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Ministry of Health REPUBLIC OF GHANA MEDIUM TERM EXPENDITURE FRAMEWORK (MTEF) FOR 2018 - 2021 PROGRAMME BASED BUDGET ESTIMATES FOR 2018 ministry of health For copies of the MOH MTEF PBB Estimates, please contact the Public Relations Office of the Ministry: Ministry of Finance Public Relations Office New Building, Ground Floor, Room 001/ 003 P. O. Box MB 40, Accra – Ghana The MOH MTEF PBB Estimates for 2018 is also available on the internet at: www.mofep.gov.gh Ministry of Health Page ii Table of Contents PART A: STRATEGIC OVERVIEW OF THE MINISTRY OF HEALTH .................... 4 1. POLICY OBJECTIVES .............................................................................................................. 4 2. HEALTH SECTOR GOAL ........................................................................................................ 4 3. CORE FUNCTIONS .................................................................................................................. 4 4. POLICY OUTCOME INDICATORS AND TARGETS ............................................................ 5 5. EXPENDITURE TRENDS FOR THE MEDIUM TERM ......................................................... 6 6. SUMMARY OF KEY ACHIEVEMENTS IN 2017 ................................................................ 10 PART B: BUDGET PROGRAMME SUMMARY ............................................................. 13 PROGRAMME 1: MANAGEMENT AND ADMINISTRATION ................................................. 13 PROGRAMME 2: HEALTH SERVICE DELIVERY .................................................................... 28 PROGRAMME 3: TERTIARY AND SPECIALIZED HEALTH SERVICES (HEALTH SERVICE DELIVERY) .................................................................................................................... 47 PROGRAMME 4: HUMAN RESOURCES FOR HEALTH DEVELOPMENT AND MANAGEMENT .............................................................................................................................. 60 PROGRAMME 5: HEALTH SECTOR REGULATION ................................................................ 70 Ministry of Health Page iii 2.6.1 Budget by Chart of Account 6.1 - Programme, Sub-Programme and Natural Account Summary . Entity: 029 - Ministry of Health (MoH) Funding: All Source of Funding Year: 2018|Currency: GH Cedi Version 1 2018 2019 2020 Programmes - Ministry of Health (MoH) 4,422,348,243 4,363,468,428 4,363,468,428 02901 - Management and Administration 941,083,977 1,586,078,742 1,586,078,742 02901001- General Administration 526,557,111 532,907,111 532,907,111 21 - Compensation of employees [GFS] 523,207,111 523,207,111 523,207,111 22 - Use of goods and services 3,350,000 9,700,000 9,700,000 02901002- Health Research; Statistics and Information 200,820 200,820 200,820 21 - Compensation of employees [GFS] 100,820 100,820 100,820 22 - Use of goods and services 100,000 100,000 100,000 02901003 - Health Financing, Policy Formulation,Planning, 335,934,167 846,528,931 846,528,931 Budgeting,Monit & Eval 21 - Compensation of employees [GFS] 8,418,830 8,418,830 8,418,830 22 - Use of goods and services 2,247,644 3,347,644 3,347,644 31 - Non financial assets 325,267,693 834,762,457 834,762,457 02901004- Finance and Audit 1,627,219 2,227,219 2,227,219 21 - Compensation of employees [GFS] 1,327,219 1,327,219 1,327,219 22 - Use of goods and services 300,000 900,000 900,000 02901005- Procurement Supply and Logistics 76,764,661 204,214,661 204,214,661 22 - Use of goods and services 76,764,661 204,214,661 204,214,661 02902 - Health Service Delivery 2,597,034,760 1,761,037,462 1,761,037,462 02902001- Strategy formulation and operational coordination 158,641,341 262,928,855 262,928,855 21 - Compensation of employees [GFS] 80,088,378 80,088,378 80,088,378 22 - Use of goods and services 78,552,963 182,840,477 182,840,477 02902004 - Regional and District Health Services 2,438,393,419 1,498,108,606 1,498,108,606 Page 1 | 4 GIFMIS Budget Module Nov 30, 2017 time:5:53:55 PM 2.6.1 Budget by Chart of Account 6.1 - Programme, Sub-Programme and Natural Account Summary . Entity: 029 - Ministry of Health (MoH) Funding: All Source of Funding Year: 2018|Currency: GH Cedi Version 1 2018 2019 2020 21 - Compensation of employees [GFS] 1,470,543,691 1,470,543,691 1,470,543,691 22 - Use of goods and services 932,798,013 13,755,751 13,755,751 27 - Social benefits [GFS] 10,027,833 28 - Other expense 5,538,616 31 - Non financial assets 19,485,266 13,809,164 13,809,164 02903 - Tertiary and Specialised Services 689,004,379 639,916,334 639,916,334 02903001 - Tertiary Health Services 598,978,232 542,919,987 542,919,987 21 - Compensation of employees [GFS] 361,281,299 356,075,934 356,075,934 22 - Use of goods and services 225,114,521 174,261,640 174,261,640 27 - Social benefits [GFS] 1,546,730 1,546,730 1,546,730 28 - Other expense 2,908,175 2,908,175 2,908,175 31 - Non financial assets 8,127,508 8,127,508 8,127,508 02903002- Specialised Health Services 78,345,716 80,821,781 80,821,781 21 - Compensation of employees [GFS] 70,782,942 70,782,942 70,782,942 22 - Use of goods and services 7,405,074 9,641,138 9,641,138 31 - Non financial assets 157,700 397,700 397,700 02903003- Research 11,680,431 16,174,566 16,174,566 21 - Compensation of employees [GFS] 8,453,356 8,453,356 8,453,356 22 - Use of goods and services 1,117,283 2,681,480 2,681,480 26 - Grants 250,000 1,050,000 1,050,000 27 - Social benefits [GFS] 80,250 160,500 160,500 28 - Other expense 29,000 58,000 58,000 Page 2 | 4 GIFMIS Budget Module Nov 30, 2017 time:5:53:55 PM 2.6.1 Budget by Chart of Account 6.1 - Programme, Sub-Programme and Natural Account Summary . Entity: 029 - Ministry of Health (MoH) Funding: All Source of Funding Year: 2018|Currency: GH Cedi Version 1 2018 2019 2020 31 - Non financial assets 1,750,542 3,771,230 3,771,230 02904 - Human Resource Development and Management 124,137,768 253,621,177 253,621,177 02904001- Pre-Service Training 92,320,695 189,193,968 189,193,968 21 - Compensation of employees [GFS] 71,369,286 71,369,286 71,369,286 22 - Use of goods and services 19,016,016 106,940,591 106,940,591 27 - Social benefits [GFS] 5,335 30,000 30,000 28 - Other expense 2,134 12,000 12,000 31 - Non financial assets 1,927,924 10,842,091 10,842,091 02904002- Post-Basic Training 24,548,818 53,211,491 53,211,491 21 - Compensation of employees [GFS] 18,349,756 18,349,756 18,349,756 22 - Use of goods and services 5,564,675 31,294,129 31,294,129 27 - Social benefits [GFS] 13,914 78,250 78,250 28 - Other expense 27,886 156,825 156,825 31 - Non financial assets 592,586 3,332,531 3,332,531 02904003- Specialised Training 7,268,255 11,215,718 11,215,718 21 - Compensation of employees [GFS] 1,132,865 1,132,865 1,132,865 22 - Use of goods and services 5,645,046 9,592,509 9,592,509 31 - Non financial assets 490,344 490,344 490,344 02905 - Health Sector Regulation 71,087,358 122,814,714 122,814,714 02905001- Regulation of Health Facilities 1,335,705 8,063,635 8,063,635 21 - Compensation of employees [GFS] 342,575 342,575 342,575 22 - Use of goods and services 613,630 7,341,560 7,341,560 Page 3 | 4 GIFMIS Budget Module Nov 30, 2017 time:5:53:55 PM 2.6.1 Budget by Chart of Account 6.1 - Programme, Sub-Programme and Natural Account Summary . Entity: 029 - Ministry of Health (MoH) Funding: All Source of Funding Year: 2018|Currency: GH Cedi Version 1 2018 2019 2020 31 - Non financial assets 379,500 379,500 379,500 02905002- Regulation of Health Professions 36,482,727 44,374,509 44,374,509 21 - Compensation of employees [GFS] 10,785,936 10,785,936 10,785,936 22 - Use of goods and services 23,718,192 31,454,522 31,454,522 27 - Social benefits [GFS] 2,904 4,357 4,357 31 - Non financial assets 1,975,694 2,129,694 2,129,694 02905003- Regulation of Pharceuticals and Medicinal Health 28,408,961 65,516,605 65,516,605 Products 21 - Compensation of employees [GFS] 12,399,269 12,399,269 12,399,269 22 - Use of goods and services 14,936,170 49,524,099 49,524,099 27 - Social benefits [GFS] 316,688 1,060,000 1,060,000 28 - Other expense 756,835 2,533,238 2,533,238 02905004- Regulation of Food and Non-medicinal health 4,859,964 4,859,964 4,859,964 Products 21 - Compensation of employees [GFS] 2,635,164 2,635,164 2,635,164 31 - Non financial assets 2,224,800 2,224,800 2,224,800 Page 4 | 4 GIFMIS Budget Module Nov 30, 2017 time:5:53:55 PM PART A: STRATEGIC OVERVIEW OF THE MINISTRY OF HEALTH 1. POLICY OBJECTIVES The policy objectives for the health sector in the medium term are; Ensure sustainable, equitable and easily accessible healthcare services Reduce morbidity and mortality and disability Ensure universal, sustainable and affordable health care financing Improve quality of health service delivery including mental health Enhance efficiency in governance and management of the health system SECTOR MEDIUM TERM OBJECTIVES The health sector’s policy objective for the period 2018 is based on the Government Medum Term Policy Objectives and President’s Cordinated Programme. The main areas in Government Medium Term Pl and Presidents Coordinated Programme are; Medium Term Agenda Pillars Revamping economic and social infrastructure Strengthening social protection and inclusion Coordinated Programs Intervention Programs in key sectors of Education and Health Social Protection Programs 2. HEALTH SECTOR GOAL To have a healthy and productive population that reproduces itself safely. In order to achieve the overall sector goal, the following sub-goals shall be realised: To reduce mortality, mobidity and disability To improve access to quality, efficient and seamless health services that is gender and youth friendly and responsive to the needs of people of all ages in all parts of the country.
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