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Department: HealthService Delivery Measures Table 30: Selected service delivery measures for the programme: P7: Health Care Support Services Estimatedperformance Medium-term estimatesProgramme performance measures 2024/25 2025/26 2026/27 2027/28Wheelchair issued adult 19 years and older rate 69% 60% 60% 60%Wheelchair issued child 0-18 years rate 69% 60% 60% 60%Hearing aid issued adult 19 years and older rate 36% 70% 70% 70%Hearing aid issued child 0-18 years rate 69% 70% 70% 70%Percentage Order fulfilment for essential drugs at depo 70% 80% 82% 82%Percentage of availability of essential medicine at facilities 82% 80% 85% 85%Number of active patients on CCMDD 490 050 474 890 539 055 5 880 055 Table 30 above shows the key service delivery measures for Health Care and Support Services. In this programme, performance is measured by the efficiency of healthcare and support services offered, such as the supply of wheelchairs and hearing aids to patients needing aids. The performance of the Pharmaceutical Depots is measured by the fulfilment of essential drug orders and the tracer drug stock out rates. 8.8 Programme 8: Health Facilities Management Objectives: Provides new health facilities and the refurbishment, upgrading and maintenance of existing facilities. The programme has 5 sub-programmes with the following objectives: Community Health Facilities: Construction of new and refurbishment, upgrading and maintenance of existing Community Health Centres, Primary Health Care clinics and facilities. Emergency Medical Rescue Services: Construction of new and refurbishment, upgrading and maintenance of existing EMS facilities. District Hospital Services: Construction of new and refurbishment, upgrading and maintenance of existing District Hospitals. Provincial Hospital Services: Construction of new and refurbishment, upgrading and maintenance of existing Provincial/Regional Hospitals and Specialised Hospitals; and Other facilities: Construction of new and refurbishment, upgrading and maintenance of other health facilities including forensic pathology facilities and nursing colleges and schools.Table 31: Summary of payments and estimates: P8 - Health Facilities Management Outcome Main appropriationAdjusted appropriation Revised estimate Medium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/281. Community Health Facilities 215 004 186 906 207 593 375 013 441 294 439 827 449 953 590 423 531 745 2.32. Emergency Medical Rescue Service %u2013 %u2013 %u2013 4 000 %u2013 %u2013 10 000 19 000 8 360 3. District Hospital Services 567 534 595 470 621 985 586 763 528 323 526 404 622 904 563 658 665 197 18.34. Provincial Hospital Services 287 279 275 833 173 426 298 429 316 063 383 095 360 849 229 585 236 856 (5.8)5. Other Facilities 1 758 29 704 15 084 42 323 20 848 22 701 11 000 23 000 8 360 (51.5)Total payments and estimates 1 087 913 1 071 575 1 018 088 1 306 528 1 306 528 1 372 027 1 454 706 1 425 666 1 450 518 6.02024/25 Tables 31 above shows the summary of payments and estimates for Health Facilities Management from 2021/22 to 2024/25 and over the 2025 MTEF period per sub-programme. The programme%u2019s total expenditure increased from R1.087 billion in 2021/22 to a revised estimate of R1.372 billion in 2024/25. In 2025/26, the budget increases by 6 per cent from R1.372 billion to R1.454 billion when compared to the 2024/25 revised estimate due to additional funding for wage the agreement and additional funding for the Health Facilities Revitalisation Grant. 194