FREE STATE DEPARTMENT OF HEALTH Presentation on the Status of Conditional Grants Public Hearings on

1
FREE STATE DEPARTMENT OF HEALTHPresentation on
the Status of Conditional Grants Public
Hearings on Conditional Grants03 May 2006
2
1. Overview of Presentation

• Introduction
• Background
• Monitoring Mechanisms Implemented
• Current Status on Business Plans 2005/2006
• Actual Expenditure on Conditional Grants
• Projected Expenditure on Conditional Grants
• Capacity constraints and measures to overcome it
• Approved Business Plans
• Conclusion

3

2. Free State Department of Health Team

• The Free State Department of Health represented
  by
• Mr Sakhiwo Belot, the MEC for Health, supported
• by the following members
• Dr RD Chapman Acting Head Health
• Dr AJ Schoonwinkel Chief Financial Officer
• Mrs M Khokho Acting Executive
  Manager Clinical
• Health
  Services

4
3. Introduction

• The Free State Department of Health has been
  invited to Public Hearings on Conditional Grants
  and Capital Expenditure and to address the
  Parliamentary Committee on the following
• a) Data on trends in allocations, transfers
  actual expenditure of
• conditional grants and capital expenditure
  of the department
• b) Brief assessment on the departments
  monitoring capacity thus far, for
• 2005/06 by indicating the following
• under/over expenditure,
• capacity constraints that impacted on these
  events
• approved Business Plans

5

4. Monitoring Mechanisms

• The FSDoH implemented the following mechanisms
• to monitor Conditional Grants
• Expenditure on Conditional Grants, were based on
  approved Business Plans. (Business Plans have
  been approved)
• Allocation of Programme Manager to manage each
  Conditional Grant with the support of a
  Managerial Accountant to support the monitoring
  of spending trends. (Programme Managers have been
  appointed in writing per conditional grant)
• Monthly progress report to MEC for Health, by
  Executive Management.
• (Regular reports submitted to MEC. MEC
  health has also facilitated two joint formal
  meetings with MEC PWRT)
• Monthly Provincial Steering Committee meetings to
  monitor implementation, especially on Capital
  Projects. (Monthly meetings held)
• Presentation of full report at Quarterly Review
  Meetings. Done
• Close collaboration with National Department of
  Health and DPWRT. Done

6
5. Conditional Grants Capital expenditure
administered by FSDoH

• The following conditional grants are being
  administered by the Free State Department of
  Health
• 5.1 National Tertiary Services
• 5.2 Comprehensive HIV and Aids (Health)
• 5.3 Hospital Revitalisation
• 5.4 Integrated Nutrition Programme
• 5.5 Hospital Management Quality Improvement
• 5.6 Health Professions Training Development
• 5.7 Infrastructure Grant

7
6. Expenditure Trends over past 2 years
8
7. Actual Expenditure on Conditional Grants 31
March 2006
9
8. Projected Expenditure on Conditional Grants
Oct 2005 to March 2006
10
9. Current Status on Conditional Grants

• 9.1 National Tertiary Services
• Purpose
• To fund national tertiary services delivered in
  hospitals as identified by the Free State
  Department of Health, in order to ensure
  equitable access to basic tertiary health
  services by all South Africans.
• Funds appointments of Chief, Principal and
  Specialists Equipment Goods and Services
• Current Status according to Business Plan
• Expenditure to date on this grant, is 100.
• The expenditure was according to the service
  level agreement as signed with National
  Department of Health.

11

• 9.2 Comprehensive HIV and AIDS
  (Health)
• Purpose
• To enable the health sector to develop an
  effective response to the HIV and Aids epidemic,
  by supporting the following
• approved interventions including voluntary
  counselling and testing, prevention of mother to
  child transmission programmes, strengthening of
  provincial management, establishment of Regional
  Training Centres, post exposure prophylaxis, home
  based care and step down care to provide a
  comprehensive treatment package, and
• the implementation of the National Operational
  Plan for HIV and Aids treatment and care.
• Current Status according to Business Plan
• Expenditure to date on this grant, is at 99.
  The service is also being rendered as part of an
  integrated service at district level.
• Capacity Constraints
• Created cost centres at district level, to ensure
  expenditure from the beginning of the financial
  year.

12

• 9.3 Hospital Revitalization
  Grant
• Purpose
• To transform and modernise infrastructure and
  equipment in hospitals in line with national
  policy and to achieve a sustainable
  infrastructure from which modern equitable and
  sustainable services can be delivered.
• Current Status according to Business Plan
• The expenditure to date on this grant, is 82.
• See attached Excel document for details on
  project status.
• Capacity Constraints
• Development of a Working Agreement with Public
  Works, Roads Transport to reach consensus on
  agreed-upon targets.
• Lack of funding to complete existing projects in
  the new financial year.

13

• 9.4 Integrated Nutrition Grant
• Purpose
• To implement integrated nutrition activities
  aimed at improving the nutritional status of all
  South Africans.
• Current Status according to Business Plan
• The expenditure to date on this grant, is 100.
• The expenditure was in line with the Business
  Plan.

14

• 9.5 Hospital Management Quality Improvement
• Purpose
• To transform hospital management and improve
  quality care in line with national policy.
• Current Status according to Business Plan
• The expenditure to date on this grant, is 100.
• Expenditure was in line with the Business Plan.

15

• 9.6 Health Professional Training
  
• Development Grant
• Purpose
• To support the Free State Department of Health to
  fund service costs associated with training of
  health professionals
• To enable shifting of teaching activities from
  central hospitals to regional- and district
  facilities
• To develop and recruit medical specialists in
  under-served provinces
• To expand specialists and teaching infrastructure
  in the province.
• Current Status according to Business Plan
• Expenditure to date on the grant, is 100.
• Expenditure was in line with the Business Plan.
• The allocation on this grant is far less than the
  true provincial needs and allocations for
  training development of professionals.

16

• 9.7 Infrastructure Grant
• Purpose
• To transform and modernise infrastructure and
  equipment in hospitals in line with national
  policy and to achieve a sustainable
  infrastructure from which modern equitable and
  sustainable services can be delivered.
• Current Status according to Business Plan
• See attached Excel Document.
• Capacity Constraints
• Development of a Service Level Agreement with
  Public Works, Roads and Transport and to reach
  consensus on agreed-upon targets.
• Lack of funding to complete existing projects.

17
10. Capacity Constraints

• The ability to monitor projects and to have an
  experienced project manager on site.
• The joint planning and monitoring of projects
  with DPRT in order to have same targets for
  delivery.
• Determining the size of the projects so that
  smaller projects can be given to Health to
  project manage as minor works.

18
12. Approved Business Plans
The following Business Plans have been approved
19
12. Conclusion

• The corrective measures that have been put in
  place, have been effective and will assist to
  ensure spending of the conditional grant budget
  according to the Business Plans.

20

• Thank You
• Re a Leboha
• Contact
• Dr RD Chapman
• Free State Department of Health
• P O Box 227
• Bloemfontein
• Email Chapmard_at_fshealth.gov.za
• Tel [phone]