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

Company LOGO Funding Situation Funding Situation Health and Nutrition Health and Nutrition

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 2

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 3

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Establishement of Health Centers 359 400 315 350 300 236 250 199 200 150 100 48 43 50 0 Active Planned Active Planned Active DHs Planned BHCs BHCs CHCs CHCs DHs 5

BPHS coverage - in % population by donors uncovered; 22 USAID USAID; 34 OTHER; 1 WB EC ADB ADB; 1 OTHER EC; 19 WB; 22 uncovered 6

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 7

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 8

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 9

2002 Poliovirus cases NSL1 = 5 2002 2002-2004 NSL3= 5 2003 2003 NSL1= 5 NSL3= 3 2004 2004 NSL1= 2 NSL3= 2 10

Measles Measles 1600 1400 1200 Number of cases 1000 800 600 400 200 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2001 2002 2003 2004 11

Routine EPI achievements (2001 - 2004) 90 80 70 60 50 40 30 20 10 0 2001 2002 2003 2004 DPT-1 DPT-3 DoR 12

National Health Policy Goal National Health Policy Goal 2005-2009 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. 13

Top National Health Policy Priorities Top National Health Policy Priorities 2005-2009 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 14

Budget for Health and Nutrition - 1384 Budget for Health and Nutrition - 1384 Sub-Programme Reqs Alloc. Gap 1.3.1 Basic Package of Health 168.32 88.65 79.67 Services (Mothers and Children) 1.3 .2 Essential Package of Hospital 17.70 0.50 17.20 Services 1.3.3 Special Health Programs 16.79 4.93 11.86 1.3.4 Capacity Building of Human 13.94 5.74 8.20 resources 1.3.5 Administrative Reform and 18.67 3.59 15.08 Management Total 235.42 103.41 132.01 15

Priority Projects NDB-1384 Priority Projects NDB-1384 Project title Req. Gap Basic Health Services for mother 105.80 33.75 and child Immunization 29.75 20.20 Nutrition projects 9.06 7.92 Safe Motherhood Initiative 3.00 2.00 16

Priority Projects NDB-1384 Priority Projects NDB-1384 Project Title Req Gap Improving Quality of Hospital 17.70 17.20 Services Construction and rehabilitation of 14.04 13.04 facilities National capacity building Program 11.00 8.20 17

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 18

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 19

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 20

EPI Financial situation (in US$ M) EPI Financial situation (in US$ M) 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Government GAVI UNICEF WHO EC USAID Gap 21

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 ? 22

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