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Performance of Capital Investment Programme in 2004. CAPITAL INVESTMENT MANAGEMENT UNIT PPME - MOH December 15, 2004. Policy issues. Provision of basic services for the poor, with emphasis on district and sub-district community- based health care.

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Performance of capital investment programme in 2004
Performance of Capital Investment Programme in 2004

CAPITAL INVESTMENT MANAGEMENT UNIT

PPME - MOH

December 15, 2004


Policy issues
Policy issues

  • Provision of basic services for the poor, with emphasis on district and sub-district community- based health care.

  • Reducing geographical inequalities in accessing health, by directing resources to the provision of facilities in the deprived regions.

  • Developing human resource capacity through the rehabilitation and expansion of training schools.


Policy issues cont
Policy Issues - cont.

  • Emphasis on rehabilitation and refurbishment of health facilities

  • Retention of staff through the provision of staff accommodation.

  • Provision of staff accommodation to attract staff to the rural areas


Funding sources
Funding Sources

  • GOG

  • HEALTH FUND

  • HIPC

  • EARMARKED FUNDING - ADB, VAMED, BADEA, DFID, OPEC

    CONCESSIONARY CREDIT


Performance national projects
Performance – National Projects

  • Major Rehabilitation of Central Medical stores

    - Work is far advanced and would be completed by mid February 2005.

  • Tamale Hospital

    - Works for the minor rehabilitation would be completed by January 2005.

    - Major refurbishment – Consultations with the World Bank to finalise selection of Consultant.

  • Polyclinics

    - Two Polyclinics ie Mamprobi and Kaneshie approved by MOFEP for upgrade and re-equipping.


National projects cont
National Projects - cont.

  • OPEC FUND Projects

    - Upgrade of 4 District Hospitals and 16 Health Centres at practical completion.

    - Mobile Dental Facilities for outreach dental services in operation.

  • SAUDI FUND Projects

    - 15 Health Centres completed and handed over.

  • BADEA Projects

    - Rehab. of Bolgatanga Regional Hospital in progress


National projects cont1
National Projects – cont.

  • School of Allied Health

    - Civil works for Offices and Laboratory completed; Classrooms and Administration Block under construction.

  • Sunyani Regional Hospital

    - Pre-contract activities for Staff Accommodation completed. Construction by IHG to start in early 2005

  • Pharmacy council

    - Rehabilitation and Extensions to office block


National projects cont2
National Projects – cont.

  • HIPC Projects

    - Consultants and contractors appointed in collaboration with RCC/DCE’S/RHA/DHA for the implementation of the HIPC sponsored projects in beneficiary districts.

  • Clinical Laboratory Improvement Programme

    - 1st phase contract signed with FSE for the re- equipping of 22 facilities nationwide


National projects cont3
National Projects – cont.

  • Expansion Training Institutions

    - Projects in 15 Selected training Institutions started

    KATH, Korle-Bu, Atibie, Jirapa, Bawku, Berekum, Sunyani, Pantang, Agogo, Offinso, Nkawkaw, Cape Coast, Koforidua, Ho and Sekondi.

  • Transport and Equipment

    – Heads will provide update.


Korle bu projects
Korle-Bu Projects

  • Maternity

    - Work is almost completed on the theatres.

    - Work on the tower block is yet to be started.

    - Neonatal Intensive Care Unit (NICU) completed and fully equipped.

  • Medical block

    - Work progressing in earnest.

  • Cardiothoracic Centre.

    - Installation of lifts in progress


Korle bu projects cont
Korle-Bu Projects - cont.

  • Other Projects

    - Children’s Block - Feasibility studies being carried for rehabilitation works.

    - Clinical Genetics - Works completed.

    - Work is progressing steadily on Polyclinic.

    - Construction of Administration Block in progress.

    - A&E Centre rehabilitated and re-equipped.

    - Reactivation of construction of 14 No. Flats for

    Doctors with a ¢ 25.00 billion loan from SSNIT.


Kath projects
KATH Projects

  • Maternity and Children’s Block

    - Construction on course and additional land required to complete the project has been acquired.

  • Nurses’ quarters and Doctors’ flats

    - Construction progressing steadily.

  • Polyclinic

    - Rehabilitation works underway and due for completion by early Feb 2005.


Other projects
Other projects

  • Food and Drugs Board Offices & Laboratories

    - Designs completed & contract yet to be awarded.

  • College of Physicians and Surgeons

    - Construction has already commenced.

  • Nurses and Midwives Council Office Complex,

    - Pre-contract completed. Awaiting no objection of Evaluation Report from the World Bank.

  • First Aid Training Centre.

    - Constructional works progressing steadily.


Expenditure
Expenditure

  • Estimated Total Expenditure as at end of October, 2004 is ¢ 90 billion (MOH/GHS) Health Fund and GOG out of a budget of ¢124 billion approved by the MOFEP representing about 72.6%.


Challenges
Challenges

  • Rate of implementation of capital programme.

  • Harmonising reporting system on progress of projects in terms of actual physical performance and expenditure.


Outlook for 2005
Outlook for 2005

  • Continuation of the expansion of training institutions and commencement of new ones.

  • Scale up CHPS programme.

  • Building capacity and supporting agencies in the use of the Capital Investment Planning Model.

  • Construction of countrywide staff accommodation.

  • Continuation of the construction & rehabilitation of Health Centers nationwide.

  • Setting up of 8 National Blood Transfusion Centers (Earmarked ADB III)


Outlook for 2005 cont
Outlook for 2005 - cont.

  • Construction/Rehabilitation of 11 District Hospitals (Earmarked).

    - Enraf Nonius Projects (3)

    Winneba, Dodowa, Sefwi Wiawso

    - African Development Bank III (2)

    Bekwai, Tarkwa

    - VAMED Engineering BV (6)

    Gushiegu, Tumu, Nkawie, Akim Oda, Madina/Adenta, Dansoman/Malam


Outlook for 2005 cont1
Outlook for 2005 - cont.

  • Major rehabilitation of Tamale Teaching Hospital

  • Provision of infrastructure support to strengthen the regulatory bodies and the GCPS.

  • Major rehabilitation of Wa Regional Hospital (Earmarked - VAMED BV).

  • Implementation of the Laboratory improvement Programme to cover 22 selected facilities.

  • Rehabilitation of Children’s and Maternity Block at KBTH.


Budget for 2005
Budget for 2005

  • GOG - ¢ 38.70 Billion

  • Health Fund - ¢ 110.00 Billion

  • Total Budget - ¢ 148.70 Billion

  • Est. Total Expenditure - ¢ 250.00 Billion


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