RMAWG MEETING 19-20 June 2012 Brussels DISTRICT BUDGET ADVOCACY By Josiah Otege Policy & Advocacy Officer Marie Stopes Tanzania
CONTENT • Overview of MST • What is a district • Overview of the district budget • MST’s study • Trends • Implications
OVERVIEW OF MST • Marie Stopes Tanzania (MST) is an affiliate of Marie Stopes International • 12 clinics; 16 outreach teams; 6 auto-rickshaws • Working in Tanzania since 1989 • Largest private sector provider of FP services; 27% of market for LAPM
WHAT IS A DISTRICT National government Regional Govt District Govt
OVER VIEW OF THE DISTRICT BUDGET ADVOCACY • A product of various guidelines(National targets, MoF ceilings,MoH guidelines,National priorities etc.) • Districts lack their own resources • District approving bodies (Executives, Councilors) have the power to revise/refute the budget within the allocation set by MoH/MoF • Most of its funding come from donor –basket fund
OVER VIEW OF THE DISTRICT BUDGET ADVOCACY • MST received funds from PAI in February 2012 to conduct a survey in 10 districts to examine FP budget trends. • Data from 2 FY years: 2010/11-2011/12 • In TZ FY runs July-June. This not usual for most countries. • Results are Provisional not published yet • Showed small increase in the FP budget but high dependency on donor funding • Trends similar to the national health budgets in the EA region.
TRENDS • FP/Health budget has been increasing though small and unstable(data From 10 District)
TRENDS • Confirms findings from an earlier study in 40 districts by EngenderHealth
TRENDS Similar trends are seen in national health budgets in the region, e.g. Tanzania 1998-2012
Trends By source of Funding ( District level) 10 district 40 district
IMPLICATIONS/OBSERVATIONS • Districts have very little bargaining power to prioritize their budget/needs. • Other issues (e.g. malaria, HIV/AIDS) receive more attention, so FP budget needs a separate budget line and funding from district resources. • To facilitate this, and do budget tracking, we need advocates within district authorities as well as local partners (e.g. CBOs) to raise the profile of FP at district level.
IMPLICATIONS/OBSERVATIONS • Evidence of the impact of FP spending on health and economic development is needed for advocacy with national and local governments. • Advocacy should involve stakeholders including the media, the private sector and religious leaders to help mobilise resources. • How do we increase the profile and priority for FP compared with HIV, malaria, etc.?