725

Pharmaceutical Policy and Planning 18,823 17,980 21,988 29,636 24,863 26,112 27,537

Communicable Diseases 36,354 42,961 29,650 47,219 47,242 49,542 52,354

Total: Programme 2 212,398 192,540 160,612 254,323 257,987 290,940 309,228

BUDGET 2004 - 2008

41


PROGRAMMES Actual 2002/2003

R' 000

Actual 2003/2004

R' 000

Actual 2004/2005

R' 000


R' 001

Budget 2006/2007

R' 000

MTEF 2007/2008

R' 000

MTEF 2008/2009

R' 000

Programme 3: Health Service Delivery

Non-communicable Diseases 25,479 34,165 61,561 61,969 52,010 54,616 57,342

Hospital Services 5,768 17,628 13,803 14,252 17,694 20,392 26,404

Health Economics 6,443 7,244 7,863 13,947 28,567 16,371 17,190

Health Information Research and Evaluation 14,460 20,833 21,944 22,910 27,756 29,217 30,677

PHC, Districts Health and Development 11,028 13,561 14,575 21,403 24,141 26,279 27,593

Office of the Standards of Compliance 14,725 16,828 9,303 14,475 19,933 20,934 21,981

Total: Programme 3 77,903 110,259 129,049 148,956 170,101 167,809 181,187

Programme 4: Human Resources

Human Resources 6,789 6,923 8,190 9,400 15,866 16,147 16,950

Bargaining Council and Employee Relations 1,034 2,687 2,797 6,984 8,190 9,001 9,490

International Health Liaison 33,737 48,538 26,747 41,151 45,104 49,872 56,394

Total: Programme 4 41,560 58,148 37,734 57,535 69,160 75,020 82,834

Total: Programmes 444,103 478,381 473,159 628,585 685,315 729,236 779,163

42



R' 000

Actual 2003/2004

R' 000

Actual 2004/2005

R' 000


R' 001

Budget 2006/2007

R' 000

MTEF 2007/2008

R' 000

MTEF 2008/2009

R' 000

Specificied Items:

Medical Research Council 145,498 163,195 167,892 164,304 212,110 221,290 228,836

Poverty Relief 12,370 6,500 2,201 - - - -

NHLS: (NICD) 30,111 28,627 28,336 30,796 33,644 35,334 37,101

NHLS: (NIOD) 23,385 19,867 24,543 24,114 25,551 26,829 28,170

Condom Purchases 70,875 115,000 132,000 135,000 138,280 145,594 147,874

Lovelife 25,000 25,000 23,000 23,000 23,000 23,000 23,000

Global Fund - 14,112 20,000 20,000 16,000 16,000 16,000

Life Line - 11,000 7,000 15,000 10,000 10,500 11,000

NGO Funding 31,331 43,378 40,186 49,745 52,730 55,367 58,390

Comprehensive Plan against HIV and AIDS - 47,342 93,000 42,000 40,000 31,000 30,000

Medico - Legal -

Total: Specifiec Items 338,570 474,021 538,158 503,959 551,315 564,914 580,371

43



R' 000

Actual 2003/2004

R' 000

Actual 2004/2005

R' 000


R' 001

Budget 2006/2007

R' 000

MTEF 2007/2008

R' 000

MTEF 2008/2009

R' 000

Conditional Grants:

Integrated Nutrition Programme - - -

Comprehensive HIV and AIDS 210,209 333,556 735,381 1,150,108 1,567,214 1,645,575 1,735,423

Cholera Epidemic KwaZulu-Natal 147,000 - - - - - -

Drought Relief - 34,500 - - - - -

National Tertiary Services 3,727,077 3,994,774 4,273,005 4,709,386 4,981,149 5,221,206 5,482,266

Health Professions Training and Development 1,299,248 1,333,499 1,434,132 1,520,180 1,520,180 1,596,189 1,675,999

Hospital Revitalisation 649,000 717,628 733,802 1,105,427 1,439,647 1,706,629 1,982,663

Hospital Management and Quality Improvement 126,000 133,404 122,200 150,342 - - -

Forensic Pathology Services 124,729 143,436 145,024 271,412 525,176 551,383 466,878

Pretoria Academic 70,000 92,356 - - - - -

Total: Conditional Grants 6,353,263 6,783,153 7,443,544 8,906,855 10,033,366 10,720,982 11,343,229

TOTAL: NATIONAL DEPARTMENT OF HEALTH 7,135,936 7,735,555 8,454,861 10,039,399 11,269,996 12,015,132 12,702,763

44


PROGRAMMES Actual

2002/2003 R' 000

Actual 2003/2004

R' 000

Actual 2004/2005

R' 000


R' 001

Budget 2006/2007

R' 000

MTEF 2007/2008

R' 000

MTEF 2008/2009

R' 000

Compensation of Employees 167,578 177,743 190,808 209,119 240,030 251,827 264,777

Goods & Services 312,923 429,684 442,382 537,711 568,834 610,866 642,999

Total Current payments 480,501 607,427 633,190 746,830 808,864 862,693 907,776

Transfer payments

Current 5,915,561 6,297,832 7,061,475 8,149,564 8,993,443 9,421,616 9,786,893

Capital 719,000 809,984 733,802 1,105,427 1,439,647 1,706,629 1,982,663

Total Transfer payments 6,634,561 7,107,816 7,795,277 9,254,991 10,433,090 11,128,245 11,769,556

Capital Assets 20,874 20,312 26,394 37,578 28,042 24,195 25,431

Total Payments 7,135,936 7,735,555 8,454,861 10,039,399 11,269,996 12,015,133 12,702,763

45

RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: PROVINCIAL DOHs (INCLUDE GRANTS)

BUDGPROG

ALLOCATION FOR THE 2006/07 FINANCIAL YEAR

R’ 000 EC FS GP KZN LP MP NC NW WC

Admini-stration

256, 792 188,551 282,190 211,139 314,407 192,019 60,014 146,656 199,354

DHS 3, 052 765

1,308,275

2,543,562 5,437,879 2,362,897

1,491,165 493,064 1,825,737 1,914,072

EMS 397, 098 145, 070 325, 100 453,380 270,830 118,416 72,863 110,864 278,999

Provincial Hospitals

2,169,097 840,853 2,785,000 3,086,580 601,924 435,347 294,491 751,071 1,336,078

Central Hospitals

- 556,049 3,225, 137 1,173,060 493,397 403,982 33,670 69,380 2,086,517

Health Science

397,431 91, 658 241, 000 448,856 225,765 91,293 7,290 95,988 106,047

Support Services

32, 255 60,313 120,001 9,560 437,792 38,766 329,042 113,084 77,480

Health Facility Maintenance

587,263 84,849 871,861 916,307 339,921 141,254 815 314,824 324,946

TOTAL 6, 892,701

3,249,613

10,404,351 11,736,761

5,447,933

2,912,242 1,291,249 3,427,604 6,323,493

46

2006/04/28

Main Appropriation

Adjusted Estimate

Eastern Cape 5,180,217 6,087,791 6,212,887 6,892,701 10.94% 7,658,155 8,412,285Free State 2,794,911 3,076,013 3,118,328 3,249,613 4.21% 3,469,589 3,736,082Gauteng 8,575,286 9,257,806 9,840,640 10,404,351 5.73% 11,010,679 11,900,064

Kwazulu-Natal 8,950,609 10,379,202 10,424,516 11,736,761 12.59% 12,795,794 13,840,988Limpopo 4,168,712 5,045,617 5,097,870 5,447,933 6.87% 5,912,062 6,543,306Mpumalanga 2,252,194 2,472,358 2,652,522 2,912,242 9.79% 3,193,634 3,520,279

Northern Cape 836,022 942,069 1,037,813 1,291,249 24.42% 1,400,858 1,372,916North West 2,587,329 2,893,904 2,986,712 3,427,604 14.76% 3,777,728 3,988,226Western Cape 5,169,199 5,742,503 5,776,822 6,323,493 9.46% 6,774,319 7,332,905

GRAND TOTAL 40,514,479 45,897,263 47,148,110 51,685,947 9.62% 55,992,818 60,647,051

Budget History and MTEF

2005/20062006/2007

MTEF2007/2008

MTEFPercentage Increase %

NATIONAL PUBLIC HEALTH SECTOR

Provinces 2004/2005 Audited


2008/2009 MTEF

47

28/04/2006

Main Appropriation

Adjusted Estimate

Eastern Cape 809.36 958.54 978.23 1,085.27 1,205.79 1,324.53Free State 1,102.35 1,212.06 1,228.73 1,280.46 1,367.14 1,472.15Gauteng 1,265.07 1,332.29 1,416.17 1,497.29 1,584.55 1,712.54

Kwazulu-Natal 1,048.63 1,218.11 1,223.43 1,377.43 1,501.72 1,624.39Limpopo 824.62 974.37 984.46 1,052.06 1,141.69 1,263.59Mpumalanga 797.96 883.60 947.99 1,040.82 1,141.38 1,258.12

Northern Cape 1,144.77 1,284.79 1,415.36 1,760.99 1,910.48 1,872.37North West 773.51 860.94 888.55 1,019.71 1,123.87 1,186.50Western Cape 1,542.32 1,772.99 1,809.42 1,841.64 1,972.93 2,135.61

GRAND TOTAL 1,034.29 1,166.41 1,210.26 1,328.41 1,438.84 1,538.87

2006/2007 MTEF

2007/2008 MTEF

2004/2005 Audited

NATIONAL PUBLIC HEALTH SECTOR

Provinces

Per Capita Budget History and MTEF

2008/2009 MTEF


2005/2006

48

RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: NATIONAL AND PROVINCIAL DOHs

(INCLUDING GRANTS)

PROVINCIAL DOH (INCLUDING COND. GRANTS)

ALLOCATION (R’ 000)

EC 6 892 701

FS 3 249 613

GP 10 404 351

KZN 11 736 761

LP 5 447 933

MP 2 912 242

NC 1 291 249

WC 6 323 493

SUB-TOTAL 51 685 947

NDOH (EXCLUDING COND. GRANTS)

1 100 000

TOTAL 52 785 947

49

CONCLUSION

DESPITE MANY CHALLENGES THE DOH HAS SEEN PROGRESS IN HEALTH SERVICE DELIVERY IN 2004/05 (AND IN 2005/06)

NDOH ORGANOGRAM TO BE EXPANDED IN 2006/07 TO INCLUDE A FURTHER 3 BRANCHES (WAS EXPANDED IN 2004/05 TO INCLUDE AN HR BRANCH)

WITH GUIDANCE FROM THE MINISTER AND DEPUTY MINISTER NDOH WILL WORK HARD TO ENSURE ACHIEVEMENT OF 2006/07 TARGETS

presentation of the national department of health’s annual report 2004/05 and the strategic plan...

Documents

health districts

health status

health institutions

health broadcasts12

health care delivery

care phc

nhssummary of achievements

registeredkey achievements