1. 03 SEPTEMBER 2008 2008/09 FINANCIAL YEAR
DEPARTMENT OF HEALTH AND SOCIAL DEVELOPMENT
FIRST QUARTER REPORT TO THE SELECT COMMITTEE ON FINANCE
CONDITIONAL GRANTS AND CAPITAL EXPENDITURE
03 SEPTEMBER 2008
2008/09 FINANCIAL YEAR
PRESENTED BY
Dr. DLAMINI J.V
HEAD OF DEPARTMENT

2. SUMMARY OF EXP FOR THE FIRST THREE MONTHS VOTE 7: HEALTH

3. VOTE 7: HEALTH: EXP. SUMMARY FOR EQUITABLE SHARE AS AT 31/07/2008

4. IMPACT OF THE OSD FOR NURSES ON THE 2007/08 EXPENDITURE AND 2008/09 BUDGET AND THE MTEF
The shortfall in the previous financial year 2007/08 resulted in the department withholding payments for creditors in order to process salaries to avoid over expenditure and overdrawing of the bank account.
The unpaid accounts for 2007/08 and the shortfall for 2008/09 is now weighing heavily in the current personnel budget to the extend that the budget for compensation of employees is expected to overrun by not less than R329 million.
Secondly the Province was beginning to lose medical officers who had completed their internship to other Provinces due to the fact that they were being started at level 10 compared to the Province which was starting them at level 9
A decision was taken at a National level as a retention strategy by Provinces to adjust all Doctors who had completed community service to start at level 10
The department had no option but to implement the decision starting January 2008 although there was no funding for it

5. VOTE 7: HEALTH: PERSONNEL PROJECTIONS FOR 2008/09

6. % SHARE OF HEALTH TO TOTAL PROVINCIAL BUDGET

7. CONDITIONAL GRANT EXPENDITURE FOR THE FIRST THREE MONTHS 2008/09

8. HIV/ AIDS

9. Notes on HIV/AIDS
Late submission of claims by the non-profit institutions in the quarter, but follow ups are being made

10. FORENSIC PATHOLOGY SERVICES

11. NATIONAL TERTIARY SERVICES

12. HEALTH PROFESSIONALS TRAINING AND DEVELOPMENT

13. HOSPITAL REVITALISATION

14. Notes on Hospital Revitalization
The Maphutha Malatji hospital project is behind schedule (physical progress of 18% instead of 30%), due to late appointment of contractors.
The project at Nkhesani Hospital is also behind schedule due to poor performance by the contractor.

15. INFRASTRUCTURE ISSUES
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16. MONITORING MECHANISMS
Monthly reports for conditional grants are prepared and submitted to Provincial Treasury and National department of Health.
Also the Departmental performance reviews are held to asses the actual expenditure, analytical projections and progress towards achieving the set target on the business plans as well as infrastructure plans.

17. THANK YOU
THE END