SUPPORT TO THE HEALTH SECTOR PROGRAMME
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Transcript of SUPPORT TO THE HEALTH SECTOR PROGRAMME
SUPPORT TO THE HEALTH SUPPORT TO THE HEALTH SECTOR PROGRAMMESECTOR PROGRAMME
Presentation by Presentation by Mr. Benedict V. KuneneMr. Benedict V. Kunene
Social Sector Dev. Specialist, MWFOSocial Sector Dev. Specialist, MWFOADBADB
05 August 200905 August 2009
Objective of ADF’s ContributionObjective of ADF’s Contribution
To support activities of the programme that To support activities of the programme that are aimed at accelerating reduction of are aimed at accelerating reduction of maternal and newborn morbidity and maternal and newborn morbidity and
mortality rates.mortality rates.
InputsInputs ADF contribution part of support to the ADF contribution part of support to the
funding of Road Map (2004 -2010)funding of Road Map (2004 -2010)
Government : Government : USDUSD 25.00 m25.00 m ADF ADF : : USD 21.85 m USD 21.85 m
((1717%)%) Other DPsOther DPs :: USDUSD 81.15 m81.15 m TotalTotal :: USD128.00 millUSD128.00 mill
Components Supported by ADFComponents Supported by ADF I.I. Human ResourcesHuman ResourcesII.II. Pharmaceutical and Medical Supplies Pharmaceutical and Medical Supplies III.III. Essential Basic EquipmentEssential Basic EquipmentIV.IV. Facilities DevelopmentFacilities DevelopmentV.V. Routine Operations at Service Delivery Routine Operations at Service Delivery
Level andLevel andVI.VI. Central Operations, Policy and Central Operations, Policy and
Systems Development Systems Development ProgrammeProgramme
Geographic Distribution of Health Geographic Distribution of Health CentresCentres
Construction of BEmOCsConstruction of BEmOCs
All RegionsAll Regions
10 Contracts for 43 sites 10 Contracts for 43 sites
NorthNorth 4 Contracts in 13 sites4 Contracts in 13 sites
CentralCentral 3 Contracts in 18 sites3 Contracts in 18 sites
SouthSouth 2 Contracts in 12 sites2 Contracts in 12 sites
Progress as at June 09Progress as at June 09Region % Completion Expected
CompletionNorthern 51 31 Oct 2009
Central 78 31 Oct 2009
Southern 54
(Avge. 61%)
30 Nov. 2009
Physical Progress of BEmOCsPhysical Progress of BEmOCs
Physical Progress
0 20 40 60 80 100
Nothern
Central
Southern
Regi
on
Percentage Completion
Training (RF 02)Training (RF 02) BEmOC MNH Other
Planned Actual Planned Actual Planned Actual
Number 331 170 220 331 18 43
Variance No.
161 -111 -25
Cost $ 357,100 451,096 281,000 313,224.94 138,249 42,757.04
Variance $
-93,996 -32,224.94 95,491.96
Financial managementFinancial managementI. Overall Disbursement Rate, 38%
II.II. Special account justificationSpecial account justification 58% of funds advanced remains outstanding 58% of funds advanced remains outstanding
(USD 617,293)(USD 617,293)
III.III. Audit reportAudit report The 2007/08 audit report is still outstandingThe 2007/08 audit report is still outstanding
ISSUESISSUESi)i) Weak supervision of contractors by Weak supervision of contractors by
consultants; consultants;
ii)ii) Weak supervision of consultants by GOM; Weak supervision of consultants by GOM;
iii)iii) Weak coordination & poor reporting of training Weak coordination & poor reporting of training by RHU; by RHU;
iv)iv) Poor coordination between Reproductive Poor coordination between Reproductive Health Unit and other Units.Health Unit and other Units.
V)V) Delayed justification of SPAC fundsDelayed justification of SPAC funds
VI)VI) Delayed submission of audit reports Delayed submission of audit reports
RecommendationsRecommendations MOH to step up supervision of consultants;MOH to step up supervision of consultants; Consultants to step up Supervision of Consultants to step up Supervision of
Contractors; Contractors; Improve coordination and reporting of training Improve coordination and reporting of training
by RHU; and by RHU; and Improve coordination between RHU and other Improve coordination between RHU and other
Department (e.g. DoFA) Department (e.g. DoFA) Ensure that audit reports are submitted within Ensure that audit reports are submitted within
scheduled time.scheduled time.
ZIKOMO KWAMBIRI