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Health budgets

The latest health budget highlights significant funding increases for previously disadvantaged provinces like Mpumalanga (22.7%), Northern Cape (22.1%), North West (20.9%), and Eastern Cape (16.9%). An additional R500 million is set to rise to R1 billion annually to enhance rural incentives and address scarce skills in health. Hospital revitalization funding triples to R3 billion, while primary health care funds rise to R7 billion. New strategies for HIV/AIDS care, nutrition programs, and retention of healthcare professionals are also focused on overcoming existing inequities.

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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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