Health

National Department Budget for 2025-26 http://www.health.gov.za
Vote purpose Lead and coordinate health services to promote the health of all people in South Africa through an accessible, caring and high-quality health system based on the primary health care approach.  Vote mandate The Department of Health derives its mandate from the National Health Act (2003), which requires that it provides a framework for a structured and uniform health system for South Africa and sets out the responsibilities of the three levels of government in the provision of health services. Its mission is to improve health by preventing illness and disease, and promoting healthy lifestyles. It aims to consistently improve the health care delivery system by focusing on access, equity, efficiency, quality and sustainability.
The Budget Cycle
Plan

2025-26 Budget

The Estimates of National Expenditure (ENE) is a book published along with the tabling of the budget for the new financial year.

Spending plans by programme and sub-programme

A department's programmes are the activities that it spends money on during the financial year. Different programmes have different budgets, depending on their objectives and available budgets. More detail on the programmes is available in the department's Estimates of National Expenditure documents.

All Programmes

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Classification of spending items

In addition to exploring the department budget by programmes, the budget is classified according to Economic Classification.

The Economic Classification of a department's expenditure distinguishes between various categories of current expenditure and capital expenditure. The purpose of the economic classification is to categorise transactions according to type of object or input, such as compensation of employees or capital assets.

This visualisation highlights how many categories of expenditure there are for this department at Economic Classification level 4, and which ones are the biggest. year -- 2025-26

Programme spending under economic classifications

Budget programmes will differ in composition of spending, from compensation of employees, transfers to other agencies and goods and services, depending on their objective.

Select an Economic Classification to filter the data in this chart and see how much programmes spend on that category.

2025-26 Adjusted Budget

The Adjusted Estimates of National Expenditure (AENE) is a book published along with the tabling of the adjusted budget.

Budget changes in the Adjusted Budget

These charts show changes to the spending plans originally published in the Estimates of National Expenditure. Details of these changes are published in the Adjusted Estimates of National Expenditure.

Implement
Review

Planned compared to historical expenditure

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:

Year Phase

Budgeted and actual expenditure comparison

Compare the adjusted appropriation to the main appropriation to see whether changes were made in the adjustments budget to the appropriations set out in the budget. The audited outcome shows what was actually spent.

Note: Direct charges against the National Revenue Fund are excluded.

Read more in the Annual Report on the department's website.

Budgeted and actual expenditure comparison by programme

Administration
Communicable and Non-communicable Diseases
Health System Governance and Human Resources
Hospital Systems
National Health Insurance
Primary Health Care