Hon Chairperson, the DA recognises that some progress has been made in health care, but we still have some serious concerns. The equitable share is still largely based on population size and this is problematic for provinces such as Gauteng and the Western Cape who have to provide services for non-residential patients. We therefore propose that the formula for the equitable share be revised.
The Auditor-General's findings are key to understanding the collapse of health services in Limpopo, the Free State and elsewhere. They point to a lack of consequences for poor performance in all provinces in the country, except the Western Cape and North West. This is a matter of principle. We need to address this as a priority as people deserve better. Our national disease surveillance system should be re-engineered and turned into a full departmental programme. We are pleased that more South Africans will have access to ARVs. However, careful monitoring of this in terms of adherence, clinical end points and pharmaco-vigilance will be essential. Furthermore, steps must be taken to proactively reduce the risks arising from any gaps in funding. We also call for a redoubling of efforts of prevention aimed at reducing HIV and Aids and co-morbidity such as TB.
We will put pressure on the Department of Health to ensure that primary health care facilities are appropriately supplied and well managed.
Having said this, the DA supports the Budget Vote on Health. Thank you. [Applause.]