CLUSTER: FINANCIAL MANAGEMENT

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

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

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

PROGRAMME 1	BUDGET	EXPENDITURE	DEVIATION	%	BUDGET
		29/02/00		SPENT	2000/01
	(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

CLUSTER : FINANCIAL MANAGEMENT

	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:

Effective service delivery
Balancing of costs, quality and duration of implementation
Careful planning of the projects aligned to the NDOH’s Strategic Objectives and Priorities.
Enabling the Department of Health to be independent of consultants

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:

Legal Unit (Managing of draft Bills and Regulation as projects)
Medicines Control Council (Medicine Registration Applications handled as projects)
Policy and Planning (Facilitation of the implementation of the 10-point Plan).
Management of the office of the Director-General using Project Management principles.

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.