1. Portfolio Committee on Health
National Department of Health
Fourth Quarter Expenditure 2015/16
31 August 2016

2. Actual Expenditure as on 31 March 2016
Summary per Programme
1/1/2019
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
ADMINISTRATION
456,578
443,416
438,501
4,915
98.89%
NATIONAL HEALTH INSURANCE, HEALTH PLANNING & SYSTEM ENABLEMENT
596,646
611,213
553,053
58,160
90.48%
HIV & AIDS, TB, MATERNAL & CHILD HEALTH
14,378,878
14,324,860
14,179,001
145,859
98.98%
PRIMARY HEALTH CARE SERVICES
224,917
215,239
212,571
2,668
98.76%
HOSPITALS, TERTIARY HEALTH SERVICES & HUMAN RESOURCE DEVELOPMENT
18,993,031
19,057,465
19,056,279
1,186
99.99%
HEALTH REGULATION & COMPLIANCE MANAGEMENT
1,603,875
1,601,732
1,599,420
2,312
99.86%
TOTAL
36,253,925
36,038,825
215,100
99.41%

3. Summary per Economical Classification
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
774,278
750,097 -
100.00%
Goods and Services
1,495,819
1,377,821
1,183,893
193,928
85.93%
Transfers
33,519,141
33,553,890
33,536,117
17,773
99.95%
Capital
464,687
571,217
567,817
3,400
99.40%
Losses
900
100.00% 
TOTAL
36,253,925
36,038,825
215,100
99.41%

4. Programme 1: Administration Actual Expenditure as on 31 March 2016
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
MINISTRY
31,417
29,952 -
100.00%
MANAGEMENT
19,496
19,846
CORPORATE SERVICES
213,612
199,996
199,693
303
99.85%
OFFICE ACCOMMODATION
125,810
147,624
FINANCIAL MANAGEMENT
66,243
45,998
41,386
4,612
89.97%
TOTAL
456,578
443,416
438,501
4,915
98.89%

5. Programme 1: Administration Actual Expenditure as on 31 March 2016
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
177,115
177,730
177,729 1
100.00%
Goods and Services
266,878
253,782
249,207
4,575
98.20%
Transfers
2,742
3,716
3,413
303
91.85%
Capital
9,843
7,978
7,942 36
99.55%
Losses -
210
100.00% 
TOTAL
456,578
443,416
438,501
4,915
98.89%

6. REASONS FOR DEVIATIONS
PROGRAMME 1
Goods & services:
The Provincial Support Unit did not travel extensively to the provinces as compared to previous year. Due to the fact that these funds are earmarked, the amount of R4.575 million couldn't be reallocated.

7. Actual Expenditure as on 31 March 2016
Programme 2: National Health Insurance, Health Planning and System Enablement
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
OFFICE OF THE DDG
3,020
597 -
100.00%
TECHNICAL POLICY & PLANNING
19,869
14,246
14,028
218
98.47%
HEALTH INFORMATION MANAGEMENT, MONITORING & EVALUATION
85,042
89,237
57,421
31,816
64.35%
SECTOR-WIDE PROCUREMENT
29,429
26,282
HEALTH FINANCING & NATIONAL HEALTH INSURANCE
395,765
393,789
367,663
26,126
93.37%
INTERNATIONAL HEALTH & DEVELOPMENT
63,521
87,062
TOTAL
596,646
611,213
553,053
58,160
90.48%

8. Actual Expenditure as on 31 March 2016
Programme 2: National Health Insurance, Health Planning and System Enablement
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
95,534
98,433 -
100.00%
Goods and Services
412,427
425,673
369,063
56,610
86.70%
Transfers
86,097
86,217
84,667
1,550
98.20%
Capital
2,588
828
Losses 62
100.00% 
TOTAL
596,646
611,213
553,053
58,160
90.48%

9. REASONS FOR DEVIATIONS
PROGRAMME 2
Goods & Services:
DRG Project started in July 2015 after the service level agreement was signed.
Cash did not flow mainly due to the SA Health & Demographic Survey project running over multiple years.
ICD-10 and other training and workshops were rescheduled for the 2016/17 financial year.
Transfers & Subsidies:
Request for approval to change beneficiary (Wits Health Consortium to SA Medical Research Council) to keep the Clinical Trials Register on behalf of the Department, was done late in the financial year, thus approval was received after year-end and will be concluded in the current financial year.

10. Programme 3: HIV and AIDS, TB, Maternal and Child Health
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
OFFICE OF THE DDG
3,652
5,388 -
100.00%
HIV & AIDS
14,106,361
14,064,158
13,962,474
101,684
99.28%
TUBERCULOSIS
27,571
22,989
20,094
2,895
87.41%
WOMEN'S MATERNAL & REPODUCTIVE HEALTH
18,578
13,717
CHILD, YOUTH & SCHOOL HEALTH
222,716
218,608
177,328
41,280
81.12%
TOTAL
14,378,878
14,324,860
14,179,001
145,859
98.98%

11. Programme 3: HIV and AIDS, TB, Maternal and Child Health
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
72,303
71,345 -
100.00%
Goods and Services
470,956
417,297
287,150
130,147
68.81%
Transfers
13,833,817
13,834,527
13,819,482
15,045
99.89%
Capital
1,802
1,466
799
667
54.50%
Losses
225
100.00% 
TOTAL
14,378,878
14,324,860
14,179,001
145,859
98.98%

12. REASONS FOR DEVIATIONS PROGRAMME 3
Goods & Services:
Printing of TB Recording and Reporting tool was not finalized before year-end, for which roll-over of funds was applied for.
Some Multi-Pronged Mass Media Communications Campaign on HIV & AIDS projects were postponed and will commence in the new financial year.
Approval for the donation of Genexpert Machines and cartridges to the Democratic Republic of Congo is still awaited.
Expenditure for the Human Papilloma Virus Vaccines campaign was lower than anticipated.
Male condoms were not delivered due to price adjustments, specifications of coloured and scented condoms. Female condoms were ordered in 4th quarter.
Transfers and subsidies:
Transfers to universities for pharmacovigilance services did not flow due to a delay in signing the service level agreements.
The Department contracted fewer Non-profit Institutions as a results of budget pressure and reprioritizing for arrears such as medical students intake, SANAC as well as contribution to International AIDS Society.
Capital
Furniture and equipment is procured on the need basis.

13. Programme 4: Primary Health Care Services
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
OFFICE OF THE DDG
3,095
3,245 -
100.00%
DISTRICT SERVICES
24,481
10,864
9,784
1,080
90.06%
COMMUNICABLE DISEASES
18,088
21,133
NON-COMMUNICABLE DISEASES
23,533
22,150
20,562
1,588
92.83%
HEALTH PROMOTION & NUTRITION
25,625
22,107
ENVIRONMENTAL AND PORT HEALTH SERVICES
130,095
135,740
TOTAL
224,917
215,239
212,571
2,668
98.76%

14. Programme 4: Primary Health Care Services
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
175,878
167,726 -
100.00%
Goods and Services
43,813
41,917
39,298
2,619
93.75%
Transfers
2,901
3,467
3,417 50
98.56%
Capital
2,325
2,098
Losses 31 32
(1)
103.23% 
TOTAL
224,917
215,239
212,571
2,668
98.76%

15. REASONS FOR DEVIATIONS
PROGRAMME 4
Goods and services:
The Awareness and education of the public on mental health project is conducted in six phases and invoices are received after a phase is completed. The project runs into the next financial year.
Procurement of uniforms for Port Health Services Officers took longer than expected, due to the re-advertisement of the tender.
The laboratory chemicals for testing sodium contents in foodstuff were not yet delivered by the end of March 2016.
Procurement of IEC material was delayed.
Promotional items for oral health were not delivered before year-end.

16. Programme 5: Hospitals, Tertiary Health Services and HR Development
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
OFFICE OF THE DDG
3,619
3,738 -
100.00%
HEALTH FACILITIES INFRA-STRUCTURE MANAGEMENT
6,052,635
6,093,069
6,092,904
165
TERTIARY HEALTH CARE PLANNING & POLICY
10,384,206
10,384,335
HOSPITAL MANAGEMENT
4,962
4,771
HUMAN RESOURCES FOR HEALTH
2,421,285
2,449,047
2,448,222
825
99.97%
NURSING SERVICES
4,741
4,230
4,229 1
99.98%
FORENSIC CHEMISTRY LABORATORIES
114,450
112,959
112,764
195
99.83%
VIOLENCE TRAUMA AND EMS
7,133
5,316
TOTAL
18,993,031
19,057,465
19,056,279
1,186
99.99%

17. Programme 5: Hospitals, Tertiary Health Services and HR Development
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
116,037
110,874 -
100.00%
Goods and Services
243,977
173,174
173,196
(22)
Transfers
18,195,941
18,228,113
18,227,287
826
Capital
437,076
545,165
544,783
382
99.93%
Losses
139
100.00% 
TOTAL
18,993,031
19,057,465
19,056,279
1,186
99.99%

18. REASONS FOR DEVIATIONS
PROGRAMME 5
Transfers & subsidies:
Not all funds transferred, due to disputes with two universities on amount per student payable by NDoH.

19. Programme 6: Health Regulation and Compliance Management
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
OFFICE OF THE DDG
3,670
3,502 -
100.00%
FOOD CONTROL
9,798
8,346
8,347
(1)
100.01%
PHARMACEUTICAL TRADE & PRODUCT REGULATION
131,772
139,545
138,303
1,242
99.11%
PUBLIC ENTITIES MANAGEMENT
1,399,991
1,399,104
COMPENSATION COMMISSIONER FOR OCCUPATIONAL DISEASES & OCCUPATIONAL HEALTH
58,644
51,235
50,164
1,071
97.91%
TOTAL
1,603,875
1,601,732
1,599,420
2,312
99.86%

20. Programme 6: Health Regulation and Compliance Management
As at 31 March 2016
Expenditure target: 100%
Subprogramme
Actual Expenditure as on 31 March 2016
Funds Available
% Spent
Adjusted Budget
Final Allocation
R'000
Compensation of Employees
137,411
123,989
123,990
(1)
100.00%
Goods and Services
57,768
65,978
65,980
(2)
Transfers
1,397,643
1,397,850 -
Capital
11,053
13,682
11,368
2,314
83.09%
Losses
233
232 1
99.57% 
TOTAL
1,603,875
1,601,732
1,599,420
2,312
99.86%

21. REASONS FOR DEVIATIONS
PROGRAMME 6
Capital Expenditure:
The renovation of CCOD and MBOD building and laboratory is in progress.