Review of the Last Aide Memoire: Progress Against Agreed Actions - 2013 Dr. PB Chand PPICD Ministry of Health & Population
Background - Issued after joint annual review held on 28- 30 January 2013 - 13 agreed actions Aide- Memoire - Signed by the Health Secretary and EDP chair as a part of bilateral agreement
Strategic, Direction and Expenditure Priorities-1 Actions Suggested Progress Made AWPB priorities will be prepared based on the following principles Address those areas that are lagging Current FY’s AWPB priorities are based on identified by the performance review, MDG, NHSP-2 targets and mid term and other evidences review of NHSP-2 Programs/activities which remain Priority programmes in AWPB were priority and were dropped from the budgeted as per the suggestion. As a result FY 2012/13 AWPB due to the GoN given additional NPR 0.17 billion in FY reduction in budget 2012/13 AWPB will be prepared to allow for MoHP has made the provision in eAWPB alternative scenarios of budget which will help respective divisions and availability centers to present different scenarios
Strategic, Direction and Expenditure Priorities-2 Actions Suggested Progress Made • A detailed procurement plan is A detailed procurement plan will be an integral part of the business prepared and approved • Design and use of a contract plan and the budget for each scenario management database system (CMS) • Activation and use of a databank of 800 standard technical specifications for health commodities and drugs
Technical Assistance Actions Suggested Progress Made TA requirements by MoHP and its TA requirements for the respective divisions will be reflected in the departments, centers and business plans and discussed divisions are included in the during the second JCM MoHP’s annual business plan EDPs will finalize the TA matrix by The matrix is finalised by EDPs, the May 2013 and commit to first update (Feb 2013) is available providing annual updates during the next JAR (2014)
Managing Fiduciary Risks-1 Actions Suggested Progress Made • Overdue trimester reports (3 rd High priority will be given to complete the overdue FMR) submited on 25 January, trimester reports including 2013 • Unaudited unaudited financial financial report statements of FY 2011/12 submitted on 5 April , 2013 • Audited financial statements and submit them by 27 February 2013 submitted on 4 June, 2013 • MoHP requested EDPs to reduce number of FMR reporting templates from 33 to 8
Managing Fiduciary Risks-2 Suggested Actions Progress Made • MoHP received a user name and The ministry and EDPs will at The next FMIP Committee password from FCGO which help in identify the root causes of accessing financial data using website And develop actions to • TABUCS is being rolled out (278 cost address the delay in FMR and audit reporting and centres) after which reporting of report by February 2013 FMR will be improved The actions identified will be implemented by April 2013
Procurement Suggested Actions Progress Made The Ministry will continue to improve the Logistics Management Division (LMD) preparation of the CPP for goods and prepared a Consolidated Annual services and present it with the AWPB Procurement Plan (CAPP) atthe second JCM. PFM committee prepared a draft of procurement improvement plan (PIP) which will ensure the improvement in CPP DUDBC will submit the procurement plan In FY 2012/13 GoN had a ‘expenditure For civil construction by 15 February 2013 budget’. DUDBC is committed to submit the procurement plan within Feb. of each FY The Ministry with support from EDPs will Independent performance review review the performance of DUDBC by completed March
Drug Stock-Outs Suggested Actions Progress Made Contracting of a private Process of contracting of sub- agency for sub-district district distribution of drugs distribution of drugs and and supplies are being made supplies will be done in 10 in 4 districts selected districts that have health facilities with chronic stock-outs, by Sep 2013
Contracting of Hospitals Suggested Action Progress Made The ministry will put in Ministry has signed place all the processes performance based necessary for the grant agreement with contracts by April 2013 seven hospitals
Asset management and Maintenance Suggested Actions Progress Made DOHS will prepare an annual Included in the current maintenance plan by April to AWPB- now covers five be included in AWPB which regions will also take into account budget required to roll out the contracting out of equipment maintenance in three remaining regions
Medical Waste Management Progress Made Suggested Actions MoHP will scale up the model in other Management division has started the hospitals. The model will be designed in process to implement the HCWM in: two regional/zonal hospitals by April 2013 1. Koshi Zonal Hospital 2. Janakpur Zonal Hospital 3. Bheri Zonal hospital 4. Seti Zonal Hospital • HCWM guidelines sent out to all The Ministry will present in the 2014 JAR, the compliance of HCWM guidelines by district health offices including various health facilities and the hospitals • Budget allocated for west separation, feasibility to scale up the Activities equipment, disposable and cleaning materials to all DHO/DPHO. This budget will go to health facilities i.e. hospital, PHC, HP and SHP
Urban Health Suggested Actions Progress Made The Ministry will submit - Draft policy yet to be the urban health policy to approved the Cabinet by April 2013. - Budget will be The implementation plan included once the will be prepared and will policy is endorsed be included in the next 2013-/14 A WPB
Harmonization and Alignment Suggested Action Progress Made Interested EDPs and the There is no progress as government will sign the of now. Further JTAA by April 2013 discussion is required
Human Resource Management Suggested Actions Progress Made The multi-year contracts will be started so - Process has been started That health professionals can be recruited on a temporary basis by July 2013 for Contracts to be signed in the next financial year The ministry will complete the contract - Process has been started to formalise processes with academic institutions to the contracts with academic provide services at the district health institutions Facilities by July - ToR is on the process of endorsement
Budget Constraints Suggested Action Progress Made MoHP will approach the MoF to seek - MoHP had several rounds of assurance so that the Ministry can discussions with MoF spend its current allocation by March 2013 The Ministry will approach the MoF - Budget has been approved for to seek an arrangement that would this fiscal year timely solve the problem created by late budget approval if it arises next year, by March 2013
Next Steps Next Step Progress The first JCM of FY13/14 will be held the fourth week of Organised March 2013. The partners and MoHP have agreed that this Disseminated among the Aide Memoire will be classified as a public stakeholders document The next JAR will be held during 27 -28 and 29 Done January 20 l 4 Progress made in implementing the action points Discussed in the JCMs agreed in the Aide Memoire will be reviewed every quarter (possibly during the JCMs) The ministry will start the consultation process for NHSP-3 process design NHSP 3, including taking into account MTR workshop conducted recommendations
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