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Annual Programme of Work 2005 - Ministry of Health

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9. ORGANISATION AND MANAGEMENT OF HEALTH SERVICES<br />

Planning and Budgeting<br />

The Medium Term Expenditure (MTEF) continues to provide the framework for<br />

planning and budgeting within the health sector. In addition, the POW developed<br />

annually as part <strong>of</strong> the common management arrangement is a strategic document that<br />

guides investments and actions <strong>of</strong> all players in the sector. At the June 2004 summit, it<br />

was agreed to adopt both a resource and needs based approach to planning. This approach<br />

is being implemented in <strong>2005</strong>. The lessons with this planning will be documented to<br />

guide further improvements in planning systems. The pro-poor resource allocation<br />

criteria was adopted and applied to the 2004 and <strong>2005</strong> budget. The link between the<br />

priorities in the <strong>Programme</strong> <strong>of</strong> <strong>Work</strong> and MTEF plans, particularly district level plans,<br />

has however not been clearly established. The focus for <strong>2005</strong> would be to strengthen the<br />

planning systems in the Agencies and continue to apply resource allocation criteria that<br />

pro-poor without making any BMC worse <strong>of</strong>f. Policy development will also involve all<br />

Agencies.<br />

The priority activities would include:<br />

• Develop a common planning timetable that synchronizes the agencies planning and<br />

budgeting cycle into the sector planning and budgeting cycle.<br />

• Provide a framework within which agencies derive their priorities, plans and budgets<br />

from the overall national priorities for the sector.<br />

• Provide training and technical support in the preparation <strong>of</strong> the 2006 <strong>Programme</strong> <strong>of</strong><br />

<strong>Work</strong> and MTEF plans<br />

• Strengthen or establish planning and budget units in agencies to track plans and<br />

budget.<br />

• Implement a system for ensuring that agency perspectives are incorporated in the<br />

policy review and development process<br />

• Review the criteria for allocating resource to BMCs to make them more pro-poor<br />

• Review districts level plans and budget to ensure that they reflect the pro-poor agenda<br />

and national priorities.<br />

• Revise the structure <strong>of</strong> programme <strong>of</strong> work and/or MTEF plans to demonstrate a<br />

clearer relationship between priorities and resource allocation<br />

Expected Outputs<br />

• Timely preparation <strong>of</strong> the 2006 POW and MTEF plans by 30 th November <strong>2005</strong><br />

• 98% staff in Agencies Budget units trained in preparation <strong>of</strong> plans and budget<br />

• Reviewed criteria for allocating resources to BMCs<br />

• All major Agencies <strong>of</strong> the <strong>Ministry</strong> have planning units<br />

<strong>Health</strong> Service Performance Agreement<br />

30

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