Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698147596929.pdf (Namibia)
Statement by Dr Richard Nchabi Kamwi, MP Minister of Health and Social Services on the 2011/2012- 2013/2014 Medium Term Expenditure Framework (MTEF) Hon.

Speaker, Hon.

Members, There are reasons to thank the Hon.

Minister of Finance, Cde.
Saara Kuugongelwa-Amadhila the Director-General of the National Planning Commission and their entire team for an expansionary budget that accelerates Namibia's sustainable effort to fight poverty, create employment.generate economic growth and social development .... her Deputy, and The budget allocation of Three Billion, Three Hundred and Six Hundred and Fifteen Thousand Thirty Two Million, Namibian Dollars (N$3 332 615 000), to the Ministry of Health and Social Services is 9% of the total National Budget, and reflects a 22% increase on the budget of the 2010/2q(1 fi~ancial year for the Ministry of Health and Social Services.
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.

« ~t-~- A closer look at the composition of the health expenditure reveals that more than 80% of the Ministry's budget goes into current expenditure.

In this regard, I am happy that capital!

development expenditure has been increasing rising from 70/0in 2007 to 17% of total expenditure in 2011.

1 Han.

Speaker, Hon.


Members, Permit me to share with you some information on the challenges and progress being made in the health sector as a result of the continued financial support provided by the Hon.

Minister for Finance: The revision of the ART Guidelines has led to the increase in CD4 count treatment threshold eligibility from 200 to 350 in line with the WHO guidelines.

The revised PMTCT regimen has increased the number of patients in need of HIV care services.
As a result, this will impact on infrastructure and increase the cost of delivery of health services.

The recently released National Health Accounts report of 2008/09 - 2009/2010 provided us with relevant information on how our health systems are financed and where the money comes from.

The report provides clear indication that Government needs to address the issue of sustainable financing in the health sector.
For example, Government funding is approximately 50% of the the additional total allocation in the 2011/2012-2013/2014MTEF.

Most of the external resources for HIV/AIDS come from two main development partners i.e.

GFATM and PEPFAR.

for HIV/AIDS despite resource needs Han.

Speaker, while appreciating the support from ~ development partners, I wish to caution the serious risk in the event that one of the partners reduces funding significantly.
In 3 t'-nonqadherence is a huge challenge within our communities: There is also need to reduce defaulting of TB patients and improve adherence of People on AIDS Medication through improved community-based health care.

This is very important to ensure that Namibia can afford and our patients can continue using affordable medicines in the long run.

But defaulting and just impact of the current flood situation in the North.
To address this, my ministry is now actively engaged in planning for the introduction of comm~n~y based extension workers nd .. .

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rid· com.munity health assi ants.

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- ~e This initiative is in line with hlQP3, the rimary ~ Health Care Strategy for Africa, as well as the 2009 SWAPO Election Manifesto.
Given that we are looking at a cadre of the rapid require post-school people who do not introduction this cadre can also support Government's Employment and Growth Programme while at the same time the community and household level by reducing poverty at improving the health of families and especially enhancing health education, health promotion and the prevention of diseases.

training, of .. On a positive note, the treatment success rate has improved from 83% during 2008 to 85% in 2009.
This means we now meet with the World Health Organization requirements, although of lately, it had been raised to 90%.

I am also happy to say there is now an increase in the HIV testing for TB patients as more than 75% of TB patients knew their status during 2010.

Programmatic 5 r'r\l"'f"1"'agingto note that E ers especially th in the Tob co Industry are now I ling to see the isaged regulati s being implemen In this reg.

the draft regulatio I through stakehol envis of the Government Gazet shortly.
All Hected~_ s are thus given th opportunity to con ider what/ eir inputs in writin 0 the ~ry ed and to provide ealth and Social Ser Ices.

Hon.

Speaker, It had been my dream to establish private wards in key State Hospitals in order to generate revenue and promote Public Private Partnerships.

This will complement our cherished desire In this regard, I to improve the quality of health care services.
~lle1ls~_J~r~sW~ikepunye Pohamba wish t~nk,"~~ tIle Oshakati Intermediate for commlssionlng~tlft.Pri~~~ Hospital which is comparable to any modern private ward.

During the commissioning, H.E.

the President directed that we continue establishing private wards in the remaining 34 district and intermediate hospitals in the country.

For this to be realized, it calls for maximum support from all members of this august House to the Hon.

Minister's current budget.

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