Question NW1989 to the Minister of Health

Reply:

a) The National Department of Health has developed a 10-year infrastructure plan regarding the needs of our health facilities. The programme is focusing on projects that are still in planning (pre-tendering phase) while projects that are already under construction and in the tender phase will continue in the processes that have already commenced. Facilities that require part or full rehabilitation or replacement and infrastructure that needs to be newly built lend themselves to management through this programme while routine maintenance needs to be the primary responsibility of provinces managed through other programmes. The quantification and sequencing of the need and financing requirements are based on the 10-Year Health Infrastructure Plan (YHIP). Initial focus will be on PHC facilities as these are the first points of contact for patients and scale can be reached easier and quicker while planning for hospitals is underway.

b) In the current financial year, the National Department of Health has put aside R7 119 867 billion through Health Facility Revitalisation Grant (HFRG) to be shared by the provincial health departments. The aim of this grant is to accelerate and improve on the conditions of the existing health infrastructures. The budget will also use to provide new health facilities which address population growth and changes in burden of diseases. And there are few large projects that are currently in construction and implemented by the National Department of Health funded through the National Health Insurance Indirect Grant: Health Facility Revitalization Component (In-Kind Grant). The budget for the grant in the 2023/2024 financial year is R1.4 billion. The needs of health infrastructure are funded through (i) the Equitable Share; (ii) HFRG; and (iii) In-Kind Grant. See below the allocations from the three funding streams for 2023/24FY:

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