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4 TH IHP+ COUNTRY TEAMS MEETING: Sustaining and Accelerating Change, Getting Results 12-14 December 2012 Nairobi, Kenya. JFMA Process.

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4TH IHP+ COUNTRY TEAMS MEETING: Sustaining and Accelerating Change, Getting Results12-14 December 2012 Nairobi, Kenya


JFMA Process

  • For Sierra Leone to own the process a National Counterpart Team(NCT) was formed and its membership was drawn from key stakeholders in Public Financial Management
  • Operationalising the NCT was difficult considering its diversity in the number of government institutions involved.
  • NCT is useful in moving forward with the road map and contributing to the FMA report.

Working with development partners

  • DPs had dealt directly with implementers for their respective programmes in isolation from the central ministries
  • DPs were not in touch wit the AGD in the opening of bank accounts for the implementation of their interventions
  • DP interventions to a large extent had not been on-budget and on-treasury which has lead GOSL to miss out valuable information particularly inflows and expenditures of health
  • DPs have asked for separate reports and audits and this has been time consuming and counter-productive for the staff
  • DPs have had reasons for their past behaviors but this has hampered accountability and transparency.


  • Stronger risk assessment and management for all operations financed by DPs in the health sector;
  • Less frequent FM assessments, a single FM framework and processes (partly aligned with the country’s fiduciary framework);
  • United accounting and reporting support systems including common rules & requirements
  • Single set of periodic reports and reduced burden on production of reports with better transparency
  • Single and streamlined audits with better scope and visibility by auditors and management


  • DPs and government to incorporate the tasks into their functions/government institutions and work programs (same calendar and timetables),
  • DPs to develop, operationalize, maintain close coordination/collaboration among themselves to reduce divergent approaches
  • Establishing and funding the Integrated Program Administration Unit (IPAU) and absorbing stand alone PIUs

Recommendations to donors

  • Draft and sign MOU which documents common FM arrangements
  • Coorporate with government for compliance with rules– eg. opening and operating bank accounts, align decision and approval processes with those of the country and good practices
  • Ensure adequate and timely information is provided (eg. cost of in-kind goods delivered, informing the Auditor General for audits, numbers for Budgeting)
  • Support the MOHS for capacity building and establishment of the IPAU and absorbing other PIUs

Recommendations to other Ministries of Health

  • Resolve any governance issues that may exist
  • Coordinate and ensure that funds accessibility is facilitated reducing bottlenecks at the MoH
  • Engage MoF to facilitate funds accessibility and capacity building
  • Better planning and budgeting process by working with DPs to align DP-gov. budget cycle, including preparation of realistic plans and cash-flow projections

Next steps

  • Translate recommendations into a National Action Plan and prepare MoU for a Joint Financial Management Arrangement (JFMA)
  • Draft Action Plan and JFMA MoU will be submitted to the Health Sector Steering Group and discussed at Stakeholders conference
  • The MoU will be signed by the GOSL and development partners