Implementing Programme Based Budgeting In Ghana S Health Sector
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Implementing Programme Based Budgeting In Ghana S Health Sector
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-06-23
Implementing Programme Based Budgeting In Ghana S Health Sector written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-23 with Social Science categories.
This study assesses the status of the implementation of this transition to programme-based budgeting (PBB) in the health sector in Ghana. It examines the impact of this change in terms of how funds are budgeted, allocated, used and accounted for across the sector. Ultimately, this analysis considers the linkages of PBB with sector goals and objectives, and how implementation can be improved for greater impact. The study finds that while PBB has helped to consolidate activities and infuse greater performance orientation into the budgeting process, many challenges remain. In particular, the continued dominance of input-based, line items, particularly below the central-level, constrain flexibility and the ability to coordinate activities across departments or disease programmes in the health sector. This degree of inflexibility goes to the lowest level of the health system, with input-based budget ceilings set for the more than 500 budget management centres in the sector, and is driven in part by the large share of the health budget that is dedicated to salaries and wages. The potential benefits of PBB in terms of joint budgeting across health programmes and inputs has not yet been taken advantage of, which contributes to inefficiencies across the sector. Furthermore, while performance indicators have been established, they are not systematically tracked or used in allocation decisions. As Ghana looks to future reforms in the health sector, continued budget reform can be an effective enabler of changes to health financing and overall service delivery in Ghana.
Transformation In Action
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Author : Iraj Abedian
language : en
Publisher: Juta and Company Ltd
Release Date : 1998
Transformation In Action written by Iraj Abedian and has been published by Juta and Company Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Medical categories.
The health services in South Africa have undergone a major reorientation in an attempt to provide the poorest and most vulnerable segments of society with increased access to affordable, quality health care. Unfortunately, the new policies and health plans have not translated into a commensurate improvement of actual health service delivery and health status. A key missing element has been the lack of an appropriate financial planning and budgeting system. This book, Transformation in Action, attempts to fill the void that exists between planning, budgeting and implementation in the public health sector. Drawing on local and international research and policy experiments, it outlines an alternative system called the Performance Budgeting System (PBS). Unlike the current budgeting system, the PBS system integrates financial planning and management with strategic, operational, performance and quality management objectives to ensure that, within budget constraints, service delivery outputs have the greatest possible impact on health outcomes. In so doing, this system can contribute substantially to achieving the objectives of recent public sector reform initiatives and the ideals of the Constitution.
Transition To Programme Budgeting In Uganda
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-07-09
Transition To Programme Budgeting In Uganda written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-07-09 with Social Science categories.
Implementing Health Swap In Mongolia
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Author : Anar Ulikpan
language : en
Publisher: GRIN Verlag
Release Date : 2011-12
Implementing Health Swap In Mongolia written by Anar Ulikpan and has been published by GRIN Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-12 with Medical categories.
Master's Thesis from the year 2006 in the subject Health - Public Health, grade: Distinction, University of Leeds (Nuffield), language: English, abstract: This dissertation intends to contribute to improving sector-wide management and aid coordination in health. The dissertation objectives are: 1. To review the key issues related to sectoral management and aid coordination in the Mongolian health sector 2. To examine different frameworks and international experiences in implementing SWAp 3. To appraise likely options for implementing health SWAp in Mongolia 4. To propose a Road map to initiate the implementation of a SWAp in Mongolia
Ownership Gaps In Implementing Performance Based Program Budgeting In Ghana And Cameroon
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Author : Catherine Difoum Nkongo
language : en
Publisher:
Release Date : 2020
Ownership Gaps In Implementing Performance Based Program Budgeting In Ghana And Cameroon written by Catherine Difoum Nkongo and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
This dissertation examines reform ownership as a specific pointer to the reform implementation trajectory in two Sub-Sahara African (SSA) countries. Since the 2005 Paris Conference during which ownership was laid down as a principle entrusted on aid-recipient countries' governments, in order to improve the effectiveness of official development assistance (ODA), only few studies have actually explored this phenomenon. Besides, research on public sector reforms (PSR) in SSA show that the implementation phase is the most challenging. Indeed, among the hurdles to efficient and effective implementation is the issue of reform ownership-an issue that is repeatedly brought up in the field of International Development. However, this study suggests a specific Public Administration perspective, which indirectly implies many levels of policy learning processes, trials and errors, as well as routine or daily operations. Furthermore, although authors agree in recognizing the importance of ownership in successful PSR, they do not agree either on the methods of evaluation or on the most suitable way of constructing, or rather enhancing, ownership. Still, many SSA countries heavily depend on external funding and aid subsidies but are called to develop their own homegrown policies as well as their reform strategies, in order to build a "best fit" model. So how do these countries reconcile financial dependence with endogenous reform approaches? I argue in this study that reform strategy, unlike the technical package of the reform policy, is a deliberate choice of each SSA government. Consequently, through the reform approach, there is room for enhancing reform ownership. This study therefore compares the experiences of performance-based program budgeting (PB2) in Ghana and Cameroon, to demonstrate an upward and inside perspective of reform ownership, derived from the analysis of its implementation process, as opposed to the donor-driven perception. For instance, Public Financial Management (PFM) models proliferate but mostly focus on institutional arrangements and results rather than how these reforms are executed and conducted and, consequently, how reform ownership happens. As a result, analysis of the implementation process-in other words, the concrete policy execution, organizational settings, and actors' behaviors-remain largely overlooked, as African public managers, who are generally at the frontline of the management and execution of these reforms, are often absent from theoretical conversations. Therefore, the main research question stands as follow: How does reform ownership impact the nature, extent and outcome of PB2 reforms in Ghana and Cameroon? This thesis assesses the issue of reform ownership through two dimensions: (1) the steering phase of the reform policy (implementation design) and (2) the execution of the reform, throughout the budget cycle and within three line ministries (health, education, and agriculture). From this twofold perspective and primary data, this study presents a more holistic analysis grounded in critical realism and inspired by both actor-centered institutionalism and implementation theories. It also proposes another approach to PB2 termed here the ownership trajectory approach (OTA), which provides both theoretical and empirical contributions to the analysis and execution of public sector reforms in sub-Saharan Africa. Finally, this dissertation suggests that the traditional notion of "implementation gaps" should be supplemented with the concept of "ownership gaps," as reforms inspired by the New Public Management ideology have taken a methodological turn in developing countries.
Health Financing In Ghana
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Author : George Schieber
language : en
Publisher: World Bank Publications
Release Date : 2012-08-30
Health Financing In Ghana written by George Schieber and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-30 with Medical categories.
This volume analyzes Ghana s National Health Insurance Scheme and highlights the range of policy options needed to assure its financially sustainable transition to universal coverage.
Implementing The Primary Health Care Approach A Primer
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2024-05-15
Implementing The Primary Health Care Approach A Primer written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-05-15 with Medical categories.
This Primer is about the 'how' of primary health care (PHC) and brings together best practices and knowledge that countries have generated through 'natural experiments' in strengthening PHC with the best available research evidence. Despite the progress made towards PHC globally, the concept is still often misunderstood, even within the public health community. The Primer offers a contemporary understanding of PHC and more conceptual clarity for strengthening PHC-oriented health systems. It does so by consolidating both scientific evidence and an extensive sample of practical experiences across countries for the needed evidence to address practical implementation issues. The Primer is organized in three parts. Part I explains the PHC approach, its history, core concepts and rationale, and draws out lessons for transformation. Part II addresses operational and strategic levers that make PHC work. It covers governance, financing and human resources for health, medicines, health technology, infrastructure and digital health, and their role in implementing change. Part III concludes with a cross-cutting view of the impacts of PHC on the health system, efficiency, quality of care, equity, access, financial protection and health systems resilience, including in the face of climate change.
Health Financing For The Covid 19 Response
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Author :
language : en
Publisher: World Health Organization
Release Date : 2021-07-28
Health Financing For The Covid 19 Response written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-07-28 with Social Science categories.
Budgeting For Results
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Author :
language : en
Publisher:
Release Date : 1995
Budgeting For Results written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Budget categories.
Strategizing National Health In The 21st Century
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Author : World Health Organization
language : en
Publisher:
Release Date : 2016
Strategizing National Health In The 21st Century written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Medical categories.
This handbook was designed to provide up-to-date and practical guidance on national health planning and strategizing for health. It establishes a set of best practices to support strategic plans for health and represents the wealth of experience accumulated by WHO on national health policies, strategies, and plans (NHPSPs). WHO has been one of the leading organizations to support countries in the development of NHPSPs. The focus on improving plans has grown in recent years in recognition of the benefits of anchoring a strong national health sector in a written vision based on participation, analysis, and evidence.