SUPPORT TO THE HEALTH SUPPORT TO THE HEALTH SECTOR PROGRAMMESECTOR PROGRAMME

Presentation by Presentation by Mr. Benedict V. KuneneMr. Benedict V. Kunene

Social Sector Dev. Specialist, MWFOSocial Sector Dev. Specialist, MWFOADBADB

05 August 200905 August 2009

Objective of ADF’s ContributionObjective of ADF’s Contribution

To support activities of the programme that To support activities of the programme that are aimed at accelerating reduction of are aimed at accelerating reduction of maternal and newborn morbidity and maternal and newborn morbidity and

mortality rates.mortality rates.

InputsInputs ADF contribution part of support to the ADF contribution part of support to the

funding of Road Map (2004 -2010)funding of Road Map (2004 -2010)

Government : Government : USDUSD 25.00 m25.00 m ADF ADF : : USD 21.85 m USD 21.85 m

((1717%)%) Other DPsOther DPs :: USDUSD 81.15 m81.15 m TotalTotal :: USD128.00 millUSD128.00 mill

Components Supported by ADFComponents Supported by ADF I.I. Human ResourcesHuman ResourcesII.II. Pharmaceutical and Medical Supplies Pharmaceutical and Medical Supplies III.III. Essential Basic EquipmentEssential Basic EquipmentIV.IV. Facilities DevelopmentFacilities DevelopmentV.V. Routine Operations at Service Delivery Routine Operations at Service Delivery

Level andLevel andVI.VI. Central Operations, Policy and Central Operations, Policy and

Systems Development Systems Development ProgrammeProgramme

Geographic Distribution of Health Geographic Distribution of Health CentresCentres

Construction of BEmOCsConstruction of BEmOCs

All RegionsAll Regions

10 Contracts for 43 sites 10 Contracts for 43 sites

NorthNorth 4 Contracts in 13 sites4 Contracts in 13 sites

CentralCentral 3 Contracts in 18 sites3 Contracts in 18 sites

SouthSouth 2 Contracts in 12 sites2 Contracts in 12 sites

Progress as at June 09Progress as at June 09Region % Completion Expected

CompletionNorthern 51 31 Oct 2009

Central 78 31 Oct 2009

Southern 54

(Avge. 61%)

30 Nov. 2009

Physical Progress of BEmOCsPhysical Progress of BEmOCs

Physical Progress

0 20 40 60 80 100

Nothern

Central

Southern

Regi

on

Percentage Completion

Training (RF 02)Training (RF 02)  BEmOC MNH Other

Planned Actual Planned Actual Planned Actual

Number 331 170 220 331 18 43

Variance No.

  161   -111   -25

Cost $ 357,100 451,096 281,000 313,224.94 138,249 42,757.04

Variance $

  -93,996   -32,224.94   95,491.96

Financial managementFinancial managementI. Overall Disbursement Rate, 38%

II.II. Special account justificationSpecial account justification 58% of funds advanced remains outstanding 58% of funds advanced remains outstanding

(USD 617,293)(USD 617,293)

III.III. Audit reportAudit report The 2007/08 audit report is still outstandingThe 2007/08 audit report is still outstanding

ISSUESISSUESi)i) Weak supervision of contractors by Weak supervision of contractors by

consultants; consultants;

ii)ii) Weak supervision of consultants by GOM; Weak supervision of consultants by GOM;

iii)iii) Weak coordination & poor reporting of training Weak coordination & poor reporting of training by RHU; by RHU;

iv)iv) Poor coordination between Reproductive Poor coordination between Reproductive Health Unit and other Units.Health Unit and other Units.

V)V) Delayed justification of SPAC fundsDelayed justification of SPAC funds

VI)VI) Delayed submission of audit reports Delayed submission of audit reports

RecommendationsRecommendations MOH to step up supervision of consultants;MOH to step up supervision of consultants; Consultants to step up Supervision of Consultants to step up Supervision of

Contractors; Contractors; Improve coordination and reporting of training Improve coordination and reporting of training

by RHU; and by RHU; and Improve coordination between RHU and other Improve coordination between RHU and other

Department (e.g. DoFA) Department (e.g. DoFA) Ensure that audit reports are submitted within Ensure that audit reports are submitted within

scheduled time.scheduled time.

ZIKOMO KWAMBIRI