I Medium Term Budget Estimates 2021-24 Preamble I am honored to present the Medium Term Budget Estimates for Service Delivery (2021/24) as an integral component of the budget of Khyber Pakhtunkhwa for Financial Year (FY) 2021/24. This compilation is a manifestation of the Medium Term Budgetary Framework (MTBF) with Output Based Budgeting (OBB) methodology as adopted by the Government of Khyber Pakhtunkhwa (GoKP). OBB, as the name suggests, focuses directly on improving the ability of budgeting to achieve Efficiency and Effectiveness. However, full-fledged implementation of OBB within the broader framework of MTBF at departmental level is still a challenge. Nevertheless, the GoKP has employed a methodical and coherent approach to improve capacity of departments in reviewing and further improving their KPIs to enable them to undertake structural and procedural reforms in due course of time. In February and March 2019, Finance Department conducted a comprehensive exercise with administrative departments for “Rationalization of current budget”. The exercise provided further impetus to the administrative departments to assess and evaluate their activities and outputs from OBB perspective. Moreover, the timely initiation of budget cycle for budget 2021/24 with a composite approach exhibits the next generation improvements to optimize the implementation of OBB for improved public service delivery. Like last year, this year too OBB features a strong citizen perspective ensured through a formal SMS based Citizens’ Budget Poll for 2021/24, which reached around 8.5 million citizen both within settled and newly merged Districts of the Province. The Poll provided deep insights of the citizens’ aspirations and an opportunity for their adequate reflection in the budget 2021/24. In the end, I would like to commend the cooperation and efforts of all departments in general and the staff of Finance Department in particular for making it possible to publish the Medium Term Budget Estimates for Service Delivery 2021/24 despite highly constrained timelines. ATIF REHMAN SECRETARY, FINANCE DEPARTMENT KHYBER PAKHTUNKHWA Medium Term Budget Estimates 2021-24 Table of Contents Preamble ................................................................................................................................................................ I List of Acronyms..................................................................................................................................................... II Introduction ...................................................................................................................................................... 1 Medium Term Fiscal Framework 2021/24 ......................................................................................................... 3 Budget Estimates: By Components of Account I ................................................................................................ 6 Budget Estimates: By Major Types of Expenditure ............................................................................................ 7 Budget Estimates: By Sectors ............................................................................................................................. 8 Social Services ............................................................................................................. Error! Bookmark not defined. Budget Estimates by Department: Social Services ............................................................................................. 9 Auqaf, Hajj, Religious and Minority Affairs Department .................................................................................. 10 Elementary & Secondary Education Department ............................................................................................. 13 Health Department .......................................................................................................................................... 28 Higher Education, Archives and Libraries Department ..................................................................................... 37 Information and Public Relations Department ................................................................................................ 41 Population Welfare Department ..................................................................................................................... 45 Public Health Engineering Department ............................................................................................................ 51 Relief, Rehabilitation and Settlement Department .......................................................................................... 55 Zakat, Ushr, Social Welfare, Special Education and Women Empowerment Department ................................ 62 Growth Sector ...................................................................................................................................................... 68 Budget Estimates by Department: Growth Sector ........................................................................................... 69 Agriculture, Livestock and Cooperative Department ....................................................................................... 70 Communication and Works Department ......................................................................................................... 77 Energy & Power Department ........................................................................................................................... 81 Environment Department ................................................................................................................................ 86 Food Department ............................................................................................................................................ 95 Housing Department ....................................................................................................................................... 98 Industries, Commerce and Technical Education Department ......................................................................... 103 Irrigation Department ................................................................................................................................... 108 Labour Department ....................................................................................................................................... 112 Minerals Development Department .............................................................................................................. 116 Science & Technology and Information Technology Department .................................................................. 120 Sports, Culture, Tourism, Archaeology, Museums and Youth Affairs Department ......................................... 125 Transport and Mass Transit Department ....................................................................................................... 132 Governance Sector ...................................................................................................... Error! Bookmark not defined. Budget Estimates by Department: Governance Sector .................................................................................. 138 Establishment and Administration Department ............................................................................................ 139 Excise and Taxation Department ................................................................................................................... 145 Finance Department ...................................................................................................................................... 150 Home and Tribal Affairs Department ............................................................................................................. 155 Inter Provincial Coordination Department ..................................................................................................... 163 Local Government, Elections and Rural Development Department ............................................................... 166 Planning and Development Department ....................................................................................................... 170 Revenue and Estate Department ................................................................................................................... 175 II Medium Term Budget Estimates 2021-24 List of Acronyms ADP Annual Development Program BHU Basic Health Unit C&W Communication & Works E&SE Elementary & Secondary Education FPA Foreign Project Assistance FY Financial Year GoKP Government of Khyber Pakhtunkhwa GSP Governance Support Program LGA Local Government Act MHSDP Minimum Health Services Delivery Package MTBF Medium Term Budgetary Framework MTFF Medium Term Fiscal Framework OBB Output Based Budgeting PDMA Provincial Disaster Management Authority PFM Public Financial Management PSDP Public Sector Development Program PTC Parent Teacher Council RHC Rural Health Center SDGs Sustainable Development Goals TMA Tehsil Municipal Administration VC/NC Village/Neighborhood Council VfM Value for Money 1 Medium Term Budget Estimates 2021-24 Introduction Vision Attainment of a secure, just and prosperous society through socio-economic and human resource development, creation of equal opportunities, good governance and optimal utilization of resources in a sustainable manner. Mission • Ensure peace and