PARTNERSHIP FOR ADVOCACY FOR IN CHILD AND FAMILY HEALTH 2018 PROPOSED HEALTH BUDGET ANALYSIS

Transcription

1 PARTNERSHIP FOR ADVOCACY FOR IN CHILD AND FAMILY HEALTH 2018 PROPOSED HEALTH BUDGET ANALYSIS

2 Agenda BUDGET PROPOSAL THE NIGERIAN ECONOMY HEALTH BUDGET PHCUOR OTHER HEALTH RELATED ALLOCATIONS FOCUSED AREAS BUDGETTING PROCESS HEALTH BUDGET SHORTFALLS 2

3 BUDGET PROPOSAL

4 2017 Budget Appropriation and Performance 2017 Federal Budget and Performance Budget Component Total (N) % Statutory Transfers 434,412,950, Debt Service 1,841,345,727, Recurrent Expenditure 2,987,550,033, Capital Expenditure 2,177,866,775, Total 7,441,175,486, Health Budget Appropriation and Performance Budget Component Total (N) % Recurrent Expenditure 252,854,396, Capital Expenditure 55,609,880, N336 billion Released in the First Quarter of 2017 for Capital Projects MINISTRIES Ministry of Power, Works and Housing - N90 billion. Defence and Security - N71 billion Ministry of Transport - N30 billion. Ministry of Agriculture - N30 billion Water Resources Jhjhj N12 billion Others - N103 billion Total 308,464,276,782 4

5 2018 Budget Assumptions & Revenue Projections Fiscal Item 2018 AMOUNT AVAILABLE FOR FGN BUDGET 5,646,889,208,404 1 Share of Oil Revenue 2,441,563,319,652 2 Share of Dividend (NLNG) 29,917,415,730 3 Share of Minerals & Mining 1,170,985,667 4 Share of Non-Oil 1,385,281,578,205 Share of CIT 794,688,449,303 Share of VAT 207,862,890,147 Share of Customs 324,859,497,742 Share of Federation Acct. Levies 57,870,741,012 5 Independent Revenue 847,948,500,000 6 FGN's Share of Actual Bal. in Special Accts 9,297,994,473 7 FGN's Balances in Special Levies Accounts 17,213,444,629 8 FGN's Unspent Bal. of previous Fiscal Year - 9 FGN's Share of Tax Amnesty Income 87,840,000, FGN's Share of Signature Bonus 114,298,470, Recovery from Swiss. (US$320 Mill) - 12 Domestic Recoveries + Assets + Fines 374,000,000, Other FGN Recoveries 138,437,708, Grants and Donor Funding 199,919,791,292 Fiscal Deficit 2,948,777,905,500 FGN Expenditure 8,595,667,113,904 Source 2 nd Quarter Budget Implementation Report (2017), Budget Office Budget Office of the Federation Fiscal Item Oil Production Volume 2.3 (mbpd) 2 Oil Price Benchmark 45 ($ Per barrel) 3 Exchange Rate 305 (N/US$) Source OPEC Monthly Oil Market Report, Oct 11, 2017 Fiscal Item 2018 Budget (N) 1 FG Revenue 5,646,889,208,404 2 Deficit 2,948,777,905, Budget 8,595,667,113,904 Source Medium Term Fiscal Framework, Budget Office of the Federation 5

6 2018 Budget Proposal A total of N8.6 trillion has been proposed for 2018; Recurrent Expenditure N3.49 trillion (40.57%); Capital Expenditure N2.43 trillion (28.19%); Source 2018 Proposed Appropriation Bill Debt Services N2.23 trillion (25.94%); Statutory Transfers N billion (5.30%). 6

7 Comparing 2017 Budget & 2018 (Proposed) Budget % 2017 Total (N) 2018 % ,412,950,249 Statutory Transfers 456,458,654, ,841,345,727,206 Debt Service 2,233,835,365, ,987,550,033,436 Recurrent Expenditure 3,494,277,820, ,177,866,775,867 Capital Expenditure 2,427,665,113, ,441,175,486,758 8,612,236,953, (proposed) budget increased by 1.17 trillion (15.74%); with the respective budget components also showing the following increase: 11.47% 5.07% Statutory Transfers N22.05bn (5.07%); Debt Services N392.49bn (21.32%); 16.96% 21.32% Recurrent Expenditure N506.73bn (16.96%); Capital Expenditure - N249.80bn (11.47%). Both Debt Services and Recurrent Expenditure received the highest increase in the proposed budget Statutory Transfers Debt Service Recurrent Expenditure Capital Expenditure 7

8 THE NIGERIAN ECONOMY

9 Economic Reality of the last 3years Nigeria had a change of government in 2015, from PDP to APC Budget is the third for the new government and has reason from N4.49 trillion in 2015 to N8.61 trillion; a 92% increase. The Nigerian economy entered into a recession in Q following two consecutive quarters of GDP contraction This mounted pressured on Forex; between June & July 2016, Naira to Dollar exchange went from N197 to N305 per Dollar the black market have since then exchanged for over N500. It currently exchange for N362. While Nigeria climbed out of recession in July 2017, revenue has dropped and currently unable to meet its projections to fund the budget, largely due to dependence on oil. As a result, the 2017 Budget is under-performing with just about 32% of allocated Capital Expenditure released for capital project implementation. It is unlikely that 50% of 2017 Capital Expenditure budget would be implemented before the 2017 FY closes out, the implication is that further pressure will be on the 2018 Budget. 9

10 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Government Revenue & Budget Funding Fiscal Item Approved 2017 Budget Expected Annual (bn) Expected Jan- Jul 2017 (bn) Jan-Jul 2017 (bn) Actual Variance % Variance 1 Total Gross Oil Revenue 5, , , (1, ) (37.330) 2 Total Gross Non-Oil Revenue 2, , ( ) (30.359) 3 Gross Revenue (Fed. Acct) 7, , , (1, ) (35.131) 4 Fed Acct. after All Deductions 6, , , (1, ) (50.118) Source Fiscal Statistics (Revenue and Expenditure), National Bureau of Statistics. Date Oil Production mbpd Q Q Q ,789 Jul Aug Sep N336 billion Released in the First Quarter of 2017 for Capital Projects: Ministry of Power, Works & Housing - N90bn Defence and Security - N71bn Ministry of Transport - N30bn. Ministry of Agriculture - N30bn Water Resources - N12bn Others - N103bn INFLATION Source Inflation Rates, Central Bank of Nigeria. 10

11 Effect of Forex on Health Budget Year Health Budget (N) ,062,891, ,190,961, ,456,412,880 Year Recurrent (N) FOREX 1$/197 1$/305 Year Health Budget ($) ,269,354, ,347, ,116,250,534 Year Recurrent ($) While the official Forex rate is currently at N305 to a dollar, it is important to note that the Black Market currently sells at N362 to a US Dollar ,412,548,087 1$/ ,123,921, ,875,396, ,343,260,225 1$/ ,099, ,092,656 Year Capital (N) Year Capital ($) ,650,342, ,609,880, ,113,152,655 1$/197 1$/ ,433, ,327, ,157,878 11

12 HEALTH BUDGET

13 2018 Proposed National & Health Budgets Summary Budget Component Total (N) % Statutory Transfers 456,458,654, Debt Service 2,233,835,365, Recurrent Expenditure 3,494,277,820, Capital Expenditure 2,427,665,113, Total 8,612,236,953, Proposed Health Budget Budget Component Total (N) % Recurrent Expenditure 269,343,260, Capital Expenditure 71,113,152, Total 340,456,412,880 The 2018 Budget was Presented to the National Assembly on November 7, 2017 for review and approval. Just is being proposed for Health. 3.95% of the 2018 National Budget is being proposed for the Health Ministry, this falls far behind expectation as it relates to the Abuja Declaration where Though the 2018 Proposed Health Budget is MORE Jhjhj in value to 2017 Health Budget, but it is LESS in proportion! 13

14 Comparing 2017 & 2018 Health Budgets Budget Component Recurrent Expenditure 252,854,396, ,343,260,225 Capital Expenditure 55,609,880,120 71,113,152,655 Total 308,464,276, ,456,412,880 While the Federal Government Budget improved by 15.74%, the 2018 Health Budget improved by less proportion % (N31.99bn) from N308.46bn to N340.46bn. 300,000,000, ,000,000, ,000,000, ,000,000, & 2018 Health Budgets ,854,396, ,343,260,225 Recurrent Expenditure increased by 6.12% (N16.5bn) from N252.9bn to N269.3bn; Capital Expenditure increased by 27.88% (N15.50bn) from N55.61bn to N71.11bn. That of the FG increased by 16.96% Recurrent & 11.47% Capital. 100,000,000,000 71,113,152,655 50,000,000,000 55,609,880, Budget: $1.01Bn 2018 Budget: $1.12Bn 0 Recurrent Expenditure Capital Expenditure 1USD/N305 14

15 Budget Trend Health Year Health Budget (N) National Budget (N) % Health ,940,000,000 1,876,302,363, ,399,999,999 2,266,394,423, ,179,657,132 2,492,076,718, ,567,493,157 2,870,510,042, ,914,939,155 4,608,616,278, ,866,483,244 4,226,191,559, ,771,771,425 4,749,100,821, Year Health Budget (N) National Budget (N) % Health ,501,464,455 4,987,220,425, ,461,210,950 4,695,190,000, ,751,742,847 4,493,363,957, ,062,891,075 6,060,677,358, ,464,276,782 7,441,175,486, ,456,412,880 8,612,236,953,

16 5-Year Health Budget Trend (Recurrent & Capital) Year Health Budget (N) Recurrent % Recurrent Capital % Capital ,461,210, ,943,830, ,517,380, ,751,742, ,075,742, ,676,000, ,062,891, ,412,548, ,650,342, ,464,276, ,875,396, ,609,880, ,456,412, ,343,260, ,113,152, There appear to be an increasing effort to reduce Recurrent Expenditure in terms of proportion; though the Recurrent Expenditure value of the proposed 2018 Health Budget is higher, its percentage is the lowest in the last 5 years. Similarly, Capital Expenditure budget is improving gradually. Capital Expenditure is 20.89% of the Health budget. This is also the highest capital budget in the last 5 years. Which Agencies under the Ministry of Health got the highest proportions of its Budget? 16

17 Top Allocation to Ministry of Health Agencies MDA TOTAL ALLOCATION FEDERAL MINISTRY OF HEALTH - HQTRS 29,797,829,674 NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY 23,924,085,969 FEDERAL TEACHING HOSPITAL, ABAKALIKI 12,347,204,572 UNIVERSITY COLLEGE HOSPITAL IBADAN 11,084,965,697 UNIVERSITY OF NIGERIA TEACHING HOSPITAL, ENUGU 9,859,694,391 UNIVERSITY OF CALABAR TEACHING HOSPITAL 8,826,744,813 NNAMDI AZIKIWE UNIVERSITY TEACHING HOSPITAL, NNEWI 8,738,452,175 UNIVERSITY OF BENIN TEACHING HOSPITAL 8,483,420,686 FEDERAL MEDICAL CENTRE, NASARAWA STATE 8,270,738,885 OBAFEMI AWOLOWO UNIVERSITY TEACHING HOSPITAL 8,131,988,177 UNIVERSITY OF ILORIN TEACHING HOSPITAL, ILORIN 7,658,101,356 AMINU KANO UNIVERSITY TEACHING HOSPITAL 7,299,069,625 UNIVERSITY OF PORT-HARCOURT TEACHING HOSPITAL 7,053,487,514 AHMADU BELLO UNVERSITY TEACHING HOSPITAL 7,004,004,198 The top 3 Arms of the Federal Ministry of Health with the highest Budget are: FEDERAL MINISTRY OF HEALTH - HQTRS NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY FEDERAL TEACHING HOSPITAL, ABAKALIKI 17

18 PHCUOR

19 National Primary Health Care Development Agency Year NPHCDA Recurrent % Recurrent Capital % Capital ,433,516,695 1,928,254, ,505,262, ,145,147,334 2,181,039, ,964,107, ,745,373,932 2,050,738, ,694,635, ,212,923,655 2,140,749, ,072,174, ,924,085,969 2,140,749, ,783,336, The Budget of the National Primary Health Care Development Agency (NPHCDA) has increased from N19.43bn in 2014 to N23.92bn 23.11%. Capital Expenditure received the largest chunk of the allocations; the 2018 proposed allocation is 91% of the total allocation. 19

20 NHPCDA Budget Lines CODE PROJECT NAME TYPE AMOUNT ERGP PROCUREMENT OF RI VACCINES, DEVICES AND OPERATIONAL COST NEW 8,895,468,504 ERGP POLIO ERADICATION INITIATIVE (PEI) NEW 1,204,190,831 ERGP PROCUREMENT OF NON POLIO SIA VACCINE AND DEVICE FOR OPERATION NEW 540,000,000 ERGP PROCUREMENT OF OUTBREAK (EMERGENCY) RESPONSE VACCINE, DEVICES AND OPERATIONAL COST NEW 1,500,000,000 ERGP PROCUREMENT OF HAJJ VACCINES NEW 174,574,043 ERGP DISEASE CONTROL AND OPERATIONAL COST FOR SURVELLANCE ACTIVITIES NEW 539,647,754 ERGP DISTRIBUTION, TRANSPORT AND MAINTENANCE OF COLD CHAIN SUPPLY SYSTEMS (NATIONAL TO STATES) NEW 1,428,523,456 ERGP MIDWIVES SERVICE SCHEME INCLUDING OUTSTANDING PAYMENT FOR SERVICES NEW 1,000,000,000 ERGP MONITORING AND EVALUATION OF PHC SYSTEMS AND SERVICES NEW 1,000,000,000 ERGP QUARTERLY BUDGET MONITORING AND EXPENDITURE TRACKING NEW 91,778,000 ERGP PARTNERSHIP FOR COMMUNITY SURVELLANCE AND PHC LABORATORY OPTIMIZATION NEW 33,084,500 ERGP COMPUTERRIZATION OF FINANCE, ACCOUNTS AND AUDIT MANAGEMENT SYSTEMS NEW 155,000,000 ERGP PHC PROJECT PLANNING,REVIEW AND OPERATIONAL RESEARCH NEW 106,809,000 ERGP COMMUNITY PARTNERSHIP FOR DELIVERY OF MINIMUM SERVICE PACKAGE NEW 289,963,400 ERGP PHC ICT INCLUDING DEVELOPMENT OF E-LEARNING SYSTEMS FOR SUSTAINABLE PHC NEW 791,007,680 ERGP RENOVATION AND INFRASTRUCTURAL UPGRADE OF NPHCDA ANNEX, ZONAL AND STATE OFFICES NEW 1,000,000,000 ERGP COMMUNITY ENGAGEMENT FOR IMPROVED MATERNAL, NEW BORN, CHILD HEALTH, NUTRITION AND PROCURE OF KITS AND COMMODITIES FOR COMMUNITY HEALTH INFLUENCERS, PROMOTERS AND SERVICERS(CHIPS) NEW 1,433,289,400 ERGP REVITALIZATION AND FUNCTIONALITY OF PHC FACILITIES NEW 1,000,000,000 ERGP EQUIPPING OF PHCs IN DASS, BOGORO & TAFAWA-BALEWA LOCAL GOVERNMENT AREAS NEW 600,000,000 20

21 Primary Health Care Under One Roof The Bringing Primary Health Care Under One Roof (PHCUOR) initiative is part of a new Government reform designed to improve Primary Health Care Implementation. The PHCUOR concept takes into cognizance the diverse dynamics that exist between and among different states and the challenges that would emerge attempting to impose a single model across various unique ecosystems. PHCUOR is a policy to reduce fragmentation in the delivery of Primary Health Care (PHC) services which involves the integration of all PHC services under one authority. Fragmentation has been identified as the most significant problem facing PHC services, and significantly affects utilisation rates and health indices. PHCUOR Budget Line While there is no budget line with PHCUOR caption, the following budget lines are indirectly related to the goal of PHCUOR: Distribution, transport and maintenance of cold chain supply systems (national to states) Monitoring and evaluation of PHC systems and services Partnership for community surveillance and PHC laboratory optimization Community partnership for delivery of minimum service package Renovation and infrastructural upgrade of NPHCDA annex, zonal and state offices Community engagement for improved maternal, new born, child health, nutrition and procure of kits and commodities for community health influencers, promoters and servicers(chips) Equipping of PHCs IN Dass, Bogoro & Tafawa-Balewa Local Government Areas. 21

22 OTHER HEALTH RELATED ALLOCATIONS

23 Other Health Related Allocations NO. BUDGET LINE ALLOCATION (N) 1 NATIONAL AGENCY FOR THE CONTROL OF AIDS (NACA) 4,268,224,497 2 STATE HOUSE MEDICAL CENTRE 1,030,458,453 3 COUNTERPART FUNDING INCLUDING GLOBAL FUND/HEALTH 3,500,000,000 4 COUNTERPART FUNDING TO MATCH GRANTS FROM UNFPA,USAID, BMGF & UNICEF 2,400,000,000 5 NHIS FGN CONTRIBUTION 59,261,285,701 6 DRUGS & MEDICAL SUPPLIES 1,826,891,467 7 PURCHASE OF HEALTH / MEDICAL EQUIPMENT 1,180,981,808 8 CONSTRUCTION / PROVISION OF HOSPITALS / HEALTH CENTRES 3,421,259,209 9 REHABILITATION / REPAIRS - HOSPITAL / HEALTH CENTRES 305,217, MEDICAL EXPENSES 2,914,585,535 TOTAL 80,108,904,334 23

24 FOCUSED AREAS

25 Focused Areas Budget Line ( ) FOCUSED AREA Routine Immunization 8,180,299,435 11,384,520,766 8,479,399,324 5,902,124,474 5,253,964,338 12,882,960,595 12,521,276,231 13,320,235,378 2 Family Planning 797,406,909 1,088,038,230 1,200,000,000 3 Maternal New-Born Child Health (MNCH) 365,223, ,658, ,518,208 3,481,396, ,200,000 1,190,105,565 1,494,731,826 2,253,470,043 4 Nutrition 100,375,044 25,000, ,331,203 38,302,439 11,653,493 1,951,659,141 1,584,622,887 8,645,898,305 11,654,179,444 8,888,248,735 9,421,823,133 5,993,164,338 14,882,126,562 17,055,705,428 18,358,328,308 25

26 Focused Areas 2018 Budget NO FOCUSED AREA Routine Immunization 13,320,235,378 2 Family Planning 1,200,000,000 3 Maternal New-Born Child Health (MNCH) 2,253,470,043 4 Nutrition 1,584,622,887 18,358,328,308 26

27 Focused Areas - Routine Immunization NO MNCH BUDGET LINE AMOUNT (N) AGENCY PROCUREMENT OF RI VACCINES, DEVICES AND OPERATIONAL COST PROCUREMENT OF NON POLIO SIA VACCINE AND DEVICE FOR OPERATION PROCUREMENT OF OUTBREAK (EMERGENCY) RESPONSE VACCINE, DEVICES AND OPERATIONAL COST 8,895,468, ,000,000 1,500,000,000 4 PROCUREMENT OF HAJJ VACCINES 174,574,043 5 POLIO ERADICATION INITIATIVE (PEI) 1,204,190,831 6 HEALTH EMERGENCIES & CONTAGIOUS DISEASES OUTBREAKS ( EG. MENINGITIS, MEASLES, YELLOW FEVER, MONKEY FOX,ETC) 1,000,000,000 7 REVIEW OF THE NATIONAL HIV VACCINE PLAN 6,002,000 13,320,235,378 NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY FEDERAL MINISTRY OF HEALTH - HQTRS NATIONAL ACTION COMMITTEE ON AIDS (NACA) 27

28 Focused Areas - Family Planning NO MNCH BUDGET LINE AMOUNT (N) AGENCY 1 IMPROVE FAMILY PLANNING SERVICES THROUGH CONTRACEPTIVES USE INTERVENTIONS AND COUNTERPART FUNDING 1,200,000,000 FEDERAL MINISTRY OF HEALTH - HQTRS 28

29 Focused Areas - MNCH NO MNCH BUDGET LINE AMOUNT (N) AGENCY National Tuberculosis (TB) & Leprosy Control Program: Renovation of Identified 6 MDR-TB (1 Per Geo-political Zone) Including Provision of Generators-15KVA; Procurement of 2nd Line Anti-TB Drugs For 2,000 MDR Failure Patients Including PSM Costs-bedaquiline Based Regimen; Community Engagement For Improved Maternal, New Born, Child Health, Nutrition and Procure of Kits and Commodities for Community Health Influencers, Promoters and Servicers(chips) Accelerated Reduction of Maternal Morbidity And Mortality Through Safemotherhood MATERNAL, INFANT AND YOUNG CHILD FEEDING IN NIGERIA Including Micronutrient Deficiency Control And Nutrition Information Surveillance System 466,007,238 FEDERAL MINISTRY OF HEALTH - HQTRS 1,433,289,400 NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY 29,768,000 FEDERAL MINISTRY OF HEALTH - HQTRS 30,000,000 FEDERAL MINISTRY OF HEALTH - HQTRS 5 Maternal and Child Healthcare 114,690,000 NATIONAL HEALTH INSURANCE SCHEME 6 Extension of Maternal & Child Health Unit 19,297,813 UNIVERSITY OF BENIN TEACHING HOSPITAL 7 Construction And Furnishing Of Neo-natal Wing Of Maternal And Childcare Complex 148,737,592 FEDERAL MEDICAL CENTRE, TARABA STATE 8 REVIEW WORKSHOPS FOR CORE HIV/AIDS HEALTH COMMODITIES erg 3,680,000 NATIONAL ACTION COMMITTEE ON AIDS (NACA) IMNCH strategy - articulation of policy and strategy plans of newborn in child health in line with SDG targets on integrated management of childhood illnesses (IMCI) follow up, Integrated Supportive Supervision (ISS) and Kangaroo Mother Care (KMC) 8,000,000 FEDERAL MINISTRY OF HEALTH - HQTRS 2,253,470,043 29

30 Focused Areas - Nutrition NO MNCH BUDGET LINE AMOUNT (N) AGENCY MATERNAL, INFANT AND YOUNG CHILD FEEDING IN NIGERIA Including Micronutrient Deficiency Control And Nutrition Information Surveillance System Community Engagement For Improved Maternal, New Born, Child Health, Nutrition And Procure Of Kits And Commodities For Community Health Influencers, Promoters and Servicers(CHIPS) CONSTRUCTION OF NUTRITIONAL REHABILITATION CENTER (FOR VICTIMS OF INSURGENCY AT N/EAST) 30,000,000 FEDERAL MINISTRY OF HEALTH - HQTRS 1,433,289,400 40,000,000 NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY ABUBAKAR TAFAWA BALEWA UNIVERSITY TEACHING HOSPITAL BAUCHI 4 Construction And Furnishing Of Nutrition And Dietetics Block 11,365,000 FEDERAL MEDICAL CENTRE, MAKURDI To Complete The Determination Of Baseline Studies On Nutritional CO-FUNDING TO UNICEF FOR THE PROCUREMENT OF READY-TO- USE THERAPEUTIC FOOD TO BE DISTRIBUTED TO 6 GEOPOLITICAL ZONES Including Establishment Of CMAM Sites National Food Safety Sensitization Workshop, Development Of Food Safety ongoing Manuals And The Development Of Foodborne Illness Sentinel Sites 55,000,000 FEDERAL SCHOOL OF MEDICAL LABORATORYB JOS 1,110,186,200 FEDERAL MINISTRY OF HEALTH - HQTRS 10,000,000 FEDERAL MINISTRY OF HEALTH - HQTRS 1,584,622,887 30

31 BUDGETING PROCESS HEALTH BUDGET SHORTFALLS

32 2018 Budget Shortfall Abuja Declaration (2001) National Health Act (2014) Abuja Declaration 15% Expected to be allocated to HEALTH, Nigeria has proposed 3.96%. Conspicuously missing in 2018 Proposed Budget is provision for the National Health Act (NHA, 2014) which mandates the Federal Government to allocate 1% of its Consolidated Revenue Fund (CRF) to implement the provisions of the Act. 32

33 Effective Budgeting Process An effective Budgeting process should go through 3 Phases: The Enactment Phase The Implementation Phase The Monitoring Phase The Auditing Phase ENACTMENT IMPLEMENTATION MONITORING AUDITING E F F E C T I V E B U D G E T I N G P R O C E S S NIGERIA LAY MUCH EMPHASIS ON THE ENACTMENT PHASE BUT LITTLE ATTENTION TO THESE OTHER PHASES 33

34 Roles in the Budgeting Process PHASE RESPONSIBILITY REMARK ENACTMENT Executive & Legislature Executive Presents & Legislator review for approval IMPLEMENTATION Executive MONITORING Executive & Legislature AUDITING Executive & Legislature Ministries, Agencies & Departments (MDAs) Monitoring Teams of MDAs and National Assembly Committees Internal Audits of MDAs and Office of the Auditor-General of the Federal (who reports to the National Assembly) 34

35 Budget Implementation Gaps Year National (Trillion) Health (Billion) Capital Exp. (Billion) Implemented (Billion) Implemented (Percent) , , , , , , % OF 2016 CAPITAL BUDGET ALLOCATION WAS IMPLEMENTED THE BEST IN THE LAST 7 BUDGET YEARS. 35

36 Budget Monitoring & Auditing Budget Monitoring must occur every other time of the year to ensure capital projects are being implemented appropriately. This responsibility is primarily for the MDAs Monitoring and Inspection teams. The National Assembly also carry out this oversight function through their committees. Budget Auditing should take place either bi-annually or at the end of the budget year. This is usually the responsibility of the Office of the Accountant-General of the Federation. The findings in the report should be promptly attended to so as to demonstrate government s leadership and commitment to accountability and transparency. 36

37 development Research and Projects Centre Contact: Kano Office No. 63B Sultan Road, Nassarawa GRA, Kano State, Nigeria Tel: Contact: Abuja Office 1b Lumsar Street, Off Gurara Street, Ibrahim Abacha Estate, Wuse Zone 4, Abuja drpc_nig drpcnig 37

38 - Advocating for Child and Family Health PARTNERSHIP FOR ADVOCACY FOR IN CHILD AND FAMILY HEALTH 38