REVISED CMA III - Ministry of Health

Holistic Assessment of Progress
The holistic assessment of performance in the health sector is a structured methodology to assess
the quantity, quality and speed of progress in achieving the objectives of the programme of work.
The primary objective of the assessment is to provide a brief but well-­‐informed, balanced and
transparent assessment of the sector’s performance and factors that are likely to have influenced
this performance. The assessment is based on indicators and milestones in the PoW and is
presented and discussed at the April Health Summit and negotiated and agreed upon by the
Ministry of Health and partners at the subsequent business meeting. The outcome serves as input
into the MDBS PAF.
Responsibilities for Monitoring and Evaluation
This section describes the main responsibilities for performance monitoring in the health sector.
All key sector partners, whether specifically identified or not, are expected to comply with the
relevant procedures for performance monitoring as defined by the Ministry of Health. All sector
agencies and partners will submit quarterly, half year and annual reports to the Ministry of
Health in accordance with stipulated guidelines and timelines.
The Ministry of Health
• MOH has primary responsibility for monitoring of all executing agencies.
• The Ministry will define performance areas and negotiate performance targets with all
executing agencies that will include sanctions for non-­‐performance.
• The ministry will be responsible for coordinating and organizing the annual review
process and ensuring that resulting Aide Memoire are prepared, disseminated and follow
up activities undertaken.
• The Ministry will collaborate with the Ghana Statistical Service and other relevant
agencies in the design of national surveys.
The Ghana Health Service
• The GHS will clarify responsibilities and define service delivery standards and identify key
achievement targets through a process of negotiation starting with BMCs at the district
level. Service providers will include private providers and other NGOs in health.
• The GHS will review service targets within the context of the overall national targets.
• GHS will facilitate performance hearings at the district, regional and national levels to feed
into district and regional reports. GHS will ensure Local Government participation in
performance hearings at the district level. GHS HQ will ensure that guidelines for
organizing information for performance hearings and the conduct of the sessions are
developed, reviewed and disseminated.
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