2005 POW F.G. DAKPALLAH, HEAD, POLICY,PLANNING & BUDGET UNIT MINISTRY OF HEALTH .

1. . 2005 POW F.G. DAKPALLAH, HEAD, POLICY,PLANNING & BUDGET UNIT MINISTRY OF HEALTH. 15th DECEMBER, 2004

2. OUTLINE : PRESENTATION • SUMMARY OF 2005 PLANN/BUDGETING PROCESS • 2005 RESOURCE ENVELOPE • 2005 NEED-BASED BUDGET & THE BUDGET CEILINGS • RESOURCE GAP • RESOURCE-BASED ALLOCATION BY ITEM • ADDRESSING THE 2005 POW • POVERTY REDUCTION FACTOR IN RESOURCE ALLOCATION • 2004 ; 2005 • REGIONAL SLANT • OTHER ANALYSIS: • THE NON-WAGE RECURRENT BY LEVEL • 2005 BUDGET SUMMARY BY HEAD, SUBHEAD, DONOR, GOG OTHER ANALYSIS

3. SUMMARY OF THE PLANN/BUDGETING PROCESS 2005 .

4. The planning process • 2005 policy development • All Agencies requested to submit their policy direction for 2005 • Meeting to review and chart policy thrust for 2005 for the Ministry • 2005 resource envelop developed • Confirmation of donor pledges • Confirmation of other sources of Funding • 2005 Budget ceilings provided for Agencies

5. The planning process contd. • 2005 planning & budgeting guidelines circulated • Plans & Budgets developed by MOH & its Agencies & their BMCs ,and submitted to PPME, MOH • Budget perused & collated

6. 2005 RESOURCE ALLOCATION, PROCESS .

7. guidance • 2nd 5 Yr POW • GPRS/PRSC • M.D.Gs. • M.C.A. • Ghana Macro-econ & Hlth Init. • Need Based Planning

8. Hlth Financing • Targeting the Abuja Decln. (15%) • NHIS/IGF • HIPC inflows • H.F. • Schemes to protect the poor

9. Resource Allocation: some of the considerations • Review of 2nd 5 Yr POW shifts • Improve the / capita of the most deprived areas

10. . • GAS functioning Human Res. Dev. • Expand intake to Trn. Is • Res. Accom. • Depr. Area Incentive • Gen Staff Incentive

11. GENERAL CONSIDERATIONS • NEED TO REVISE RESOURCE SHIFTS CONTAINED IN 2ND 5 YR. POW • ADD TO DISTRICT HOSPITALS • ADD TO TRAINING INSTITUTIONS • REDUCE REGIONAL HOSPITALS • GHS TO USE THE 55 DISTRICTS FOR THE RING-FENCED DEPRIVATION VOTE • TERTIARY HARDSHIP UNITS TO BE CONSIDERED ALONG SIDE THE DEPRIVED DISTRICTS

12. ring-fenced (billon cedi)

14. ring-fenced (billon cedi)

15. .

16. 2005 RESOURCE ENVELOPE-some detailing .

17. The need-based budget ghs This is not complete. Apart from the GHS, other Agencies’ are not yet available

18. SOURCE OF FUNDING

19. Gushiegu hosp 18 Tamale Hosp (3yr) 30 Dental care 6 Upgrade of H Cs (3 yr) 30 The Philips Med Servs 20 These are often generally beyond the routine purview of the MOH & therefore difficult to include in the resource env. . OTHER(grants/loans etc

20. Donor inflows, 2004/2005

21. Donor inflows, 2004/2005

22. Donor inflows, 2004/2005

23. Donor inflows 2005

24. Donor inflows 2005(continued)

25. Donor inflows 2004

26. Donor inflows 2004(continued)

27. Variation in Global Budget betw 2004 & 2005 (bn cedi)

28. Variation in GoG Budget betw 2004 & 2005 (bn cedi)

29. The 2005 resource envelope: ceiling by MOFEP

30. RESOURCE SHARE (ITEM 2&3 AS PROXY) 2005?

31. 2004 MOH IN TOTAL BUDGET IN BILLIONS OF CEDI (provisional)

32. GOG budget (proportion of MOH’s)(billions of cedi)

33. 2004 POW GOG vs Donor

34. 2005 RESOURCE SHIFTS .

35. RESOURCE DISTRIBUTION BY LEVEL According to 2nd 5YPOW (ITEMS 2 & 3) * c36bn for inequalities, c26bn for exemptions and several other votes held outside district H.Services when added to that level, gives it over 43% of the total non-wage rec. budget.

36. REGIONAL SHIFTS • A CRITERIA BASED MOSTLY ON POPULATION AND POVERTY IS WHAT HAS BEEN USED TO ALLOCATE BETWEEN REGIONS.

37. Expectation from the HIPC inflows

38. Expectation from the HIPC inflows