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Appendix D: Medium term policy, planning and budgeting
MTEF priorities for the health sector
II. First goal - Reduce i morbidity and address mortality of the population (through further
development of health services). Specific objectives include:
1. Improvement of maternal and children‟s health:
a) Renovation and construction of health institutional facilities;
b) Improvement of health institutions facilities;
c) Equipment for the improvement of health institutions;
d) Development of strategies for Women immunization and action for emergency situations, as
well as programs for mother and children health protection and measurement of immunity
against vaccine diseases.
2. Reduction in the number of contagious diseases and mass chronic diseases:
a) Renovation and construction of health institutions facilities;
b) Equipments for the functioning of health institutions;
c) Development of national strategy for hemorrhagic fever, project for natural focuses of
infective diseases.
3. Supply the list of essential medicines - fulfillment of 80% of needs for the list of essential
medicines:
a) Improvement of medicament supply level;
b) Conditions improvements in central pharmacy.
4. Rationalization of the program for Medical treatments abroad:
a) Efficient review of the requests and reduction of waiting period for the treatment abroad.
5. More investments into the quality of care and set up and accreditation system to monitor quality of
care.
III. Second goal – Improved resource management. Specific objectives include:
1. Continuous education and management capacity building:
a) Determination and implementation of mechanisms and programs for continuous professional
education;
b) Development of strategy for health education and implementation of the IHR;
2. Improvements in monitoring and accountability:
a) Review and completion of existing legislation and implementation monitoring;
3. Preparation of the human resource strategy and implementation plan to address issues of staff
miss-allocation across hospitals and improve productivity in hospitals.
IV. Third goal – Creation of a sustainable funding system for the health sector.
Specific objectives include:
1. Examine possibilities for the establishment of health insurance fund:
a) Determination (definition) of the basic package;
b) Determination (definition) of the cost of health services;
c) Determination of a funding mechanism for health services.
2. Institutionalize legal, regulatory and governance framework to implement health financing reforms
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