Mpumalanga Department of Health report on
Comprehensive HIV and AIDS Grant
1
Quarter 1 expenditure as per economic classification
Financial year
Budget allocation
Actual Expenditure
% Expenditure
Compensation of
Employees
68 041 000
3 922 000
6
Goods and
services
390 415 000
72 828 000
18
Capital
1 360 000
130 000
10
Transfers
30 550 000
4 478 000
15
Total
489 615 000
81 358 000
17
2

Allocation for 2011/12
Comprehensive HIV and AIDS grant budget allocation for 2011/12 is R 489,615,000


First quarter data trends in transfers 2011/12
APRIL
MAY
JUNE
QRT 1 TOTAL
R 44,712,000
R 44, 712,000
R 44,712,000
R 134,136,000
Monthly expenditure trend for the first quarter 2011/12
APRIL
MAY
JUNE
QRT 1 TOTAL
R 7,782,000
R 48,834,000
R 24,742,000
R 81,358,000
3
Quarter 1 expenditure as compared to previous financial year
Actual
Expenditure
Variance
% Expenditure
2010/11 R 383,646,000
R 94,540,000
R 289,106,000
25
2011/12
R 81,358 ,000
R 408,257,000
17
Financial
year
Budget allocation
R 489,615 ,000
4
List of Programmes identified for financial year 2011/12
NO
PROGRAMME/
PROJECT
1
High
To increase and
Transmission support STI
Areas
intervention at
High Transmission
Areas sites.
8,410,000
Condom
To prevent new
Logistics
HIV infections by
distributing
condoms
15,817,000
HIV
To promote HIV
Counseling
awareness and
and Testing
encourage HIV
testing
32,550,000
2
3
PRIORITY/OBJECTIVE
BUDGET
ALLOCATION
QUARTER 1
EXPENDITURE
% QUARTER 1
EXPENDITURE
0
0
0
VARIANCE
0
8,410,000
0
15,817,000
0
32,550,000
5
List of Programmes identified for financial year 2011/12
NO
PROGRAMME/PR
OJECT
PRIORITY/OBJECTIVE
4
Post
Exposure
Prophylaxis
To provide Post
Exposure
Prophylaxis to
health care workers
and post victims of
sexual assault
5
6
Prevention of
mother to
child
Transmission
of HIV
Medical Male
Circumcision
BUDGET
ALLOCATION
QUARTER 1
EXPENDITURE
% QUARTER 1
EXPENDITURE
VARIANCE
788,000
O
0
11,042,000
6,784,000
61
4,258,000
16,000
0
19,484,000
788,000
Reduce mother to
child transmission of
HIV infections.
Prevent HIV through
male circumcision
and promote HCT.
19,500,000
6
List of Programmes identified for financial year 2011/12
NO
PROGRAMME/P
ROJECT
PRIORITY/OBJECTIVE
7
Anti
Retroviral
treatment
To increase ART
services and
strengthen district
health system
effectiveness
BUDGET
ALLOCATION
QUARTER 1
EXPENDITURE
339,628,000 72, 257,000
8
9
Programme Coordination,
Management monitoring and
evaluation of the
programme
functioning.
Regional
To strengthen
Training
provision and
Centre
coordination of quality
HAST training
% QUARTER 1
EXPENDITURE
VARIANCE
21
267, 371,000
21,955,000
1,463,000
7
20,492,000
28,373,000
668,000
2
27, 705,000
7
List of Programmes identified for financial year 2011/12
NO
PROGRAMME/P
ROJECT
PRIORITY/OBJECTIVE
10
Step Down
Care
Provide care to
patients who no
longer require
acute nursing but
are not ready for
full discharge from
hospital.
11
Home
community
Based Care
Provision of health
services by formal
and informal care
givers in the home
in order to
promote health.
BUDGET
ALLOCATION
QUARTER 1
EXPENDITURE
% QUARTER 1
EXPENDITURE
VARIANCE
6,705,000
111,000
2
6, 594,000
5,635,000
59,000
1
5, 576,000
8
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
PERFORMA
NCE
INDICATOR
Number of
High
Transmission High
Transmission
Areas
Area (HTA)
Sites.
Condom
Male
Logistics
condom
distribution
rate
Medical Male Number of
Circumcision male clients
medically
circumcised
Step Down
Number of
Care
Step Down
care facilities
MEASURE
MENT UNIT
ANNUAL
TARGET
QUARTERL
Y TARGET
ACTUAL
PERFORMA
NCE
VARIANCE
EXPLANATI
ON
Number of
sites
64
1
1
0
Number of
male
Condoms
distribution
rate
Number of
circumcisio
ns
14
13.5
15.7
2
Good teams
at subdistrict level
38 970
9 724
6 702
3 040
Shortage of
staff in the
MMC sites
Number of
facilities
7
1
1
0
cumulative
(
cumulative)
9
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
Condom
Logistics
PERFORMA
NCE
INDICATOR
Male
condom
distribution
rate
Number of
condoms
distributed
MEASUREM
ENT UNIT
ANNUAL
TARGET
QUARTERL
Y TARGET
ACTUAL
PERFORMA
NCE
VARIANCE
EXPLANATI
ON
Number of
male
Condoms
distribution
rate
Number on
male
condoms
distributed
14
13.5
15.7
2
Good teams
at subdistrict level
30,800,300
7,700,075
3,087,763
4,612,402
Number of
female
condoms
distributed
40 000
10 000
0
10 000
Stock was
received
from the
National
Department
of Health for
the 1st
quarter
Stock was
not received
from the
National
Department
of Health for
the 1st
quarter
10
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
HIV
Counseling
and Testing
PERFORMA
NCE
INDICATOR
Number of
clients
tested for
HIV
MEASUREM
ENT UNIT
ANNUAL
TARGET
QUARTERL
Y TARGET
ACTUAL
PERFORMA
NCE
VARIANCE
EXPLANATI
ON
Number of
clients
tested
1,095 823
219 164
212 589
6, 575
Testing rate
100%
100%
97%
3%
Shortage of
teams to do
outreach to
hard to find
communitie
s e.g. farms
Shortage of
teams to do
outreach to
hard to find
communitie
s e.g. farms
Number of
clients
1,095 823
223 744
223 800
56
15 months
HCT target
HCT Testing
rate
Number of
clients
screened
for TB
15 months
HCT target
11
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
Prevention of
mother to
child
Transmission
of HIV
PERFORMA
NCE
INDICATOR
Proportion of
pregnant
women tested
through
MEASUREM
ENT UNIT
ANNUAL
TARGET
QUARTERLY
TARGET
VARIANCE
EXPLANATI
ON
100%
ACTUAL
PERFORMA
NCE
99.4%
Proportion of
pregnant
women
testing for
HIV
100%
0.6%
100%
100%
95.4%
4.6%
Missed
opportunities
by clients
visiting facility
1st time when
in labour. and
by a facility
during post
delivery care.
AZT uptake
rate
Baby NVP
uptake rate
100%
100%
96%
4%
Health care
PICT
Antenatal
client initiated
on AZT
during
antenatal
care rate.
Baby
Nevirapine
uptake rate.
12
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
PERFORMAN
CE
INDICATOR
MEASUREME
NT UNIT
ANNUAL
TARGET
QUARTERLY
TARGET
ACTUAL
PERFORMAN
CE
VARIANCE
Anti
Retroviral
treatment
Number of
facilities
providing
ART
(Services
Sustained)
Number of
patients
remaining on
ART
Number of
hospitals
Number of
clinics
33
33
33
0
283
84
84
0
Number of
adults
124 070
102 492
112 508
9 016
13,785
8 912
9 302
390
(Cumulative
figure )
Number of
children
EXPLANATIO
N
Increased
number of
ART facilities
improved
access to
service
delivery.
(Cumulative
figure)
13
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
PERFORMA
NCE
INDICATOR
MEASUREM
ENT UNIT
ANNUAL
TARGET
QUARTERL
Y TARGET
ACTUAL
PERFORMA
NCE
VARIANCE
Post
Exposure
Prophylaxis
Number of
facilities
offering PEP
services
100%
100%
100%
0
100%
100%
100%
0
Home
community
Based Care
Number of
active
community
caregivers
receiving
stipends
% of
hospitals
% of PHC
clinics
offering PEP
services
Number of
stipends
paid
2 273
2 273
2 273
0
EXPLANATI
ON
14
Performance indicator and targets 1st quarter 2011/12
PROJECT
NAME
PERFORMAN
CE
INDICATOR
MEASUREM
ENT UNIT
Programme
Number of
Posts filled
Management management
positions
filled .
Regional
Number of
Number of
Training
staff trained
staff trained
Centre
on HIV&AIDS
and other
related
programmes
Number of
nurses
trained on
NIMART
Number of
nurses
trained
ANNUAL
TARGET
QUARTERLY
TARGET
ACTUAL
PERFORMA
NCE
VARIANCE
EXPLANATI
ON
24
24
2
20
Slow
recruitment
processes
6 800
1 700
1 234
466
600
100
70
30
Difficulties in
getting
targeted
group due to
shortage of
staff in
facilities.
Difficulties in
getting
targeted
group due to
shortage of
staff in
facilities.
15
Challenges and Remedial Steps.
CHALLENGES
REMEDIAL STEPS
Delays in appointment of personnel for the Fast track appointments.
Medical Male Circumcision, High
Transmission Areas and for programme
management support in the districts and
sub-districts.
Non delivery of condoms to the province
due to slow registration of condom
suppliers on the provincial data base.
Follow up registration of six Condom
Suppliers on the provincial data base with
Supply Chain. Only one supplier is
successfully registered currently.
Under expenditure on ART drugs and test Savings will be shifted to needy
kits due to donations.
programmes within the grant.
16
Monitoring and Evaluation
• Monthly and quarterly reports required in compliance with DoRA have been
submitted to National department of Health on time according to DoRA report time
frame.
• The provincial office receives confirmation of receipt from National Department of
Health.
• The province conducts quarterly reviews of the programme and is also supported by
the National Department of Health teams.
• Sub- programme managers conduct support visits to the facilities
17
Deviation from business plan
None.
18
Thank you.
19