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National Department of Health Response to the MTBPS 2002

National Department of Health Response to the MTBPS 2002. Dr. A Ntsaluba Director-General: Health. On the whole, the MTBPS 2002 reasonably positive. There are substantial increases proposed to Social Services spending over the coming MTEF

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National Department of Health Response to the MTBPS 2002

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  1. National Department of Health Response to the MTBPS 2002 Dr. A Ntsaluba Director-General: Health

  2. On the whole, the MTBPS 2002 reasonably positive. There are substantial increases proposed to Social Services spending over the coming MTEF Genuine attempt by the National Treasury to link the budget process to policy priorities Still needs more effort It is important to recognise the benefits of improved social services for the health sector. Overall Assessment

  3. Substantial increases projected for the health sector Growth over the MTEF of above 10% Increased spending targeted at priority and pressure points HIV/AIDS – R3.3b over the MTEF Personnel – R2.25b over the MTEF Infrastructure - R770m over the MTEF General Health Sector adjustment – R1.2b over MTEF Health Sector Assessment

  4. Whilst there are substantial increases: Not all that was “asked for” was allocated Not all areas addressed Selective prioritisation by National Treasury, pre-empts some policy making that only the sector is able to best decide upon. Health Sector Assessment

  5. Following main proposals tabled to National Treasury Health Inflation General adjustment in the light of higher than expected health/medical inflation Exchange rate Fall in CPI Wage drift Health Pressures and Priorities

  6. HIV/AIDS Revision of the enhanced response Roll-out of MTCT Provision of PEP for survivors of sexual assault Personnel Community Service Rural and scarce skills allowances mid-level workers Health Pressures and Priorities

  7. Health Infrastructure Increased spending on revitalisation Increased funding required for sustaining health infrastructure Health technology/equipment Health Pressures and Priorities

  8. The sum total of additional funds to be made available to the Health Sector is summarised as follows: Health Inflation - R1.1b Conditional Grants - R300m Health Infrastructure - R3m Total Additional - R1.4b Summary of Requests for 02/03

  9. Summary of Requests for 03/04

  10. Funds Allocated by Treasury

  11. Majority of funds are channelled through the equitable share This is correct but raises some very strong concerns Firstly, structure of the formula means that targeted increases for the Health Sector not possible Secondly, equitable share disproportionately biases poorer provinces, hence, areas where strongest health intervention is required Concerns

  12. The improved working relationship between National Health and National Treasury is very positive, Bears some appreciation for health sector pressures and priorities There are three Health/Treasury Technical teams: HIV/AIDS Personnel Infrastructure Improved working relationship with National Treasury

  13. Positive signs Sustained forward movement However, Interaction at provincial level between Health and Treasury needs to ensure that funds reach the priorities they are intended for. Conclusion

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