Download
Download Download
terms the two outer years may be decreases after taking account of inflation. As these figures are not broken down by central and local government levels, it is not possible to estimate the changes relating to the budget of the MOH. Table 2 MTEF for Health Note that the annual budget provided by the MOH has a total sum of 66,282,033 euros for 2009 which is below the 67,081,628 euros indicated in the MOH‟s medium term budget figures. In summary, over the medium term the MOH can expect a flat or declining government budget. The effect of donor contributions also needs to be considered and a full MTEF projection prepared that takes these into account. At this stage we have not been able to locate a full projection that takes account of all sources of funding. EC policy As part of the consideration of how to improve the MOH, the EC policy requirements need to be taken into account. The Government‟s 2008 Action Plan on the Implementation of the European Partnership includes the following activities that relate to the MOH: 5 5 Health related requirements are assigned to other ministries in relation to environmental matters, safety at work, and other areas, e.g., MAFRD is responsible for the requirement to adopt the law on food and the consequent implementing legislation, and establish the relevant agency to implement and enforce the law. MLSW is primarily responsible for strengthening cooperation with mental health centres. 16
Two projects on Health and Environment: 1) modernization of monitoring equipment for the Institute for public health, and 2) the review of regulations on standards for the quality of the drinking water Improvement of Health Care Information Systems Continued assessment of health care services provided to all communities, and publishes quarterly reports Continued financial and technical support for health care institutions providing services to minority communities and minority-inhabited municipalities Continued provision of health care services through mobile teams in minority settlements and to returnees, through District Health Authorities and Municipal Health Departments Review complaints and undertake legal and disciplinary measures against ethical, professional and legal violations, in cases of failure to provide health care services to all communities Ensure health care policies and programs respond to gender differences and health needs of women (with PMO) Work on a sector-wide approach (SWAp) is expected to begin soon with EC support. This will involve: 1. Understanding the strategy and subsectors, mapping donors and interests 2. Understanding the legal framework in the health sector considering what other ministries do 3. Health information system and strategy. 4. Assess the management capacities in MOH and municipalities including the gaps in the municipalities‟ ability to fulfil their role in primary health in terms of staff, skills, buildings, etc. 5. Awareness campaign on public health issues. This work has overlaps with this review of the ministry and it would be good to ensure that the SWAp work can take advantage of the work from this project. Extent of the strategic management challenges It is important to consider the extent of the strategic management challenges facing the MOH as this has implications for its structure and functions. The MoH is dealing with major policy and planning challenges in financing, information, health insurance, purchaser/provider split and other areas, as set out in appendix D. Financing An area of major reform that has been considered in recent work is how to improve the financing of health services. The current arrangements are set out below: 17
- Page 3 and 4: Executive Summary 1. The process fo
- Page 5 and 6: 5. There are many constraints on ma
- Page 7 and 8: 9. Once the structure is decided th
- Page 9 and 10: SECTION I: Legal, policy and medium
- Page 11 and 12: Centre of Telemedicine reports to P
- Page 13 and 14: other functions it could work along
- Page 15 and 16: The whole-of-government budget proc
- Page 17 and 18: Lack of planning and policy functio
- Page 19 and 20: improve their planning and policy m
- Page 21 and 22: Structural problems with excessive
- Page 23 and 24: One option for the organisation of
- Page 25 and 26: Some issues raised by staff include
- Page 27 and 28: main providers of services funded b
- Page 29 and 30: Policy and planning unit A variatio
- Page 31 and 32: Health information is part of the D
- Page 33 and 34: Issues raised by staff and others O
- Page 35 and 36: The roles and functions of the boar
- Page 37 and 38: Some countries have combined health
- Page 39 and 40: Appendices Vertical Functional Revi
- Page 41 and 42: Valdet Hashani, Primary Health Care
- Page 43 and 44: split proposed in the World Bank re
- Page 45 and 46: 56.2. Implementation of the health
- Page 47 and 48: This law regulates tobacco products
- Page 49 and 50: Provides for a grant for minimum st
- Page 51 and 52: V. Fourth goal - Functionalize, reo
- Page 53: Health information Develop effectiv
- Page 57 and 58: local government in relation to the
- Page 59 and 60: Hospital prepares its own budget an
- Page 61 and 62: Appendix E: Number of Staff and Bud
- Page 63 and 64: Agency for the control of health ca
- Page 65 and 66: Appendix G Additional advice provid
- Page 67 and 68: Improving the health status analysi
- Page 69 and 70: 3. Accountability. Incentives and s
- Page 71 and 72: While there is clarity of central g
- Page 73 and 74: 50.2 Section 1.2 of the Law on Pubi
- Page 75 and 76: [check if section 13 is OK or are t
- Page 77 and 78: all of the directors as soon as pra
- Page 79 and 80: Template for examining decision rig
- Page 81 and 82: Name of agency Invest Give loans bu
- Page 83 and 84: Name of agency Modify a license Can
- Page 85 and 86: The issues raised at the start of t
- Page 87 and 88: Figure 2: Integrated management cyc
- Page 89: fees. The proposal could exclude th
terms the two outer years may be decreases after taking account of inflation. As these figures are not<br />
broken down by central and local government levels, it is not possible to estimate the changes relating to<br />
the budget of the MOH.<br />
Table 2 MTEF for Health<br />
Note that the annual budget provided by the MOH has a total sum of 66,282,033 euros for 2009 which is<br />
below the 67,081,628 euros indicated in the MOH‟s medium term budget figures.<br />
In summary, over the medium term the MOH can expect a flat or declining government budget. The effect<br />
of donor contributions also needs to be considered and a full MTEF projection prepared that takes these<br />
into account. At this stage we have not been able to locate a full projection that takes account of all<br />
sources of funding.<br />
EC policy<br />
As part of the consideration of how to improve the MOH, the EC policy requirements need to be taken into<br />
account. The Government‟s 2008 Action Plan on the Implementation of the European Partnership includes<br />
the following activities that relate to the MOH: 5<br />
5 Health related requirements are assigned to other ministries in relation to environmental matters, safety at work, and other<br />
areas, e.g., MAFRD is responsible for the requirement to adopt the law on food and the consequent implementing legislation, and<br />
establish the relevant agency to implement and enforce the law. MLSW is primarily responsible for strengthening cooperation<br />
with mental health centres.<br />
16
Change language