Annual Programme of Work 2009 - Ministry of Health

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7. PROCUREMENT Significant progress has been made in the procurement of goods, works and services, in the Health sector. However recent reviews have indicated that the decentralisation of procurement functions carries some risks which include loss of economies of scale, distribution and co-ordination, particularly on quality assurance. The 2007 annual review report made reference to the fact that the logistics system was working well and there were no stock out situations at the facility level albeit, challenges still exist. • Large purchases outside the Medical Stores System • Commodities obtained through direct procurement are warehoused at a cost to the CMS. • Information on quality, availability and pricing of medical commodities and supplies is available but inaccessible in the public domain leading to low consumer awareness • Large disparities in health commodity prices across the country • Difficulties in aligning the procurement cycle to the budget due to the huge budget cuts during the year. This negatively impacted on the efforts to meet procurements targets. The April 2008 Aide memoire recommended that a study on the extent and causes of the debt in the supply chain should be done and remedial actions to be undertaken. The policy thrust in 2009 therefore is to facilitate visible follow through on procurement practices and allow broad stakeholder engagement. Priority Activities • Manage 2009 procurement portfolio and develop 2010 procurement plan • Set up mechanisms for reviewing the execution of the procurement portfolio response to budgetary reviews • Conduct study and develop standard pricing policy framework for goods and services in the health sector • Refine and improve alignment of procurement plans to budget execution. • Collaborate with the Public Procurement Authority (PPA) in training different cadres of staff in the use of the PPA Manual and the MOH Procurement Procedure Manual which has recently been revised to conform to the provisions of the newly enacted Procurement Law (ACT 663) • Complete the computerization of the Central Medical Stores and subsequent networking with the Regional Medical Stores and Teaching Hospitals to improve logistics management • Implement the Standard Treatment Guidelines and Essential Medicines List in health facilities as a policy tool for cost containment 42
• Develop strategic plan based on the gaps identified in the MOH/WHO/HAI 2008 level 2 and household survey Expected Results • Procurement Portfolio for 2009 managed and the Procurement Plan for 2010 developed • Procurement cycle and budget execution increasingly aligned • The sixth edition of Standard Treatment Guidelines and Essential Medicines List reviewed, printed and launched both nationally and distributed to all regions and district. • Improved medicines and logistics supply security Collaborators All Agencies, Health Partners, National Health Insurance Council and other stakeholders including the private sector 43
Page 1: THE GHANA HEALTH SECTOR 2009 PROGRA
Page 4 and 5: HIV/AIDS Human Immunodeficiency Vir
Page 6 and 7: TABLE OF CONTENTS ACRONYMS ........
Page 8 and 9: MESSAGE FROM THE HON. MINISTER OF H
Page 10 and 11: It also indicates the overall spend
Page 12 and 13: • Ensuring healthier mothers and
Page 14 and 15: 4. 2009 PRIORITIES Sector prioritie
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Page 18 and 19: PRIORITIES BROAD ACTIVITIES LEAD AG
Page 20 and 21: their quality, to the training of H
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Page 24 and 25: access to free healthcare to exempt
Page 26 and 27: • Increased coverage of reproduct
Page 28 and 29: The policy thrust for 2009 is to st
Page 30 and 31: Sciences of the University of Devel
Page 32 and 33: • 5 additional Alcohol Anonymous
Page 34 and 35: Collaborators Ministry of Health, G
Page 36 and 37: • Update of register to reflect a
Page 38 and 39: Collaborators Ministry of Health, C
Page 40 and 41: organizations. Over the years, the
Page 44 and 45: 8. CAPITAL INVESTMENT The Capital I
Page 46 and 47: • Preparatory works including val
Page 48 and 49: 9. 2009 HEALTH SECTOR BUDGET The 20
Page 50 and 51: Table 2 Total 2009 resource envelop
Page 52 and 53: Table 5 Allocation of MoH Budget by
Page 54 and 55: Funding for research is currently l
Page 56 and 57: Table 10 Donor funding Type Partner
Page 58 and 59: % of households with sanitary facil
Page 60 and 61: o Reprioritisation as a result of t
Page 62 and 63: Annex 1: CAPITAL INVESTMENT PLAN 62
Page 64 and 65: Hospitals) 5 Matching Fund for ABU
Page 66 and 67: MTS at Bolgatanga 4 Completion of c
Page 68 and 69: 5 6 7 CSRIPM & TAMD Completion of o
Page 70 and 71: 0 Major Rehabilitation and Upgradin
Page 72 and 73: 5 Upgrading of Old Tafo Hospital (M
Page 74 and 75: S/N Summary of 2009 Capital Investm
Page 77 and 78: Annex 3: PROCUREMENT PLAN 1. Goods
Page 79 and 80: 19 Weighing scales (Unit scale- Mot
Page 81 and 82: Independent Monitoring of activitie
Page 84: Annex 4: NATIONAL HEALTH INSURANCE

Annual Programme of Work 2009 - Ministry of Health

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