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Comments from Health on the MTBPS

Comments from Health on the MTBPS. General comments. Medium term expenditure framework Adjustment appropriation 2003/04 Direct benefit to public health Indirect benefit to public health Concerns to public health. Health Acknowledges the key initiatives i.e:

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Comments from Health on the MTBPS

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  1. Comments from Health on the MTBPS

  2. General comments Medium term expenditure framework Adjustment appropriation 2003/04 Direct benefit to public health Indirect benefit to public health Concerns to public health

  3. Health Acknowledges the key initiatives i.e: The expanded public works programme The social security programmes to support the most vulnerable Black Economic Empowerment Strengthened partnerships and local development initiatives. General Comments (2) Health Financing & Economics

  4. Indirect concerns The social sector consists of three main players i.e. Health Social Development Education A certain “competition” exist between these players. In terms of the allocation to Social Development – child support and disability grants and the allocations made available to Education, the previous balance between the Social Sector partners are disturbed. Concerns of the National Department of Health Health Financing & Economics

  5. Figure 1 Consolidated public health expenditure per uninsured person in 2002 prices (R) Health Financing & Economics

  6. Comparison between Sectors Health Financing & Economics

  7. % of GDP Health Financing & Economics

  8. Sector Comparison Health Financing & Economics

  9. 700+ clinics built serving 7m people 60%+ clinics provide PHC package per capita PHC visits: - '92/93 1.8 per year (incl. OPD) - '01/02 2.3 per year (excl. OPD) annual admissions up 100,000 since '94inpatients more gravely ill Increased service workload Health Financing & Economics

  10. Figure: Ratios of health expenditure per uninsured person of provinces to lowest spending province (100) Health Financing & Economics

  11. Figure: PHC expenditure by health district relative to a district deprivation score 2001/02 Health Financing & Economics

  12. Whilst the budgetary increases seem rosy for the health sector Upon closer reflection and in the greater context of challenges that are being experienced by Health, Insufficient resources being allocated Conclusion Health Financing & Economics

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