Mboweni: Implementation key to SA’s economic growth

Mboweni: Implementation key to SA’s economic growth

Finance Minister Tito Mboweni says the country needs to work on the implementation of policies if it is to realize improvements and growth in the country’s sluggish economy.

Mboweni made the comment when he delivered his opening remarks at the third economic colloquium on the South African economy on Thursday.

“One of the biggest constraints to economic growth in South Africa is lack of implementation about things that were decided upon. If we at least implement 30% of the things we said we would implement then we would be making great progress,” said Mboweni.

The third economic colloquium will see government officials, public and private sector economists, and academics deliberate on policy proposals on how to improve and grow the South African economy.

The colloquium comes in preparation for the Medium Term Budget Policy Statement (MTBPS) to be tabled in Parliament during October.

Following the first colloquium, the Minister presented ideas emanating from the engagement to the governing party – the ANC.

“One of the things I have learned over the years is that you need political buy-in. If you think you can just parachute policy from somewhere without political buy-in, then you are wasting your time, which most think tanks do not understand. Because at the end of the day, policy is politics.” said the Minister.

Tito Mboweni

The economic colloquium will also allow delegates to discuss the recently published paper on South Africa’s economic strategy titled “Towards a growth agenda for the South African economy”.

Mboweni said well over 700 comments were received on the paper by the National Treasury.

“My guidance to the Treasury staff when going through the comments was that ideas which are internally consistent with what we are trying to do we should incorporate.

“Those that are internally inconsistent we should just appreciate the contribution and say this is not consistent with what we are trying to do,” he said.

Mboweni said he and his team would spend the upcoming weekend putting the final touches to the MTBPS while also finalising the economic strategy document. 

“We are now at the tail end of the preparations so this meeting gives us the opportunity to have the last bite.

“The expectation is that when we submit the MTBPS we should also provide the finalised version of the economic strategy document,” he said.

While the MTBPS was scheduled to take place on 30 October 2019, Minister Mboweni announced that this was likely to change to allow the President to attend.

“I need to say here that the Medium Term Budget Policy Statement is likely to be presented earlier than the 30th of October. We had initially planned on the 30th.

“We had planned that around the President’s diary. It turns out that he might be out of the country. So we are going to have pull back the date. We are looking at the 29th of October 2019,” he said.

According to Treasury, SA’s current economic path is unsustainable with the country facing the triple threat of stagnating economic growth, rising unemployment and high inequality.

Since his appointment, Mboweni has hosted two successful economic colloquia.

The previous colloquia assessed some of the viable policy proposals and interventions that encourage new models and paradigm shifts to support faster and more inclusive economic growth in South Africa.

Quick summary: NCDs in the Department of Health Strategic Plan 2014/15 – 2018/9

A quick review of where issues related to NCDs may be found in the National Department of Health’s (NDoH’s) strategic plan 2014/15- 2018/19.

What is missing?

  • We might have been too quick and missed the National Health Commission. Can you find it? Please let us know if you do.

What is in it?

Page 13: NCDs burden of disease

Page 14: NDoH goal to prevent disease and reduce its burden, & promote health. Relate to National Development Plan goal 2030 ↓ prevalence of NCDs.

Page 19: Programme 2: NHI, planning & enablement

Develop and implement integrated monitoring & evaluation plan.

Sector-wide procurement very important for essential medicine and equipment access. EDL are revised on a 3 year cycle and available via book, web and cell phone application format available. The material is also peer reviewed. Medicines availability; a central chronic medicines dispensing and distribution network availability in order to improve access.

Page 24: Programme 3: HIV/AIDS, TB, Maternal & Child Health (includes child, youth and school Health sub-programme)

  • HPV target by 2018/19 = >70% coverage.
  • Strategic objective indicator cervical cancer screening 2013/14 baseline 55% coverage 2018/19 >70% coverage

Page 27: Primary health care (PHC) services (also includes district health services and communicable diseases.)

Health promotion subprogramme focus on implementing a mass mobilization strategy on healthy options.
NCDs subprogramme includes mental health focus points:

  • ↓ NCDs risk factors
  • ↑ health systems and services for the detection and control of NCDs
  • ↑ service delivery platform for PHC focused eye care, oral health, care of elderly, rehabilitation, disability and mental health
  • Mental health ↑ awareness of- & ↓ stigmatization by sectoral collaboration
  • ↑ services to prevent disability by co-ordinated interdisciplinary services
  • decentralised integrated PHC services at clinic, community and district hospital level.

Page 29 & 30: Indicators and targets (2018/19)

  • NCDs % ↓ of obesity. Target: ↓ by 10% men to 21% and women to 55%
  • No. people counselled & screened & for high blood pressure & raised blood glucose with 5 million people target. Baseline not available.
  • No. people screened & treated for mental disorders. Target: 35%  prevalent population
  • No. districts implementing the framework and model for rehabilitation services. Target: 52 districts implementing (draft framework and model available 2013/14)
  • Cataract surgery rate. Target: 1700 cataract surgeries per million uninsured population (increase from 1000 2013/14)

Page 30: Resource considerations.  The “spending focus (for this period)… will be on health promotion and the prevention of NCDs such as diabetes and hypertension.”

Page 31: Risk management Risk: under-resourced District Health System with mitigation strategy to ring fence the funding for district management and service provision.

Download the strategic plan: SA DoH Strategic Plan 2014 to 2019