By Simon Moshy

 Health Sector 2011/12  MoHSW 2012/13  Health Block Grants  Essential Medicines & Medical Supplies  Key Messages 2

Abuja target 3

Source: PWC (2008,2009,2010,2011), Budget Speech Reviews. 4

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7 Source: Health Sector PER Updates ( ).

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Source: Budget Estimates (2011,2012), Vol. II and IV. 9

Budget Item2010/ / /13 Change 2011/12 to 2012/13 Allowances5,740,981,0808,503,305,50210,285,936, % Fuel, Oil, Lubricants 957,716,5261,140,988,0001,234,716,0008.2% Training1,830,172,2026,593,318,3606,771,232,0002.7% Travel2,097,792,8404,725,189,0002,376,312, % Hospitality395,967,340708,454,0003,890,634, % Acquisition of Vehicles 0341,000,000260,000, % Total11,022,629,98822,012,254,86224,818,830, % 10 Source: Budget Estimates (2012), Vol. II.

11 Source: Budget Estimates (2011, 2012), Vol. II and IV.

Source: Budget Estimates (2012), Vol. IV. 12

Health block grant 13

 Formula has been developed in 2002 by Georgia State University.  Allocation Factors  Population (70%)  Under-five mortality(10%)  Poverty count(10%)  District vehicle route(10%) 14

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Source: 16

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 Sikika’s survey from May to August 2011 shows that from 100 inquiries for a specific essential medicine or medical supply, on average, 29 were reported to be out of stock.  Budget for Essential Medicines and Supplies in 2012/13:  PSU/MSD est. need: TZS 198 bn(100%)  MTEF: TZS 75.5 bn (38%) Source: MTEF of MoHSW (2012). 18

Source: MTEFs of MoHSW. 19

 Health sector is no priority  Long way to Abuja target of 15%  Unnecessary expenditures in the MoHSW are still increasing  Health block grant formula is not applied  Persistent lack of funding for essential medicines & medical supplies 20

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