Funding Situation Funding Situation Health and Nutrition Health - - PowerPoint PPT Presentation

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Funding Situation Health and Nutrition Funding Situation Health and Nutrition

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Objectives Objectives

• Major achievements
• Highlight top priorities
• Sharing information on National

Development Budget

• How to fill the funding gap?
• Partners’ perspective on long term

funding

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Achievements Achievements

• National Health Policy and Strategy

Developed

• Basic Package (BPHS) expanded to

15 million (71.7 %) of the population through NGOs

• BPHS provided by MoPH for more

than 1 million people (5.3%) in 3 provinces

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Establishement of Health Centers

315 359 199 236 43 48 50 100 150 200 250 300 350 400 Active BHCs Planned BHCs Active CHCs Planned CHCs Active DHs Planned DHs

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BPHS coverage - in % population by donors

uncovered; 22 OTHER; 1 ADB; 1 EC; 19 WB; 22 USAID; 34 USAID WB EC ADB OTHER uncovered

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Achievements Achievements

• Service Performance Assessment Conducted

in 634 Health Centers by independent third party

• New Technical Units established in ministry

for priority areas:

– Reproductive Health – Safe Motherhood Initiative – Adolescent Health – HIV/AIDS – Malaria Control

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Achievements Achievements

• More than 600 staff of central and provincial

MoPH have been PRRed

• Extensive midwifery education is underway

through out the country

• 200 physicians completed their post graduate

training and 700 are under training

• 107 new health facilities constructed and

functioning

• 138 clinics rehabilitated
• Construction of 66 more clinics underway

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Achievements Achievements

• Provincial Health Coordination Committees

established in all provinces

• Decentralized planning exercise carried out

in 17 provinces

• 31 Emergency Obstetric Care Units

established including 5 Centers of excellence

• 9 salt iodization factories established
• Vaccination coverage increased

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Poliovirus cases 2002-2004

2002 2003 2004

2002

NSL1= 5 NSL3= 5 NSL1= 2 NSL3= 2 NSL1= 5 NSL3= 3

2003 2004

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Measles Measles

200 400 600 800 1000 1200 1400 1600 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Number of cases

2001 2002 2003 2004

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Routine EPI achievements

(2001 - 2004)

10 20 30 40 50 60 70 80 90 2001 2002 2003 2004 DPT-1 DPT-3 DoR

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National Health Policy Goal 2005-2009 National Health Policy Goal 2005-2009

• Develop the health sector to improve

the health of the people of Afghanistan, especially women and children through implementing the minimum of health care packages at each level of the health system.

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Top National Health Policy Priorities 2005-2009 Top National Health Policy Priorities 2005-2009

• Implementing health services

–Implementing the basic package of health services –Implementing the essential package of hospital services

• Reducing morbidity and mortality
• Institutional development

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Budget for Health and Nutrition - 1384 Budget for Health and Nutrition - 1384

15.08 3.59 18.67 1.3.5 Administrative Reform and Management 132.01 103.41 235.42 Total 8.20 5.74 13.94 1.3.4 Capacity Building of Human resources 11.86 4.93 16.79 1.3.3 Special Health Programs 17.20 0.50 17.70 1.3 .2 Essential Package of Hospital Services 79.67 88.65 168.32 1.3.1 Basic Package of Health Services (Mothers and Children) Gap Alloc. Reqs Sub-Programme

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Priority Projects NDB-1384 Priority Projects NDB-1384

Gap Req. Project title 2.00 3.00 Safe Motherhood Initiative 7.92 9.06 Nutrition projects 20.20 29.75 Immunization 33.75 105.80 Basic Health Services for mother and child

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Priority Projects NDB-1384 Priority Projects NDB-1384

17.20 17.70 Improving Quality of Hospital Services 13.04 14.04 Construction and rehabilitation of facilities 8.20 11.00 National capacity building Program

Gap Req Project Title

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Strategic Areas for coming years Strategic Areas for coming years

• Expansion of BPHS coverage to > 95 % of

population

• Implementation of Essential Package of

Hospital Services

• Emergency, Epidemic Preparedness and

Response

• Focus on quality of care
• Expansion of Midwifery Education

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Strategic Areas for coming years Strategic Areas for coming years

• Implementation of PRR at national level
• Implementation of national capacity building

plan

• Implementing of health financing pilot

schemes

• Establishing effective communication

between the center and provinces

• Further improve coordination and

collaboration with relevant sectors/partners

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Challenges Challenges

• Filling the funding gap
• Long term planning and funding strategy
• Sustainability of established programs

(e.g. EPI)

• Human Resource development and

deployment

• Increased expectation of

communities/government

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Government GAVI UNICEF WHO EC USAID Gap

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

EPI Financial situation (in US$ M) EPI Financial situation (in US$ M)

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Issues for discussion Issues for discussion

• Need for the Sector is greater than current

donors’ fund allocation

• Additional donors ?
• Long term commitments ?
• Increasing Government contribution to

H&N ?

• Proactive fundraising ?
• Health Trust Fund ?

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THANK YOU THANK YOU