1 / 37

2008 Program of Work: Priorities, Results and Budget

2008 Program of Work: Priorities, Results and Budget. Minister’s years of Action: From an annual ritual rain dance to achieving results. In preparing this budget. We have looked in We have looked out We have looked back We have looked ahead. Some other principles.

chuck
Download Presentation

2008 Program of Work: Priorities, Results and Budget

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 2008 Program of Work:Priorities, Results and Budget

  2. Minister’s years of Action: From an annual ritual rain dance to achieving results

  3. In preparing this budget • We have looked in • We have looked out • We have looked back • We have looked ahead

  4. Some other principles • All budgets have a history • Commitments and claims on the budget • Changes are at the margins • Matching dreams and realism • Focusing on limited priorities • Predictability in funding • Coordination and Accountability for results • Aligning the structure of the budget to the organizational structure

  5. Background • Second year in the implementation of health policy and 5YPOW • Scaling up health interventions within a budget constraint • Whole of Government approach to achieving results based on MDGs and GPRS • Corporate Ghana and Corporate Health • Rebuilding the image of the Ministry • Uncoordinated, over-resourced and does not deliver • Ensuring budget credibility, predictability and fiscal discipline • Public Financial Management

  6. Overall framework Elements Process Instruments National Vision GPRS National Vision Vision, Mission, Goals (3) Guiding Principles (4) Principal Areas of Action (7) Health Policy & Presidential Sessional Address Policy Framework Corporate strategy Priorities (9) Strategic Objectives (4) Programmes (27) Results Strategic Planning Strategic planning 5YPOW & MTEF - - monitoring - -- - evaluation - - Operational planning Budget statement, Annual POW, MTEF plans & MDBS/PRSC Outputs & Activities Tasks Resources Implementation Review Reports

  7. Vision, Mission and Goal • National Vision “The national vision is to attain middle income status with a minimum of 1000 USD per capita by the year 2015.“ • National Vision for Health “Create wealth through health and contribute to the national vision of attaining middle income status by 2015.” • Mission Statement of the Ministry of Health “The mission is to contribute to socio-economic development and wealth creation by promoting health and vitality, ensuring access to quality health, population and nutrition services for all people living in Ghana and promoting the development of a local health industry.”

  8. Strategies • Promoting an individual lifestyle and behavioral model for improving health and vitality • Strengthening multi-sectoral advocacy and actions for enhancing environmental health and safety • Rapid scaling up of high impact health, reproduction and nutrition interventions and services targeting the poor, disadvantaged and vulnerable groups and bridging the gap between gap between interventions that are known to be effective and the current relatively low level of effective population coverage • Investing in strengthening health system capacity to manage and expand access to quality health services and sustain high coverage • Promoting governance, partnerships and sustainable financing

  9. Results Framework • Goals • Ensure that people live long, healthy and productive lives and reproduce without risk of injuries or death, • Reduce the excess risk and burden of morbidity, mortality and disability, especially in the poor and marginalized groups and • Reduce inequalities in access to health, reproduction and nutrition services and health outcomes

  10. Results Framework • Healthy Lifestyle and Healthy Environment • Addressing risk factors • Health Reproduction and Nutrition Services • Enhancing coverage and quality of health services • General Health System Strengthening • Strengthening capacity for service delivery and governance • Governance, partnerships and Sustainable Financing • Achieving results

  11. Looking into 2008 • Making sure the National Health Insurance works • Managing the wage bill and ensuring productivity • Scaling up towards MDGs • Sustaining RHN and working with other sectors • Enhancing budget execution, claims management and relationship between the 3 variables • Public subsidy • NHIS premiums • Tariff structure • Managing the capital program

  12. 2008 Priorities

  13. 2008 Contextual Factors Ghana 2008 Effects of the Floods Threat of meningitis Election year Emerging Priorities Epidemic preparedness and response Ambulance Service Hospital emergency preparedness STI and HIV Prevention and prevention and management Access to condoms Other Priorities

  14. The Budget and the story behind the figures • The practical issues • Legacy of previous investments • Maintenance of routine Activities • Scaling up some activities • New initiatives • Reallocation • Keeping the health system operational and effective • Commodity security • Operational funds • Planned Preventive Maintenance • Addressing equity

  15. Balancing the three dimension of the budget • Line items • Program budget • Implementation budget • Allocation to BMCs

  16. Project Budget = Gh¢722.26Sources of funds

  17. IGF and NHIF double counting • Better reporting of financial credits account for the increase

  18. Earmarked funds

  19. NHIF

  20. Principles underlying Resource Allocation • Overarching principles • Public goods, capacity building, organizational development and staff costs will continue to be financed from public funds. • Private goods (clinical care) will however be financed through User fees and NHIF. • Assumes full cost recovery for variable cost of services • The poor will be exempted as much as possible through NHIF by subsidizing or payment of premium

  21. Principles underlying Resource Allocation • For 2008 • BMCs and programs that do not recover cost (IGF) have been prioritized in the allocation of discretionary resources (public health interventions, psychiatry, etc.). • Institutions that recover variable cost of services will finance significant proportion of their items 2 and 3 budgets from internally generated funds and NHIF. • Free treatment for people who cannot pay will continue and health institutions will be reimbursed for exemptions granted. • However efforts will go into either subsidizing or paying the Health Insurance premium of exempted categories.

  22. Continuation • Emphasis will continue to be placed on funding operational cost of sub-districts and district health administrations. • The item 4 budget will prioritize • Training institutions • Provision of infrastructure and equipment that contribute to quality improvements and enhance revenue generation potential of health institutions such as laboratories, pharmacies, theatres and mortuaries. • Expanding access of deprived to services, expanding institutions to respond to increased service volumes and respond to challenges of urbanization

  23. Item One

  24. HR BUDGET PROCESS CHART

  25. Expenditure Policies • Item 1 • Full budgeting for staff at post • Alignment between staff and payroll • Gh¢ 43m gap • Recruitment to be approved • Trainee allowances will need to be reviewed • No implementation of deprived incentive allowance • Not more than 5% of IGF is to be spent on wages • Moving towards productivity improvements

  26. Item 2 • The priority is to reverse the deteriorating health infrastructure and equipment in the health sector by emphasizing planned preventive maintenance. • In view of this, BMCs are to prepare planned preventive maintenance plans as part of the 2008 planning and budgeting. • At least 10% of internally generated funds are to be earmarked for planned preventive maintenance. • In addition Agencies and BMCs are to implement efficiency savings programs with emphasis on travels and running cost of offices (fuel, utilities, stationery, etc).

  27. Item 3 • IGF and NHIF to predominantly finance service budget of hospitals • Exemptions granted to the poor will be reimbursed • Exemptions under NHIS will be refined • Public health and free services will be prioritized • Commodities and operational funds for scaling up • FP, TB, Vaccines, ASS • Priority will be given to non IGF generating institutions in allocation of other sources of funds for operational cost • Psychiatric hospitals, CWCs and leprosarium • Health centres, DHAs, RHAs • MOH, GHS HQ and Regulatory bodies • Management of debts and existing commitments • Maintenance contracts • New initiatives to form the basis for technical assistance requests

  28. Item 4 • Counterpart funds for projects have first claim on the budget • Completion of program on expansion of training institutions • Support to hospitals to expand portfolios that enhance quality and generate IGF • Laboratories, theatres, dispensaries, mortuaries • New Infrastructure/Expansion • Emergency preparedness in hospitals • Devastation from the floods (unfunded) • CHPS compounds and basic equipment focusing on MCH services

  29. Agency/MBC Allocations

  30. Agency/MBC Allocations

  31. From Planning to Action • A plan is only a plan • For performance you need to • Mobilize Agencies and staff • Commit ourselves to execution • Ensure resources predictability • Build partnerships • Continue to monitor and take corrective actions

  32. Thank You

More Related