Budgets and Expenditure Review, KwaZulu-Natal Legislature
13 September 2007
Mister Speaker
Honourable Premier
Members of the Executive Council
Honourable Members of the Legislature
People of KwaZulu-Natal
Friends
Let me thank the Speaker, Honourable Mchunu, for the opportunity he has
afforded me to address the formal sitting of this house on the Provincial
Budgets and Expenditure Review. Our intergovernmental system calls for an
interaction between the three spheres of government. This initiative by the
government and legislature of the Province of KwaZulu-Natal is a pioneering
step towards a much deeper level of co-operative governance. We welcome this
and certainly we will learn from it.
In this year's Budget Speech in February we conveyed a strong message that
said "human life has equal worth and human beings are equally entitled to
political, economic and social rights which allow them to choose a life they
have reason to live." This is an argument that is premised on the fact that it
is obligatory for a developmental state to intervene to remove the long shadow
that history casts over the lives and opportunities for the majority of our
people.
Our Constitution provides a very good basis for us to respond to the
challenge to achieve the social cohesion and human solidarity we aspire to. We
should be mindful that we as a society do not live in the shadow of history
that dominates over the opportunities of an open society. The past four years
have seen acceleration in the progressive realisation of social and economic
rights that are enshrined in the Constitution. The best measure of whether we
are a caring democracy is in provincial spending. The Constitution gives
provinces the responsibility to fund and deliver social services. The bulk of
our explicit pro-poor policies are provincial competences.
Mister Speaker, Honourable Members, you will all be aware that KwaZulu-Natal
is the most populous of our nine provinces. About 9,9 million South Africans,
some 20,9 percent of the country's population resides in this province.
Accordingly, this province accounts for 20,7 percent of combined total
provincial expenditure.
The review we are debating today provides members of this legislature with a
barometer on progress made and whether government is providing education,
health services, access to adequate housing, social services in order to
deliver a better life to its people. The review allows members and citizens to
evaluate what gains have been made over the last four years. It allows members
to assess how the executive has performed against the targets it set itself.
For example members can check whether departments have met the targets they set
in their Annual Performance Plans for the last four years. It enables
legislators to determine whether money has been spent on what it was
appropriated for. It is in this house where the tough questions should be
coming from when Members detect failure to deliver. We have to be accountable
for the executive decisions we make and the implementation thereof.
This document enables a particular province to benchmark itself against the
other eight provinces across a range of public services covered in the sector
chapters. As a country we are also able to compare ourselves against countries
at similar stages of development and income levels.
The fact that South Africa spends a much larger proportion of its budget on
education than many middle income countries such as India, Chile and Turkey is
commendable and testimony to our commitment to deliver to the poor. The
question we must pose is whether we are getting value for money. And while we
spend more on education than most countries with similar sizes in Gross
Domestic Product (GDP) we get relatively lower outputs and outcomes than those
other countries. It suggests that we might be able to improve outputs and
outcomes by simply improving the efficiency and the effectiveness of our
education system. The challenge to all of us, not just in the education sector
is how to achieve the efficiency and qualitative improvements that are
required.
This document represents a very unique link between the policies we adopted
and the budgets allocated, on the one hand, and expenditure and outputs or the
value for money, on the other. We can use this Review to evaluate whether our
policies are delivering the intended outcomes. This is what will strengthen
accountability and enhance democracy.
We should, however, draw to the attention of this house that the review
reflects a wealth of financial information and unevenness in respect of
non-financial information, both within and between different social services.
We need to be able to answer all of the following questions about public
finance, was the allocation of financial resources adequate? Was it spent by
the department as promised? What did the money buy, beyond the concurrent
expenditures on the salaries of public servants? What is the measure of the
consequent improvements in the lives of our people?
Education
There have been positive changes in this province. KwaZulu-Natal has the
largest education budget compared to all nine provinces. The Education spend in
KwaZulu-Natal is R18,6 billion, thereby outstripping the other eight provinces
in rand value of education spend. This province spent over R56 billion on
schools education between 2003/04 and 2006/07. Over this period 4 055
classrooms were built, providing an environment that is conducive to effective
learning and teaching. The number of learners at primary and secondary schools
has increased by 64 226 as a result of re-demarcation.
KwaZulu-Natal is also making inroads in addressing the challenge of
illiteracy and early childhood development. Expenditure on Adult Basic
Education increased from R39,6 million in 2003/04 to R72,6 million in 2006/07,
while expenditure on Early Childhood Development rose from R22,6 million to
R97,7 million over the same period. These are investments in the county's most
prized asset, its people.
This province has designated 3 341 schools as 'no-fee' schools. These
schools have enrolled almost 1,2 million learners in this year alone. The
challenge we face with the 'no-fee' schools is ensuring that the quality of
education is as good as schools where fees are paid. We must ensure that the
governance structures of the no-fee schools are in place and strong enough to
hold teachers accountable and to ensure that our children receive the best
education our system has to offer. We must make sure that those learners living
in the poorest communities have at least an equal chance of making it through
our education system.
This can only be attained by improving on the quality of the oversight, this
is distinctly not a task for the education department through its district
offices alone, nor can it ever be a task for the education department and
Members of the Select Committee alone each one of us, deployed into communities
through the system of constituency offices should be called upon to account for
the quality of this public service. Oversight may appear cumbersome, but it is
the only guarantee we have of removing the long shadow of disadvantage cast by
history.
Health
Let me turn to the second largest item of expenditure on the province's
budget which is health. There have been a number of notable interventions at a
national level with the aim of improving access to health services which have
yielded positive results in all provinces. Spending on health remains strong
and by 2009/10 government will spend R500 per uninsured family per month.
Government's efforts to increase the number of professionals in the health
sector are beginning to yield results in the province. KwaZulu-Natal has been
able to take advantage of our intervention in respect of rural and scarce
skills allowances.
The health budget of KwaZulu-Natal has been growing at an average annual
rate of 8,4 per cent above inflation from 2003/04 to 2006/07. As this review
shows, primary healthcare visits now average 2,2 utilisation per person per
year. This is lower than the Western Cape's utilisation rate of 3,7.
Honourable members, this province has set the trend in terms of partnering
with the private sector to delivery more and better quality services to the
people, and at a faster pace. The Inkosi Albert Luthuli Hospital has been
recognised as a good example of a Public Private Partnership (PPP) arrangement
where the state and private sector work together to provide quality services
our people deserve. There are policy processes underway to extend this example
to other provinces.
While the review shows that the burden of disease has risen for a variety of
reasons, it also confirms that the health sector is better prepared to respond
to these challenges. The uptake of the Anti-Retroviral Treatment (ARV)
treatment programme nationally now has about 264 000 people on it, up from 143
000 a year ago. There are 28 percent or 74 000 people who are currently on
treatment in this province.
Expanded Public Works Programme
The Zibambele programme is a model Expanded Public Works Programme (EPWP),
type programme and has been used as an example to other provinces. Of the R2
billion spent nationally on the programme in 2006, R707,8 million was spent in
KwaZulu-Natal. This provided employment opportunities and income for 35 717 men
and women, the highest by far compared to other provinces.
The province needs to be commended for this sterling effort in targeting the
unskilled and unemployed in providing work opportunities. The challenge is to
continuously lift the quality of the outputs, achieving this has far less to do
with the people who work in this programme, it will only be attained if the
supply and measurement systems, which are functions of the quality of
departmental organisation can be significantly improved. But, there is also the
challenge of defining expanded public works beyond the norms of road
maintenance, we have to remind ourselves that the origins of President
Rooseveldt's New deal in the United States of America (USA) was a focus on
large-scale infrastructure programmes and even here in South Africa, some of
the large dams, such as the Hartbeestpoort Dam, just outside of Tshwane, were
built by expanded public works. In the case of the latter, it was an attempt to
provide income to poor whites after World War 2. Poverty remains a challenge to
us, and the limits to transformation are only in our imagination.
Social development
I need not remind Honourable members about the opportunities that the
shifting of the social security grant administration presents this province.
The Statistics South Africa data for 2005 indicate that the greatest number of
children could be found in KwaZulu-Natal and totals over 3,8 million children
or 21,2 per cent of total population. More than 1,7 million children aged
between 0-13 receive Child Support Grants. Child-headed households continue to
be a concern and have increased from 11 044 in 2004 to 15 152 in 2005.
During the 2005/06 financial year Government subsidised 51 children's homes
in this province which are run by private welfare organisations. Of these
homes, 13 are situated in rural areas and 38 in urban areas. Government also
manages a children's home which accommodates about 85 children of all ages.
The primary aim of homes for children in especially difficult circumstances
is to provide services to children who happen to end up in the streets and to
promote their reintegration into the community. Some of these homes also
provide a place of safety for children awaiting placement in alternative
care.
The province is experiencing an increase in the number of children with
substance abuse problems. A new treatment centre opened in Newcastle in January
2006 and is serving the surrounding areas. This is a four week residential
programme for boys under 18. Expenditure for the sub-programme: Substance
Abuse, Prevention and Rehabilitation increased from R13,8 million in 2003/04 to
R17,3 million in 2006/07. This is a great initiative, but is so obviously
inadequate to deal with the growing demand for treatment. From the young to the
olds, approximately 19 percent of the elderly in the country reside in
KwaZulu-Natal. Counselling services for the elderly totalled 30 985 or 42,3
percent of the total clients counselled in the country in 2006. This by far
outnumbers the rest of the provinces.
Expenditure on the care and services to older persons increased from R54,8
million in 2003/04 to R69,9 million in 2006/07. The budget for this programme
is projected to grow by R8 million over the MTEF to R77,9 million in 2009/10.
Yet, in relative terms, the number of facilities for care of the aged is
miniscule when compared with provinces like Gauteng and the Western Cape. The
measure of the quality of our democracy is care, and we should not be found
wanting in respect to the most vulnerable of our citizens. The provision of
social development services needs a radical overhaul not by way of copying the
most expensive systems from the world's wealthiest countries, but rather by
developing a distinctly African approach to caring that expresses unequivocally
that 'human life has equal worth.'
Conclusion
Mister Speaker, and Honourable members, as we reflect on the successes we
have achieved over the last four years we should not be complacent. Those of us
who are elected political office-bearers need to remind ourselves that we have
made a commitment to serve the people of this country and our constitution.
This task will always be difficult in a developing country, especially one
where the needs are as great as in our country.
The efficacy of any democracy depends on the degree to which elected
representatives are accountable to the electorate for the decisions they make.
This must happen here, in this legislature and our Parliament. The central
tenet of the omnibus of public sector reforms that we are implementing requires
us to be accountable. It should not be taboo for a Legislator to challenge or
question a member of the executive from his or her party for failing to deliver
on the policies adopted and the promises made. It can only strengthen our
democracy. It is only when we are able to engage in constructive and honest
debate that we can rise to the collective responsibility that our people have
entrusted us with: to deliver a better life for all. This is what democracy is
about. This is what our people expect of us, and we cannot fail them.
In the same vein civil servants who fail to meet the commitments they make
in their performance contracts, especially those who mismanage funds resulting
in departments getting disclaimers year after year do not belong in our public
service. We must commend the executive in this province under the leadership of
the Premier, Honourable Ndebele, for the decisive steps it has taken in dealing
with transgressions of the Public Finance Management Act (PFMA) by certain
government officials. We applaud this.
In conclusion, I invite members of this House to join hands and work with us
in improving our reporting and in making use of the information we are making
available in the budget documents and reports to ensure that together we can
continually assess whether we are delivering on the promises we made to our
people when they gave us the mandate to govern them for another five years.
This Review is a step in that direction.
I wish to thank you all, Ngiyabonga kakhulu!
Issued by: National Treasury
13 September 2007