Page 189 - Provincial Treasury Estimates.pdf

Estimates of the Provincial Revenue and Expenditure (EPRE) – 2023/24 Financial Year
R10.205 billion to R10.025 billion when compared to the 2022/23 revised estimate due to a high revised

estimate as a result of a 2022/23 additional allocation to deal with the COVID-19 pandemic.

Goods and services shows a negative growth 8.6 per cent from R4.233 billion to R3.869 billion when
compared to the 2022/23 revised estimate due to reprioritisation to fund medical equipment within the

programme.

Transfers and subsidies show a negative growth of 65.2 per cent from R339.789 million to
R118.094 million when compared to the 2022/23 revised estimate due to high revised estimates in 2023/24
as a result of payment of medico legal claims.

Payments for capital assets show a positive growth of 25.6 per cent from R139.014 million to
R174.629 million when compared to the 2022/23 due to funds reprioritised for medical equipment to
monitor high risk pregnancies, new-borns and children such as incubators, CPAP compressors and

diagnostic sets.

8.2.1 Service Delivery Measures

Table 17: Selected of service delivery measures for the programme: P2 - District Health Services

Estimated
performance Medium-term estimates
Programme performance measures 2022/23 2023/24 2024/25 2025/26
Ideal clinic (IC) status rate 6% 31% 39% 49%
Patient experience of care satisfaction rate 86% 86% 87% 88%
Hypertension new client 18 years and older detection rate 0.8% 1.7% 1.8% 1.9%

HIV test done – sum 960 683 1 697 542 1 736 133 19 040 000
ART adult remain in care rate (12 months) 66% 95% 95% 95%
ART child remain in care rate (12 months) 80.5% 95% 95% 95%
TB/HIV co-infected client on ART rate 93% 95% 95% 95%
Immunisation under 1 year coverage 83% 89% 90% 90%
Child under 5 years diarrhoea case fatality rate 1% 2.3% 2.3% 2.3%
Table 17 above shows high level of service delivery measures for District Health Services, which is the
main service delivery programme of the department. Due to the nature of services provided, various

performance criteria, such as the utilisation rate of facilities and provincial expenditure per uninsured
persons are used. To assess progress made in the reduction of HIV/AIDS, total patients on ART are
monitored. The performance of district hospitals is measured by expenditure per day equivalent (PDE),

average length of stay and bed utilisation rates.

8.3 Programme 3: Emergency Medical Services

Objectives: The rendering of pre-hospital Emergency Medical Services including Inter-hospital Transfers
and Planned Patient Transport. The programme comprises of two sub-programmes with the following
objectives:

x Emergency Transport: Rendering Emergency Medical Services including ambulance services,
special operations, communications, and air ambulance services; and

x Planned Patient Transport: Rendering Planned Patient Transport including local outpatient transport

(within the boundaries of a given town or local area) and inter-city/town outpatient transport (into
referral centres).

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