Health
a) What is the amount allocated to primary healthcare in the 2016/17 financial year, (b) what is the shortfall, (c) which services are effected by the shortfall, and (d) which steps are being taken by her Department to ensure that primary healthcare achieves the targeted results?
a. The total budget allocation breakdown for Programme 2 is:
|
Sub-programme |
2016/2017 |
|
2.1 - District Management |
341 455 |
|
2.2 - Community Health Clinics |
1 170 680 |
|
2.3 - Community Health Centres |
1 862 828 |
|
2.4 - Community Based Services |
193 787 |
|
2.5 - Other Community Based Services |
1 |
|
2.6 - HIV/Aids |
1 341 104 |
|
2.7 - Nutrition |
44 087 |
|
2.8 - Coroner Services |
1 |
|
Transfer Payment to Community Based Services for funding of NPOs in delivery of CBS in Metro DHS |
R62,5m |
|
Funding of Clinical Skills Development via the People Development Centre with emphasis on DHS |
R7,3m |
- Yes, there is definitely a shortfall, but it is difficult to determine the true extend of the deficit as it depends on what the standard is. Provinces use different norms, therefore the National Department must decide on proper allocations. The Department had to reduce expenditure on PHC facility care by 1.9% this year, but the expenditure for Home Based Community Care was not reduced.
- All primary care facility-based services are affected in Rural DHS, Metro DHS and the City of Cape Town. The major impact is the filling of vacant posts, as prioritisation is required across all primary care facilities.
The management teams in the Rural DHS, Metro DHS and the City of Cape Town are managing the situation on a day-to-day basis to ensure that service levels are maintained and disruption to patients are minimised.
