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GHANA’S HEALTH BUDGET MAPPING PROCESS

GHANA’S HEALTH BUDGET MAPPING PROCESS. PRESENTED AT IPPF/PRMA REVIEW MEETING IN LONDON 4 TH -5 TH SEPTEMBER, 2008 BY: Francis & Nana . PRESENTATION OVERVIEW. GHANA’S HEALTH BUDGET MAPPING PROCESS. INTRODUCTION OBJECTIVES METHODOLOGY STUDY COVERAGE LIMITATIONS

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GHANA’S HEALTH BUDGET MAPPING PROCESS

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  1. GHANA’S HEALTH BUDGET MAPPING PROCESS PRESENTED AT IPPF/PRMA REVIEW MEETING IN LONDON 4TH -5TH SEPTEMBER, 2008 BY: Francis & Nana

  2. PRESENTATION OVERVIEW GHANA’S HEALTH BUDGET MAPPING PROCESS INTRODUCTION OBJECTIVES METHODOLOGY STUDY COVERAGE LIMITATIONS BUDGET PREPARATION PROCESS TIMELINES GUIDELINES/FACTORS CONSIDERED BUDGET PREPARATION APPROVAL PROCESS BUDGET RESTRICTIONS BUDGETARY ALLOCATION TO THE HEALTH SECTOR ADVOCACY OPPORTUNITIES RECOMMENDATIONS SUMMARY OF PROCESS CONCLUSION

  3. OBJECTIVES • Identify the process and personalities involved in preparing RH budget • Identify sources of funding for RH activities • Identify potential advocacy opportunities and make relevant recommendations for activities

  4. METHODOLOGY Methods of data collection • Qualitative approach • In-depth interviews, observations and review of documents including annual budgets and reports

  5. STUDY COVERAGE • 3 Municipal Assemblies • 1 District Assembly • The Reproductive and Child Health Unit (GHS) • Municipal and District Directors of Health • Public Health Nurses • Accounts Officers

  6. LIMITATIONS • Limited coverage of study due to limited resources – difficult to generalize findings for entire country • Expenditures in health activities lumped together and therefore cannot determine expenditures for specific activities under reproductive health

  7. BUDGET PREPARATION PROCESS

  8. BUDGET PROCESS contd.

  9. BUDGET PROCESS contd.

  10. TIMELINES

  11. GUIDELINES/FACTORS CONSIDERED IN BUDGET PREPARATION • The priority needs outlined in the health development long term plans are used for the annual plans that form the basis of the budgets. • Government priorities and emergency situations. • MOFEP and MOH Policy guidelines

  12. APPROVAL PROCESS

  13. APPROVAL PROCESS contd.

  14. BUDGET RISTRICTION • Approved budgets fall short of the actual estimates and this makes it rather difficult to impose restrictions on the budget. • It was however noted that 58% of the District Assembly Common Fund (DACF) is restricted to Central Government priority areas which are normally related to physical development issues including construction of schools, roads, bore holes and toilet facilities. • Certain percentages out of the DACF are by legislative instruments allocated to HIV and AIDS (1%), malaria (1%) and physically challenged (2%).

  15. BUDGETARY ALLOCATION TO THE HEALTH SECTOR • GoG budget including donor support spent on health has been on the increase since 2004. • 2004 – 8.2% • 2005 – 15% • 2006 – 18% • The percentage of GoG, contribution to the health budget has been increasing over the same period. • 2004 - 40% • 2005 - 43% • 2006 - 53%

  16. ADVOCACY OPPORTUNITIES • It was difficult to isolate the SRHR budget from the entire health budget. This is because SRHR is integrated into all health activities • At the district and municipal levels budgetary allocations are made based on priorities. Unfortunately, SRHR is not considered a priority issue

  17. …WHAT DOES THIS PICTURE SAY ?

  18. ADVOCACY OPPORTUNITIES contd. • At the national, regional and district levels it was noted that GoG support for SRHR programmes particularly family planning are donor driven • The policy guidelines for the disbursement of the DACF which indicate that certain percentages of the fund should go to specific areas do not consider SRHR for special allocation.

  19. RECOMMENDATIONS • Establish effective collaboration with the various BPTs and BMCs. • Advocacy programmes for Assemblies with special emphasis on the relationship between SRHR and socioeconomic development.

  20. RECOMMENDATIONS contd. • Advocate Parliament for allocation of certain percentage of the DACF to SRHR programmes. • Update the Parliamentary Caucuses on Population and Health on the RH situation in the country • Advocate for increased and continuous SRHR funding by government, private sector and development partners.

  21. SUMMARY OF PROCESS

  22. CONCLUSION • The consequences of failing to achieve our reproductive health commodity security aims are painful to contemplate. Let's work together and we will succeed.

  23. THANK YOU

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