Health Sector Expenditure from 2006/07 to 2011/12. By Dr. Flora Kessy Mzumbe University, Dar es Salaam Campus College. 1.

Slides:



Advertisements
Similar presentations
THE CHALLENGES & OPORTUNITIES OF ACCESS TO MEDICINES IN AFRICA Dr Pascoal MOCUMBI, orig Mozambique,High Representative EDCTP ABRASCO/WFPHA.
Advertisements

Actuarial and Statistical Department Finnish National Health Insurance: The Financing Reform of 2006 Jussi Haapa-aho Chief Actuary The Social Insurance.
WaterAid Tanzania Policy Programme Strengthening Design, Finance and Delivery of Water Supply and Sanitation Programmes under PRSPs February 2004 Kampala.
Progress and Strategy to achieve universal coverage in Lao PDR: Issues for discussion Presented at 4 th Technical review meeting for Health Policy and.
20 November  We acknowledge the key observations as outlined in the Synoptic Note – RBA  In terms of Challenges, and  Good progress made in various.
@DiscoverForums DiscoverForums Healthcare in Vietnam Estimated market size US$ 265 mil in 2014 Market growth approximately 12% between
Understanding the National Financing Issues: NIGERIA Professor Ignatius UVAH, PhD (Cantab) Deputy Executive Secretary, National Universities Commission,
Developments & Trends in Tanzania’s Water Sector Dar es Salaam - September 2005.
Willingness to pay for private voluntary health insurance in southeast Nigeria Obinna Onwujekwe a and Edit V. Velényi b a Health policy Research Group/Department.
Health care spending- private health insurance in perspective Australian Health Insurance Association Conference, 2 November 2006.
Universal Coverage Through National Health Insurance In South Africa: Okore Okorafor Health Policy Unit Medi-Clinic Southern Africa 15 March 2011 Do quality.
Flagship Course on: Health Financing & Provider Payment Iran Health Financing May 12-15, 2005 Khoramabad - Lorestan Dr hamidreza Jamshidi.
Implementation challenges of health financing policy reforms: experiences from Sub-Saharan Africa Peter Kamuzora Institute of Development Studies University.
1 Health Care Cost Drivers: Hospital and Other Health Expenditures—Descriptive Overview April 28, 2011.
Mauritania MTEF Workshop Water and Sanitation Sector MTEF Experience in Uganda.
POVERTY PRESENTATION AT UNDP OFFICE POVERTY STATUS AND TREND IN TANZANIA MAINLAND, /12 Presented by Sango A. H. Simba National Bureau of Statistics.
Consultative Meeting on Accelerating the Attainment of MDG 5 in Kenya – August 27-28, 2014 Investing in Primary Health Care for reducing maternal & child.
NIGERIA Country presentation: State of Health Care Financing by Chima A. Onoka and Chijioke I. Okoli Health Policy Research Group University of Nigeria,
Regional Conference of Sector Network Health & Social Protection Africa, MENA and LAC 6-9. May 2014 | La Palm Hotel, Accra/Ghana Towards UHC in the African.
Georgian Health Care 2020 Washington DC, February 1-2, 2010
Social Protection for Individual And National Development NHIF, CHF/TIKA HEALTH FINANCING PROGRAMS The Ag Director General National Health Insurance Fund.
MINISTERIAL MEETING UNDER THE THEME “DOMESTIC FINANCING FOR HEALTH: INVESTING TO SAVE”, ADDIS ABABA, ETHIOPIA, NOVEMBER, 2013.
Current status, problems, and challenges in public health in Thailand Dr. Phusit Prakongsai, MD. Ph.D. International Health Policy Program – IHPP Ministry.
Debriefing for the Study Tour of the Malian and Senegalese Delegations to Rwanda October 25-30, 2009.
Health Sector Performance 2009/2010 Presented at the Joint Annual Health Sector Review Technical Meeting 7 th – 9 th September 2010, Dar es Salaam By J.J.
1 Canadian Institute for Health Information. Chartbook: Trends in National Health Expenditure, 1975 to
Health Finance Reforms in Southern Europe: Lessons from Croatia European Health Forum September 27, 2002 Akiko Maeda, Lead Health Specialist The World.
Pharmaceutical Overview 1. Pharmaceutical Overview (1) Pharmaceuticals partially covered through various health insurance schemes Public insurance provision.
The nature and state of health care financing and delivery in South Africa: Obstacles to realising the right to health care Di McIntyre, Health Economics.
IHP+: introduction and ministerial review Action for Global Health Conference Strengthening Accountability to Achieve the Health MDGs Madrid, 7 th June.
1 REPORT OF:Joanne Newton DATE OF PAPER:26 June 2013 SUBJECT:Financial Position at 31 st May 2013 IN CASE OF QUERY, PLEASE CONTACTJoanne Newton Joanne.
Central Bank of Nigeria AGRICULTURAL FINANCE POLICIES IN NIGERIA BEING PAPER PRESENTED AT THE 3 RD AFRACA AGRIBANKS FORUM: “AFRICA VALUE CHAIN FINANCING”
USE AND MANAGEMENT FUND Dr. Winfred Philemon Kyambile District Medical Officer HANANG CHF BEST PRACTICE WORKSHOP DAR ES SALAAM 02/02/2007.
Tanzanian German Programme to Support Health The Health Financing Component Supporting Social Health Protection and Health Financial Management in Tanzania.
CHALLENGIES FACING TANZANIA IN ATTAINING UNIVERSAL ACCESS TO HEALTH By J.J. Rubona MOHSW, Tanzania Amref Health Africa International Conference 24 – 26.
ASTWG Meeting – 28 th November 2012 – Dar es Salaam 1 Results of public expenditure analysis in Tanzania Agricultural Sector Consultative Working Group.
A BASELINE SURVEY OF THE PHARMACEUTICAL SECTOR IN TANZANIA
HEALTH SECTOR EXPENDITURE FRAMEWORK…. A Multi-year Spending Plan for the Department of Health * * Dr. Rosario G. Manasan Senior Research Fellow Philippine.
Addressing Financial Needs. What is the best investment we can make for India ’ s future? “ The development of children is the first priority on the country.
Reaching the Informal Sector with SHI: A CHF for Small-Scale Tea Farmers in Rungwe District, Tanzania A Public-Private Partnership Dr Shaaban Sheuya Tanzania.
Rapid Budget Analysis (RBA) Health Sector December 4, 2013.
Joint Annual Health Sector Review Meeting to be held on 7 th – 9 th October, 2009 Kunduchi Beach Hotel - DSM Ministry of Health and Social Welfare Health.
NHI in Turks and Caicos Islands—Performance Assessment and Lessons for the Future Presented by Zaneta Burton (contributions by Mr. Hernado Montas( Actuary))
HEALTH FINANCING MOH - HPG JAHR UPDATE ON POLICIES Eleventh Party Congress -Increase state investment while simultaneously mobilizing social mobilization.
Dar es Salaam, October 31, 2007 Poverty Reduction Budget Support for Tanzania PEFAR UPDATE: RAPID BUDGET ANALYSIS FOR THE 2007 ANNUAL REVIEW.
Reading Budgets. This presentation Explains how to read the budget tables in the February budget votes Explains how to read the budget tables in the annual.
Seite 1 Future Prospects of Sanitation in Kenya presented by Patrick Onyango.
1 Access to medicines for patients with mental health diseases within State Guarantee Benefit Programme in Talas and Batken regions of KG Makenbaeva B.
Technical Review Meeting (TRM), Blue Pearl 6-8 September, 2010 Department of Policy and Planning.
Fiscal Policy (Government Spending) Fiscal Policy and Government Spending.
Financial Performance: Quarters 3 and 4; and Quarter 1: Presentation to the Portfolio Committee on Rural Development and Land Reform.
Expenditure tracking in health care National Health Accounts Tomas Roubal WHO, South Africa.
Social Protection Expenditure and Performance Review (SPER) Jean-Claude Hennicot Consulting Actuary Findings CAMBODIA.
Knowledge sharing workshop on social protection for vulnerable Groups ILO STEP/SFP Programmes October 15 th,16 th &17 th 2007 Bangkok, Thailand By Ansgar.
Road Map to Universal Health Coverage Dr Girdhar Gyani DG- AHPI.
Exhibit 1.1 Personal Health Expenditures by Source of Funds, 1965 and 2012 return to lecture Copyright © 2015 Foundation of the American College of Healthcare.
Coordinator of Project management Unit of Global fund and MAP projects
THE EFFECTS OF CENTRAL BANK INDEPENDENCE ON THE TREND OF INFLATION AND ITS IMPLICATIONS ON WOMEN IN UGANDA IAFFE 18 th Annual Conference on “Engendering.
Tanzania Mainland: Launch of the Social Protection Expenditure and Performance Review (SPER) and Social Budget (SB) Urszula Lonc, ILO Dar Es Salaam Dar.
1 MOLDOVA PUBLIC EXPENDITURES FOR AGRICULTURAL DEVELOPMENT June 2006.
TECHNICAL REVIEW MEETING 5 TH NOVEMBER,  NHA and PER Concept Overview  History of NHA  Usefulness of NHA  Institutionalization Process  Methodology.
Community Based Health Insurance Mutuelles de Santé Rwanda Case 1 Presented by Nicole Curti Kanyoko and Willy Janssen.
LECTURE VII Social Security.
Health Care Financing: User Fees
Social Security Fund Financing and Investment Management System
ZHANG Juwei Institute of Population and Labor Economics
Harmoko, MD#, Edward, MD #Institut Kesehatan Helvetia
Making Healthcare a Public Good – Inverting the Political Economy
Health Financing Reforms in Countries of EMR – What Lessons for Sudan
World Health Organization
Presentation transcript:

Health Sector Expenditure from 2006/07 to 2011/12. By Dr. Flora Kessy Mzumbe University, Dar es Salaam Campus College. 1

Outline Health Sector share of the budget Per capita health spending Government versus foreign funding Spending central/local government spilt Budget execution Health financing through health insurance 2

Health spending is stable in nominal terms but declined slightly in real terms A: Budget Trend (TZS)B: Actual Expenditure Trend (TZS) 3

Health as % of Total Government Expenditure is declining which is a big concern A: Share in budget (%) B: Share in actual expenditure (%) 4

Per capita health spending is far less than the US$54 recommended by WHO and HSSP III projection of US$ by 2009/10 A: Per Capita Health Budget (US$)B: Per Capita Health Spending (US$) 5

Government funding still remains the dominant source of public health financing 6

Central share of expenditure remains stable over time despite D-by-D 7

Part of the central funds is spent at the LGAs level through procurement of medicines 8

Development budget continues to grow but it faces poor performance 9

Recurrent budget performs better than the development budget 10

About 60% of foreign funds budget is executed 11

Performance is worse for non-basket fund 12

National Health Insurance Fund (NHIF) continues to hold significant amount of unspent funds 2006/072007/082008/092009/102010/11 Contributions45,51655,47273,28290,084134,891 Total income (incl. Income from investments and others) 56,88472,16876,512108,845164,146 Percentage of funds paid out to health services against total income of NHIF 14.4%14.1%18.4%23%27% Actual spending including administration 23,95026,71934,32539,78268,048 Unspent balance as % of total income 58%63%55%63%59% 13

Less than 15% of Tanzanian are covered by the two major public health insurance schemes Principal MembersDependants Total Beneficiaries Coverage to total Population NHIF Membership size 468,6112,030,309 2,498, % CHF Membership 561,370 3,368, % Total NHIF and CHF Beneficiaries 10,29,981 5,867, % Coverage as per 2011 population projections 14

Reimbursement to pharmacies and ADDOs is a commendable strategy to curb drug shortage OwnershipAmount Proportion to total payment Government facilities14,458, % Faith-Based/NGOs facilities19,692, % Private facilities5,854, % Part I Pharmacies4,257,7499.6% ADDOs88,7030.2% Total 44,351, % 15

Some issues for discussion Strategies to increase the health share of government budget to 15% as per Abuja commitment.  Is 15% share a realistic target considering the synergies of health sector with other sectors—water, education, agriculture etc? Health Insurance:  Facilitation of NHIF to function more effectively  Universal coverage: strategies to bring the rural communities on board (only 8% of the population is currently covered). 16

Thank you 17