Portfolio Committee on Health National Department of Health

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

Summary per Programme As at 31 March 2016 Expenditure target: 100% Subprogramme ADMINISTRATION NATIONAL HEALTH INSURANCE, HEALTH PLANNING & SYSTEM ENABLEMENT HIV & AIDS, TB, MATERNAL & CHILD HEALTH PRIMARY HEALTH CARE SERVICES HOSPITALS, TERTIARY HEALTH SERVICES & HUMAN RESOURCE DEVELOPMENT HEALTH REGULATION & COMPLIANCE MANAGEMENT TOTAL Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 456, 578 443, 416 438, 501 4, 915 98. 89% 596, 646 611, 213 553, 053 58, 160 90. 48% 14, 378, 878 14, 324, 860 14, 179, 001 145, 859 98. 98% 224, 917 215, 239 212, 571 2, 668 98. 76% 18, 993, 031 19, 057, 465 19, 056, 279 1, 186 99. 99% 1, 603, 875 1, 601, 732 1, 599, 420 2, 312 99. 86% 36, 253, 925 36, 038, 825 215, 100 99. 41%

Summary per Economical Classification As at 31 March 2016 Expenditure target: 100% Subprogramme Compensation of Employees Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 774, 278 750, 097 1, 495, 819 1, 377, 821 1, 183, 893 33, 519, 141 33, 553, 890 33, 536, 117 Capital 464, 687 571, 217 567, 817 Losses - 900 TOTAL 36, 253, 925 36, 038, 825 Goods and Services Transfers Funds Available % Spent R'000 100. 00% 193, 92 8 85. 93% 17, 77 3 99. 95% 3, 40 0 99. 40% - 100. 00% 215, 10 0 99. 41%

Programme 1: Administration As at 31 March 2016 Expenditure target: 100% Subprogramme Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 MINISTRY 31, 417 29, 952 - 100. 00% MANAGEMENT 19, 496 19, 846 - 100. 00% CORPORATE SERVICES 213, 612 199, 996 199, 693 OFFICE ACCOMMODATION 125, 810 147, 624 FINANCIAL MANAGEMENT 66, 243 45, 998 41, 386 4, 612 89. 97% 456, 578 443, 416 438, 501 4, 915 98. 89% TOTAL 303 99. 85% - 100. 00%

Programme 1: Administration As at 31 March 2016 Expenditure target: 100% Subprogramme Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Compensation of Employees 177, 115 177, 730 177, 729 Goods and Services 266, 878 253, 782 249, 207 Transfers 2, 742 3, 716 3, 413 Capital 9, 843 7, 978 7, 942 Losses - 210 TOTAL 456, 578 443, 416 438, 501 Funds Available % Spent R'000 1 100. 00% 4, 57 5 98. 20% 30 3 91. 85% 3 6 99. 55% - 100. 00% 4, 91 5 98. 89%

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 R 4. 575 million couldn't be reallocated.

Programme 2: National Health Insurance, Health Planning and System Enablement As at 31 March 2016 Expenditure target: 100% Subprogramme OFFICE OF THE DDG Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 3, 020 597 - 100. 00% TECHNICAL POLICY & PLANNING HEALTH INFORMATION MANAGEMENT, MONITORING & EVALUATION 19, 869 14, 246 14, 028 218 98. 47% 85, 042 89, 237 57, 421 31, 816 64. 35% SECTOR-WIDE PROCUREMENT HEALTH FINANCING & NATIONAL HEALTH INSURANCE INTERNATIONAL HEALTH & DEVELOPMENT 29, 429 26, 282 - 100. 00% 395, 765 393, 789 367, 663 26, 126 93. 37% 63, 521 87, 062 - 100. 00% TOTAL 596, 646 611, 213 553, 053 58, 160 90. 48%

Programme 2: National Health Insurance, Health Planning and System Enablement As at 31 March 2016 Expenditure target: 100% Subprogramme Compensation of Employees Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 95, 534 98, 433 412, 427 425, 673 369, 063 86, 097 86, 217 84, 667 Capital 2, 588 828 Losses - 62 62 TOTAL 596, 646 611, 213 553, 053 Goods and Services Transfers Funds Available % Spent R'000 100. 00% 56, 61 0 86. 70% 1, 55 0 98. 20% - 100. 00% 58, 16 0 90. 48%

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.

Programme 3: HIV and AIDS, TB, Maternal and Child Health As at 31 March 2016 Expenditure target: 100% Subprogramme OFFICE OF THE DDG HIV & AIDS TUBERCULOSIS WOMEN'S MATERNAL & REPODUCTIVE HEALTH CHILD, YOUTH & SCHOOL HEALTH TOTAL Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 3, 652 5, 388 - 100. 00% 14, 106, 361 14, 064, 158 13, 962, 474 101, 684 99. 28% 27, 571 22, 989 20, 094 2, 895 87. 41% 18, 578 13, 717 222, 716 218, 608 177, 328 41, 280 81. 12% 14, 378, 878 14, 324, 860 14, 179, 001 145, 859 98. 98% - 100. 00%

Programme 3: HIV and AIDS, TB, Maternal and Child Health As at 31 March 2016 Expenditure target: 100% Subprogramme Compensation of Employees Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 72, 303 71, 345 470, 956 417, 297 287, 150 13, 833, 817 13, 834, 527 13, 819, 482 Capital 1, 802 1, 466 799 Losses - 225 TOTAL 14, 378, 878 14, 324, 860 14, 179, 001 Goods and Services Transfers Funds Available % Spent R'000 100. 00% 130, 14 7 68. 81% 15, 04 5 99. 89% 66 7 54. 50% - 100. 00% 145, 85 9 98. 98%

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 4 th 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.

Programme 4: Primary Health Care Services As at 31 March 2016 Expenditure target: 100% Subprogramme Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 OFFICE OF THE DDG 3, 095 3, 245 - 100. 00% DISTRICT SERVICES 24, 481 10, 864 9, 784 COMMUNICABLE DISEASES 18, 088 21, 133 NON-COMMUNICABLE DISEASES 23, 533 22, 150 20, 562 HEALTH PROMOTION & NUTRITION ENVIRONMENTAL AND PORT HEALTH SERVICES 25, 625 22, 107 - 100. 00% 130, 095 135, 740 - 100. 00% TOTAL 224, 917 215, 239 212, 571 1, 080 90. 06% - 100. 00% 1, 588 2, 668 92. 83% 98. 76%

Programme 4: Primary Health Care Services As at 31 March 2016 Expenditure target: 100% Subprogramme Compensation of Employees Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 175, 878 167, 726 43, 813 41, 917 39, 298 Transfers 2, 901 3, 467 3, 417 100. 00% 2, 61 9 93. 75% 5 0 98. 56% Capital 2, 325 2, 098 - Losses - 31 32 TOTAL 224, 917 215, 239 212, 571 Goods and Services - 100. 00% (1 ) 103. 23% 2, 66 8 98. 76%

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.

Programme 5: Hospitals, Tertiary Health Services and HR Development As at 31 March 2016 Expenditure target: 100% Subprogramme OFFICE OF THE DDG HEALTH FACILITIES INFRASTRUCTURE MANAGEMENT TERTIARY HEALTH CARE PLANNING & POLICY HOSPITAL MANAGEMENT HUMAN RESOURCES FOR HEALTH NURSING SERVICES FORENSIC CHEMISTRY LABORATORIES VIOLENCE TRAUMA AND EMS TOTAL Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 3, 619 3, 738 - 100. 00% 6, 052, 635 6, 093, 069 6, 092, 904 165 100. 00% 10, 384, 206 10, 384, 335 4, 962 4, 771 - 100. 00% 2, 421, 285 2, 449, 047 2, 448, 222 825 99. 97% 4, 741 4, 230 4, 229 1 99. 98% 114, 450 112, 959 112, 764 195 99. 83% 7, 133 5, 316 18, 993, 031 19, 057, 465 19, 056, 279 - 100. 00% 1, 186 99. 99%

Programme 5: Hospitals, Tertiary Health Services and HR Development As at 31 March 2016 Expenditure target: 100% Subprogramme Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available R'000 Compensation of Employees 116, 037 110, 874 - Goods and Services 243, 977 173, 174 173, 196 2) 18, 195, 941 18, 228, 113 18, 227, 287 6 Capital 437, 076 545, 165 544, 783 2 Losses - 139 - TOTAL 18, 993, 031 19, 057, 465 19, 056, 279 Transfers % Spent 100. 00% (2 100. 00% 82 100. 00% 38 99. 93% 100. 00% 1, 18 6 99. 99%

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

Programme 6: Health Regulation and Compliance Management As at 31 March 2016 Expenditure target: 100% Subprogramme Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available % Spent R'000 OFFICE OF THE DDG 3, 670 3, 502 - 100. 00% FOOD CONTROL PHARMACEUTICAL TRADE & PRODUCT REGULATION 9, 798 8, 346 8, 347 (1) 100. 01% 131, 772 139, 545 138, 303 1, 242 99. 11% PUBLIC ENTITIES MANAGEMENT COMPENSATION COMMISSIONER FOR OCCUPATIONAL DISEASES & OCCUPATIONAL HEALTH 1, 399, 991 1, 399, 104 - 100. 00% 58, 644 51, 235 50, 164 1, 071 97. 91% TOTAL 1, 603, 875 1, 601, 732 1, 599, 420 2, 312 99. 86%

Programme 6: Health Regulation and Compliance Management As at 31 March 2016 Expenditure target: 100% Subprogramme Compensation of Employees Adjusted Budget Final Allocation R'000 Actual Expenditure as on 31 March 2016 R'000 Funds Available R'000 137, 411 123, 989 123, 990 ) 57, 768 65, 978 65, 980 ) 1, 397, 643 1, 397, 850 - Capital 11, 053 13, 682 11, 368 Losses - 233 232 TOTAL 1, 603, 875 1, 601, 732 1, 599, 420 Goods and Services Transfers % Spent (1 100. 00% (2 100. 00% 2, 31 4 83. 09% 1 99. 57% 2, 31 2 99. 86%

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