Annual Programme of Work 2009 - Ministry of Health

Table 2 Total 2009 resource envelope at 10 November 2009 (GH¢ ‘000)
Source 2008 2009
year on year
increase (%)
% total
(2009)
GOG 268,517 309,084 15.1% 35.7%
Donor funding 126,731 183,525 44.8% 21.2%
NHIF 235,420 321,272 36.5% 37.1%
IGF ‐ C&C 115,070 52,907 ‐54.0% 6.1%
HIPC 6,485 ‐ ‐100.0% 0.0%
TOTAL 752,223 866,788 15.2% 100.0%
The table shows that total resource envelope for 2009 is projected to be 15.2% higher in 2009
than in 2008. In the absence of final inflation figures, it is not possible to state whether this
will represent a real increase, but any such increase would be minimal, and in the face of
population growth is likely to reflect a reduction in the real per capita allocation 3 .
Donor funding is projected to increase by almost 45% against last year, and is the main driver
of increase in the sector. To the extent that this increase is in sector budget support, and
earmarked funding which is fully aligned with the POW, this is not a major concern except in
terms of sustainability. However, it is possible that these figures inflate the effective
financial support which contributes directly to the programme of work, and work remains to
unpack the details of external funding in order to provide a more accurate picture.
No indication has yet been given on HIPC funding to the sector, and this may change. The
IGF figures for 2008 and 2009 are not comparable as 2008 included an element of doublecounting
of NHIS claims 4 . The NHIF figure is relatively stable at 33.6% of the total resource
envelope, compared with 31.3% in 2008.
Table 3 shows the trend in sectoral allocations between the different Items. Complete
comparison is not possible as the details were not available for NHIF for first two years.
Table 3 Trend of MoH Budget Allocation (GHc’000)
GH¢ m %
2006 2007 2008 2009 2006 2007 2008 2009
Item 1: Personnel emoluments 172,938 221,437 248,131 299,894 53% 57% 33% 35%
Item 2: Administration 24,350 25,101 28,587 42,459 7% 6% 4% 5%
Item 3: Service 79,804 96,754 340,685 451,343 24% 25% 46% 52%
Item 4: Investment 49,962 44,845 130,831 73,471 15% 12% 17% 8%
Total 327,054 388,137 748,234 867,166 100% 100% 100% 100%
Budget including NHIF 478,419 583,737 748,234 867,166
Year on year growth of total inc. NHIF (%) 22% 28% 16%
Note: Years 2006 and 2007 excludes the NHIF whilst years 2007 and 2008 includes the NHIF. It should be
noted that the figures for 2009 includes an assumed allocation of the NHIF based on 2008 figures, as the
resource allocation formula was not available at the time of compiling the tables.
3 Year on year inflation was 17.9% in September according to the Ghana Statistical Service website.
4 Crudely informed estimates might discount this figure by 50%, which would still indicate a slight drop, from
GH¢ 57.5m to GH¢ 52.9 m, ie a drop of 8%.
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