Annual Programme of Work 2009 - Ministry of Health

8. CAPITAL INVESTMENT
The Capital Investment Programme outlines investments in health infrastructure, equipment,
ICT and transport including ambulance for the sustenance and expansion of health delivery.
The 2009 Capital Investment Plan has been developed to respond to the Strategic Objective 3
of the Ministry’s Five-year Programme of Work which aims at strengthening health systems
capacity to expand, manage and sustain high coverage of services. The strategic objective
emphasises on the creation, expansion or upgrading of capabilities in the health system in
order to fill capacity and service gaps and improve clinical and organisational performance to
promote, protect and improve health.
The strategy of equity and access to quality health care still remains the primary focus of the
2009 Capital Investment Plan as a means to achieving the MDGs based on the key priorities
of the health sector. The plan is based on the 2009 strategic priorities of the health sector, the
annualised investment plan of the third Capital Investment Plan for the period 2007 – 2011.
It also incorporates lessons from the previous reviews and consolidates on the gains achieved
to date.
The priorities of the 2009 activities have been fashioned out within an investment
environment intertwined with challenges and a huge number of uncompleted and abandoned
projects rolled over from previous years. The main challenge of the CIP revolves around
financing the plan within a serious budget constraint.
The specific objectives of the 2009 CIP will essentially be to keep existing
facilities/institutions functional/operational, increase scope of services of existing facilities
consistent with the needs of the population and increase geographical access.
The thrust of the 2009 Capital Investment component of the sector’s Programme of Work
(POW) will focus on the completion of ongoing projects, renewal of obsolete transport and
equipment and the development of strategic projects that will significantly contribute to the
quality and equitable access to health care.
Priority Activities
• Develop pragmatic criteria for the prioritization of capital expenditure;
• Finalize and deploy the Capital Investment Planning Model and the Service
Availability Mapping tool for mapping key health interventions;
• Improve availability of appropriate equipment and management through planned
preventive maintenance, replacement of obsolete equipment and improved equipment
management systems
• Increase vehicle availability for service delivery and supervision targeting over aged
vehicles particularly in the deprived districts and improving on planned preventive
maintenance.
• Promote equity and improving quality of care by directing resources towards the
completion of ongoing projects with emphasis on rehabilitation and expansion of
health facilities in deprived and peri-urban areas;
• Rehabilitate and expand training schools and provide staff accommodation;
• Implement external funded turnkey and bilateral-sponsored projects
44