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Regional Budget Workshop: Health Sector Priorities & Guidelines 2017/18

This workshop provides an overview of policy priorities, allocation formulae, and budget guidelines for the Ministry of Health. It covers key variables, issues addressed, and proposed LG approaches to improve health service delivery. Topics include governance, RMNCAH services, disease prevention, health education, infrastructure development, and community mobilization. The presentation emphasizes achieving universal health coverage and enhancing quality of care through multi-sectoral collaboration and community participation. New directives on health center upgrades and policy review are also discussed.

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Regional Budget Workshop: Health Sector Priorities & Guidelines 2017/18

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  1. Preparations for Regional Budget workshops Ministry of Health

  2. Overview of the 2017/18 Grant Information and Budget Guidelines The structure of the presentation is as follows: • Policy priorities/sector objectives • Structure and Purpose of Sector Transfers • Allocation Formulae • Budget Requirements for 2017/18 • Other Sectoral Issues

  3. Policy Priorities/Sector objectives • In line with the NDP II and the HSDP FY2015/20, the health sector efforts will be geared towards attainment of universal health coverage through: • Strengthening of the national health system including governance and regulatory framework. • Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) Services • Communicable and Non-communicable disease prevention, mitigation and control. • Health Education and Promotion (Lifestyle, hygiene, nutrition) using a multi-sectoral approach

  4. Policy Priorities/Sector objectives e) Health Education and Promotion (Lifestyle, hygiene, nutrition) using a multi-sectoral approach f) Essential clinical care services including rehabilitation and palliative care. g) Health infrastructure development.

  5. Cont…… • In order to achieve the above priorities, Local Governments have the responsibility of ensuring that the population has access to health services through annual operational planning, management and delivery of quality health services by carrying out: • Community mobilization • Supervision • Monitoring • Resource mobilization and allocation and • Enforcement of health related laws and regulations

  6. Structure and Purpose of Sector Transfers

  7. Key Variables Used in Allocation Formulae

  8. Overview of Issues in the 2016/17 budget guidelines and how they were addressed

  9. Overview of issues in the 2016/17 budget guidelines and how they were addressed(2/n)

  10. Overview of the 2017/18 Grant Information and Budget Guidelines

  11. Overview of the 2017/18 Grant Information and Budget Guidelines

  12. Overview of the 2017/18 Grant Information and Budget Guidelines

  13. Overview of the 2017/18 Grant Information and Budget Guidelines

  14. Overview of the 2017/18 Grant Information and Budget Guidelines

  15. Overview of the 2017/18 Grant Information and Budget Guidelines

  16. Proposed LG approaches to improve Health Service Delivery • Adoption of a whole of life cycle approach to health by addressing adolescent health, school health, elderly, neonatal and gender issues in addition to the previous sector priorities of maternal and child health. • Increased focus on addressing the quality of care challenges by conducting regular facility assessments, leadership involvement in quality improvement and establishing client feedback mechanisms.

  17. Cont.. 3. Expansion of the PHC approach, from focusing on curative to basic preventive services through the Community Health Extension Workers and VHTs. 4. Increased Community participation and ownership in their own health through; Hospital / Health Unit Management Committees, Community Health Extension Workers and VHTs, HSD/Constituency task force, and community dialogue.

  18. Cont….. 5. Increase focus on addressing health risk factors as a holistic preventive approach to addressing the disease burden. Guidelines shall be circulated to the LGs on this approach. 6. Multi-sectoral collaboration to have clear strategies for addressing the socio-determinants of health. 7. Focus on health worker productivity (improving working environment, minimise absenteeism, results/performance based financing)

  19. Cont…. 8. Focus on proven high impact Prevention interventions e.g Immunisation, Child health days, sanitation, mass treatment, Timely reporting and information dissemination, strong and effective regulation., discarding of counterfeit medicines 9. Strengthen procurement and supply chain management systems.

  20. Policy Issues Under Review

  21. Other Issues to Note • New Directives on Upgrading Health Centres: • All HCIIs shall be phased out • No more HCIIs shall be constructed • Each Sub County shall have a HCIII • Each HCII serving a Sub County shall be upgraded to a HCIII • Each Constituency shall have a HCIV • All Private and PNFP health facilities that will not fulfill the set criteria shall not access public funds

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