NATIONAL DEPARTMENT OF HEALTH

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NATIONAL DEPARTMENT OF HEALTH

• PUBLIC HEARINGS ON DIVISION OF REVENUE
• SELECT COMMITTEE ON FINANCE
• Tuesday, 04 March 2008

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant allocations
• National Tertiary Services
• Health Professions Training Schedule 4
  Development
• Hospital Revitalization
• HIV and AIDS Schedule 5
• Forensic Pathology Services

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant funding increases in 2008/09
  budget
• The National Tertiary Services Grant (R193m,
  R48m, R640m) to strengthen tertiary services and
  central hospitals

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NATIONAL DEPARTMENT OF HEALTH

• National Tertiary Services Grant
• Purpose of the grant
• Aims to provide strategic funding to enable
  provinces to plan, modernize and transform the
  service.
• Operation in 27 hospitals across 9 provinces
  (mostly in Western Cape and Gauteng)
• Western Cape and Gauteng receive 61.9 of
  allocation in 2007/08 as these provinces provide
  the highest proportion of tertiary services

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NATIONAL DEPARTMENT OF HEALTH
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NATIONAL DEPARTMENT OF HEALTH

• National Tertiary Services Grant
• Allocation criteria
• Cost of designated tertiary services as
  determined by the costing and the review of the
  NTSG

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant funding increases in 2008/09
• The Health Professions Training and Development
  Grant only received normal inflationary increases

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NATIONAL DEPARTMENT OF HEALTH

• Health Professions Training and Development Grant
  
• Purpose of the grant
• The grant funds the costs associated with the
  training of health professionals
• The development and recruitment of medical
  specialists
• It also enables the shifting of teaching
  activities from central to regional and district
  hospitals

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NATIONAL DEPARTMENT OF HEALTH
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NATIONAL DEPARTMENT OF HEALTH

• Health Professions Training Development
• Allocation criteria
• Target allocation criteria will be reviewed as a
  process of grant reform in 2008/09
• Based on a historical approached derived from
  medical students distribution

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant funding increases in 2008/09
  budget
• The Hospital Revitalization Grant (R660m, R500m,
  R900m) to address recent cost escalations in the
  first year and allow additional projects in the
  outer years.

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NATIONAL DEPARTMENT OF HEALTH

• Hospital Revitalization Grant
• Purpose of the grant
• Plays a key role in transforming and modernizing
  infrastructure and equipment in hospitals
• Funds upgrading and replacement of hospital
  infrastructure - focuses mainly on projects
  where entire hospital is upgraded
• Also supports management development initiatives
  including personnel, procurement delegations and
  financial management capacity

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NATIONAL DEPARTMENT OF HEALTH
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NATIONAL DEPARTMENT OF HEALTH

• Hospital Revitalization
• Allocation criteria
• Based on projected cash flow figures for approved
  projects over MTEF period
• Expenditure on health technology and hospital
  management and quality improvement also taken
  into consideration
• Project based allocation approach is aligned with
  equity based approach over long term

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant funding increases in 2008/09
  budget
• The Comprehensive HIV and AIDS Conditional Grant
  (R350m, R600m, R1.2b) to expand coverage of the
  comprehensive plan and strengthen prevention
  programmes

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NATIONAL DEPARTMENT OF HEALTH

• Comprehensive HIV and AIDS Conditional Grant
• Purpose of the grant
• Enables health sector to develop a specific
  response to HIV AIDS
• Supports prevention programmes, voluntary
  counseling testing, PMTCP, post prophylaxis and
  home-based care

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NATIONAL DEPARTMENT OF HEALTH
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NATIONAL DEPARTMENT OF HEALTH

• Comprehensive HIV AIDS Plan
• Allocation criteria
• Antenatal HIV prevalence
• Estimated share of AIDS cases
• Populations pos-demarcation

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NATIONAL DEPARTMENT OF HEALTH

• Conditional grant funding in 2008/09 budget
• The Forensic Pathology Services Grant only
  received inflationary increases.
• This grant is due to finish in 2010/11.

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NATIONAL DEPARTMENT OF HEALTH

• Forensic Pathology Services Grant
• Purpose of the grant
• Assists with the transfer of medic-legal
  mortuaries from SAPS to the health sector
• To provide a comprehensive forensic pathology
  services for the criminal justice system

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NATIONAL DEPARTMENT OF HEALTH
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NATIONAL DEPARTMENT OF HEALTH

• Forensic Pathology Services
• Allocation criteria
• In accordance with the National project Plan as
  modified for demarcation and inflation

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NATIONAL DEPARTMENT OF HEALTH

• The End