Annual Programme of Work 2009 - Ministry of Health

o Reprioritisation as a result of transitional issues could affect resource
allocation and budget execution with possible delays in disbursements
o Indebtedness – erosion of fungible funds
o Inadequate funds – disbursement may not be as planned
• Global economic recession and national economic performance could affect the
availability of funds to the sector.
o Incurred debts (goods, services and work) transferred to ensuing years
budget
• Continued delay in claims reimbursements and management could affect service
provision
• Increasing wage bill reduces the availability of funds for service delivery and
investments
• The agitation of health workers particularly for salary enhancement due to the
possible increasing work load resulting from the free maternity care policy
It is assumed that successful implementation of the programmes outlined in this document
is based on the following that:
• The formation and functioning of budget committees would address budget
execution challenges
• Adequate resources will be available for execution of planned activities
• The Continuous dialogue between the MOH, DPs and MOFEP on earmark funding
will result in increased earmarked funding.
• The transition to a new government would be uneventful and policy shifts of
government would remain constant
• Health commodity security will be achieve for priority health programmes
• Estimated budget would be approved
• Staff attitude, commitment and dedication to service would have improved
• Procurement and investment plans would be adhered to
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