Question NW137 to the Minister of Health
14 October 2019 - NW137
Gwarube, Ms S to ask the Minister of Health
What amount has been spent on each pilot project of the National Health Insurance since the inception of the programme?
Reply:
The health system strengthening initiatives were implement in the NHI pilot districts. There initiatives were funded through conditional grants. The grant funding related to the following activities:
The ward based primary healthcare outreach teams which were responsible for the provision of primary healthcare to families/households; community outreach services; preventative, promotive, curative, rehabilitative and palliative services.
The Integrated school health programme focused on screening of health-related barriers to learning such as vision, hearing, cognitive, and related developmental impairments.
General Practitioners and Pharmacy Assistants were contracted to primary care facilities to support clinics in service delivery.
The ideal clinic realisation model was introduced in response to the existing insufficiencies in quality of PHC services and to lay the foundation for NHI implementation.
The centralized chronic medicines dispensing and distribution model involves the centralized dispensing of medicines for chronic stable patients and the collection of the medicine at a point close to patients,
The purpose of the health patient registration system is to serve as an online registry of all patients using healthcare services in South Africa that can be accessed at any facility to provide health workers with patients’ demographic information and their most up-to-date health records.
The stock visibility system is used in PHC clinics to monitor and report on stock availability levels for essential medicines like ARVs, TB medication and vaccines. The purpose of the SVS is to enable more informed decision-making and proactive stock management at the PHC facility level.
The infrastructure grant was intended to fund nursing college infrastructure as well as the maintenance, repair and construction of primary care facilities
The expenditure below outlines the grants allocated to the National Health Insurance as reported in Departmental annual reports over the period
Name of the Grant |
Grant Deliverables |
(R 000') 2017/18 |
(R 000') 2016/17 |
(R 000') 2015/16 |
(R 000') 2014/15 |
(R 000') 2013/14 |
(R 000') 2012/13 |
National Health Insurance |
Equipment for PHC facilities and outreach teams, training of staff in SCM, impact assessment of pilot interventions |
|
99 665 |
63 491 |
63 605 |
71 614 |
78 019 |
Ideal Clinics |
Evaluate clinics against ideal clinic criteria and support facilities to reach ideal clinic status |
26 590 |
9 792 |
|
|
|
|
Human Papillomavirus Vaccine |
Two dose vaccination |
199 534 |
189 992 |
158 719 |
189 489 |
|
|
Health Professionals Contracting |
Contracting health professionals and CCMDD |
549 035 |
361 580 |
279 780 |
R82,261 |
9 457 |
|
Health Facility Revitalisation |
Nursing Education Institutions, maintainance, repair and refurbishment |
657 099 |
686 496 |
612 623 |
292 345 |
373 483 |
|
Information Systems |
Health Patient Registration System, PHC Stock Visibility System and Hospital Stock Visibility System. |
83 807 |
|
|
|
|
|
END.