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Health Systems Trust's District Health Barometer 2008/09 to be published exclusively online and on CD
District health managers and policy makers across South Africa and world-wide will soon be able to enjoy internet access to draft chapters of the District Health Barometer 2008/09.
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Part A: Indicator Comparisons by District
1. Input indicators
In 2008/09 the District Health Services Programme (Programme 2) spent R31.4 billion1 on health care according to Treasury's Provincial Budgets and Expenditure Review2. This is up from R18.4 billion in 2005/06 and is estimated to reach R41 billion in 2011/12 the significant growth attributable to the increased spending on primary health care and HIV/AIDS. In the sections of this chapter that follow, pertinent finance indicators are highlighted and the R31.51 billion expenditure is broken down, per district, within South Africa.
The District Health Barometer (DHB) reflects only financial data from Programme 2 (District Health Services). Table 1, Budget programme structure for provincial health expenditure, depicts what is included in Programme 2 and also lists the sub-programmes. The per capita cost of delivering Primary Health Care services at district level provides insights into equity and efficiency of the country's health services, as well as providing a useful measure of comparison. In the first two sections of this input indicators' chapter, per capita expenditure (PCE) is looked at in two ways - one including all District Health Services expenditure (total PCE) and the other, a subset of the first, is based on selected non-hospital3 expenditure (non-hospital PCE). Both types of PCE include nett Local Government expenditure on PHC.
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Recent substantial increases in international attention to health have been accompanied by demands for statistics that accurately track health progress and performance, evaluate the impact of health programs and policies, and increase accountability at country and global levels. The use of results-based financing mechanisms by major global donors has created further demand for timely and reliable data for decision-making. In addition, there is increasing country demand for data in the context of health sector strategic plans, including in countries that have established International Health Partnership (IHP+) compacts.
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26 January 2010
Good afternoon ladies and Gentlemen
Thank you for responding to our invitation. You are joining us here at the end of three days of intensive deliberations.
We gathered as the National Health Leadership together with International Experts from more than eight different countries chosen because those countries have experience in dealing with many of the major health policy challenges we, as South African, are also faced with.
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At its 20th Board meeting in Addis Ababa, Ethiopia, last week, the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) affirmed its commitment to joint collaboration with global health partnerships on health systems strengthening. In addition to strong working relationships with public-private partnerships such as Stop TB, Roll Back Malaria and UNITAID, the Global Fund works closely with other global actors including GAVI, WHO, the World Bank, UNAIDS and, increasingly, with newer health system-focused partnerships such as the International Health Partnership (IHP+), the Global Health Workforce Alliance (GHWA), as well as HMN.
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