by simon moshy. health sector 2011/12 mohsw 2012/13 health block grants essential medicines...
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THE ABUJA DECLARATION
AND HEALTH EQUITY
By Simon Moshy
2
TALKING POINTS Health Sector 2011/12
MoHSW 2012/13
Health Block Grants
Essential Medicines & Medical Supplies
Key Messages
3
HEALTH SECTOR 2011/12
Abuja target
4
SOCIAL SECTOR IS NO PRIORITY
Source: PWC (2008,2009,2010,2011), Budget Speech Reviews.
2008/09 2009/10 2010/11 2011/120%
5%
10%
15%
20%
25%
Education
Health
Sh
are
of
Tota
l B
ud
get
5
INFRASTRUCTURE IS PRIORITY
Source: PWC (2008,2009,2010,2011), Budget Speech Reviews.
2008/09 2009/10 2010/11 2011/120%
5%
10%
15%
20%
25%
Education
Infra-structure
Health
Sh
are
of
Tota
l B
ud
get
6
ABUJA DECLARATION
Source: PWC (2008,2009,2010,2011), Budget Speech Reviews.
2008/09 2009/10 2010/11 2011/120%
5%
10%
15%
20%
25%
Abuja Target
Health
Sh
are
of
Tota
l B
ud
get
7
DOMESTIC VS FOREIGN FUNDING
20
05
/06
20
06
/07
20
07
/08
20
08
/09
20
09
/10
20
10
/11
20
11
/12
20
12
/13
20
13
/14
0%10%20%30%40%50%60%70%80%90%
100%share of domestic funding to total budget
share of foreign funding to total budget
Healt
h S
ecto
r Fu
nd
ing
S
hare
Projection (linear)Actual
Source: Health Sector PER Updates (2005-2010).
8
MINISTRY OF HEALTH
AND SOCIAL WELFARE
9
MOHSW TOTAL SPENDING
Source: Budget Estimates (2011,2012), Vol. II and IV.
2009/10 2010/11 2011/12 2012/130
100,000,000,000
200,000,000,000
300,000,000,000
400,000,000,000
500,000,000,000
600,000,000,000
700,000,000,000
800,000,000,000
DevelopmentRecurrent
10
UNNECESSARY EXPENDITURES IN THE MOHSW
Budget Item 2010/2011 2011/2012 2012/13
Change 2011/12 to
2012/13Allowances
5,740,981,080
8,503,305,502
10,285,936,066
21.0%
Fuel, Oil, Lubricants
957,716,5261,140,988,00
01,234,716,00
08.2%
Training1,830,172,20
26,593,318,36
06,771,232,00
02.7%
Travel2,097,792,84
04,725,189,00
02,376,312,00
0-49.7%
Hospitality
395,967,340 708,454,0003,890,634,60
0449.2%
Acquisition of Vehicles
0 341,000,000 260,000,000 -23.8%
Total 11,022,629,988
22,012,254,862
24,818,830,666 12.8%
Source: Budget Estimates (2012), Vol. II.
11
MOHSW DEVELOPMENT EXPENDITURES
2009
/10
2010
/11
2011
/12
2012
/13
050,000,000,000
100,000,000,000150,000,000,000200,000,000,000250,000,000,000300,000,000,000350,000,000,000400,000,000,000450,000,000,000500,000,000,000
Foreign Local
Source: Budget Estimates (2011, 2012), Vol. II and IV.
12
MOHSW DEVELOPMENT EXPENDITURES
Source: Budget Estimates (2012), Vol. IV.
Preve
ntiv
e se
rvices
Curat
ive
serv
ices
Policy
and
Plann
ing
Hum
an R
esou
rce
Dev
.
Social
Wel
fare
040,000,000,00080,000,000,000
120,000,000,000160,000,000,000200,000,000,000
2011/12 2012/13
13
HEALTH EQUITY
Health block grant
14
HEALTH BLOCK GRANT ALLOCATION FORMULA Formula has been developed in 2002 by
Georgia State University.
Allocation FactorsPopulation (70%)Under-five mortality (10%)Poverty count (10%)District vehicle route (10%)
15
HEALTH BLOCK GRANT ALLOCATION FORMULA
16
HEALTH BLOCK GRANT ALLOCATION
Source: www.pmoralg.go.tz/
0 500 1000 1500 2000 2500 3000 35000
500
1000
1500
2000
2500
3000
3500
2005-06
2008-09
Allocation by the Formula (TZS)
Actu
al
Re
so
urc
e A
llo
ca
tio
n (
TZ
S)
Line of E
quality
17
ESSENTIAL MEDICINES AND
MEDICAL SUPPLIES
18
MEDICINES & MEDICAL SUPPLIES Sikika’s survey from May to August 2011
shows that from 100 inquiries for a specific essential medicine or medical supply, on average, 29 were reported to be out of stock.
Budget for Essential Medicines and Supplies in 2012/13:PSU/MSD est. need: TZS 198 bn (100%)MTEF: TZS 75.5 bn
(38%)
Source: MTEF of MoHSW (2012).
19
MEDICINES & MEDICAL SUPPLIES
Source: MTEFs of MoHSW.
2007/08
2008/09
2009/10
2010/11
2011/12
2012/130
10
20
30
40
50
60
70
80
90
ForeignLocal
Billion
TZ
S
20
KEY MESSAGES Health sector is no priority
Long way to Abuja target of 15%
Unnecessary expenditures in the MoHSW are still increasing
Health block grant formula is not applied
Persistent lack of funding for essential medicines & medical supplies
21
Please visit our website at
www.sikika.or.tz
Asanteni Sana!
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