1. Presentation to the Health Portfolio Committee
Free State Department of Health
Dr V L Litlhakanyane
13 May 2002

2. VISION A healthy and self reliant Free State Community
Introduction
VISION
A healthy and self reliant Free State Community

3. INTRODUCTION Cont. MISSION
Provide a quality, accessible, and comprehensive Health Care Service to the Free State community,
Optimally utilises health care resources to provide a caring and compassionate service,
Endevours to empower and develop all personnel and stakeholders to the best of their potential.

4. INTRODUCTION Cont. CORPORATE GOALS
Reduce the burden of HIV/AIDS and TB
Effective and efficient manage resources
Implement functional DHS
Effective marketing of services and communication
Develop personnel & stakeholders
Provide appropriate infrastructure
Accessible and quality services at all levels

6. Expenditure per Programme

7. Under (Over) Expenditure 2001/2002 %
Programmes
Budget 2001/2002
Actual Expenditure 2001/2002
Under (Over) Expenditure 2001/2002 %
Health Administration
78,731
90,242
(11,511)
114.62
District Health Services
742,167
777,354
(35,187)
104.74
Regional and Specialised Hospitals
566,794
583,710
(16,916)
102.98
Central Hospital Services
383,244
395,711
(12,467)
103.25
Health Sciences
59,979
63,660
(3.681)
106.14
Health Care Support Services
22,045
28,579
(6,534)
129.64
Health Facilities and Capital Stock
59,970
35,359
24,611
58.96
Supernumerary Staff
78,322
73,798
4,524
94.22
Internal Charges
(20,776)
(19,770)
(1,006)
95.16
Authorised Losses
11,076
Totals
1,970,476
2,039,719
(69,243)
103.51

8. Expenditure per Standard Item

9. Per Standard Item Programmes Budget 2001/2002
Actual Expenditure 2001/2002
Under (Over) Expenditure 2001/2002 %
Personnel Expenditure
1,241,217
1,270,115
(28,898)
102.33
Administrative Expenditure
58,999
69,308
(10,309)
117.47
Stores & Livestock
297,266
324,380
(27,114)
109.12
Equipment
119,650
137,002
(17,352)
114.50
Land and Buildings 21 6 15
30.50
Professional and Specialised Services
144,825
127,081
17,744
87.75
Transfer Payments
108,497
100,115
8,382
92.28
Miscellaneous 1
11,712
(11,711)
Totals
1,970,476
2,039,719
(69,243)
103.51

10. ACHIEVEMENTS Filling of critical posts
Drastic improvement in medicines and consumables availability
New and replacement equipment
Increased access to services
EMS personnel and vehicles
Reduction in cataract operation backlog
Rehabilitation services improvement

11. Departmental Receipts
Financial Outlook
Departmental Receipts

12. Revenue items
R thousand
Revenue generated
1998/ / /01
2001/02
Projected Projected Projected
2002/ / /05
Patient fees
Other
35,825
8,956
30,531
8,860
40,994
10,128
49,254
17,854
58,476
908
61,090
946
63,827
991
Total
44,781
39,391
51,122
67,108
59,384
62,036
64,818

13. Budgets
An overview

14. Budgets
2001/2002
2002/2003
‘000
2003/2004
2004/2005
Final Totals for the Health Vote
1,879,973
2,052,681
2,163,690
2,312,570
- Equitable Share
1,475,549
Baseline Figure
1,428,188
1,482,527
1,539,469
- Own Revenue -
68,015
76,245
85,030
- Conditional grants
404,424
556,478
604,918
688,071

15. MTEF
Graphs Graphs

17. Conditional Grants

18. Allocated Budget
2001/2002
‘000
Actual Expenditure
2002/2003
MTEF
2003/2004
2004/2005
- Totals - Conditional grants
446,260
408,681
556,478
604,918
688,071
- National Tertiary services Grant
249,813
287,424
327,915
373,245
- Professional Training Dev
88,367
88,192
87,763
87,565
Development
- PSNP
39,394
30,345
41,758
Hospital Rehabilitation
32,470
28,083
17,000
17,765
18,831
- HIV/AIDS
4,716
3,767
13,953
22,131
30,605
- Provincial Conditional Grant -
35,000
45,000
75,000
- Infrastructure Grant
7,000
3,511
18,000
28,000
29,260
- Infrastructure Grant (Floods)
20,500
3,765
14,210
5,145
- Supplementary Allocation
29,852
29,374
29,242
- Financial Management
4,000
1,030
2,453
2,431
2,565
- Hospital Management Improvement Grant
11,000

19. EQUITY Interprovincial inequity Review of highly specialised services
Intraprovincial inequity
New municipal demarcation
DHER
Formula
Review of staff establishments
Community service
Rural Health

20. - Public Private Partnerships - HIV/AIDS
Other Issues
- Public Private Partnerships
- HIV/AIDS

21. CONCLUSION
3,5% Over expenditure in 2001/2 mainly due to equipment and stores and livestock
30,8% more revenue than budgeted in 2001/2
4% increase in budget from 2001/2 to 2002/3 or R13M on expenditure
Higher health inflation than CPI and salary increases more than budget increase