Page 188 - Provincial Treasury Estimates.pdf

Department: +HDOWK
x Other Community Services: Rendering environmental, port health and part-time district surgeon

services, etc.;

x HIV & AIDS: Control Rendering a primary health care service in respect of HIV/Aids campaigns and
Special Projects;

x Nutrition: Reduction Rendering a nutrition service aimed at specific target groups and combines
direct and indirect nutrition interventions to address malnutrition;

x Coroner Services: Rendering forensic and medico legal services in order to establish the

circumstances and causes surrounding unnatural death; and

x District Hospitals: Rendering of a hospital service at district level.

Table 15: Summary of payments and estimates: P2 - District Health Services

Main Adjusted
Outcome Revised estimate Medium-term estimates % change from
appropriation appropriation
R thousand 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25 2025/26 2022/23
1. District Management 1 012 920 1 233 777 1 107 030 973 604 1 029 490 1 071 336 980 928 1 075 807 1 082 926 (8.4)
2. Community Health Clinics 2 862 890 2 956 236 3 196 102 2 707 170 2 728 764 2 954 606 2 776 786 3 102 515 3 135 995 (6.0)
3. Community Health Centres 1 254 401 1 276 808 1 417 103 1 389 761 1 423 538 1 414 788 1 376 780 1 485 939 1 554 088 (2.7)
4. Community Based Services 562 012 471 870 585 025 811 752 834 764 744 467 823 646 827 569 863 953 10.6
5. Other Community Services 72 687 54 342 77 412 318 099 311 846 204 159 48 700 77 019 81 888 (76.1)
6. Hiv/Aids 2 398 092 3 082 132 2 851 055 2 762 848 2 762 178 2 762 178 2 743 167 2 868 138 2 993 192 (0.7)
7. Nutrition 27 281 36 816 30 100 41 874 41 874 27 554 40 067 40 752 42 579 45.4
8. Coroner Services 117 315 124 823 137 156 112 979 116 411 131 510 115 226 119 288 124 567 (12.4)
9. District Hospitals 5 332 442 5 838 597 5 693 894 5 284 429 5 587 847 5 622 334 5 283 108 5 484 581 5 719 160 (6.0)
Total payments and estimates 13 640 040 15 075 401 15 094 877 14 402 516 14 836 712 14 932 932 14 188 408 15 081 608 15 598 348 (5.0)

Table 16: Summary of payments and estimates by economic classification: P2 - District Health Services
Main Adjusted
Outcome Revised estimate Medium-term estimates % change from
appropriation appropriation 2022/23
R thousand 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25 2025/26
Current payments 13 082 349 14 468 614 14 810 440 14 164 021 14 382 493 14 454 129 13 895 685 14 860 164 15 366 984 (3.9)
Compensation of employees 9 328 322 9 835 966 10 117 843 9 941 573 10 322 046 10 205 154 10 025 841 10 501 173 10 789 537 (1.8)
Goods and services 3 745 787 4 602 676 4 691 268 4 222 448 4 060 447 4 233 177 3 869 844 4 358 991 4 577 447 (8.6)
Interest and rent on land 8 240 29 972 1 329 – – 15 798 – – – (100.0)
Transfers and subsidies to: 462 964 462 984 113 039 102 644 315 205 339 789 118 094 97 955 102 343 (65.2)
Provinces and municipalities – – – – – – – – –
Departmental agencies and accounts – – – 15 206 15 206 15 206 – – – (100.0)
Higher education institutions – – – – – – – – –
Foreign governments and international organisations – – – – – – – – –
Public corporations and private enterprises – – – – – – – – –
Non-profit institutions 9 060 8 495 – 5 000 19 212 19 212 35 541 15 938 16 652 85.0
Households 453 904 454 489 113 039 82 438 280 787 305 371 82 553 82 017 85 691 (73.0)
Payments for capital assets 94 727 143 803 171 398 135 851 139 014 139 014 174 629 123 489 129 021 25.6
Buildings and other fixed structures – – – – – – – – –
Machinery and equipment 94 727 143 803 171 398 135 851 139 014 139 014 174 629 123 489 129 021 25.6
Heritage Assets – – – – – – – – –
Specialised military assets – – – – – – – – –
Biological assets – – – – – – – – –
Land and sub-soil assets – – – – – – – – –
Software and other intangible assets – – – – – – – – –
Payments for financial assets – – – – – – – – –
Total economic classification 13 640 040 15 075 401 15 094 877 14 402 516 14 836 712 14 932 932 14 188 408 15 081 608 15 598 348 (5.0)
Tables 15 and 16 above show the summary of payments and estimates for District Health Services per
sub-programme and economic classification. The programme’s total expenditure increased

from R13.640 billion in 2019/120 to a revised estimate of R14.932 billion in 2022/23. In 2023/24, the
budget decreases by 5.0 per cent from R14.932 billion to R14.188 billion when compared to the 2022/23

revised estimate.

Compensation of employees and goods and services, which make up current payments, are the major
cost drivers of the programme. Compensation of employees shows a negative growth of 1.8 per cent from

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