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BUDGET OVERVIEW. Total budget for 2014/15 is R33,9 billion growing at an average of 9,3% to R39,4 billion over the MTEF; Of this R30,1 billion or 88,7% are Conditional Grants to Provinces;
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BUDGET OVERVIEW • Total budget for 2014/15 is R33,9 billion growing at an average of 9,3% to R39,4 billion over the MTEF; • Of this R30,1 billion or 88,7% are Conditional Grants to Provinces; • The National Department has retained R1,5 billion as an In-Direct Grant to spend on behalf of Provinces i.e. Infrastructure, NHI and HPV Vaccines; • Compensation grows by an average of 7,7% over the MTEF and Goods and Services by 14,8% mainly due to the addition of the HPV Vaccine grant.
NON NEGOTIABLE: BACKGROUND • Challenge in Health sector is that some Provinces do not or are unable to pay for basic services e.g. Vaccines, Laboratory Tests, Blood etc.; • Root cause is that allocations on these items are not adequately budgeted (e.g. only enough budget for 10 months) and overspending and non-payment of suppliers occurs annually; • Further cause is poor cash flow management and prioritisation also contributes to the non-payment of suppliers; • In Health Sector the budget for Personnel has grown annually at the expense of Goods and Services due to many appointments; • Common knowledge that funds earmarked for specific programmes are not allocated as intended by either Provincial Health Departments or Provincial Treasuries; • Key components have been identified as Non-negotiables.
CONCLUSION • National DoH Annual Performance Plan 2014/15 to 2016/17 is aligned to the National DoH Strategic Plan 2014-2019, which is founded on government’s 2030 vision outlined in the National Development Plan 2030. • National DoH Annual Performance Plan 2014/15 to 2016/17 reflects interventions to improve the health system and health outcomes for all South Africans. • The Department will continue to work towards improving healthcare equity, quality and access through the introduction of the National Health Insurance, and other Health Sector reforms through various initiatives.