Browsing by Author "Shedi, Olwethu"
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Item Financial Directions and Budget Trends in Government Healthcare(Southern Centre for Inequality Studies (SCIS), 2023-11) Sachs, Michael; Abdullah, Fareed; Madonko, Thokozile; Jonas, Kim; Slingers, Nevilene; Zvawada, Tanaka; Ewinyu, Arabo; Shedi, OlwethuThis working paper provides evidence and analysis that can assist in taking forward the agenda of the Presidential Health Compact. It does so by reviewing the financial performance of the government healthcare system over the last decade. After assessing the financial management performance, it looks at the “financial health” challenges facing the system, including the problems of accruals and medico-legal claims. The report then examines the budget pressures faced by provincial healthcare departments, as well as the different allocation of resources and levels of care across provinces. It ends with a conclusion and tentative reflections informed by the evidence.Item Public services, government employment and the budget(Southern Centre for Inequality Studies (SCIS), 2022-10) Sachs, Michael; Ewinyu, Arabo K.; Shedi, OlwethuThis report presents independent analysis using publicly available data on budgets, audited spending outcomes, and government plans for future expenditure. Our main concern is to draw inferences about the impact of budget choices on the allocation of real resources to core public services. The quantitative nature of budget choices means that, in contrast to other forms of policy expression, trade-offs between different policy goals are made clear and explicit. The report attempts to gauge the quantitative aspect of public policy in three respects. First, we identify the trends in real spending over the last two decades. Second, we use the budgets approved by parliament and provincial legislatures to gauge the impact of budget choices on real resource allocation over the next three years. Third, we present analysis of government pay and employment trends, which are strongly concentrated in the core public services that are our interest.Item Spending choices in Budget 2022(Southern Centre for Inequality Studies (SCIS), 2022-07) Sachs, Michael; Ewinyu, Arabo K.; Shedi, OlwethuThis paper offers an independent appraisal of expenditure choices implied by the budget 2022 numbers by presenting National Treasury budget data in a form that is accessible and policy-relevant. The analysis may not be uncontroversial or “neutral” but is balanced and grounded in evidence. The report’s focus is on spending allocated through the national budget. Other elements of public spending (such as the state-owned companies, the budgets of metropolitan municipalities and spending financed by rates, levies or user charges) are mentioned where relevant. Tax policy is dealt with in passing but future reports aim to tackle the revenue side of the budget directly. After discussing the fiscal context for expenditure choices, the report analyses the aggregate resource allocation and choices implied by the budget estimates and then considers expenditure trends in each major policy area: healthcare, education, social protection, criminal justice and defence, economic policy and community development.