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MPUMALANGA PROVINCE

MPUMALANGA PROVINCE. DEPARTMENT OF HEALTH AND SOCIAL SERVICES Health Services: Vote 10 Public Hearings on Conditional Grants and Capital Expenditure Presentation to the Select Committee on Finance 11 May 2007. "Siyanakekela". TABLE OF CONTENETS.

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MPUMALANGA PROVINCE

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  1. MPUMALANGAPROVINCE DEPARTMENT OF HEALTH AND SOCIAL SERVICES Health Services: Vote 10 Public Hearings on Conditional Grants and Capital Expenditure Presentation to the Select Committee on Finance 11 May 2007 "Siyanakekela"

  2. TABLE OF CONTENETS • Budget and Expenditure Outcomes on Conditional Grants • Budget and Expenditure Outcomes on Capital Budget • Monitoring capacity for the financial year 2006/07

  3. Budget and Expenditure Outcomes on Conditional Grants

  4. Budget and Expenditure Outcomes: Conditional Grants

  5. Budget and Expenditure Outcomes: Conditional Grants • Of the budgeted amount of R371,716 million an amount of R351,299 million i.e. 95% was spent at financial year end. This represents an increase of 14% from the percent expenditure of the 2005/06 financial year. • Four (4) conditional grants record 100% expenditure while one (1) record 96% and one (1) records 56%. • Following grants are at 100%: • Comprehensive HIV and AIDS, • National Tertiary Services, • Hospital Revitalization, • Provincial Infrastructure.

  6. Budget and expenditure outcomes: Conditional Grants Health Professions Development and Training Grant • At 96%, The Health Professions Training and Development Grant records under spending of R2,079 million. • The unspent funds are part of the funds allocated to Philadelphia Hospital which was transferred to Limpopo Province as part of the re-demarcation of municipal boundaries. • The Department awaits a claim from the Limpopo Province to substantiate this amount. • The Department has applied for the roll over of the amount of R2,079 million.

  7. Budget and Expenditure Outcomes: Conditional Grants Forensic Pathology Services • At 56%; and a variance of R18,335 million, the expenditure on this grant is low. • The low expenditure is attributed to: • An amount of R13,205 million budgeted for infrastructural projects could not be spent because of delays in the appointment of service providers. • There were delays with the procurement of equipment (including c-arms) for R3,347 million. • Vehicles procured for R1,783 million are awaiting conversion (refrigeration).

  8. Budget and Expenditure Outcomes: Conditional Grants Forensic Pathology Services • The unspent funds are committed and Treasury approval has been requested for the roll over amount of R18,335 million. • The service providers for the capital projects (building of mortuaries at Ermelo and Secunda) have not been appointed yet. • The appointment of these contractors is expected to be finalized by June 2007. • The unspent funds are committed and Treasury approval has been requested for the roll over of the amount of R18,335 million.

  9. Challenges Conditional grants • HR capacity constraints to implement and monitor business plans adequately. • Definitions of tertiary services not standardized, therefore data collection not uniform between provinces. • Insufficient capacity (electronic systems and HR) to accurately collect and analyse data. • Recruitment and retention of professionals is a challenge impacting on delivery on certain grants such as HIV and AIDS Grant. • National short supply of specialists is a challenges on the development of tertiary services in the province.

  10. Budget and expenditure outcomes on Capital Budget

  11. Budget and Expenditure Outcomes: Capital BudgetHealth Component

  12. Challenges Capital Budget • Late appointment of contractors for infrastructural projects led to the under expenditure • Poor workmanship by contractors delays service delivery for facilities

  13. Monitoring capacity for the financial year 2006/07

  14. Monitoring Capacity • Weekly discussion sessions are conducted to monitor the progress on conditional grants • Quarterly performance reviews are conducted to monitor progress on both financial and non financial information

  15. THANK YOU

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