South Africa’s investment of R410 million aims to enhance crucial HIV/AIDS research initiatives, ensuring the continuation of vital health programmes The South African government has taken bold steps to address a critical funding gap in medical research following the withdrawal of financial support from the United States. In a pivotal move revealed in the National Treasury’s 2026 Budget Review, the government has allocated R410 million over the medium term, transferring this sum from the Department of Health to the South African Medical Research Council to sustain vital HIV/AIDS research initiatives. This allocation is part of a broader co-funding arrangement with global donors aimed at ensuring the continuation of key health programmes.
The review, published alongside the highly anticipated Budget Speech on Wednesday, highlights the growing need for support in medical research as the country grapples with complex health challenges. Overall spending on health is projected to rise by approximately 4.2% to R334.3 billion by 2028/29, underlining the government’s commitment to enhancing healthcare services. Notably, 44.4% of the health budget will be allocated to primary healthcare delivered through district health services – recognised as the most accessible and cost-effective form of care in South Africa.
In a bid to improve efficiency within the sector, the government plans to focus on optimising compensation of employees, which constitutes a hefty 64.6% of the health budget. An advisory committee has been appointed by Health Minister Aaron Motsoaledi to explore necessary amendments to key human resources policies and practices. Furthermore, in an effort to enhance accountability and effectiveness within health services, R24 million will be redirected over the Medium Term Expenditure Framework (MTEF) period towards the Office of Health Standards Compliance.
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This funding will facilitate the filling of critical posts and bolster the number of inspections conducted annually at health facilities. The National Treasury’s 2026 Budget Review outlines strategic funding reallocations to address pressing health and education needs in South Africa. As the government addresses health-related funding challenges, it also aims to strengthen the education sector, with National Treasury announcing a comprehensive review of the national skills ecosystem.
Set to be conducted by the Government Technical Advisory Centre in the forthcoming year, this review aims to target a significant area of economic development. Funding for post-school education and training is set at R155.8 billion for the 2026/27 financial year. The National Student Financial Aid Scheme will provide R54.3 billion to support 744,203 academically deserving and financially needy students.
In the realm of basic education, a significant allocation of R358.6 billion has been designated for 2026/27. This includes R33.9 billion for the National School Nutrition Programme, which serves meals to over 9.9 million learners in 19,800 schools. The budget for this programme has increased by 4.5%, reflecting the challenge posed by food price inflation. Moreover, investment in early childhood development is set to grow from R12.2 billion in 2025/26 to R18 billion over the medium term, expanding services to an additional 300 000 children and ensuring that the foundation for education is laid early.
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