FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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32 Augusto Cosulich, Vincenzo Racalbutoidentifying a very limited number of pieces of information that are required ateach level of the system and specifying how they will be collected, by whom. Thecentral importance of information and indicators is reflected in the Code ofConduct. (See Annex 2.)Returning to the “one budget” aspect of decentralisation – particularly thecombined “paper budget” reflecting all inputs – brings into focus another vitalissue currently being debated in the health sector in Ethiopia. For the sakeof argument, assume that there is agreement that $4 additional health expenditureper capita will fund the basic Health Extension Package, not includingAnti-Retrovirals. (Of course it is perfectly legitimate to debate the correctnessof these figures, but they are a good starting-point.) Further assume that ofthe $4, $1 will come from individuals’ out of pocket expenditures, mostly ondrugs. The $3 has to come from the public sector, and requires a steady increasein budget support and a doubling of inputs from other donors. Is thisrealistic? If not, what can be done? Is there too much money going to someareas and not enough to others?This is a concrete example of how donors working together can focus on thebig issues facing Government, rather on their own, smaller, donor-specificconcerns.Interesting work related to “one plan, one budget, one report” has been happeningin some regions – notably Tigray and SNNPR – already. Activity 5below is about learning lessons from this useful exercise.Italian contribution to the HSDPGeneral frameworkThe Italian contribution to HSDP amounts to 15,750,000 Euro over threeyears, which corresponds to approximately 3% of the whole HSDP II budget.The initiative is structured in three components:1. Direct financial support to the Ministry of Health (12,510,050 Euro);2. Italian Technical Assistance (2,250,000 Euro).3. Funds directly managed locally by the Project Monitoring Unit (989,950Euro);Components n. 2 e n. 3 are directly managed by the Italian Ministry ofForeign Affairs, while the Ethiopian Ministry of Health (MOH) is responsiblefor the management of the first component.
3. The ethiopian health sector and the italian contribution to HSDP 33Funding modalitiesChannel I(through Ministryof Finance)Channel II(through sectorinstitutions)Channel III(directimplementation)Federal Ministryof FinanceFederal Ministryof Health (MoH)Regional FinanceBureauRegional HealthBureau (RHB)Woreda FinanceOfficeWoreda HealthOffice (WoHO)The Italian support focuses in four Regions: Tigray, Oromia, Afar andSomali. Moreover, support is provided to the Federal MoH and to DACA,with a total of six beneficiary institutions.The Italian contribution foresees a specific support and provision of technicalassistance to the following HSDP components:• Human Resource Development;• Pharmaceutical Services;• Health Management Information System.For each of these components a specific technical assistance is provided to localcounterparts in the preparation of Plans of Action and execution of activities;for strengthening professional and managerial capacities; monitoringand evaluating the activities. Moreover, ad-hoc consultancies have been providedto the MOH in the following fields:• Hospital management, with particular focus on Asella hospital;• Definition of technical specifications and cost estimate for the medicalequipment to be purchased by the 4 beneficiary Regions.
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independent information centres. Ta
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FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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