Reading the Auditor General’s report 2018-19 is not the way to finish off a week. It is a dismal tale of woe which adds another distressing layer to the state capture saga. What is truly distressing is that this information is in plain sight and very little is done from one year to the next. The Citizens version candidly spells it out: “overall audit outcomes take a turn for the worse over five years.” For me, it is much clearer that the boffins’ version of the report which sugar coats the message as “audit outcomes regressed since 2014/15.”
Provincial departments of health are in a bad state and need urgent intervention to prevent collapse. An exception is the Western Cape.
Serious weaknesses in the financial management of national & provincial government unaddressed in the last five years. (Section 4)
The quality of the performance reports slightly regressed since 2014/15 from 66% to 62% (auditees publishing credible reports).
Little improvement on key government programmes according to the National Development Plan Section 6 district health services (HIV/AIDS, TB &maternal & child health) box below water infrastructure development, housing development finance, school infrastructure delivery expanded public works programme.
72% of the auditees materially did not comply with legislation similar to the previous year & slightly higher than the 70% in 2014/15.
What does this mean for National Health Insurance Bill and sweeping changes needed for the financing of health care? The National Department of Health is not among those that received a clean (unqualified) audit.
Reading the Auditor General’s report 2018-19 is not the way to finish off a week. It is a dismal tale of woe which adds another distressing layer to the state capture saga. What is truly distressing is that this information is in plain sight and very little is done from one year to the next. The Citizens version candidly spells it out: “overall audit outcomes take a turn for the worse over five years.” For me, it is much clearer that the boffins’ version of the report which sugar coats the message as “audit outcomes regressed since 2014/15.”
Provincial departments of health are in a bad state and need urgent intervention to prevent collapse. An exception is the Western Cape.
Serious weaknesses in the financial management of national & provincial government unaddressed in the last five years. (Section 4)
The quality of the performance reports slightly regressed since 2014/15 from 66% to 62% (auditees publishing credible reports).
Little improvement on key government programmes according to the National Development Plan Section 6 district health services (HIV/AIDS, TB &maternal & child health) box below water infrastructure development, housing development finance, school infrastructure delivery expanded public works programme.
72% of the auditees materially did not comply with legislation similar to the previous year & slightly higher than the 70% in 2014/15.
What does this mean for National Health Insurance Bill and sweeping changes needed for the financing of health care? The National Department of Health is not among those that received a clean (unqualified) audit.
Whoopee! Next month it’s my 67th birthday and this blog, #VixView, is my celebration of life. The goal is to stay alive for three more years. Why three years, I hear you ask?
Dying early -the magic of 70
Let’s blame it on the United Nations and the Sustainable Development Goal number 3 target 3.4:
By 2030 reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing
So if I die between the ages of 30 and 70 years, it is too soon. Well not me specifically, but people who live with non-communicable diseases (NCDs). You get the drift – so I am hanging in for 3 more years. It sounds a bit like an electioneering slogan. But it isn’t. It’s deadly serious. Really.
An activist – why me?
Today I coexist with over 20 health conditions, all NCDs, with the first illness, psoriasis, starting in my first 500 days. I have a most productive and interesting life despite this seemingly woeful state of my health.
Being an NCDs activist gripped me tighter each time I survived another near-death experience (NDEs). Trust me, NDEs change one’s perspective, one’s way of being. I found that to live, I had to fight for my life. So that’s what I do and along the way, I do it for and with those who living with NCDs. I learned radical self-care.
Note: Don’t scoff too much about NDEs. Remember Angelo Agrizzi and what he did after his NDE?
50 years on
If that isn’t enough, this is my 50th year as a health professional working in the health sector. It feels like an alien place. I have a 360º view through all the learning and experience. My beacon remains the Alma Ata vision of primary health care.
Today, with profound sadness, I see us facing many of the challenges from when I first began back in 1970. I recognise that the health system in our noble land often fails us, its people, irrespective of where we get care: public or private. Evidence is all around.
If that isn’t enough, this is my 50th year as a health professional working in the health sector. It feels like an alien place. I have a 360º view through all the learning and experience. My beacon remains the