SAHR 2007 - Health Systems Trust

Health and Related Indicators 15
Public sector financing
Tracking public sector health financing is complicated by
the federal nature of the budgeting and hence accountability
structures in place. While full details of national level
expenditure can be found in the NDoH Annual Report, the
most accessible source of total expenditure is the Treasury
report entitled “Provincial Budgets and Expenditure Review
2002/03 - 2008/09” [Fiscal Review 2006]. Some detail is
also included in the Annual National Health Plan 2006/07.
This document shows the total allocation of public funds for
health in 2006/07 to be R52.8 billion.
Health Financing – Public sector
The Treasury report has noted that, in the health sector, “public
funding has recovered significantly since the late 1990s”.
There has been growth in real per capita terms, of 4.8% per
cent annually from 2002/03 to 2008/09. The Treasury report
has also noted that funding growth has been “particularly
strong in previously disadvantaged provinces reflecting
equity improvements”. These improvements can still be seen
in the more recent data in Table 51 and Figure 25.
The actual programmatic expenditure at provincial level
is shown in Table 49, with a more detailed breakdown for
district health services in Table 50.
Table 49: Provincial health expenditure per province by Programme (Rand thousands), 2006/07
Programme EC FS GP KZN LP MP NC NW WC SA
1. Administration 332 360 154 665 310 861 224 899 345 803 180 237 61 141 138 038 162 119 1 910 123
2. District Health Services 3 237 761 1 290 967 2 479 486 5 370 300 2 899 474 1 549 332 503 412 1 793 451 1 922 584 21 046 767
3. Emergency Health Services 321 584 149 678 295 817 474 024 204 106 109 407 74 214 106 084 277 523 2 012 437
4. Provincial Hospital Services 2 287 336 889 081 2 940 538 3 138 946 722 432 430 250 306 756 839 267 1 383 614 12 938 220
5. Central Hospital Services 571 186 3 802 607 1 191 810 496 656 443 068 69 602 2 122 850 8 697 778
6. Health Sciences and Training 364 581 91 657 272 149 421 069 242 695 82 225 30 585 99 628 98 832 1 703 421
7. Health Care Support Services 20 929 60 313 105 804 29 560 365 332 24 868 7 339 93 809 92 694 800 649
8. Health Facilities Management 692 425 153 257 931 356 813 208 554 027 177 732 241 207 339 428 344 357 4 246 997
Other 518 543 -18 486 -23 638 135 716 - 762 1 415 479 447
Total 7 775 518 3 342 318 11 114 979 11 663 951 5 831 242 2 997 119 1 225 416 3 479 307 6 405 988 53 835 838
Source:
National Treasury (BAS) and NW province.
Table 50: Expenditure per province on district health services by sub programme (Rand thousands), 2006/07
Sub programme EC FS GP KZN LP MP NC NW WC SA
District Management 193 526 78 147 179 724 113 596 71 847 90 724 24 825 134 448 94 146 980 981
Community Health Clinics 735 978 191 640 546 152 1 027 389 550 695 242 841 87 916 299 293 372 861 4 054 766
Community Health Centres 252 950 48 555 400 526 285 742 158 488 187 060 59 716 399 594 552 084 2 344 715
Community-based Services 206 385 248 227 291 183 84 506 106 820 1 467 3 526 98 295 1 040 409
Other Community Services 17 106 375 666 95 284 14 38 105 32 312 558 487
HIV/AIDS 310 029 151 691 429 128 703 970 207 086 134 194 74 127 196 943 168 579 2 375 746
Nutrition 32 141 8 542 26 981 31 594 31 605 11 364 2 800 9 445 15 102 169 574
Coroner Services 40 298 35 592 66 291 44 840 41 895 23 196 14 949 16 696 51 966 335 722
District Hospitals 1 449 348 528 573 539 502 2 702 998 1 635 753 859 940 222 341 733 506 456 691 9 128 652
Other -22 834 80 549 57 715
Total 3 237 761 1 290 967 2 479 486 5 370 300 2 899 474 1 549 332 503 412 1 793 451 1 922 584 21 046 767
Source:
National Treasury (BAS) and NW province.
The 2007 Fiscal Review has subsequently been published and is available
from National Treasury, http://www.treasury.gov.za
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