The vision of the Department of Health is: Optimal health for all persons in KwaZulu-Natal.
The department’s mission statement is: To develop and implement a sustainable, co-ordinated, integrated and comprehensive health system at all levels, based on the primary health care approach through the district health system, to ensure universal access to health care.
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 87.5 per cent of the province’s total population of 10 919 077 (2015 Mid-Year Population Estimates, Stats SA). In addition, the department provides central health services to people beyond provincial boundaries. The main categories of health services provided by the department are as follows:
Estimates of Provincial Revenue and Expenditure
Primary health care services
Primary health care services are rendered at community/household level by community outreach teams
and mobile clinics and in fixed clinics and community health centres. Services include health promotion
and prevention, screening and early detection of health conditions or risk factors, referral and curative and
District hospitals render hospital services at a general practitioner level, while provincial hospitals render
hospital services at a specialist level. District hospitals provide clinical outreach services to primary health care (PHC) clinics. 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.
Tertiary and central hospitals also provide clinical outreach services to provincial and district hospitals and
participate in research to improve evidence-based practice.
Forensic pathology services
This category renders specialised forensic and medico-legal services including establishing the
circumstances and causes surrounding unnatural death, ensuring the integrity of forensic evidence and
providing an Inspector of Anatomy Services.
Emergency medical services
This category renders emergency care for trauma patients including patients from road traffic accidents,
and provides emergency transport for emergency medical and obstetric patients. Planned patient transport
is provided for inter-hospital 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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