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DEPARTMENT OF HEALTH. CONDITIONAL GRANT EXPENDITURE Presentation to the Select Committee on Appropriations PRESENTED BY Ms D. MAFUBELU HEAD OF DEPARTMENT 06 SEPTEMBER 2011. Department of Health- limpopo. Hiv /aids cg. EXPENDITURE TRENDS FOR HIV &AIDS CG. - PowerPoint PPT Presentation
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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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