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Overview of the Provincial Revenue and Expenditure (OPRE %u2013 2025/26) 2025/26 2026/27 2027/28Department/Grant Amount Received Provincial Rollovers Total Available Actual Payments Amount Received Provincial Rollovers Total Available Actual Payments Amount Received Provincial Rollovers Total Available Actual Payments Main Appropriation Amount Received Provincial Roll overs Adjusted Appropriation Revised Estimates Medium Term Expenditure Estimates Health 5 404 485 - 5 404 485 5 288 295 5 800 826 106 393 5 907 219 5 882 574 5 414 810 31 412 5 446 222 5 445 812 5 767 664 5 767 664 - 5 767 664 5 767 664 5 898 510 5 974 784 6 245 008 2.3 685 588 - 685 588 685 510 730 829 - 730 829 730 601 725 690 - 725 690 725 692 789 942 789 942 - 789 942 789 942 775 953 731 947 765 047 (1.8) Human Resources and Training Grant: Purpose: To appoint statutory positions in the health sector for systematic realisation of the human resources for health strategy and the phase-in of National Health Insurance. Support provinces to fund service costs associated with clinical training and supervision of health science trainees on the public service platform. 459 188 - 459 188 459 081 578 756 - 578 756 578 743 576 485 - 576 485 576 510 581 770 581 770 - 581 770 581 770 596 426 613 899 641 671 2.5 District Health Programme Grant Purpose: To enable the health sector to develop and implement an effective response to HIV/AIDS. To enable the health sector to develop and implement an effective response to TB To ensure provision of quality community outreach services through ward based primary health care outreach teams To improve efficiencies of the ward based primary health care outreach teams programme by harmonising and standardising services and strengthening performance monitoring. To enable the health sector to develop and implement an effective response to support the effective. implementation of the national strategic plan on malaria elimination. To enable the health sector to prevent cervical cancer by making available Human Papillomavirus (HPV). vaccinations to all eligible girls aged 9-14 years with a single dose of HPV vaccine in all settings. 3 116 477 - 3 116 477 3 056 338 3 221 279 - 3 221 279 3 214 612 2 878 805 6 188 2 884 993 2 884 993 3 077 003 3 077 003 - 3 077 003 3 077 003 3 110 225 3 253 178 3 400 306 1.1 National Tertiary Services Grant Purpose: Ensure the provision of tertiary health services in South Africa. To compensate tertiary facilities for the additional costs associated with the provision of these services.1 101 960 - 1 101 960 1 045 792 1 148 953 53 868 1 202 821 1 177 597 1 127 765 25 224 1 152 989 1 153 056 1 255 448 1 255 448 - 1 255 448 1 255 448 1 351 007 1 309 991 1 369 236 7.6 National Health Insurance Grant Purpose: To expand the health care service benefits through the strategic purchasing of services from health care providers. 41 272 - 41 272 41 574 121 009 52 525 173 534 181 021 106 065 - 106 065 105 561 63 501 63 501 - 63 501 63 501 64 899 65 769 68 748 Human Settlements 1 923 647 274 315 2 197 962 2 145 017 2 084 281 50 744 2 135 025 2 046 069 1 830 201 - 1 830 201 1 915 615 1 879 524 1 879 524 3 433 1 879 524 1 879 524 1 880 905 1 696 694 1 773 421 0.1 1 491 219 270 494 1 761 713 1 708 805 1 542 022 50 744 1 592 766 1 592 762 1 405 922 - 1 405 922 1 405 845 1 518 104 1 518 104 - 1 518 104 1 518 104 1 572 985 1 593 320 1 665 3723.6Informal Settlements Development Partnership Grant: Purpose:To provide funding to facilitate a programmatic and inclusive approach to upgrading informal settlements. 432 428 - 432 428 432 393 458 151 - 458 151 386 059 424 279 - 424 279 492 917 361 420 361 420 3 433 361 420 361 420 307 920 103 374 108 049 (14.8)Provincial Emergency Housing Grant: Purpose: To provide funding to provinces for provision of temporary shelter assistance to households affected by disasters or a housing emergency. To provide funding to provinces to repair the damage to housing for low-income households following a disaster or housing emergency if the costs of repairs are less than the cost of relocation and provision of temporary shelter. - - - - 84 108 - 84 108 67 248 - - - 16 853 - - - - - - - - Title Deeds Restoration Grant: Purpose: To provide funding for the eradication of the pre-1994 title deeds registration backlog and the professional fees associated with it include beneficiary vrification.- 3 821 3 821 3 819 - - - - - - - - - - - - - - - - % change from 2024/25 2021/22 2022/23 2023/24 2024/25Health Facility Revitalisation Grant Purpose: To help accelerate construction, maintenance, upgrading and rehabilitation of new and existing infrastructure in Health, including Health Technology, Organisational Systems and Quality Assurance. Human Settlements Development Grant Purpose: To provide funding for the creation of sustainable human settlements.94