Health budget speech tabled by Limpopo MEC for Health and Social Development, Mrs Miriam Segabutla

Honourable Speaker
Honourable Premier
Members of the Executive Council
Chief Whip of the ruling party
Chairperson of the Portfolio Committee on Health and Social Development
Members of the Provincial Legislature
Members of the executive management of the department
Chief Executive Officers (CEOs) of our hospitals and other heads of the Health and
Social Development institutions
Ladies and gentlemen

As we present this budget vote, we stand on the shoulders of Nelson Mandela whose contribution to the freedom of South Africa is unsurpassed. Like the Newtonian expression, “If I have seen further it is only by standing on the shoulders of giants and as Limpopo people we know we are standing on the great shoulders of our stalwarts and veterans of our struggle.

The African National Congress (ANC) led government has identified health and rural development amongst others, as major key priority areas for the current term and beyond. This means that the level of services given to our people in these areas must be improved and accelerated. We owe it to the past, present and future generations to ensure that the enormous responsibility that is put on our shoulders, to lead and champion the fight for quality health care and better the lives of ordinary people in Limpopo, is executed.

President Jacob Zuma puts it very clearly that we will know for sure that we have achieved something when we no longer have long queues in our hospitals, when our people are attended to fast, when there are sufficient numbers of medical personnel at all our health institutions and when hospitals are renovated, clean and well maintained.

This to us means that although huge improvements have been registered since the 1994 democratic advancement, a lot still needs to be done to re-double our progress and accelerate delivery of these basic services to our people.

Last month, the Premier of our province, Honourable Cassel Mathale, stood before us in this very August House and reminded all of us that the time of action is now. He equally emphasised on the need to deliver basic services to our people, reminding all and sundry that this is a government of the people, by the people, for the people. It is a government that will deliver unconditionally to the people. We welcome the call by the Premier and are ready to pull up our socks and deliver.

Indeed we can no longer postpone, the time has come for us to accelerate the delivery of services to our people. The department’s budget allocation responds to both the President and the Premier clarion call of working together to better the living conditions of the people, especially the poor and the most vulnerable.

Honourable Speaker

On vote seven (Health), the department has aligned itself to the following ten-point plan:
* Provision of strategic leadership and creation of social compact for better health outcomes
* Implementation of the National Health Insurance (NHI)
* Improving the quality of health services
* Overhauling the health care system and improving its management
* Improved human resources planning, development and management
* Revitalisation of infrastructure
* Accelerated implementation of the HIV and AIDS strategic plan and the increased focus on tuberculosis (TB) and other communicable diseases
* Mass mobilisation for the better health of the population
* Review of drug policy
* Strengthening Research and Development.

Honourable Speaker

One of the requirements in the transformation of the health sector is to make it more accessible to poor rural communities in our province. This is guided by the need to have a proper implementation of an integrated district health system, whereby both primary health care and district hospital services are integrated for the delivery of better health care services for all.

The department has moved swiftly to strengthen the leadership at district level to coordinate and provide strategic support. This is done with the understanding that the district is a delivery vehicle of primary health care. Senior management posts have already been advertised and we are in the process of appointment.

In improving the quality of health care services and overhauling the health care system, the department has identified the following areas as crucial in both our primary health care facilities and hospitals:
* Improvement of patient safety
* Cultivation of positive and caring attitude among health care providers
* Improvement of medication availability at all health facilities
* Reduction of patient waiting time
* Infection prevention and control
* Improvement of cleanliness at all health facilities.

We are also strengthening the system by assigning each senior manager to a hospital and its satellite clinics. This will form part of the performance agreement for all SMS members.

Honourable Speaker

The department has witnessed some challenges that are equally experienced by communities through unannounced visits to our health institutions. The department in conjunction with the national Department of Health’s office of standards is in the process of assessing the relevant domain service standards in our institutions and proposing quality improvement plans.

Honourable Speaker

The department continues to provide tertiary and academic services at the Pietersburg-Mankweng Hospital Complex. The provision of academic services has in the immediate past financial year been extended beyond the complex to include the five regional hospitals. This has been given a shot in the arm through the signing of a Memorandum of Agreement between the department and the University of Limpopo on 26 February 2010. The agreement further entails the establishment of a medical school in the province. The discussions are at an advanced stage between the department and the University of Limpopo and we will be unveiling the additional plans and details thereof by the end of the 2010/11 financial year.

Facility revitalisation programs

Honourable Speaker
It is a pleasure to announce that the Pietersburg-Mankweng Research and Ethics Committee have been accredited by the National Health Research Ethics Council. Research as a priority has recorded significant growth, with 40 research projects approved in 2008/09 to 104 projects approved in 2009/10.

Honourable Speaker

We are delighted as the department to inform the house that we are one of the leading departments in the country on Tele-Medicine. Currently, we have four existing sites. In the 2010/11 financial year, we will be adding 10 more sites. This is a joint venture between the department and the following partners:
* The People's Republic of China
* South African Research Council
* State Information Technology Agency (SITA)
* The Department of Science and Technology.

This initiative improves patients’ management from remote areas by enabling consultation with specialists at the complex without having to travel long distances. The decentralisation of forensic pathology services has been finalised and will be implemented with effect from 1 April 2010 at the following nine hospitals: Musina, Ellisras, Pietersburg, Letaba, Lebowakgomo, Mokopane, Elim, Kgapane and Maphutha Malatji.

Honourable Speaker, in line with the implementation of the Millennium Development Goals, the department is focusing on the following:
* HIV and AIDS and TB management and care On 1 April 2010, the department will be implementing new guidelines on management of patients with HIV and AIDS following the pronouncement by the State President, Honourable Jacob Zuma, during the World AIDS Day 1 December 2009.

All HIV positive pregnant women with CD4 count equal or less than 350 will be started on antiretrovirals (ARVs) irrespective of any AIDS defining symptoms.

Furthermore, children born of HIV positive women will also be put on ARVs and will be reviewed on a six-monthly basis. The 2008/09 ante-natal sero-prevalence report puts the country at a prevalence rate of 29.3 percent. The province is ranked third with a prevalence rate of 20.7 percent. By the end of the 2010/11 financial year, the department will increase access to ART sites from sixty six (66) to one hundred and six (106) targeting 74 926 people. All health facilities are currently providing Prevention of Mother to Child Transmission (PMTCT) dual therapy and HIV Counselling and Testing (HCT).

The TB cure rate improved from 61.7 percent in 2008/09 to 67.3 percent in 2009/10. This figure still represents an under-achievement as looked against the national target of 85 percent. The TB defaulter rate is still high at 7.9 percent and the plan is to reduce it to 6.5 percent. The department shall implement the tracer team project to work with communities and also strengthen the referral system. HIV Counselling and Testing (HCT) have been provided to 87 percent (5129 out of 5859) of the registered TB patients and this number will continue to increase.

Reduction of infant and child mortality rate

The department is committed to reducing infant and child mortality rate through preventative measures and continues to implement the Expanded Program on Immunisation (EPI). The plan is to increase the current coverage from 83.5 percent to 90 percent. Over and above immunisation services, our facilities are also providing vitamin A supplementation.

The department is encouraging mothers and communities in general to bring children to health facilities for immunisation.

Cholera, malaria and pandemic influenza A (H1N1) outbreaks

Honourable Speaker,

The Department experienced cholera, measles, malaria and Pandemic Influenza A H1N1 outbreaks in the financial year 2009/10. However, we managed to contain the outbreaks within acceptable standards with lower case fatalities because of the preparedness and quick response of our outbreak response teams.

The department is one of the strategic partners in the preparation of the prestigious FIFA World Cup 2010 to be held between June and July 2010. As part of the pro-active strategy, we will embark on the mass immunisation campaigns between April and May 2010 before the FIFA World Cup tournament starts, targeting the following:
* Polio
* Measles
* Vitamin A supplementation and de-worming of children less than 15 years.

During the same period we shall also vaccinate all pregnant women, patients with chronic lung and heart conditions, frontline healthcare workers, HIV and AIDS positive children less than 15 years against the Pandemic Influenza A H1N1. The department further encourages members of the community to respond quickly and act swiftly to any suspicious signs and symptoms that may be linked to the above conditions.

Maternal deaths

Honourable Speaker

Maternal deaths remain another area of great concern since there has been an increase in the previous financial years. During the financial years 2005 to 2007, the department has seen an increase in the maternal mortality ratio of 150 per 100 000 live births to 183 per 100 000 live births.

The increase is attributed to the shortage of skilled healthcare professionals and inadequate implementation of protocols and guidelines.
The department is implementing the outreach programs to strengthen implementation of protocols and guidelines in facilities providing maternal care services as per the recommendations of the saving mothers’ report. Over and above that, these outreach programs are ongoing and assist in raising awareness to both communities and women in general and pregnant ones in particular. Communities in general and women in particular are encouraged to visit health facilities to have their health status regularly checked.

Recruitment and retention strategies

Honourable Speaker

The department has made significant progress from 1994/95 to 2009/10 financial years across a wide range of services and systems for the fulfilment of its mandate. During the initial stages of the development of the department, the focus was on staff development, human resource skills and performance audits, personnel evaluation and training. The department recognised the need for the establishment of corporate identity, ethos and values, given the integration and amalgamation of the previous administrations.

One of the priorities when the ANC-led government got into power in 1994 was to improve patient referral hierarchy in the province. In 1994/95 financial year, only six clinical departments were functional in Pietersburg/Mankweng Tertiary Complex with a total of nine specialists. The number of clinical departments has since increased to twenty-six (26), with eighty-five (85) specialists, which contributed to the reduction of patients’ referral to Gauteng Province from 1 911 in 2007/08 to 1 653 in 2009/10.
9
Medical officers in the same period increased from four hundred and sixty (460) to one thousand and seventy-six (1 076). Nursing personnel has increased from four thousand seven hundred (4 700) to fourteen thousand three hundred and ten (14 310) in 2009/10. Although the province has experienced a steady growth in the number of health professionals, quality of care is still a major challenge. This is aggravated by the shortage and difficulty in recruiting and retaining health professionals especially doctors and pharmacists.

The department is currently recruiting retired health professionals to take up term contract employment in order to strengthen human resource in our various health institutions. Let me take this opportunity once more to invite duly registered health professionals who would like to join the department to contact any of our health institutions as a matter of urgency. We need more hands on the deck to improve the quality of our healthcare system in the province. As mentioned earlier, the shortage of medical personnel is one of the major challenges we face. Hence we are busy recruiting and trying to retain medical personnel for all our hospitals.

We will, however, still conduct the necessary checks and screening to ensure that we have the right people to do the right jobs. As a way of addressing recruitment and retention challenges, the department has embarked on the following strategies:
* The introduction of rural and scarce skills allowances and Occupational Specific Dispensation (OSD)
* Government to government agreements on the recruitment of health professionals, including international recruitment from targeted countries
* United Nations Development Program (UNDP), specifically the United Nations Volunteers (UNV) project wherein an agreement has been reached to recruit medical doctors, clinical engineers, pharmacists and specialist nurses to be placed within health facilities in the province
* Facilitation of the return of health and social services professionals who have left the profession and the country through the utilisation of South African embassies of the host countries
* Advertisement of posts for health and social services professionals in the print media and appropriate medical, nursing, pharmacy and international journals including electronic media.

For the 2010/11 financial year, the department has committed an amount of R370 million for filling of critical posts. Of this amount, a total of R301 million has been allocated for the recruitment of health professionals, R15 million for social services professionals and the balance of R54m for critical support staff.

As an effort to increase the number of health and social services professionals in the province, the department has set aside a budget for the bursary scheme to provide financial support to needy students. For vote seven (Health), the budget increased from R18 million in 1996/97 to R122.5 million in the 2010/11 financial year. For vote 12 (Social Development), the budget increased from R1 million in 2005/06 to R21 million in 2010/11 financial year. These matric and university students are required to sign contracts to provide services on completion of studies for the period funded.

Social work professionals appointed on permanent basis have increased from two hundred and seventy nine (279) to eight hundred and eleven (811) between the 1994/95 to 2009/10 financial years. The department started implementing social auxiliary work learnership in 2008/09 financial year as a means to complement the shortage of social workers. To date, hundred and eighty (180) learners have been enrolled of which fifty (50) have completed the program and appointed. A total of 250 learners will be enrolled on social auxiliary work leanerships for 2010/11.

Infrastructure development and management

Honourable Speaker

During the 2009/10 financial year, the department has completed the construction and upgrading of fifteen (15) clinics, one health centre, three (3), Emergency Medical Services (EMS) stations, three (3) Forensic Pathology Services (FPS) facilities, one hundred and thirty seven (137) staff accommodation units, two (2) community rehabilitation centres (CBR’s), Polokwane Place of Safety and eleven (11) Integrated Social Development facilities. The department further completed the upgrade of the electrical supply at Pietersburg Hospital. In addition, Dilokong Hospital, which is under the facility revitalisation program, has also been completed.

For this financial year, the department will focus on the completion of the following facilities: Thaba Leshoba Health Centre, eighteen (18) clinic upgrades, four (4) new clinics, four (4) Malaria facilities, four (4) EMS stations, Thohoyandou and Mtsetweni Children’s Homes upgrade projects, four (4) community based rehabilitation centres and two (2) drop in Centres.

The department will also commence with the construction of the EMS provincial office, the Malaria Insect Breeding Facility and Laboratory in Tzaneen and the extension of the MDR-XDR Unit in Modimolle from a 50 bedded capacity to a 100 bedded capacity, and the rebuilding of Bela Bela clinic.

In addition, the department is planning to construct two (2) additional victim empowerment program centres, a provincial treatment centre, eighteen (18) staff accommodation units, three (3) drop in centres, Iris Children’s Home, Moutse Integrated Social Development facility, a Youth Care Centre in Mookgopong, Musina Children’s Shelter and Muyexe Drop-in-Centre.

Thirty (30) health facilities will be provided with pollution free sanitation units including a program to upgrade electrical supply at 10 health facilities. Planning for additional fourteen (14) clinic upgrades will also commence in 2010/11 financial year. During 2010/11, the department will complete the new Nkhensani Hospital and continue with the phased construction of Thabamoopo, Maphutha Malatjie, Letaba and Thabazimbi hospitals. The final planning stages for the new Musina hospital will be completed by the end of the financial year. Intakes into the facility revitalisation program include planning for Warmbaths, Evuxakeni, St. Ritas and Tshilidzini-Thohoyandou hospitals.

Staff accommodation is an important support system for the recruitment and retention of critical health and social development professionals. A multi-pronged strategy to construct own facilities and lease existing properties will be implemented. One hundred and eleven (111) staff accommodation units will be built for both health and social development professionals in 2010/11 financial year. Water remains a scarce resource in the province hampering the critical minimum standards required to run health services. Thirty five (35) health facilities will be provided with their own dedicated source of water to address water shortages.

The department has also set aside a budget for Public-Private Partnership (PPP) projects covering the new academic hospital and nursing college campuses, district based central laundries, provincial pharmaceutical depot, big bang approach to hospital and primary health care facilities infrastructure. Revitalisation of health facilities is still on course.

This includes the Public Private Partnership (PPP) for the delivery of the new 600 bedded academic hospital and improvements of health facilities in general. Maintenance of our buildings and related equipments remain a challenge for the department. Therefore, for this financial year, we will also be focusing our attention on the improvement of maintenance in general.

Readiness of EMS during the FIFA World Cup

Honourable Speaker

In response to the department’s readiness to render Emergency Medical Services (EMS) during the 2010 FIFA World Cup event and beyond, the department has built and opened ten (10) new EMS stations in the following areas:
* Mopani District Dr C N Phatudi EMS Station
* Sekhukhune District Zaaiplaas EMS Station, Philadelphia EMS Station and
Jane Furse EMS Station
* Waterberg District Thabazimbi EMS Station, Witpoort EMS Station, Lephalale EMS Station and Rebone EMS Station which is near completion.
* Vhembe District Makhado EMS Station
* Capricorn District Botlokwa EMS Station

The department further built and opened two (2) new state of the art communication centres (control centres) for emergency medical services call taking and call dispatching in Capricorn and Waterberg Districts. The number of the ambulance fleet has increased from 488 to 590 in 2009/10. This includes the following new vehicles: eight (8) emergency response vehicles; five (5) disaster busses; five (5) rescue vehicles, and five (5) mobile intensive care unit (ICU) vehicles. The department has also procured the services of a helicopter which has been operational since 1 April 2009.

The staff of emergency care practitioners has increased from 1 229 to 1 505 in 2009/10. Ambulances will be on standby on all major routes (N1 from Mantsole to Beit Bridge, N11 untill Groblersbrug, Tzaneen/Lydenburg road, Lebowakgomo, Roedtan and Burgersfort road). All five fan parks, hotels and training venues will be covered. Our facilities are also ready to deal with any emergency that may arise.

Honourable Speaker

On vote 12 (Social Development), we acknowledge is that poverty is still a major challenge for the majority of our people. However, the most vulnerable groups are children, youth, women, and people with disabilities. The department continues to provide services to the affected groups and has profiled 100 000 households in 57 wards in poverty pockets. An additional 103 880 households in 70 wards will be profiled in 2010/11. Sustainable livelihoods projects will be established in communities to benefit the most vulnerable.

Honourable Speaker

We are pleased to bring to the attention of the house that a project in Sekhukhune, namely, Maano A Basadi which specialises in yoghurt, sour milk, shoes and bags making and design, have received National Community Builder of the Year Award in the field of quality and excellence in Spain in December 2009. The same project has been nominated to compete in Germany on 29 March 2010.

Youth development

The department has trained 5 875 youth on entrepreneurship and life skills as part of an integrated strategy to reduce youth unemployment and poverty. A total of 4 480 youth is earmarked for capacity building in the current financial year. In the last financial year the department trained 275 youth on Masupatsela curriculum. A total of 300 Masupatsela youth will be trained in 2010/11 financial year. This is an increase from last financial year’s intake of 275.

Expanded Public Works Programme (EPWP): Social sector

Honourable Speaker

The President has also highlighted job creation as one of government’s priorities in his State of the Nation address. As a department, we are committed to accelerating the implementation of EPWP in an endeavour to create job opportunities. From April 2009 to date, 14 388 job opportunities have been created through EPWP social sector. Of the 14 388, the department contributed 7 160. During 2010/11 financial year, the sector plans to create a total of 16 500 job opportunities. The department will contribute 8 309 job opportunities.

Limpopo Expanded Public Works Programme (EPWP) social sector participated in the National Kamoso Awards and scooped the following Awards:
* Best ECD Programme
* Best innovative project.

Children’s safety, development and placement

Honourable Speaker

The department continues to place children in need of care in alternative care facilities. The department plans to place 10 000 children in foster care in the current financial year. The number of children living in the streets remains a challenge. In the financial year 2009/10, 217 children were placed in shelters. The Department anticipates placing 297 children in shelters in partnership with non-governmental organisations (NGOs) and also reunifying them with their families.

Early Childhood Development remains a key priority for the department. For the 2009/10 financial year, 1 208 registered ECD centres were funded. The plan is to increase the number to 1 450 in 2010/11 financial year. The department is ready to implement the Child Justice Act in response to the increasing number of children in conflict with the law. The department has established two secure care centres to accommodate children in conflict with the law, namely, Malamulele and Polokwane Secure Centres.

On persons leaving with disabilities

In the financial year 2009/10, 4 050 children were assessed and 716 of these numbers have been placed in secure care centres. The needs of children with disabilities are catered for in stimulation centres. The Department of Health and Social Development has already established five Community Based Rehabilitation Centres in the different districts to cater for the needs of people with disabilities. The department is funding four privately run Residential facilities for people with disabilities. For the coming financial year we aim to cater for 2044 children in stimulation centres, 334 in residential facilities, 962 in Community Based Rehabilitation Centres and 1078 in protective workshops services for the orphaned and destitute and funding for NGOs

Honourable Speaker

HIV and AIDS have left many children orphaned and destitute. The number of families provided with food parcels will increase from 7 200 to 12 000 families for the financial year 2010/11. The number of children receiving services in drop-in-centres increased from 4 900 in 2004 to 32 314 in 2008 and for the financial year 2010/11 it is to increase to 49 914.
The Department will continue to provide funding to the non-profit organisations (NPOs) rendering social welfare services to communities. The department plans to fund 1883 NPOs (Home Community Based Care, Drop-in-Centres, and ECD Centres) at a total of 176 million in the 2010/11 financial year.

Honourable Speaker,

The following is a summary of key priorities in Social Development for the 2010/11 financial year.

The overall budget for vote 12 in the 2010/11 has increased by three percent from the current allocation (R783 million to R806 million). The main increase is on compensation of employees which is up by 23 percent to cover OSD and filling of critical posts.

Key priorities:

* Infrastructure projects are budgeted at R75 million. This budget will cover three additional Community Based Rehabilitation Centres, two drop in centres, staff accommodation, one treatment centre and one reform school
* R12 million for upgrading facilities and two children’s homes and R9 million for maintenance of all existing social development facilities,
* HIV and AIDS has been allocated R73 million in 2010/11 financial year,
* Early Child Development has been increased from R82 million to R83 million
* Creation of sustainable livelihoods has been increased from R16 million to R17 million in 2010/11 financial year
* Expanded Public Works has been allocated R45 million in 2010/11 financial year
* Poverty alleviation projects have been allocated R11 million in 2010/11 financial year

The following is a summary of key priorities in health for the 2010/11 financial year:

The overall budget for vote 7 (Health) has increased by 13 percent (10.5 percent equitable share, 28.9 conditional grants and 6.2 percent own revenue). In monetary terms this means a growth from R9.3 billion to R10.5 billion in 2010/11.The main increase is on compensation of employees by 14 percent which is mainly on OSD for health professionals and the filling of the critical posts. Infrastructure budget has also been increased by 21 percent which is mainly on facility revitalisation programme.

Key priorities:

* Strengthening district health services and hospital delivery systems: R4.3 billion. This shows a growth of 19 percent from the current budget of R3.6 billion
* OSD for health professionals: This dispensation allocation has been increased from R404 million in 2009/10 to R657 million in the 2010/11 financial year
* Emergency Medical Services: R399 million. This is a growth of 16 percent from the current budgeted amount of R343 million. Included in this amount is R30 million for purchase of 60 ambulances and other rescue vehicles
* Modernisation of tertiary Services: R944 million. This has been increased by 15 percent from the current budget of R820 million
* Expanded Public Works Programme: This priority programme’s budget has been increased by 14 percent from R80.5 million in the current financial year to R92 million in the 2010/11 financial year
* TB MDR services. The budget for this priority focus has been increased from R71 million this current financial year to R145 million in 2010/11.This is a massive growth of 103 percent
* Pharmaceuticals services: The budget has been increased from R627million in 2009/10 to R747 million in 2010/11 with a growth of 19 percent
* Comprehensive HIV and AIDS: R515 million. It has increased from 25 percent from the current budget of R412 million
* Hospital Revitalisation: The budget for this priority has been increased by 52 percent to R323million from the current budget of R212 million
* Staff accommodation: The budget has been increased from R88 million in the current financial year to R98 million 2010/11
* Malaria control: Amount allocated is R94 million which indicate a growth of 12 percent from the current budget.

Revenue collection

The department is targeting to collect R98 million in the 2010/11 financial year. This is 6.2 percent growth from the current target of R93 million. We will put more effort to achieve this target as we know that this will contribute to the funding of health services in the department.

Honourable Speaker

Among us here today, are departmental officials and teams who continue to take an additional responsibility in ensuring that we are a winning team a winning department with pockets of excellence. To this effect, we have been recognized in the following categories:
*District Health System Best Practice Awards from national Health Department:
* Vhembe District: The first runner-up on performance against Millennium Development Goals
* Sekhukhune District: The Second Runner-Up on Performance against Millenium Development Goals
* Capricorn District: The Second Runner-Up on Performance against Millennium Development Goals
* Nursing services: Best National Practicing Nurse: Marylin Lihana Award: Ms T M Mnguni from Philadelphia Hospital
* Finalist Nurse for Cecilia Makiwane Award: Ms C M Ntlhabela from Philadelphia Hospital
*Premier’s Service Excellence Awards
* Malamulele Hospital for receiving two Silver Awards �" One in Best Service Delivery in the outpatients department and the other in innovation on maternity services.

We wish to extend our heartfelt gratitude to these champions who continue to make a difference in the lives of many through their hard work, commitment and dedication to the health profession. Indeed we remain a relevant department to our people through your deeds. The department is currently conducting forensic audits on the following:
* Supply, implementation and delivery of provincial health information systems. The focus of the investigation is on the PHIS Software products and processes to assess compliance with specifications, standards, contractual agreements and value for money in terms of project deliverables and milestones
* Procurement of goods and services in the EMS, nursing colleges, pharmaceutical services and drop-in-centres.

The forensic audit reports will assist in improving the management of health system, to enable us to save and manage resources more effectively and efficiently.

Honourable Speaker

Allow me also to extend a word of gratitude to the men and women in our health and social development facilities who continue to give the best services to the communities. We fully appreciate the work they are doing.
The department appreciates the continued support from various governance structures, Portfolio Committees, statutory and non-statutory bodies that provide support and advisory services including donor funding agencies.
Honourable Members, we would like to present to you the budget of R10, 5 billion for vote seven and R805 million for vote 12.

I thank you,
Ke a leboga,
Ndi a livhuwa
Ndza khensa

Source: Department of Health and Social Development, Limpopo Provincial Government (http://www.dhsd.limpopo.gov.za/index.php?page=home)


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