advertisement

funding public

56 %
44 %
advertisement
Information about funding public
Education

Published on March 5, 2008

Author: Carolina

Source: authorstream.com

advertisement

Funding Public Health Care: Constitutional constraints and budgetary processes Alison Hickey AIDS Budget Unit, Idasa 10 February, 2004 :  Funding Public Health Care: Constitutional constraints and budgetary processes Alison Hickey AIDS Budget Unit, Idasa 10 February, 2004 Handouts: Idasa Budget Guide and Dictionary Budgeting for HIV/AIDS in South Africa Where is HIV/AIDS in the Budget?: Survey of 2003 provincial social sector budgets Purpose of today’s presentation: Give you a clear picture of what Constitution says on public funding for health care, and how, in practice, budgets for health care are allocated at all levels of government Outline: 1. How govt raises funds and divides money between natl, provincial and local govt 2. Basics of the government budget process :  Purpose of today’s presentation: Give you a clear picture of what Constitution says on public funding for health care, and how, in practice, budgets for health care are allocated at all levels of government Outline: 1. How govt raises funds and divides money between natl, provincial and local govt 2. Basics of the government budget process Slide3:  The Constitution says which sphere of government can levy or collect which types of taxes. Provincial revenue: 4% own revenue, 96% from national government Flat-rate surcharges on some natl taxes. Main types of provincial own revenue: road traffic fees, hospital fees, gambling levies Local government revenue: 83% own revenue, 17% transfers Property rates, utility fees (e.g. electricity) National Revenue Fund where all money received by natl govt must be paid. Income tax, VAT, corporate tax, customs duties Slide4:  2. The Constitution also assigns specific powers and functions to each sphere of government. Education (at all levels excluding tertiary), health services and welfare services are listed as concurrent functions of natl and provincial govt. They are shared responsibilities, with national determining policy and provinces responsible for delivery. Social spending over 80% of provincial budgets Education:40% Health: 24% Welfare:19% Local govt primarily concerned with delivery of basic services including water, sanitation, electricity, and refuse collection Municipal health services undergoing changes with recent National Health Act. Slide5:  3. According to the Constitution, Section 227 (1): Local government and each province is entitled to an equitable share of revenue raised nationally to enable it to provide basic services and perform the functions allocated to it; May receive other allocations from national government revenue, either conditionally or unconditionally Slide6:  4. Parliament must pass an annual act called the “Division of Revenue” which tells how nationally-raised revenue will be shared between 3 spheres of government. Section 214 (1) Vertical split (executive/political decision) Excluding top slice: 39% national 57% provincial 4% local government Horizontal split between provinces (determined by formula) Top slice (debt service, contingency reserves) Horizontal split between municipalities (determined by formula) Slide7:  2. Conditional grants (earmarked funds from national to provinces) 5. National government sends money to the provinces in two different ways. 1. Equitable share grant Grant to each province unconditionally. Provinces free to distribute funds between departments according to their own budget processes. Technical formula to divide funds based on relative need. Biased towards poorer provinces. Funds added to the Equitable Share for HIV/AIDS is a special case. Local government revenue? :  Local government revenue? National govt provides an Equitable Share grant to each municipality. (nearly 50% of natl transfers to LG) Major conditional grants to municipalities (administered by DPLG) Municipal Systems Improvement Grant (collection capacity-building and restructuring grants; administered by DPLG) Municipal Infrastructure Grant (amalgamation of number of capital grants e.g. water, public works, electrification, transport) Slide9:  Four stages of the budget process: 1. Drafting phase 2. Legislative phase 3. Implementation (financial year begins 1 April) 4. Auditing Parallel national and provincial budget processes Slide10:  The steps in drafting the budget 1. Executive determines medium-term spending priorities. (April-Sept) 2. Natl and prov depts prepare MTEF budget submissions. (April-Aug) 3. Macroeconomic and fiscal framework and DOR debated between July and August. Budget Council makes final recommendation on DOR between provinces in Sept. DOR approved by Cabinet. Slide11:  Steps in drafting the budget, cont. 4. MTEC hearings held between Natl Treasury and separate departments. (Sept-Oct) Slide12:  Steps in drafting the budget, cont. 6. Minister of Finance presents budget in Parliament on Budget Day. Also Division of Revenue Bill. (18 Feb 2004) 7. Provincial budgets tabled in provincial legislatures. (Feb-March) Can Parliament amend the budget?:  Can Parliament amend the budget? Section 77 of Constitution gives Parliament power to amend money bills. Constitution says an act of Parliament must provide for a procedure to amend money bills in Parliament. This legislation yet to be passed. Civil society organisations interested in stronger amendment powers for Parliament. National Treasury and Parliament currently working on amendment powers legislation. For now, theoretically: Parliament cannot make changes but could vote down the entire budget. Parliament can amend the DOR Bill. * With respect to HIV/AIDS treatment and care, critical area to watch is provincial budgets—not national.:  * With respect to HIV/AIDS treatment and care, critical area to watch is provincial budgets—not national. Appendices:  Appendices The important budget documents:  The important budget documents Medium Term Budget Policy Statement (MTBPS) Budget estimates for current budget year and two following years. Includes macroeconomic projections, amount going to provinces, main policy choices Intergovernmental Fiscal Review (IGFR) Analysis of provincial expenditure by sector (health, education, welfare) Also covers municipal budgets and capital investment in local government November written by National Treasury & available from Government Printer. October Important budget documents cont.:  Important budget documents cont. Estimates of National Expenditure Budget Review Budget Speech by the Minister of Finance Available on national Budget Day from government printer: Slide21:  Abuja Declaration 2001—15% target 1. What share of the national budget is allocated for health? Slide22:  2. How much is specifically targeted for HIV/AIDS interventions? Prioritization of Health and HIV/AIDS Expenditure in SA:  Prioritization of Health and HIV/AIDS Expenditure in SA Roles and responsibilities of health departments:  Roles and responsibilities of health departments Budget Implications of Division of Roles and Responsibilities i.r.o. of Health:  Budget Implications of Division of Roles and Responsibilities i.r.o. of Health Total National health expenditure in 2003/04 = 8.4 billion National health expenditure excl. transfers in 2003/0 = 602 million Projected consolidated total provincial health expenditure in 2003/04 = 36.6 billion Consolidated Health conditional grants to provinces amount to 7.4 billion Budget Implications of Division of Roles and Responsibilities i.r.o. of Health:  Budget Implications of Division of Roles and Responsibilities i.r.o. of Health 93.3% of natl DoH budget is transfers, mainly to provincial departments (conditional grants) 88% of natl health expenditure goes to provinces as cgs National health expenditure is less than 2% of consolidated provincial and national health expenditure 98+% is spent on service delivery in the provinces (through conditional grants and equitable share allocations). Cgs about 20% of consolidated provincial health expenditure How does budget analysis fit in the oversight role of committees?:  How does budget analysis fit in the oversight role of committees? Policy Budget Service Delivery Structures and institutions for implementation Indicators? How do we measure inputs, outputs and outcomes? Impact of programme or policy Slide31:  National / Provincial budget National Budget National Vote 16. Health National Vote 16. Health Programme 2: Strategic Health Programmes National Vote 16. Health Programme 2: Strategic Health Programmes Sub-Programme 2.1: District Health Systems Examples of health policy developments impacting on budget allocations:  Examples of health policy developments impacting on budget allocations PHC: Need for new and upgraded clinics => Infrastructure Conditional Grants PHC: Negotiations around the division of responsibility around PHC => Transfer payments Nutrition Programme: Adoption of PSNP Review recommendations => Integrated Nutrition Programme Conditional Grant Hospital Services: Infrastructure backlogs => Hospital Revitalisation Grant Hospital Services: management improvement => Hospital Management and Quality Improvement Grant Examples of key health policy developments impacting on budget allocations:  Examples of key health policy developments impacting on budget allocations Personnel: distribution and scarcity of health personnel => provincial health budgets: personnel item Non-personnel inputs: increased prices of medical equipment and consumables => provincial health budgets: machinery and equipment item, stores and livestock item Legislation: Mental Health Care Act => provincial budgets: specialised hospitals sub-programme Legislation: New National Health Bill => Act => implications for national, provincial and local government responsibilities and budgets Free medical care for people with disabilities => provincial health budgets Other???

Add a comment

Related presentations

Related pages

public funding - Deutsch-Übersetzung – Linguee Wörterbuch

Viele übersetzte Beispielsätze mit "public funding" – Deutsch-Englisch Wörterbuch und Suchmaschine für Millionen von Deutsch-Übersetzungen.
Read more

Public Funding? | wer-weiss-was.de

Hey Leute, Ich arbeite gerade an einer App-Idee. Ein Freund hat mir von Public Funding erzählt, bei dem Leute Geld in gute Ideen investi...
Read more

Public library - Wikipedia, the free encyclopedia

A public library is a library that is accessible by the general public and is generally funded from public sources, such as taxes. It is operated by ...
Read more

dict.cc | funding | Wörterbuch Englisch-Deutsch

Übersetzung für funding im Englisch-Deutsch-Wörterbuch dict.cc. Alle Sprachen ... A 2010-04-16: grant / (public) funding advisor ... A 2009-12-15: funding
Read more

Funding - Wikipedia, the free encyclopedia

Funding is the act of providing financial resources, usually in the form of money, or other values such as effort or time, to finance a need, program, and ...
Read more

Public contracts and funding - European Commission

Information on the European Commission’s funding opportunities and funding recipients.
Read more

Crowdfunding – Wikipedia

Anfang 2010 nutzte mit Public Enemy eine bereits etablierte Band solch eine ... Research Funding in Open Science. In S. Bartling & S. Friesike ...
Read more

Funding for public events - RCPath

Funding for public events. The Public Engagement Innovation Grant Scheme was introduced to give financial support for the delivery of a range of pathology ...
Read more

Grant Funding for Public Agencies - BAAQMD

Learn how Bay Area public agencies can apply for funding to reduce air pollution through alternative fuel and trip reduction projects.
Read more

Prevention and Public Health Fund | HHS.gov

Previous Reporting Data. The 2015 table reflects the planned use of Prevention and Public Health Fund resources in fiscal year 2015. Information reported ...
Read more