The vision of the Department of Health is: A long and healthy life for all South Africans.
The department’s mission statement is: To develop a sustainable, co-ordinated, integrated and comprehensive health system at all levels of care, based on the primary health care approach through the district health system.
The main purpose of the department is to develop and implement a sustainable, co-ordinated, integrated and comprehensive health system based on the primary health care approach, which encompasses promotive, curative, rehabilitative, supportive and palliative care. This is guided by the principles of accessibility, equity, quality and efficiency, sustainability, community participation, appropriate technology, and inter-governmental and inter-sectoral collaboration.
The department provides health services primarily to the uninsured population of KZN, who comprise
about 86.6 per cent of the province’s total population of 10 694 400 (2014 Mid-Year Population Estimates, Stats SA). In addition, the department provides central health services to people beyond
provincial boundaries. The following main categories of health services provided by the department are:
Primary health care services
Primary health care services are rendered at community/household level and in fixed clinics and include the promotion of health and prevention of illness, as well as curative and rehabilitative services.
District hospitals render hospital services at a general practitioner level, while provincial hospitals render
hospital services at a specialist level. Specialised hospitals render specialised hospital services for patients
with TB, psychiatric illnesses and those patients requiring long-term or chronic step-down/rehabilitative
care. Tertiary and central hospitals render tertiary, central and quaternary hospital services at specialist
level. Central and tertiary hospitals provide facilities and expertise for sophisticated medical procedures.
Forensic pathology services
Rendering specialised forensic and medico-legal services to establish the circumstances and causes
surrounding unnatural death, to ensure integrity of forensic evidence and to provide Inspector of Anatomy
Emergency medical services
The aim of this category is to provide emergency care and transport for victims of trauma, road traffic
accidents, and emergency medical and obstetric conditions. Planned patient transport is provided for interhospital
transfer, while indigent patients are transported between clinics and hospitals
The Estimates of Provincial Revenue and Expenditure (EPRE) is a book published along with the tabling of the budget for the new financial year.
A department's programmes are the activities that it spends money on during the financial year. Different programmes have different expenditure budgets, depending on their requirements and available finances. More detail on the programmes is available in the department's Estimates of Provincial Expenditure documents.
Each chart shows the budgeted spending by each sub-programme of that programme.
Each chart shows the budgeted spending by economic classification under that Programme.
Each chart shows the budgeted spending of each Programme under that Economic Classification.
The Adjusted Estimates of Provincial Revenue and Expenditure (AEPRE) is a book published along with the tabling of the adjusted budget.
Budgeted and actual expenditure/allocations for a department can increase or decrease from year to year. Changes in expenditure for a department can be because of changes in the activities of the department, because of changes in priorities between departments, because of cost efficiencies or because of increases in the price of goods and services due to inflation.
The chart shows the department’s actual expenditure for past years, and budgeted expenditure for the current year and the upcoming three years of the medium-term expenditure framework (MTEF). By adjusting these numbers to take inflation into account, it is possible to determine if a department’s expenditure is really increasing or decreasing in real terms, as compared to the rest of the economy.
Previous financial years indicate actual expenditure while upcoming financial years indicate estimated expenditure:
National Treasury, departments and commitees are busy with different things depending on the time of year:
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