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Steps of an MBB-assisted analysis

Steps of an MBB-assisted analysis . FIVE MAJOR STEPS. Step 1. Step 1: Setup & Inputs Start year, duration of the plan Analysis Options (Compare Scenarios: overtime, compare groups) Default range Baseline data (epi,Demo,HS, coverage,Eco. Step 2: Bottleneck analysis Selecting tracers,

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Steps of an MBB-assisted analysis

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  1. Steps of an MBB-assisted analysis FIVE MAJOR STEPS

  2. Step 1 • Step 1: Setup & Inputs • Start year, duration of the plan • Analysis Options (Compare Scenarios: overtime, compare groups) • Default range • Baseline data (epi,Demo,HS, coverage,Eco • Step 2: • Bottleneck analysis • Selecting tracers, • Defining indicators • Baseline coverage • Causes and solution • Target setting • Step 3: Policy scenarios • Coverage targets • Health service delivery organization • Service packages • Implementation strategies (CCT, etc.) • Step 5: Outputs • Impact : mortality reduction (MMR, IMR, NMR, U5..); morbidity reduction (HIV AIDS, TB, Malaria) • Additional budget (capital/recurrent, level of service delivery…) • Health system: additional infrastructure, additional HR • Step 4: Budgeting and Financing • Select budget items • Mapping budget items to National program, national chart of accounts … • Select implementation curves (phasing assumptions) • Define funding source

  3. Setting up the Tool for Analysis Purpose of Analysis : Scenarios? Comparing groups (equity based analysis)? Analysis over time? Time frame for implementation? Default values available?

  4. 6 Operational areas – For Baseline data • Health System (design & organization) • Capture the national norms, standards ( human resources, geographical access to health services, etc); • Capture the existing health system inputs (human resources, geographical access etc); • Calculate the GAP between Norms and existing inputs. • Demography • Map up Demographic Parameters(Population Cohorts)

  5. 3. Epidemiology: • Mapping up the epidemiological profile of population (prevalence, incidence etc); • Mortality and morbidity trends; • Baseline from 1990 for MDGs progress calculations; 4. Interventions : • Mapping interventions as currently implemented in the country; 5. Coverage: • Current coverage levels of target population for interventions being implemented;

  6. 6. Economics: • Map up Macro economic parameters • Unit prices for all inputs

  7. Step 2 • Step 1: Setup & Inputs • Start year, duration of the plan • Analysis Options (Compare Scenarios: overtime, compare groups) • Default range • Baseline data (epi,Demo,HS, coverage,Eco • Step 2: • Bottleneck analysis • Selecting tracers, • Defining indicators • Baseline coverage • Causes and solution • Target setting • Step 3: Policy scenarios • Coverage targets • Health service delivery organization • Service packages • Implementation strategies (CCT, etc.) • Step 5: Outputs • Impact : mortality reduction (MMR, IMR, NMR, U5..); morbidity reduction (HIV AIDS, TB, Malaria) • Additional budget (capital/recurrent, level of service delivery…) • Health system: additional infrastructure, additional HR • Step 4: Budgeting and Financing • Select budget items • Mapping budget items to National program, national chart of accounts … • Select implementation curves (phasing assumptions) • Define funding source

  8. Health system bottleneck identification & analysis using Tanahashi health coverage determinants (model) Setting new coverage targets Identification of Strategies for reducing Health System Bottlenecks

  9. Step 3 • Step 1: Setup & Inputs • Start year, duration of the plan • Analysis Options (Compare Scenarios: overtime, compare groups) • Default range • Baseline data (epi,Demo,HS, coverage,Eco • Step 2: • Bottleneck analysis • Selecting tracers, • Defining indicators • Baseline coverage • Causes and solution • Target setting • Step 3: Policy scenarios • Coverage targets • Health service delivery organization • Service packages • Implementation strategies (CCT, etc.) • Step 5: Outputs • Impact : mortality reduction (MMR, IMR, NMR, U5..); morbidity reduction (HIV AIDS, TB, Malaria) • Additional budget (capital/recurrent, level of service delivery…) • Health system: additional infrastructure, additional HR • Step 4: Budgeting and Financing • Select budget items • Mapping budget items to National program, national chart of accounts … • Select implementation curves (phasing assumptions) • Define funding source

  10. Step that helps :Identify and make policy changes where needed

  11. Step 4 • Step 1: Setup & Inputs • Start year, duration of the plan • Analysis Options (Compare Scenarios: overtime, compare groups) • Default range • Baseline data (epi,Demo,HS, coverage,Eco • Step 2: • Bottleneck analysis • Selecting tracers, • Defining indicators • Baseline coverage • Causes and solution • Target setting • Step 3: Policy scenarios • Coverage targets • Health service delivery organization • Service packages • Implementation strategies (CCT, etc.) • Step 5: Outputs • Impact : mortality reduction (MMR, IMR, NMR, U5..); morbidity reduction (HIV AIDS, TB, Malaria) • Additional budget (capital/recurrent, level of service delivery…) • Health system: additional infrastructure, additional HR • Step 4: Budgeting and Financing • Select budget items • Mapping budget items to National program, national chart of accounts … • Select implementation curves (phasing assumptions) • Define funding source

  12. Linking budget framework with Planning (National Health Plan, MTEF etc) • Phasing assumptions • Potential Sources of Funding

  13. Step 5 • Step 1: Setup & Inputs • Start year, duration of the plan • Analysis Options (Compare Scenarios: overtime, compare groups) • Default range • Baseline data (epi,Demo,HS, coverage,Eco • Step 2: • Bottleneck analysis • Selecting tracers, • Defining indicators • Baseline coverage • Causes and solution • Target setting • Step 3: Policy scenarios • Coverage targets • Health service delivery organization • Service packages • Implementation strategies (CCT, etc.) • Step 5: Outputs • Impact : mortality reduction (MMR, IMR, NMR, U5..); morbidity reduction (HIV AIDS, TB, Malaria) • Additional budget (capital/recurrent, level of service delivery…) • Health system: additional infrastructure, additional HR • Step 4: Budgeting and Financing • Select budget items • Mapping budget items to National program, national chart of accounts … • Select implementation curves (phasing assumptions) • Define funding source

  14. Results on key operational areas analysis : - Additional budget allocation by programs, - Impact in terms of Mortality reduction, - Health system outcomes: additional human resources, Physical infrastructures, - Increase in coverage, - Continuum of care (time & places) - Fiscal space Use of results for policy dialogue and additional resource mobilization (MTEF, Development of Investment case, NHP etc)

  15. Thank you

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