Page 169 - Provincial Treasury Estimates.pdf

Estimates of the Provincial Revenue and Expenditure (EPRE) – 2023/24 Financial Year
constrained primarily through reduced budgets and the magnitude of historical medico legal claims brought

against the department, the need to ensure uninterrupted service provision continues.

The department received an additional allocation of R1.331 billion for wage agreement and to support the
department for the compensation of employees, service backlogs including antiretroviral therapy and TB,
medicine and other goods and services, capacitate legal services and provision of energy due to load
shedding in some facilities. Within this additional allocation, there is ring-fenced amount of R30 million in

2023/24, in support of the constitutional health defences of undertakings to pay. The department’s baseline
over the MTEF has been reduced by the Microsoft Licenses function shift to the Office of the Premier.

Budget decisions were based on the available budget.

1.8 Aligning departmental budgets to achieve government’s prescribed outcomes

The departmental budget is aligned directly to the achievement of the output targets related to Outcome 2
of the National Development Plan (NDP): “a long and healthy life for all South Africans” and indirectly to
Outcomes 1, 8 and 12.

The department will reform the public health system by focusing on the following:

x Optimising the service delivery platform to improve service delivery efficiencies and effectiveness;

x Improved management especially at institutional level;

x Improved patient administration through the implementation of the Health Patient Registration Systems

(HPRS) which will identify patients accessing services, assist with planning for provision of services
based on catchment area population needs, and the tracking of patients across facilities and different
levels of care; and

x Continuing to implement the department’s e-Health Strategy for improved patient administration and

billing in the department’s facilities.

x Improved management of community-based outreach data including profiling and registration of
community members at the household level using M-Health;

x Focus on maternal and infant health care in order to reduce maternal and infant mortality; and

x More and better trained health professionals’

2. 2. Review of the current financial year (2022/23)

2.1 Key achievements

District Health Services

The Eastern Cape Department of Health (ECDOH) provides comprehensive integrated health services

that are based on the Primary Health Care (PHC) model, driven through the District Health System.
Various programmes are implemented in order to meet the strategic goals of the Department through

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