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Provincial expenditure performance: HIV/AIDS programmes

Analysis of expenditure performance in select provincial departments for HIV/AIDS programs in 2010/11 and allocations for 2011/12, highlighting factors affecting spending and service provider compliance with regulations. AG reports reveal underspending, overspending, weak financial management, and non-compliance. Service statistics show increased ART clients but resource inefficiencies. Recommendations for improving usage of available resources and service delivery.

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Provincial expenditure performance: HIV/AIDS programmes

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  1. Provincial expenditure performance: HIV/AIDS programmes 7th Meeting of the 21 and 22 November 2011 Daygan Eagar

  2. Introduction What was spent in select provincial departments in 2010/11 Explaining expenditure performance Allocations for 2011/12 Expenditure as of July 2011 Explaining expenditure performance

  3. Expenditure 2010/11

  4. Allocations for 2011/12

  5. Factors affecting spending 2011 Slow spending particularly EC, NC, NW and WC Slow or delayed internal supply chain and procurement processes in provincial health departments Poor internal capacity in CFO functions Need to clarify national guidelines for the training of service providers Service providers do not comply with PFMA and Treasury Regulations

  6. Expenditure to July 2011

  7. What do the AG's reports tell us? GP: Underspending of R1.18 Billion but accruals of R2.16 Billion. So overspending of R980 million Failure to pay service providers within 30 days Weak financial management and extensive non-compliance with relevant laws Unauthorised expenditure of R1.17 Billion and irregular expenditure of R2.25 billion

  8. Eastern Cape Qualified opinion first in more than 5 years Accruals of R1.1 billion No adequate systems to track inventory Unauthorised expenditure of R1.2 billion largely due to the compensation of employees Procurement processes not in line with PFMA and Treasury regulations

  9. KZN Qualified opinion Irregular expenditure of R409 million Underspending of R1.4 billion primarily on infrastructure Procurement processes did not comply with the PFMA

  10. Western Cape Unqualified opinion But problems with procurement remain and in many instances did not adhere to PFMA regulations

  11. What about services? GP: Clients on ART increased from 274 927 in 2009/10 to 415 461 in 2010/11 ART initiating sites from 79 to 265 Vertical transmission from 8% to 2% EC:Clients on ART from 102186 to 152 257 Tested for HIV from 471 484 to 1 055 775 WC: Patients initiated from 75002 to 98 284 Clients tested 397 294 to 747 139

  12. Services cont. KZN: 1 589 723 clients tested in 2010/11 People qualifying for ART receiving treatment up from 60% in 2009/10 to +- 81% 2010/11 Total number on ART increased from 148 000 in 2007/08 to 408 328 in 2010/11

  13. What is the message? Resources that are available are not being used effectively In many instances they are not being used appropriately. While scale-up is happening, it is clear that more can and should be done to make services available to those who need them.

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