Resilience in TB Funding Accountability
Addressing the challenges and opportunities in funding accountability for tuberculosis programs to ensure access to essential healthcare services. Emphasizing the need for sustained financial support amidst fiscal constraints and evolving health policies.
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Presentation Transcript
SUBMISSION BY THE TB SUBMISSION BY THE TB ACCOUNTABILITY CONSORTIUM ACCOUNTABILITY CONSORTIUM TO THE SELECT COMMITTEE ON APPROPRIATIONS ON THE DIVISION OF REVENUE AMENDMENT TO THE SELECT COMMITTEE ON APPROPRIATIONS ON THE DIVISION OF REVENUE AMENDMENT CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024
THE FULL PICTURE THE FULL PICTURE According to WHO 2023 Global TB report, TB is the 2nd leading cause of death of an infectious disease. In South Africa, around 280 000 people developed TB. Of that, 152 000 are PLHIV TB Recovery Plan set up as a TB programme intervention to address care cascade loss & accelerate efforts Find Treat Retrain Prevent CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024 2 2
THE FULL PICTURE THE FULL PICTURE TB services are mainly provided for in provincial budgets and the allocations fall within the District Health Services grant along with other primary health care services. Increase in equitable share District Health Services allocation from R113,1bn to R120bn NHI: We welcome the grant focus on health systems information Importance of good data leads to good governance CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024 3 3
WHAT IS AT STAKE? WHAT IS AT STAKE? Apparent fiscal constraints Growth of 0,6 down from 0,8 during the 2023 MTBPS Significant fiscal consolidation Unless TB programme budgets are protected, it is unclear that people who require TB services will be able to get access to this important health need. TB performance 56 000 to 54 000 in the 2022-2023 period Unseen trend of TB-diabetes having higher likelihood of not completing treatment, a call for TB multimorbidity health policies. * Better reporting on TB plans and explore ringfencing TB budgets in ensuring adequate fund to accelerate TB testing and linkage to care * UHC Factsheets, Rural Health Advocacy Project, 2023 * UHC Factsheets, Rural Health Advocacy Project, 2023 CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024 4 4
FURTHER CONSIDERATIONS FURTHER CONSIDERATIONS Pending leadership configuration post-election Constitution affords everyone to have equal enjoyment of rights. Social determinant to rights and access to healthcare. Health funding administered through national and provincial legislation, which is framed by the rights, duties and principles of governance and financial management established by the Constitution * regardless of who will be elected. National Health Act: Section 3 directs the minister to strive in the protection, promotion, improvement and maintenance of the health of the population Need for coordinated action, priority and transparency Although there has been improvement in TB programme performance, we are still left with a National TB Recovery Plan that has no clear resourcing allocation at provincial and district levels. The imperative need for implementing a program aimed at diminishing TB s grip on our communities remains critical. *National Health Act, Section 27, 2019 *National Health Act, Section 27, 2019 CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024 5 5
SUSTAINED RESILIENCE SUSTAINED RESILIENCE Key requests Safeguard TB funding within increased DHS allocation : The government possesses the authority to safeguard funding for TB services including the TB Recovery Plan. Despite the development of the plan, there s still a lack of provisioning and implementation at provincial level. Enhance accountability - How well it is used? National and province Multisectoral response with Committee of Health and Appropriations with Civil Society We entreat in line with the global TB theme: No. We cannot end TB without the adequate resources. Put our citizens first in guaranteeing more lives are saved with adequate health services. CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY CONTINUED RESILIENCE IN FUNDING ACCOUNTABILITY 13 March 2024 6 6
