MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,GENDER, ELDERLY AND CHILDREN BUDGET UPDATE 2016/2017 AND IMPLEMENTATION OVERVIEW2017/2018 Directorate of Policy and Planning 2017
OUTLINE Introduction Budget Preparation Process Resources Allocation 20167 and 2017/18 Implementation status 2016/17 Medium Term Expenditure Priorities 2017/18 Conclusion 2
1.0 INTRODUCTION The Process was informed by the following planning and policy documents : Planning and Budget Guidelines from the 2016 (MoF), Tanzania Development Vision 2025, The Second Five Years Development Plan (2016/2017 2020/2021), Health Policy 2007, Health Sector Strategic Plan IV (2015 2020), The Ruling Party Manifesto (2015), Primary Health care Service Development Programme (PHSDP 2007 2017), The Joint Annual Health Sector Review 2016 agreed Milestones 3
BUDGET; THE CONCEPT Is a business plan for the short term usually expressed in financial terms; with an intentions and determination to achieve the targets. The National Budget process in Tanzania follows an annual budget cycle of events and activities involving the determination of resources and their uses for attainment of government objectives. The annual budget has three broad components, Development expenditure Personal emoluments (PE) Other charges (OC) 4
2.0 BUDGET PREPARATION PROCESS Identification of Areas to be allocated with funds Budget projections was prepared using Strategic Budget Allocation system (SBAS) software- 1 st Draft of MTEF 1 st draft of MTEF submitted to the MoFP for discussion that gave to the Second MTEF draft. The 2 nd MTEF draft was presented before the Parliamentary standing committee that gave to the 3 rd MTEF draft The 3 rd MTEF draft was presented to the Parliament for discussion and approval. The Ministry s Budget was endorsed by the Parliament in May 2016 for implementation with effect from 1 st July 2016 5
3.0 ALLOCATED CEILING FOR FY 2016/2017 AND 2017/18 Budget Category 2016/2017 2017/2018 Recurrent: % of change Others Charges 57.9bil 64.0bil 0.6 Personnel Emoluments 219.6bil 227.7bil 3.5 Sub Total-Recurrent 277.6bil 291.8 bil 2.9 Development: Local 320.1bil 336.3 bil 3.4 Foreign 198.37bil 449.5bil 4.5 Subtotal - Development 518.5bil 785.8 bil 7.8 Grand Total 796.1bil 1.077 bil 10.6 6
PRIOTIZED RECCURENT EXPENDITURE AREAS BY ALLOCATION 2016/17 VS 2017/18 Items Budget Tsh 2016/17 Budget Tsh 2017/18 Payment Personal Emoluments 219.6bil 227.7bil Office running cost 6.2bil 5.6 bil Running cost for the Hospitals 20.8bil 13.3 bil Internship Allowance 17.9bil 22.8bil On Call Allowance 5.7bil 5.8bil Medical Treatment Abroad 5.01bil 5.01bil 7
RECURRENT DISBURSEMENT FY 2016/17 Recurrent budget: Other Charges Up to June, 2017 the Ministry had receive a Tsh 64.1 bil which is equivalent to 110% this is due to additional funding for other interventions. Personal Emoluments Up to June, 2017 the Ministry had receive a Tsh 206.0 bil which is equivalent to 93.7 8
4.0 IMPLEMENTATION STATUS RECCURENT - FY 2016/17 Operational costs for the Ministry and Institutions paid as planned Staff Salaries were paid accordingly Payment of Internship and on call allowances Medical Treatment abroad cost and debt were met. Postgraduate students cost were covered. 9
PRIOTIZED DEVELOPMENT EXPENDITURE AREAS BY ALLOCATION - FY 2016/17 VS 2017/18 Items Budget 2016/17 Budget Tsh 2017/18 Procurement and distribution of Medicines, Medical Supplies, Supplies and Medical equipment 251.5 bil 269. bil Procurement of vaccines (Co Financing) 10 bil 9 bil Construction and Procurement of Medical equipment at Mbeya Referral Hospital 5 bil 2 bil Procurement of medical equipment for ORCI 5 bil 14.5 bil Procurement of medical equipment for MNH 4 bil 18 bil Construction works at BMC 2 bil 500 Mil 10
PRIOTIZED DEVELOPMENT EXPENDITURE AREAS BY PROPORTIONAL 2016/17 VS 2017/18 Items Budget Tsh 2016/17 Budget Tsh 2017/18 Construction of Mtwara Hospital 2 bil 2 bil Preventive maintenance of medical equipment 9bil 3bil Construction and Procurement of Medical equipment for MOI (Including payment of NHIF loan) Government contribution to SMMRP and cost overrun for FHRP 4.8 bil 3.8 bil 13 bil 12.1 bil Rehabilitation of training institutions 8 bil 3 bil Construction works at Kibong'oto Hospital 876 mil 1 bil Construction works Mirembe and Itega Hospital 1.4 bil 1 bil 11
DEVELOPMENT 2016/17 DISBURSEMENT-FY For the Development side, the Ministry had received a total amount of Tsh 184 bil for development interventions, whereby: Local Fund - 165 bil Foreign Fund 19 bil 12
IMPLEMENTATION DEVELOPMENT FY - 2016/17 STATUS Medicines, vaccines, medical equipment and reagents procured are being distributed to Health facilities. Improvement of Infrastructure at National, Specialized and Zonal Referral Hospitals such MNH, ORCI, JKCI, Mirembe etc. Support various Health Interventions. 13
S N BUDGET FRAME WORK - FY 2017/18 Areas 2016/17 2017/18 1 Total Budget (Excluding CFS) 21 Tril 22 Tril 2 Sector Budget 1,9 Tril 2,2 Tril 3 Percentage Shared 9% 10% 4 Ministry Budget a. Recurrent 277 bil 291 bil b. Development - Local 320 bil 336 bil Foreign 198 bil 449.5 bil Sub total budget 518 bil 785 bil Total Ministry Budget 796bil 1.077bil 14
5.0 ANNUAL TARGETS - FY 2017/18 Improvement of the referral system: Construction and improvement of health services in dispensaries; health centers; district and referral hospitals; laboratories; and health research institutes; Improvement of specialized treatments: Installation of modern medical equipment in all specialized hospitals; Implementation of interventions geared to improvement maternal and child health services Improvement of health institutions: rehabilitation and construction of health training institutions; and funding the internship program for various medical professionals and postgraduate studies (practical training to health staff). Fast tracking of implementation of interventions that will speed up the universal health coverage Implement the strategic plan for nutrition. 15
DISBURSEMENT RATES (JULY NOVEMBER) - FY 2017/2018 Budget Category 2017/2018 % of total budget RECURRENT OC 30.9 bil 48.3 PE 80.6 bil 35.4 DEVELOPMENT Sub-Total Recurrent Local 111.5 38.2 53.1 bil 15.8 Foreign 10.3 bil 2.3 Sub-Total Development 63.4 bil 8.1 Grand Total 174.9 bil 16.2 16
IMPLEMENTATION STATUS JULY NOVEMBER,2017 Procurement of Medicines, medical equipment and reagents. Procurement of vaccines and vaccine related supplies. Implementation of various health Interventions ie Supportive Supervisions, Star Rating exercise. Support Blood Transfusion Services (NBTS) Transfer of Fund to NHIF for Matching Fund 17
6.0 CONCLUSION Budget preparation was done in a participatory manner, thus involving key stakeholders of the Sector. Health Sector budgets were prepared as per Budget Guideline for 2017/18 and in line with the HSSP IV. Resources Mobilization for the Health Sector support should be a key priority tonsure sustainability. 18