presentation to the select committee on social services

PRESENTATION TO THE SELECT COMMITTEE ON SOCIAL SERVICES

ANNUAL PERFORMANCE PLAN AND BUDGET 2011/12-2013/14

2

1. VISION AND MISSION

VISION

Long and healthy life for all South Africans

MISSION

To improve health status through the prevention of illnesses and the promotion of healthy lifestyles and to consistently improve the health care delivery system by focusing on access, equity, efficiency, quality and sustainability.

HEALTH SECTORS PLAN 2011/12 TO 2013/14

• Government adopted an outcome-based approach to service delivery

• The Health sector is responsible for the achievement of Outcome 2 : A long and healthy life for all South Africans

• Four Identified outputs:– Output 1 : Increasing Life Expectancy– Output 2 : Decreasing Maternal and Child mortality– Output 3 : Combating HIV and AIDS and decreasing

the burden of disease from Tuberculosis

– Output 4 : Strengthening Health System Effectiveness

Interrelationship across the Health Sector Negotiated Service Delivery Agreement, the 10 Point Plan and the

National Health Insurance

Secret 4

Health Sector 10 point PlanHealth Sector 10 point Plan NSDANSDA

A LONG & HEALTHYA LONG & HEALTHY LIFE FOR ALL LIFE FOR ALL

SOUTH AFRICANSSOUTH AFRICANS

A LONG & HEALTHYA LONG & HEALTHY LIFE FOR ALL LIFE FOR ALL

SOUTH AFRICANSSOUTH AFRICANS

Defined TargetsDefined

Timeframes & critical milestonesNHINHI

INCREASED LIFE EXPECTANCY

STRENGTHENING HEALTH SYSTEM EFFECTIVENESS

IMPROVEDACCESS TO

HUMANRESOURCES

FORHEALTH

INTER -SECTORAL

ACTION FOR

SOCIALDETERMI -NANTS OF

HEALTH

IMPROVEDQUALITY

OFSERVICES

NATIONALHEALTH

INSURANCE

IMPA

CT

OU

TC

OM

ES

OU

TPU

T

IMPROVED FINANCIALMANAGE

MENT INPU

TS

PRIMARY HEALTH

CAREORIENTEDSERVICE DELIVERY

HEALTHINFORMA -

TION

IMPROVEDACCESSS

TO HEALTH

FACILITIES

HEALTH SECTOR NSDA 2010 - 2014

Reduced Maternal and

Child mortality rates

Reduce burden from HIV&AIDS

and TB (Mortality and

Morbidity)

Reduce burden from non-communicable diseases

Reduce burden from violence and injury

Primary Health Care

Oriented Service

Delivery

Improved quality of services

Improved Human

Resources for

Health

Improved access to

Health Facilities

Improved financial manage-

ment

National Health Insurance

Health Informa - tion

Inter -sectoral

action for social de -

terminants of Health

IMPLEMENTATION OF THE HEALTH SECTOR’S RESPONSE DURING 2011/12 – 2013/14

SCALE UP THE COMBINATION OF PREVENTION INTERVENTIONS TO REDUCE NEW HIV INFECTIONS

KEY STRATEGIC INTERVENTIONS DURING 2011/12-2013/14 WILL INCLUDE:

• Scaling up condom distribution, with 1 billion male condoms distributed annually during 2011/12-2013/14, and 6 million female condoms distributed annually during 2013/14

• Increase the number of Medical Male Circumcisions to 500 000 during 2011/12 and 600 000 annually during 2012/13 and 2013/14

• Increase the HCT uptake rate from 80% to 90% in 2013/14



• Increasing the number of new patients initiated on Antiretroviral Therapy (ART) to between 625 000 to 675 000 annually during 2011/12-2013/14

• Increasing the proportion of PHC facilities implementing nutritional intervention for People living with HIV and AIDS and TB from 77% in 2010/11 to 88% in 2013/14

IMPROVE THE QUALITY OF LIFE OF PEOPLE LIVING WITH HIV &AIDS BY PROVIDING AN APPROPRIATE PACKAGE OF CARE, TREATMENTS AND SUPPORT



• Maintain the percentage of children under 1-year of age fully immunised at 95% throughout the MTEF period

• Maintain the measles immunisation coverage rate of 95 % throughout the MTEF period

• Increasing the number of sub-districts implementing school health services from 100 to 150 in 2011/12 , 200 in 2012/13 and 232 in 2013/14

• Implementing programmes in secondary schools to address youth risk behaviour with a focus on life skill based HIV and AIDS education in 60 Sub Districts during 2011/12 and 100 Sub Districts during 2012/13

• Increasing the Vitamin Supplementation coverage among children 12 to 59 Months from 38% in 2010/11 to 45% in 2013/14

REDUCE INFANT, CHILD AND YOUTH MORBIDITY AND MORTALITY



• Maintain ante – natal coverage rate of 100 % throughout the MTEF period

• Increasing the antenatal coverage before 20 weeks from 37% in 2010/11 to 60% in 2013/14

• Increasing the proportion of deliveries taking place in health facilities under the supervision of trained personnel from 88% in 2010/11 to 95% in 2013/14

• Increasing the proportion of designated health facilities providing Choice on Termination of Pregnancy (CTOP) from 40% in 2010/11 to 55% in 2013/14;

• Increasing the percentage of mothers and babies who receive post-natal care within 6 days of delivery from 40% in 2010/11 to 80% in 2013/14;

TO REDUCE MATERNAL MORTALITY


IMPROVED ACCESS TO REPRODUCTIVE HEALTH


• Increasing the cervical cancer screening coverage from 50% in 2010/11 to 56% by 2013/14

• Increasing the couple year protection rate from 32% in 2010/11 to 37 % by 2013/14


EXPAND PMTCT COVERAGE TO PREGNANT WOMEN


• 100% of pregnant woman to be tested for HIV

• Increasing the antenatal clients initiated on HAART rate from 87% in 2011/12 to 100% in 2013/14

• Decreasing the percentage of babies testing PCR positive 6 weeks after birth from 10% in 2011/12 to 6.5% in 2013/14

• Increasing the uptake rate for HIV Positive antenatal clients on AZT for any period before labour from 86% in 2011/12 to 100% in 2013/14


TO REDUCE THE BURDEN OF DISEASE OF TUBERCULOSIS


• Increasing the TB cure rate from 70 % in 2009 to 85% in 2013/14.

• Reducing the TB treatment defaulter rate from 7% in 2010/11 to 5% (or less) in 2013/14


COMBATING TB AND HIV BY REDUCING THE CO-INFECTION BURDEN


• Increasing the percentage of HIV positive patients screened for TB from 70% in 2011/12 to 100% in 2013/14

• Increasing the percentage of TB patients tested for HIV from 80% in 2011/12 to 100% in 2013/14

• Increasing the percentage of TB/HIV co-infected patients receiving Cotrimoxazole Prophylaxis Therapy from 90% in 2011/12 to 100% in 2013/14

• Increasing the number of HIV positive patients receiving Isoniazid Preventative Therapy (IPT) from 45 000 in 2011/12 to 80 000 in 2013/14


REDUCE THE BURDEN OF DISEASE FROM COMMUNICABLE AND NON – COMMUNICABLE DISEASES


• Decreasing the incidence of malaria from 0,62 per 1000 population at risk in 2010/11 to 0.54 per 1000 population at risk in 2013/14;

• Chronic care whether from communicable or non-communicable causes will be aligned and a single chronic care model will be rolled out to 3 districts in 2011/12

• The number of districts implementing the long term care model for diabetes and hypertension will be increased to 52 by 2013/14

• The integrated Health Promotion Policy and Strategy with an implementation plan will be finalised during 2011/12

• To strengthen the quality of Environmental Health Services , norms and Standards will be developed during 2011/12


RE- ENGINEERING OF PRIMARY HEALTH CARE


• Implementation of community based services in each district by establishing Family Health Teams ; 54 in 2011/12, 100 in 2012/13 and 250 in 2013/14

• Complete the comprehensive audit of Primary Level Services inclusive of District Hospitals by March 2011/12

• Improve community participation to strengthen the governance of the District Health System,

• Increase number of District Health Councils established from 43 in 2010/11 to 52 in 2012/13• Increase the percentage of functional committees established for PHC facilities to 60 % in

2013/14• Improve access to primary health care services, with an increased utilisation rate of

3 visits by 2013/14• Improve health outcomes through ensuring that 52 Districts Health Plans are used

for planning, budgeting, monitoring ,reporting and improved programme implementation by providing more direct support to the District Management Teams


ACCELERATE THE DELIVERY OF HEALTH INFRASTRUCTURE


• Develop and implement a national infrastructure plan in conjunction with provincial infrastructure units

• Develop a set of Health Infrastructure norms and standards for all levels of care

• Establish an Infrastructure Project Management information system

• Finalisation of the Health Care Technology strategy

• Finalisation of the essential equipment lists for primary health care in 2011/12 and for secondary and tertiary health care in 2012/13


ACCELERATE THE DELIVERY OF HEALTH INFRASTRUCTURE


• Accelerating the delivery of health infrastructure through Public Private Partnerships (PPPs)

• All five tertiary hospitals should complete the feasibility study by March 2012. These are:

• Nelson Mandela Academic (Eastern Cape);• Chris Hani Baragwanath (Gauteng); • Dr. George Mukhari (Gauteng); • Limpopo Academic (Limpopo);• King Edward VIII (KwaZulu-Natal);

• Funding will be provided to hospitals through the hospital revitalization grant :

• 41 Hospitals will be under construction• 25 Hospitals will be in the planning phase


IMPROVED HEALTH WORKFORCE PLANNING, MANAGEMENT AND DEVELOPEMNT


• Finalising the revised Health Workforce Plan responsive to service delivery platforms by the end of 2011/12

• Strategy for Rural Health workforce developed by the end of 2011/12

• Norms and Standards for Health Workforce for Primary and Secondary Health Care developed

• Integrate Community Health Workers into the formal Health System


IMPROVED HEALTH CARE FINANCING


• Work in preparation for the implementation of NHI will continue. Specific outputs for 2011/12 include:

• Finalization of the NHI policy and legislative framework• NHI Pilot Sites established• Funding model developed


IMPROVE THE QUALITY OF HEALTH SERVICES


• In 2011/12 new policies related to the legislative amendment governing the establishment and functioning of the Office of Health Standards Compliance and relevant regulation will be finalised

• The Office of Health Standards Compliance as a national certification body will be established by March 2012

• Patient satisfaction will be monitored and a patient satisfaction surveys will be conducted in 60 % of public hospitals during 2011/12 , in 90% during 2012/13 and 100% during 2013/14

• 20% (800) of the 4,333 public health facilities will be assessed for compliance with the 6 priorities of the core standards. This figure grows to 40% in 2012/13 and to 70% by 2013/14;

RESOURCE ENVELOPE FOR IMPLEMENTING OF THE

NATIONAL DOH PLANS FOR 2010/11-2012/13

INTRODUCTION

•During the Medium Term Framework ( MTEF) budget process, the Health Department requested additional funding for both National and Provincial departments for the amount of R19,9 billion for the three year MTEF period.

•Cabinet and National Treasury approved an amount of R18,1 billion made up of R3,4billion for National Health and R14,6 billion for the provincial health departments for earmarked funds additional to the equitable share baseline.

EXPENDITURE TRENDS

• The Department’s expenditure grew from R13.6 billion in 2007/08

to R23.1 billion in 2010/11 at an average annual rate of 19.4

percent.• Over the Medium Term period, expenditure is expected to grow to

R30.1 billion, at an average annual rate of 9.2 percent.• The increase in both periods is driven largely by transfers to

provinces for the conditional grants, with the main increase being

on the HIV and AIDS and the Revitalization of Hospitals grants,

while the National Tertiary Services grant (NTSG) increased

significantly in the MTEF period. • The Forensic Pathology Services grant will be phased out in the

2012/13 financial year and has therefore been included in the

provincial equitable share allocations.

MEDIUM TERM ALLOCATION FOR 2011/12 – 2013/14

•The Budget includes new allocations of R442 million for 2011/12, R692 million for 2012/13 and R2.2 billion for 2013/14.


• R3 million, R5 million and R7 million for the Health Systems Trust to support health systems research activities including the annual health review and district health barometer

• R2 million per year to publish standardised annual health statistics in the new annual health statistics publication to facilitate performance auditing and better inform the public and health service providers

• R5 million, R6 million and R7 million for the Compensation Commissioner for Occupational Diseases to address backlogs in compensation, improve systems and address problems identified in audit reports

• R60 million in 2011/12 and 2012/13, R60 million and R1.4 billion for the HIV and AIDS conditional grant for the rapidly growing treatment programme and to strengthen prevention programmes including R60 million per annum for male circumcision


• R10 million per year to forensic chemistry laboratories to purchase equipment and appoint staff to address backlogs R10 million to the South Africa Health Products and Regulatory Authority to establish itself and to deal with the medicine registration backlogs. This is a once off payment, based on the understanding that SAHPRA will generate and retain its own revenue going forward.

• R30 million in 2011/12, and R30 million in 2012/13 and 2013/14 to progressively increase the distribution of condoms

• R9 million, R5 million and R5 million to nursing colleges to plan and coordinate the second phase of upgrading, recapitalising and maintaining nursing colleges following the infrastructure audit


The expenditure below is towards preparatory work for NHI.•R10 million, R20 million and R10 million to Office of Standards Compliance and Quality Assurance to establish itself and to support its inspectorate, certificate of compliance and ombudsman functions•R21 million, R17 million and R13 million for infrastructure management and private public partnerships to build up capacity in the department to oversee the hospital revitalisation projects and to support planning and transaction advisor cost for large private public partnership projects•R5 million, R7 million, and R9 million for health technology to support provincial upgrading of engineering workshops and equipment audits and to develop equipment packages and systems for health technology•R5 million per year for National Health Insurance to support development work and projects including the ministerial advisory committee


Expenditure towards preparatory work for NHI continue .....• R4 million in 2011/12 and 2012/13 and R5 million in 2013/14 to develop

improved hospital tariff schedules for use by provinces and the Road Accident Fund, including improved uniform patient fee structure, Road Accident Fund reimbursement and tariff structure, and developing diagnosis related groups system.

• R5 million per year for health information systems to support national workgroup investigations of new patient based IT system and to propose next steps in IT infrastructure to support the district health information system

• R2 million, R3 million and R4 million to monitor and support provinces in order to stabilise provincial finances and improve audit outcomes

• R250 million, R500 million and R750 million for the national tertiary services conditional grant to support public hospitals to achieve norms and standards partly in preparation for the National Health Insurance and to implement standards and guidelines of the Office of Standards Compliance and Quality Assurance, as well as to address differential costs of doctor occupation specific dispensation

ADDITIONAL FUNDS ALLOCATED TO THE BASELINE FOR THE NATIONAL DEPARTMENT

PRIORITY FOCUS AREA11/12R’000

12/13R’000

13/14R’000

Increased distribution of condoms

30,000 30,000

30,000 Improved conditions of service

13,000

15,000

16,000 Quality Office of Standards Compliance: Support for inspectorate and accreditation function

10,000

20,000 10,000

Forensic chemistry laboratories: Equipment and filling of posts

10,000

10,000 10,000

Oversight of hospital revitalization projects

10,000

10,000 10,000

Health technology: Equipment packages and systems

5,000 7,000

9,000

Public private partnership (PPP) projects: Planning and transactional advisor costs

11,000 7,000

3,000

ADDITIONAL FUNDS ALLOCATED TO BASELINE

PRIORITY FOCUS AREA11/12R’000

12/13R’000

13/14R’000

Nursing colleges: Planning and coordination of upgrading and recapitalization project

9,000 5,000 5,000 National Health Insurance: Ministerial advisory committee 5,000 5,000 5,000 National workgroup investigations of patient based information technology system

5,000 5,000 5,000 Revenue management: Improved hospital tariff schedules 4,000 4,000 5,000 South African Health Products Regulatory Authority: Establishment and capacity to deal with medicines registration backlogs 10,000 - - Health Systems Trust

3,000 5,000 7,000 CCOD 5,000 6,000 7,000

Unit to support provincial finance 2,000 3,000 4,000

HIV and Aids Conditional grants 60,000 60,000 1,400,000

National Tertiary Services conditional grant to support public hospitals 250,000 500,000 750,000

TOTAL 442,000 692,000 2,276,000

PROGRAMME ALLOCATIONS FOR 2011/12-2013/14

PROGRAMMES R’ million 10/11 11/12 12/13 13/14

Administration

282 326 325 344

Health Planning and Systems Enablement

125 161 178 190

HIV&AIDS, TB and Maternal, Child and Women’s Health

6,669 8,027 9,377 11,188

Primary Health Care Services

700 730 143 150

Hospital Tertiary Services and Workforce Development

13,947 15,963 17,016 17,664

Regulations and Compliance Management

496 525 572 601

Total Budget Allocated

22,219 25,732 27,611 30,137

ECONOMIC CLASSIFICATIONS ALLOCATIONS FOR 2012/13 TO 2013/14

Economic Classification 10/11 11/12 12/13 13/14

Compensation of Employees

385 424 465 492

Goods and Services

755 785 795 830

Total Transfers & Subsidies

21,034 24,489 26,316 28,778

Payment of Capital Assets

45 33 35 37

Payment of Financial Assets

- - - -

Total 22,219 25,732 27,611 30,137

CONDITIONAL GRANTS ALLOCATIONS 2011/12-2013/14

Grant Schedule2011/12

R'000 2012/13

R'0002013/14

R'000

Health Infrastructure Grant 4 1,701,856 1,820,981

1,921,134

Health professions and Development Training 4 1,977,310 2,076,176

2,190,366

National Tertiary Services 4 8,048,878 8,688,822

9,389,207

Comprehensive HIV and Aids 5 7,492,962 8,824,610

10,606,664

Forensic Pathology Services 5

590,380 - -

Hospital Revitalization Grant 5 4,136,290 4,335,908

4,067,859

Total 23,947,676 25,746,497

28,175,230

CONDITIONAL GRANTS ALLOCATIONS 2011/12-2013/14

• Schedule 4 grants: specifying allocations to provinces to supplement the funding of programmes or functions funded from provincial budgets;

• Transfer payments cannot be withheld based on non performance or compliance, however, the new Division of Revenue Grant allows a 5% withholding while interventions are put in place.

• Grants included are: - National Tertiary Services, - Health Professions Training and Development - Forensic Pathology Services.

CONDITIONAL GRANTS ALLOCATIONS 2011/12 - 2013/14

• Schedule 5 : specifying specific-purpose allocations to provinces.

• Grants included are: - HIV and AIDS grant and the Revitalization of Hospital grant.

• Schedule 5 grants may be withheld for non performance and or compliance. Interventions must also be put in place for compliance.

ADDITIONAL PRIORITY FOCUS AREAS (EARMARKED FUNDS) SUMMARY

PROV. ALLOCATED.

Provinces 2011/12 2012/13 2013/14 Total

R'000 R'000 R'000 R'000

Eastern Cape 522,450 675,521 702,753 1,900,724 Free State 106,872 178,564 202,144 487,580

Gauteng 745,872 1,035,179 1,158,860 2,939,911

KwaZulu-Natal 299,766 494,481 534,869 1,329,116

Limpopo 258,841 470,219 594,336 1,323,396

Mpumalanga 239,498 455,859 502,401 1,197,758

Northern Cape 88,317 160,461 189,891 438,669

North West 196,090 373,169 450,116 1,019,375

Western Cape 228,820 350,550 452,977 1,032,347

Total 2,686,526 4,194,003 4,788,347 11,668,876

CONDITIONAL GRANTSCOMPREHENSIVE HIV & AIDS

Province2010/11 Budget

2011/12 Allocation

2012/13 Forward Estimates


R'000 R'000 R'000 R'000

Eastern Cape 691,940 864,173 1,014,134 1,222,480

Free State 437,583 530,440 621,824 750,788

Gauteng 1,281,683 1,620,673 1,934,057 2,294,326

KwaZulu-Natal 1,518,811 1,889,427 2,246,099 2,675,081

Limpopo 515,896 624,909 733,963 884,146

Mpumalanga 387,646 490,366 578,087 694,264

Northern Cape 186,306 212,923 247,228 301,557

North West 476,838 599,437 705,969 848,533

Western Cape 555,054 660,614 743,249 935,489

TOTALS 6,051,757 7,492,962 8,824,610 10,606,664

CONDITIONAL GRANTSFORENSIC PATHOLOGY SERVICES


2011/12 Allocation



R'000 R'000 R'000 R'000

Eastern Cape 69,345 73,506 - -

Free State 37,218 39,451 - - Gauteng 92,421 97,966 - -

KwaZulu-Natal 152,406 161,550 - -

Limpopo 39,913 42,308 - -

Mpumalanga 50,107 53,114 - -

Northern Cape 22,868 24,240 - -

North West 26,433 28,019 - -

Western Cape 66,251 70,226 - -

TOTALS 556,962 590,380 - -

CONDITIONAL GRANTS HEALTH PROFESSIONS TRAINING AND DEVELOPMENT


2011/12 Allocation



R'000 R'000 R'000 R'000Eastern Cape 160,444 170,071 178,730 188,560Free State 117,400 124,444 130,930 138,131Gauteng 651,701 690,803 725,310 765,202KwaZulu-Natal 235,771 249,917 261,860 276,262Limpopo 94,085 99,730 103,913 109,628

Mpumalanga 76,149 80,718 85,208 89,894Northern Cape 61,802 65,510 68,583 72,356North West 83,324 88,323 93,522 98,666

Western Cape 384,711 407,794 428,120 451,667

TOTALS 1,865,387 1,977,310 2,076,176 2,190,366

CONDITIONAL GRANTS HOSPITAL REVITALIZATION


2011/12 Allocation



R'000 R'000 R'000 R'000

Eastern Cape 360,660 382,048 402,678 387,104

Free State 378,426 417,883 438,140 412,172

Gauteng 798,609 801,965 828,552 760,206

KwaZulu-Natal 500,815 547,698 566,605 533,432

Limpopo 323,425 371,672 392,410 369,152

Mpumalanga 331,657 356,557 378,014 355,081

Northern Cape 420,218 406,892 427,263 401,940

North West 326,303 370,074 401,150 377,375

Western Cape 580,554 481,501 501,096 471,397

TOTALS 4,020,667 4,136,290 4,335,908 4,067,859

CONDITIONAL GRANTS NATIONAL TERTIARY SERVICES


2011/12 Allocation



R'000 R'000 R'000 R'000

Eastern Cape 557,137 609,327 660,693 698,110

Free State 659,469 715,204 769,964 800,000

Gauteng 2,561,154 2,759,968 2,933,361 3,100,895

KwaZulu-Natal 1,102,585 1,201,831 1,303,824 1,408,053

Limpopo 257,316 267,314 277,314 287,314

Mpumalanga 91,879 91,879 105,970 120,270

Northern Cape 225,948 235,948 245,948 255,948

North West 179,280 194,280 209,280 224,280

Western Cape 1,763,232 1,973,127 2,182,468 2,494,337

TOTALS 7,398,000 8,048,878 8,688,822 9,389,207

CONDITIONAL GRANTS HEALTH INFRASTRUCTURE GRANT


2011/12 Allocation



R'000 R'000 R'000 R'000

Eastern Cape - 299,754 327,673 345,695

Free State - 129,621 141,911 149,716

Gauteng - 142,694 157,434 166,093

KwaZulu-Natal - 358,471 393,367 415,002

Limpopo - 270,802 267,888 282,622

Mpumalanga - 146,368 143,383 151,269

Northern Cape - 89,501 98,258 103,662

North West - 145,466 159,656 168,437

Western Cape - 119,179 131,411 138,638

TOTALS - 1,701,856 1,820,981 1,921,134

ADDITIONAL PRIORITY FOCUS AREAS (EARMARKED FUNDS) ALLOCATED DIRECTLY TO

PROVINCES.

R million 11/12 12/13 13/14

Health technology 20 30 40

Nursing colleges upgrading and maintenance 32 32 32

OSD doctor Annexure A top-up 110 119 126

OSD therapeutic top-up 363 426 449

Maternal and child health 228 501 700

Personnel and goods stabilization 522 1,073 1,444

HIV: ARV 350 threshold - 500 500

ADDITIONAL PRIORITY FOCUS AREAS (EARMARKED FUNDS) ALLOCATED DIRECTLY TO

PROVINCES.

R million 11/12 12/13 13/14

Registrars esp paed, obs and critical posts 100 200 300

Family health team pilots/models 100 400 700

Public hospital norms and standards 240 486 532

Policy priorities subtotal 1,715 3,767 4,823

Improvements in conditions of service 1,556 1,556 1,556

Forensic pathology shift into PES 620 654

Total 3,271 5,943 7,033

COMMENTS ON ADDITIONAL PRIORITY FOCUS AREAS (EARMARKED FUNDS)

• EC: Allocated only for:• Allocated funds for OSD for doctors and health therapeutics and medical

registrars in obstetrics and pediatrics.• Recapitalizing nursing college; etc.• Improvements in Conditions of Service

• FS: Allocated only for:• All priorities have combine amount which is R20,6m ,R53,4m and

R73,5 for three years• R 86,2 m, R87,7 & R89,4 m for Improvement in condition of service (ICS)

• GP: Allocated only for:• all OSD and recapitalization of nursing colleges• Improvements in Conditions of Service for Housing allowance carry

through costs• Policy adjustment: includes family health teams and PHC re-engineering

and public hospital norms and standards.

COMMENTS ON ADDITIONAL PRIORITY FOCUS AREAS (EARMARKED FUNDS)

• KZN, MP, NC, NW and WC :Allocated funding for all priorities identified

• Total Allocated Funds Earmarked are R3,2 billion, R5,9 billion,& R7 billion for 2011/12,2012/13 &2013/14 respectively. Provinces allocated R2,6 billion, R4,1 billion & R2,3 billion.

• Not ALL the earmarked funds have been allocated to the Health Departments. An amount of R4,7 billion remains unallocated. It is assumed that National Treasury allocated the funds to the provincial Treasuries.

CONCLUSION

• National DoH Annual Performance Plan 2011/12-2013/14 reflects interventions to improve health service delivery and improve health outcomes for all South Africans.

• A sector wide plan will be produced by end of May 2011, which will reflect the contribution of the entire sector - National and 9 Provincial DoHs - to the achievement of the Health Sector NSDA outcomes

presentation to the select committee on social services

Documents

health sectors response

health status

health sectors plan

school health services

health care delivery

quality of life

hiv aids

key strategic interventions