RESOURCE MAPPING AND EXPENDITURE TRACKING (RMET) IN GFF COUNTRIES
2. 1. What is the link What is RMET? between RMET and IC? 3. What is the RMET process in- country?
What is Resource Mapping (RM) and Expenditure Tracking (ET)? ► RM aims to rapidly capture vs . ► ET captures ongoing budget data for the most expenditures in the health recent fiscal year and high- sector; level future commitments; ► Annual exercise; ► Ongoing (exceptions: NHA, PERs); However, both RM and ET… ► …look at domestic and external financing linked to IC priorities; ► …can be sector -wide or tailored to country needs with deep dives into specific programs or be multisectoral; ► … can go beyond the scope of the IC and focus on mapping the resources of a National Health Plan or Strategy ; 3
What are the objectives of RMET? The main objective of RMET is to ensure that MOH’s priorities are: Funded Prioritized Implemented … in order to support the planning and budgeting process of the entire health sector 4
2. 1. What is the link What is RMET? between RMET and IC? 3. What is the RMET process in- country?
How does RMET link with the IC? To determine how to finance the IC, it is critical to understand the following… ► First, how is the health sector financed? ► Second, how much do we need to finance the IC ? RM ► Third, what specific programs and activities are currently being funded and where, both in terms of domestic and/or external sources? ► Fourth, is expenditure on programs and activities aligned with allocations, both in terms of domestic and/or external ET sources? 6
1. How is the health sector currently financed? External financing as a % of total health High donor reliance expenditure, 2016 Partial donor reliance Low donor reliance GNI per capita, 2016 US$) 7
2. How much is needed to finance the IC? ► What is the funding gap? Cost of IC – Total resources available = funding gap ► How can we fill this gap? • Domestic Resource Mobilization: More money for health? • Efficiency: More health for the money? • Prioritization: More prioritization to further narrow activities? 8
1. How is the health sector financed? 2. How much do we need to finance priorities? DRC: RM shows how health sector is financed, how much is needed to fund the IC, and the funding gap Ideally, we want this gap to be reduced to zero; NO GAP = IC fully financed 9
3. What specific programs and activities are being funded and where? 4. What is actual domestic and/or external expenditure? ► Domestic resources : how are activities being funded? • Where are resources being allocated? • Where does actual expenditure take place? ► External resources: what are donors funding? • What activities are implementing partners engaging in? • Are there certain provinces/ districts that receive most of the funding, while others have huge gaps? • Where does actual expenditure take place? 10
3. What specific programs are currently being funded from domestic and external sources? DRC: RM identifies funding sources for main priority areas Health Systems Basic Package of Governance Strengthening Services 600 MILLIONS 381.4 400 283.9 200 76.5 53.9 11.0 6.7 6.5 0 Sum of Total Donor -200 Sum of Total Public -171.5 Sum of Gap -400 -600 -800 -815.1 11 -1000
3. Where are specific programs currently being funded from domestic and external sources? DRC: RM determines how equitably resources are allocated across provinces 100% 90% 29% 80% 41% 54% 58% 70% 68% 68% 70% 72% 75% 79% 79% 60% 81% 85% 93% 94% 50% 100% 40% 71% 30% 59% 46% 42% 20% 32% 32% 30% 28% 25% 21% 21% 10% 19% 15% 7% 6% 0% Funding Gap Funding Available 12
3. Where are specific programs currently being funded from domestic and external sources? Liberia: Activity mapping of external resources pins down partner activities in provinces IC Priorities National Gbarpolu Grand Bassa Grand Kru River Cess River Gee Sinoe Quality Emergency Obstetric and Neonatal Care Construction and Renovation of World Bank Health Facilities (Redemption) Focused Antenatal Care CHAI, CHAI, UNICEF, CHAI, UNFPA, CHAI, UNFPA, UNFPA, Quality Maternal and Newborn USAID,World CHAI CHAI CHAI, USAID World World Bank/GFF World Health – Labor and Delivery: Bank/GFF Bank/GFF Bank/GFF EmONC UNICEF, UNICEF, World GAVI, UNICEF World Bank/GFF Other UNICEF World UNICEF Bank/GFF Child Health Bank/GFF CHAI, UNICEF, USAID, World CHAI CHAI CHAI CHAI CHAI CHAI Ensure functioning supply chain Bank Improve Community Participation in Other Other Other Maternal Child Health Outcomes Prevention and Treatment of Breast GAVI 13 and Cervical Cancers
How does RMET link with the IC? ► RM supports and informs prioritization in the health sector… Prioritized Resource Costing of Funding gap health mapping of prioritized identified strategy/ IC PRIORITIES activities developed If gap is too large, then priority list needs to be further edited ► Realistic funding gap identified; ► Supports identification of “SMART” priorities – specific, measurable, achievable, realistic, and time-bound; 14
Do we need to refine our priority list? Senegal: RM identifies need for further prioritizing the IC Final Resource Mapping Initial Resource Mapping Banque Fonds AFD Mondiale, Mondial, 9.26% 11.9% 2.6% Banque Mondiale 2.25% AFD, 0.4% GAVI, 2.01% Fonds Mondial 0.59% 3.5% 0.30% 0.07% 0.08% 0.77% GAVI 0.01% Gouvenement Gap, 32.9% JICA LuxDEV Gouveneme nt, 33.9% OMS UNFPA 69.16% UNICEF USAID , BM/GFF Fonds Mondial UNFPA 10.2% USAID UNICEF LuxDEV AFD OMS, 0.2% Autres JICA, UNICEF, OMS JICA Autre donneurs 0.1% Autres, Gap 0.8% UNFPA, LuxDEV, Funding gap 1.1% 2.5% 0.0% 15
1. 2. Overview of resource mapping RMET and IC: how and expenditure do they link? tracking (RMET) 3. What is the RMET process in- country?
How long does RMET generally take? Data Analysis Data Collection Preparation 2-3+ Months 2-6+ months 1-2 Months (May require revisions as (Highly variable depending on additional data collected) context and data available) • Purpose and scope of • Adapt data collection • Data Analysis the analysis tools complete • Desk review of existing • Conduct data • Disseminate results • Conduct stakeholder data collection – mapping • Team roles and from donors and engagement • Promote data use for responsibilities domestic sources • Stakeholder • Conduct data decision- and policy- engagement collection – tracking making • Process for data • Iterate, as necessary • Establish process for collection and analysis institutionalisation 17
Example of timeline for RM June/July 2020: January 2020: April 2020: - Data validation complete; - RM report (final draft); - RM begins; - Preliminary analysis presented to - Discuss next steps; donors and government; May 2020: March 2020: - Complete data - Changes/edits based on collection and cleaning feedback included; - Final analysis complete; - RMET report (draft 1); 18
Standardized RMET tool can be part of data collection process 19
Questions to consider before starting RMET ► RMET? OR Resource mapping and then Expenditure Tracking? ► What will be the scope of RM? - Relevant health strategy document(s) which the RM exercise will be based on (including IC)? ► What sub-national level should the RMET be conducted at? Which states? ► What is a realistic timeline for RMET? ► Has resource mapping been done before? 20
Process if resource mapping has not been done before IC costed Process to develop IC IC finalized Funding gap Initial results from RM inform identified the development of the IC Data collection and RM Finalize RM (based on RM preliminary preparation priorities of the IC) results Sustainability and capacity building is main focus: Full participation from government team 21
Process if resource mapping has been done before IC costed Process to develop IC IC finalized Funding gap identified Review How do we build Finalize RM (based on existing on existing work? priorities of the IC) RM(incl NHA) Is RMET needed? Prevent duplication is main focus: Support existing work done by government team 22
Importance of aligning RM process with budget cycle Phase 4 Phase 1 Phase 5 Phase 7 Conduct Prepare MTEF & Get Cabinet Send budget macroeconomic & budget ceilings approval of to Cabinet & fiscal forecasts (3 yrs) ceilings Parliament Phase 3 Phase 6 Phase 2 Prepare and submit budget Prioritize within Negotiate with within budget ceilings health sector (incl MoF (3 yrs) costing) Timing of RM is KEY!! Activities within the MoH Activities within the MoF 23
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