Annual Programme of Work 2005 - Ministry of Health

adversely on implementation at district and lower levels and undermining planning and
accountability in the health sector. The national and regional levels have tended to access
funds more rapidly and are therefore insulated from delays. The thrust for 2005 is to
improve predictability in fund flow while strengthening internal control procedures
through enhanced capacity for financial management and resource utilization. Efforts will
also go into improving management reporting for decision making.
Priority activities for 2005 would include:
• Build in-house capacity and retain IT staff to adequately cope with all components of
PUFMARP
• Orient managers on the Financial Administration Act, the Public Procurement Act
and the Internal Audit Agency Act- effects on disbursement and financial reporting.
• Produce more timely quarterly financial statements and improve reporting and
analysis capacity at all levels.
• Encourage agencies to generate own reports through BPEMS which is a more
friendly FMS reporting tool
• Build capacity for policy dialogue on HIPC and GPRS to ensure increased resources
for MOH and also ensure that expenditure tracking requirements are fully met.
• Agree an annual cash flow schedule with donor commitments and related
disbursements
• Operate an integrated fund management that ensures prompt quarterly disbursement
to BMCs
• Negotiate with MOFEP for release of GOG administration budget in bulk as is done
with service budget
• Continue to re-organize the accounts of Central Medical Stores to provide
information on transactions with BMCs
• Examine the possibilities of including Global Fund revenues into the Health Fund
• Comply with the Common Management Arrangements on disbursement and regularly
communicate with donors on status of funds & disbursement.
• Work with health partners to channel earmarked funds through the “Aid pool
Account” rather than directly to the regions and districts
• With the support of donors, build capacity and develop the internal audit at all levels.
• Improve quality of internal audit report through regular communication on content &
format of audit reports.
• Ensure a functional audit report implementation committee (in accordance with the
Audit Service Act 2000) to follow up and review responses to specific queries raised
by the auditors and ensure compliance with recommendation.
Expected Output/Results
• Improved strategies developed for cash flow management.
• Mechanisms developed to retain staff and reduce turnover of finance staff to below 5
%
• BPEMS concept deployed to GHS and 2 Teaching Hospitals
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