CONDITIONAL GRANT EXPENDITURE

Presentation to the Select Committee on Appropriations

PRESENTED BY Ms D. MAFUBELUHEAD OF DEPARTMENT

06 SEPTEMBER 2011

1

DEPARTMENT OF HEALTH

DEPARTMENT OF HEALTH-LIMPOPO

HIV/AIDS CG

EXPENDITURE TRENDS FOR HIV &AIDS CG

Year Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

Balance

R’000

% spent on allocation

% spent on transfer

2008/09 234 410 234 410 233 695 715 100% 100%

2009/10 402 133 402 133 402 132 1 100% 100%

2010/11 515 896 515 896 515 592 304 100% 100%

2011/12 624 909 124 981 120 374 504 535 19% 96%

EXPENDITURE TRENDS HIV &AIDS CG

FIRST QUARTER EXPENDITURE TRENDS FOR HIV & AIDS CG

Item Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

% spent on expenditure

% spent of transfer

2008/09 234 410 39 068 54 612 23% 140%

2009/10 402 133 74 008 95 575 24% 129%

2010/11 515 896 85 816 90 285 18% 105%

2011/12 624 909 124 981 120 374 19% 96%

FIRST QUARTER EXPENDITUR TRENDS FOR HIV & AIDS CG

Departmental Monitoring CapacityHIV & AIDS CG

• There are no capacity constraints in the monitoring of this grant.

• The program is led by the General Manager supported by three Senior Managers

• The grant has an under expenditure of 6% in the first quarter due to ARVs donated stock to the value of R36 m.

• The 1st quarter purchase of condoms not yet claimed by NDOH valued at R5m also adds to the under expenditure.

Reporting HIV & AIDS CG

• Monthly financial reports were submitted to National Department of Health as per schedule below :

Month Date submitted

April 2011 23 May 2011

May 2011 24 June 2011

June 2011 03 August 2011

PLANS TO IMPROVE HIV AND AIDS GRANT PERFORMANCE

Accelerated Expenditure Plan Amount

Linking of HIV & AIDS staff currently paid through EQ to Cond. grant R 6 m

ARV’s invoices for August to be paid in September R23 m

NHLS invoices for August that will be paid in September R5.5 m

NPO payments for the second tranche for 3 outstanding districts R30 m

Payment to National for procurement of condoms R5 m

Total R 69.5 m

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DEPARTMENT OF HEALTH-LIMPOPO

HOSPITAL REVITALIZATION GRANT

EXPENDITURE TRENDS FOR HRP CG

Year Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

Balance

R`000

% on allocation

% on Transfers

2008/09 252,479 252,479 246,374 6,105 98% 98%

2009/10 212,360 212,360 172,085 40,275 81% 81%

2010/11 323,425 274,256 234,309 89,116 72% 85%

2011/12 371,662 101,184 19,883 270,478 5% 20%

EXPENDITURE TRENDS FOR HRP CG

FIRST QUARTER EXPENDITURE TRENDS FOR HRP CG

Year Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

% on allocations

% on Transfers

2008/09 252,479 82,012 21,953 9% 26%

2009/10 212,360 64,235 22,400 11% 35%

2010/11 323,425 63,387 30,720 10% 49%

2011/12 371,662 101,184 19,883 5% 20%

FIRST QUARTER EXPENDITURE TRENDS FOR HRP CG

Departmental Monitoring Capacity

• There is insufficient capacity to monitor the projects.

• The programme is managed at the level of a manager (Deputy Director)

• Vacancy rate is at 56%

• R19, 883 ( 5%) of R101, 184 was spent, resulting in an under expenditure of R81,301.

• Lack of capacity to monitor led to delayed progress on projects which resulted in severe under expenditure

Reporting

• Monthly reports were submitted to National Department of Health as indicated:

Month Date submitted

April 2011 13 May 2011

May 2011 15 June 2011

June 2011 15 July 2011

Business or Spending plans

Quarter Planned expenditure

Actual Expenditure

% spend % to be spend

Quarter 1 101,184 19,883 5%

Quarter 2 133,170 41%

Quarter 3 93,582 66%

Quarter 4 125,027 100%

Total 371,662

Planned Intervention

• Performance Improvement Plan has been developed to attain 41%(R109.3m) of expenditure by 30 September 2011.

PLANS TO IMPROVE HRG PERFORMANCE

Accelerated Expenditure Plan Amount

Professional fees for Maphutha Malatjie OPD R 4m

Professional fees for Maphutha Malatjie Resource Center R 1,1m

Professional fees for Letaba projects R 2,3m

Professional fees for Thabazimbi Mortuary R 1.2m

Professional fees for Thabazimbi Main Hospital Buildings R 10m

Construction costs for Thabazimbi OPD and Admin Block R 14m

Construction costs for Thabazimbi Staff accommodation R 1,2 m

Transactional Advisor’s Fees for the Academic Hospital R 5,5m

Professional Fees for the Academic Hospital R 6m

Down-payment on equipment on enabling projects R 8m

Purchases of Health Technology Equipment R 3m

Final Accounts R 3m

Construction costs on the 10 hospital enabling projects on site R 22m

Organisational Development and Quality Improvement R1.9m

Invoices approved but not yet paid R26,4m

TOTAL R109,3m

DEPARTMENT OF HEALTH-LIMPOPO

FORENSIC PATHOLOGY SERVICES

EXPENDITURE TRENDS FOR FORENSIC PATHOLOGY SERVICES CG

Year Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

% on allocations

% on Transfers

2008/09 48,318 48,318 48,834 101% 101%

2009/10 35,233 35,233 34,656 98% 98%

2010/11 39,913 39,913 38,744 97% 97%

2011/12 42,308 10,600 9,976 23.6% 94.1%

EXPENDITURE TRENDS FOR FORENSIC PATHOLOGY SERVICES CG

-

10,000

20,000

30,000

40,000

50,000

60,000

2008 2009 2009 2010 2010 2011 2011 2012

Allocations (R'000)

Transfers (R'000)

Expenditure (R'000)

FIRST QUARTER EXPENDITURE TRENDS FOR HRP CG

Year Allocations

R`000

Transfers

R`000

Actual expenditure

R`000

% on allocation

% on Transfers

2008/09 48,318 8,365 9.600 19.9 114%

2009/10 35,233 8,950 8,326 23,6 93%

2010/11 39,913 6,400 7,883 19.8 123%

2011/12 42,308 10,600 9,976 23.6% 94,1%

FIRST QUARTER EXPENDITURE TRENDS FOR HRP CG

-

10,000

20,000

30,000

40,000

50,000

60,000

2008 2009 2009 2010 2010 2011 2011 2012

Allocations (R'000)

Transfers (R'000)

Expenditure (R'000)

DEPARTMENTAL MONITORING CAPACITY

• There are no capacity constraints in the monitoring of this grant.

• The program is led by the Chief Specialist who is assisted by a manager, 3 Chief Medical Officer's and 6 Mortuary managers,

• The 1,4 % Under expenditure is due to the delay in delivery of goods and services.

REPORTING FORENSIC PATHOLOGY CG

• Monthly financial reports were submitted to National Department of Health as per schedule below :

Month Date submitted

April 2011 20 June 2011

May 2011 20 June 2011

June 2011 25 July 2011

PLANS TO IMPROVE FORENSIC PATHOLOGY SERVICES GRANT PERFORMANCE

Accelerated Expenditure Plan Amount

Fast track procurement of protective clothing (Gowns and specialized gloves)

R1 m

Procurement of autopsy instruments R0.5m

Procurement of cleaning materials R1 m

Procurement of stretchers and electric saws R1 m

Total R3.5 m

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