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Health budgets

Health budgets. Substantial funding increases in previously disadvantaged provinces: Mpumalanga (22,7%), Northern Cape (22,1%), North West (20,9%) and Eastern Cape 16,9%

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Health budgets

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  1. Health budgets • Substantial funding increases in previously disadvantaged provinces: Mpumalanga (22,7%), Northern Cape (22,1%), North West (20,9%) and Eastern Cape 16,9% • R500 million rising to R1 billion additional funding annually for a new system of rural incentives and a scarce-skills strategy for the health sector • Large increases in the Hospital Revitalisation Programme. Capex expenditure has tripled from R1 bil to R3 bil • NPNC, including medicines, increases from 23,6% to 28,4% over the period

  2. Health budgets continued • Out of hospital Primary health care expenditure, rises to R7 billion by outer year • Increases for the Integrated Nutrition Programme • Further strengthening of the Enhanced Response to HIV/Aids Strategy • New budget programme and subprogramme structure and formats for strategic plans

  3. Health personnel financing • IGFR shows inequities and areas of scarcity and where retention is a problem • R500 million rising to R1 billion annually for 2 key strategies • Rural allowance to be significantly increased and wider range of health professionals • Scarce skills funding to encourage recruitment and retention of professional groups with low staffing

  4. Hospital Revitalisation • Grant rises to R1,27 billion by outer year • Health capex expenditure rises to R3,4 billion annually by outer year • Funds for an additional 18 hospitals for complete upgrading or replacement • 429 smaller projects already complete and 9 large projects started in 2002/03

  5. HIV/AIDS financing • Enhanced Response financing strategy started in 2002/03 budget • 2002/03 budget increased financing from R345m in 01/02 to R1 bil in 02/03 rising to R1,8 bil in outer year • Lifeskills, VCT, Condoms, SAAVI, STIs, PMTCT, oveLife, NGOs and others • 2003/04 budgets adds R3,3 billion over 3 years to speed up PMTCT and PEP rollout and strengthen care and treatment initiatives over the medium term

  6. HIV/AIDS interventions • Since IGFR 2001 - widespread rollout of HIV/AIDS programme beyond piloting into national programme • Lifeskills mainstreamed as compulsory school subject • Availability of HIV testing in majority of clinics and more widespread counselling • Majority of pregnant women tested and PMCT widely rolling out • Extension of social security grants from 2.5mil to 8m beneficiaries • 450 mil condoms, wider distribution • Widespread mass media - eg Love Life • Health service training and specific medications much more widespread (Fluconazole, opportunistic infections) • Strengthening STD programmes with decreases STI rates • Teenage pregnancy rates and HIV infection rates declining

  7. Integrated Nutrition Programme • Grant increases to over R1 bil per year in outer year • Step up anti-poverty strategy • Address food inflation • Include additional learners and schools and grade Rs • Feed a minimum of 156 days per year • Standardise menus

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