03 SEPTEMBER 2008 2008/09 FINANCIAL YEAR DEPARTMENT OF HEALTH AND SOCIAL DEVELOPMENT FIRST QUARTER REPORT TO THE SELECT COMMITTEE ON FINANCE CONDITIONAL GRANTS AND CAPITAL EXPENDITURE 03 SEPTEMBER 2008 2008/09 FINANCIAL YEAR PRESENTED BY Dr. DLAMINI J.V HEAD OF DEPARTMENT
SUMMARY OF EXP FOR THE FIRST THREE MONTHS VOTE 7: HEALTH
VOTE 7: HEALTH: EXP. SUMMARY FOR EQUITABLE SHARE AS AT 31/07/2008
IMPACT OF THE OSD FOR NURSES ON THE 2007/08 EXPENDITURE AND 2008/09 BUDGET AND THE MTEF The shortfall in the previous financial year 2007/08 resulted in the department withholding payments for creditors in order to process salaries to avoid over expenditure and overdrawing of the bank account. The unpaid accounts for 2007/08 and the shortfall for 2008/09 is now weighing heavily in the current personnel budget to the extend that the budget for compensation of employees is expected to overrun by not less than R329 million. Secondly the Province was beginning to lose medical officers who had completed their internship to other Provinces due to the fact that they were being started at level 10 compared to the Province which was starting them at level 9 A decision was taken at a National level as a retention strategy by Provinces to adjust all Doctors who had completed community service to start at level 10 The department had no option but to implement the decision starting January 2008 although there was no funding for it
VOTE 7: HEALTH: PERSONNEL PROJECTIONS FOR 2008/09
% SHARE OF HEALTH TO TOTAL PROVINCIAL BUDGET
CONDITIONAL GRANT EXPENDITURE FOR THE FIRST THREE MONTHS 2008/09
HIV/ AIDS
Notes on HIV/AIDS Late submission of claims by the non-profit institutions in the quarter, but follow ups are being made
FORENSIC PATHOLOGY SERVICES
NATIONAL TERTIARY SERVICES
HEALTH PROFESSIONALS TRAINING AND DEVELOPMENT
HOSPITAL REVITALISATION
Notes on Hospital Revitalization The Maphutha Malatji hospital project is behind schedule (physical progress of 18% instead of 30%), due to late appointment of contractors. The project at Nkhesani Hospital is also behind schedule due to poor performance by the contractor.
INFRASTRUCTURE ISSUES \\\
MONITORING MECHANISMS Monthly reports for conditional grants are prepared and submitted to Provincial Treasury and National department of Health. Also the Departmental performance reviews are held to asses the actual expenditure, analytical projections and progress towards achieving the set target on the business plans as well as infrastructure plans.
THANK YOU THE END