Monitoring Official Development Assistance to the Health Sector in Moldova - 2011 Report
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MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA MONITORING OFFICIAL DEVELOPMENT ASSISTANCE TO THE HEALTH SECTOR IN MOLDOVA - 2011 REPORT Chișinău 2012 MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA MONITORING OFFICIAL DEVELOPMENT ASSISTANCE TO THE HEALTH SECTOR IN MOLDOVA - 2011 REPORT Chișinău 2012 MONITORIZAREA ASISTENŢEI OFICIALE PENTRU DEZVOLTARE ÎN SECTORUL SĂNĂTĂŢII DIN MOLDOVA - RAPORT 2011 3 KEYWORDS: Republic of Moldova; health sector; Official Development Assistance; coordination mechanism; Paris Declaration on Aid Effectiveness; Accra Agenda for Action; Ministry of health; data collection; questionnaire; interviews; disbursements; sector budget support; geographic coverage; investments; technical assistance; administrative costs; health sector priorities; alignment; national policies; national strategies; public financial systems; procurement systems; aid predictability; joint missions; analytic works; Mid-Term Expenditure Framework; harmonization; ownership. COPYRIGHT INFORMATION: to be added Disclaimer The authors’ views expressed in this report do not necessarily reflect the views of the World Health Organization, the European Union and the Ministry of Health of the Republic of Moldova. MONITORIZAREA ASISTENŢEI OFICIALE PENTRU DEZVOLTARE 4 ÎN SECTORUL SĂNĂTĂŢII DIN MOLDOVA - RAPORT 2011 Table of Content Table of Content ............................................................................................................................................................................ 5 Table of Figures ............................................................................................................................................................................. 6 Preface .......................................................................................................................................................................................... 7 Acknowledgments ......................................................................................................................................................................... 8 I. Country Context ................................................................................................................................................................... 9 II. Background .............................................................................................................................................................................10 III. Methodology ..........................................................................................................................................................................11 2. 1 Study Design ...................................................................................................................................................................13 2.2 Data collection .................................................................................................................................................................13 2.3 Data analysis .....................................................................................................................................................................15 IV. Limitations ..............................................................................................................................................................................16 V. Results .....................................................................................................................................................................................18 5.1 Donors .............................................................................................................................................................................20 5.2 Projects and programs ......................................................................................................................................................20 5.3 Geographic Coverage .......................................................................................................................................................21 5.4 Type of funding, health sector areas and priority program areas ........................................................................................22 5.5 Alignment to National Frameworks ...................................................................................................................................24 5.6 Financial management systems .........................................................................................................................................27 5.7 Mid-Term Expenditure Framework .....................................................................................................................................28 5.8 Aid Predictability ..............................................................................................................................................................29 5.9 Donor Coordination and Complementarity........................................................................................................................31 VI. Overview of the findings .........................................................................................................................................................33 6.1 Remarks ............................................................................................................................................................................34 6.2 Analysis ............................................................................................................................................................................34 VII. Conclusions ...........................................................................................................................................................................35 Bibliography ................................................................................................................................................................................37 Annex I - Donors contacted ...............................................................................................................................................................39 Annex II – Sample questionnaire .....................................................................................................................................................109 Annex III - Glossary .........................................................................................................................................................................118 Annex IV - Questionnaires ...............................................................................................................................................................123 MONITORIZAREA ASISTENŢEI OFICIALE PENTRU DEZVOLTARE ÎN SECTORUL SĂNĂTĂŢII DIN MOLDOVA - RAPORT 2011 5 Table of Figures Figure 1: Multilateral and bilateral donors interviewed ........................................................................................................ 20 Figure 2: ODA projects or programs per donor ........................................................................................................................ 21 Figure 3: Grants and Loan, in USD ................................................................................................................................................. 21 Figure 4: Sector budget support and program aid, in USD equivalent and % ............................................................. 22 Figure 5: Donors per districts .......................................................................................................................................................... 23 Figure 6: Percentage of 2011 disbursements per type of funding .................................................................................... 24 Figure 7: Investment disbursement per component ............................................................................................................. 25 Figure 8: TA disbursement per component ............................................................................................................................... 25 Figure 9: 2011 disbursements on health system functions ................................................................................................. 26 Figure 10: 2011 disbursements on health service development components ............................................................ 26 Figure 11: 2011 disbursement on priority program areas .................................................................................................... 27 Figure 12: Funds using/recorded in: national execution procedures, national financial reporting procedures, national auditing procedures and national procurement system out of the total 2011 disbursement .............. 29 Figure 13: Perceived impact of the MTEF ................................................................................................................................... 31 Figure 14: Projects/programs per conclusion dates ............................................................................................................... 32 Figure 15: 2011 actual disbursements out of the scheduled disbursement in USD ................................................... 32 Figure 16: Donors plans for 2012-13 ...........................................................................................................................................