Annual Programme of Work 2009 - Ministry of Health
Annual Programme of Work 2009 - Ministry of Health
Annual Programme of Work 2009 - Ministry of Health
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3. KEY LESSONS AND CHALLENGES IN 2008<br />
Key challenges in implementing the 2008 POW include<br />
• Coordination and alignment <strong>of</strong> policies, implementation plans and programmes.<br />
o Changes in plans as a result <strong>of</strong> changes in levels <strong>of</strong> resource s mobilised for<br />
the sector were not reflected in agency plans as a result <strong>of</strong> weakness in<br />
communicating the changes in promptly.<br />
o Significant commitments were not originally captured in plans and budgets<br />
and made it difficult to have a clear idea <strong>of</strong> the full scope <strong>of</strong> resources<br />
available to the sector.<br />
o Difficulties in aligning the procurement cycle to the budget due to unplanned<br />
procurement and the huge budget cuts during the year. This negatively<br />
impacted on the efforts to meet procurements targets.<br />
• Major budgetary reallocation within the year to support the free maternal deliveries<br />
• Reimbursement <strong>of</strong> claims and the entire area <strong>of</strong> claims management by the NHIS.<br />
• Unpredictability <strong>of</strong> fund releases<br />
• Untimely information on earmarked funds<br />
• Nonalignment <strong>of</strong> finance and budget reporting systems<br />
• Delays in accessing funds from MOFEP<br />
• Inadequate capacity for monitoring <strong>of</strong> policy implementation at all levels<br />
• Difficulties in enforcing agency reporting requirements<br />
• Matching productivity with the wage bill<br />
• Inequitable distribution <strong>of</strong> human resource<br />
• Poor staff attitude within the sector<br />
• Uncoordinated referral system<br />
• Quality control <strong>of</strong> imported foods and drugs<br />
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