CLUSTER: FINANCIAL MANAGEMENT
SOUTH AFRICAN PUBLIC HEALTH SECTOR FUNDING |
|||||||
ACTUAL* |
ACTUAL* |
ACTUAL* |
BUDGET* |
BUDGET* |
BUDGET* |
BUDGET* |
|
1996/97 |
1997/98 |
1998/1999 |
1999/2000 |
2000/2001 |
2001/2002 |
2002/2003 |
|
(R '000 000) |
(R '000 000) |
(R '000 000) |
(R '000 000) |
(R '000 000) |
(R '000 000) |
(R '000 000) |
|
Eastern Cape |
3,066 |
3,039 |
3,024 |
3,757 |
3,285 |
3,455 |
3,622 |
Free State |
1,470 |
1,659 |
1,688 |
1,731 |
1,819 |
1,883 |
1,972 |
Gauteng |
4,643 |
5,299 |
5,476 |
5,619 |
6,129 |
0 |
6,856 |
Kwa Zulu Natal |
4,234 |
4,805 |
4,868 |
5,020 |
5,761 |
5,946 |
6,205 |
Mpumalanga |
817 |
1,017 |
1,058 |
1,092 |
1,209 |
1,231 |
1,338 |
Northern Cape |
333 |
380 |
388 |
401 |
419 |
433 |
450 |
Northern Province |
2,020 |
1,865 |
2,004 |
2,246 |
2,426 |
2,522 |
2,665 |
North West |
1,276 |
1,375 |
1,342 |
1,433 |
1,600 |
1,733 |
1,826 |
Western Cape |
2,780 |
2,937 |
3,029 |
3,166 |
3,400 |
3,560 |
3,577 |
NDoH Excl. Cond. Grants |
656 |
513 |
551 |
605 |
587 |
640 |
670 |
Total |
21,295 |
22,889 |
23,428 |
25,070 |
26,635 |
21,403 |
29,181 |
* FIGURES BASED ON BUDGET REVIEW 2000 |
NATIONAL DEPARTMENT OF HEALTH |
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TOTAL BUDGET ALLOCATION |
BUDGET |
BUDGET |
BUDGET |
1998/99 |
1999/2000 |
2000/01 |
|
(R '000) |
(R '000) |
(R '000) |
|
Total |
5,665,141 |
5,939,674 |
6,304,000 |
Less Conditional Grants - |
5,059,760 |
5,370,553 |
5,717,411 |
Central Hospital Services |
3,021,000 |
3,075,000 |
3,112,000 |
Health Professional Training & Research |
1,060,000 |
1,118,000 |
1,174,000 |
Redistribution of Specialised Health Services |
53,000 |
112,000 |
176,000 |
Hospital rehabitation programme |
100,000 |
200,000 |
400,000 |
Nelson Mandela Hospital (Umtata) |
100,000 |
63,900 |
0 |
Nkosi Albert Ntuli Hospital (Durban Academic) |
200,000 |
246,976 |
273,000 |
Primary School Nutrition Programme |
525,760 |
554,677 |
582,411 |
Medical Research Council (MRC) |
72,021 |
76,848 |
108,211 |
Capital Works |
0 |
1,900 |
13,200 |
SUB TOTAL (carried forward) |
533,360 |
490,373 |
465,178 |
NATIONAL DEPARTMENT OF HEALTH |
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TOTAL BUDGET ALLOCATION |
BUDGET |
BUDGET |
BUDGET |
1998/99 |
1999/2000 |
2000/01 |
|
(R '000) |
(R '000) |
(R '000) |
|
SUB TOTAL (brought forward) |
533,360 |
490,373 |
465,178 |
Programme 1 |
56,554 |
60,000 |
56,486 |
Poverty Relief |
43,000 |
28,000 |
28,000 |
Government AIDS Action Programme |
0 |
57,639 |
96,000 |
HIV/AIDS |
116,384 |
52,046 |
51,777 |
HIB Vaccine & Vaccine production |
0 |
107,900 |
4,000 |
Health Information , Survalliance & Research Coord |
21,251 |
19,704 |
17,162 |
Communicable Disease Control |
10,411 |
7,850 |
8,003 |
International Health Liaison |
17,855 |
19,764 |
29,859 |
Medicines Administration |
11,485 |
9,963 |
9,999 |
Pharmaceuticals |
9,090 |
7,536 |
7,941 |
National Institute for Virology |
19,172 |
18,838 |
17,466 |
Forensic Chemistry Laboratory |
10,043 |
9,837 |
9,805 |
Compensation Commissioner |
14,674 |
15,201 |
16,324 |
Other Directorates |
203,441 |
76,095 |
112,356 |
NATIONAL DEPARTMENT OF HEALTH |
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PROGRAMME 1 |
BUDGET |
EXPENDITURE |
DEVIATION |
% |
BUDGET |
29/02/00 |
SPENT |
2000/01 |
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(R '000) |
(R '000) |
(R '000) |
(R '000) |
(R '000) |
|
Personnel expenditure |
25,886 |
24,665 |
1,221 |
95.28 |
29,192 |
Administrative Expenditure |
9,640 |
8,258 |
1,382 |
85.66 |
11,475 |
Stores and Livestock |
1,432 |
1,119 |
313 |
78.14 |
1,485 |
Equipment - Current |
1,749 |
1,549 |
200 |
88.56 |
1,278 |
NATIONAL DEPARTMENT OF HEALTH |
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CLUSTER : FINANCIAL MANAGEMENT |
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BUDGET |
EXPENDITURE |
DEVIATION |
% |
BUDGET |
|
29/02/00 |
SPENT |
2000/01 |
|||
(R '000) |
(R '000) |
(R '000) |
(R '000) |
(R '000) |
|
Financial Manager |
988 |
871 |
117 |
88.16 |
991 |
Finance Department |
9,626 |
6,421 |
3,205 |
66.70 |
7,252 |
IT Services |
11,579 |
8,909 |
2,670 |
76.94 |
8,292 |
Health finance & Economics |
8,348 |
4,223 |
4,125 |
50.59 |
2,109 |
TOTAL |
30,541 |
20,424 |
10,117 |
66.87 |
18,644 |
PROJECT MANAGEMENT UNIT
Project Management has been proven to work over the years and it has seen the Department of Health through the Year 2000 problem which led to the Department of Health receiving an award for best effort, the only government department to receive the award among private sector companies.
Having celebrated the Year 2000 victories, the National Department of Health has to implement project management to ensure consistent delivery of services and achievement of goals.
The following objectives are to be achieved:
The estimated budget for such an implementation is expected to cost no more than R 2 million. The European Union has made funds available.
The National Department of Health is currently working on four major pilot programmes:
INFORMATION SERVICES DIRECTORATE
Information Services Directorate is intended to provide information Technology & Technical support to the NDOH. The achievement of the above can be as follows:
TECHNOLOGY SUPPORT
Focus needs to be given to the two main areas namely, Configuration management and IT systems development.
Configuration Management comprises of Change Management, Logical Security, Network Management, Software Distribution and Version Control, System Support, Backup Services and the Testing Environment, interfacing with other Units or clusters.
IT Systems Development comprises of Development of Systems, Advisory Services internal and external and Systems Analysis. All the development to be carried as projects.
In the year 2000/2001, the goals are as follows:
Goals |
Benefits |
Automate IT systems and Implementation |
Enable proactive resolution of problems |
Improve IT systems development |
Ensure that systems meets users requirements, delivered on time, within budget and of the appropriate quality. |
Transforming IT |
1.Relocate misplaced functions 2.Change service delivery from reactive to proactive Service delivery. 3.Upgrade to new philosophy. 4. Deal with change management issues and persistence to change. |
Improve Client Service |
To ensure client satisfaction inline with Batho-Pele |
Directorate Health Financing and Economics: Achievements in 1999 has not been included in the Appendix.