DISCREPANCY ANALYSIS OF 2016 HEALTH BUDGET PROPOSED BUDGET VERSUS APPROVED BUDGET This analysis is produced by Mr. Wale Micaiah of StatiSense with the support of Partnership for Advocacy in Child and Family Health project anchored by the development Research and Projects Centre. ABOUT PACFaH PROJECT IN NIGERIA The Partnership for Advocacy in Child and Family Health Project (PACFaH) Nigeria is a pilot project supported by the Gates foundation as an innovative initiative to learn about the potential for engaging Nigerian civil society organizations in Nigeria. The project is implemented by 8 Nigerian civil society groups working together to encourage government to plan for and increase funding to the 4 most important sectors in child and family health in Nigeria. The 4 areas are: 1. Routine Immunization 2. Family Planning 3. Ending childhood killer diseases through Amoxicillin as first line treatment for Pneumonia and ORS - Zinc as treatment for childhood diarrheal diseases 4. Nutrition Budget analysis and budget tracking is a key component of the work of the PACFaH NGOs. Data from budget analysis and tracking is expected to be used by the NGOs as the evidence base for claims, arguments and demands during advocacy visits. Advocacy visits are expected to take place at national and state levels. AAFP Association for The Advancement of Family Planning HERFON Health Reform Foundation of Nigeria CHRI Commonwealth Human Rights Initiative FOMWAN Federation of Muslim Women's Associations in Nigeria CISLAC Civil Society Legislative Advocacy Centre PSN Pharmaceutical Society of Nigeria CS-SUNN Civil Society Scaling-Up Nutrition in Nigeria dRPC development Research and Projects Centre INTRODUCTION The 2016 Health budget experienced the most drama during the Budget defense session with the National Assembly. The Minister of Health, Professor Isaac Folorunso Adewole shocked members of the Senate Committee on Health when he informed the committee that the original budget of his ministry had been largely distorted. He claimed that strange figures were smuggled into the budget. Following the disclaimer, the Minister re-presented the new proposal which he claimed reflected the programmes of the health sector for the year 2016. By the end of the budget defense exercise, a budget of N257.38bn was cut down to N250.06bn. The Capital Expenditures bit of the budget is the most affected with this reduction and automatically implied that some of the capital projects would not be carried out. This analysis compares the proposed 2016 health budget with the approved budget to identify the following – health projects that were . Deleted; . Added; and . whose proposed values were changed on approval. DELETED ADDED CHANGED INTRODUCTION PROPOSED TOTAL PERSONNEL TOTAL OVERHEAD TOTAL RECURRENT TOTAL CAPITAL TOTAL ALLOCATION 217,416,115,158 4,296,036,588 221,712,151,746 35,670,001,168 257,382,152,914 DIFF 56,000,000 -355,603,659 -299,603,659 -7,019,658,181 -7,319,261,839 TOTAL PERSONNEL TOTAL OVERHEAD TOTAL RECURRENT TOTAL CAPITAL TOTAL ALLOCATION 217,472,115,158 3,940,432,929 221,412,548,087 28,650,342,987 250,062,891,075 APPROVED From the above – . Personnel budget got increased by N56 million . Overhead got reduced by N355.6 million . Together, Recurrent expenditures got reduced by N299.6 million . Capital expenditures got reduced by N7 billion. N7bn is about 20% of the Capital Expenditure of the Proposed Budget. The implication is that most well intended Health project would not be implemented! PROPOSED VERSUS APPROVED BUDGET TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL MDA PERSONNEL PERSONNEL OVERHEAD OVERHEAD RECURRENT RECURRENT CAPITAL CAPITAL ALLOCATION ALLOCATION Federal Ministry Of Health - Hqtrs 4,685,718,570 4,685,718,570 438,585,860 375,727,274 5,124,304,430 5,061,445,844 6,760,161,552 5,214,252,356 11,884,465,982 10,275,698,200 National Health Insurance Scheme 0 0 0 0 0 0 852,870,016 129,698,109 852,870,016 129,698,109 National Primary Health Care Devt Agency 1,846,613,471 1,846,613,471 237,916,380 204,124,742 2,084,529,851 2,050,738,213 15,673,754,699 15,694,635,719 17,758,284,550 17,745,373,932 National Arbovirus And Vector Research 91,384,747 91,384,747 1,743,422 1,569,080 93,128,169 92,953,827 28,032,074 17,660,207 121,160,243 110,614,033 Radiographers Registration Board 204,605,566 204,605,566 4,180,273 3,762,246 208,785,839 208,367,812 32,800,000 17,207,750 241,585,839 225,575,562 Dental Technology Registration Board 104,887,080 104,887,080 1,513,663 1,362,297 106,400,743 106,249,377 98,400,000 34,272,000 204,800,743 140,521,377 Health Records Registration Board 116,589,713 116,589,713 1,631,302 1,468,172 118,221,015 118,057,885 82,000,000 20,160,000 200,221,015 138,217,885 Optometrist & Dispensing Opticians Board Of 183,721,513 183,721,513 1,650,313 1,485,282 185,371,826 185,206,795 42,800,000 20,261,500 228,171,826 205,468,295 Nigeria Community Health Practitoners Registration Board 68,440,480 68,440,480 1,868,709 1,681,838 70,309,189 70,122,318 32,770,400 14,345,352 103,079,589 84,467,670 Nursing And Midwifery Council 262,776,904 262,776,904 3,067,618 2,760,856 265,844,522 265,537,760 32,800,000 14,364,000 298,644,522 279,901,760 Pharmacist Council Of Nigeria Council 569,829,434 569,829,434 9,049,275 8,144,348 578,878,709 577,973,782 32,800,000 13,774,600 611,678,709 591,748,382 Medical And Dental Council Of Nigeria 183,968,632 183,968,632 10,820,496 9,738,446 194,789,128 193,707,078 32,800,000 12,768,000 227,589,128 206,475,078 National Agency For Food And Drug 4,707,949,794 4,707,949,794 8,008,500 7,207,650 4,715,958,294 4,715,157,444 32,800,000 14,364,000 4,748,758,294 4,729,521,444 Administration And Control Medical Rehabilitation Therapy Board 143,998,637 143,998,637 32,671,609 29,404,448 176,670,246 173,403,085 32,800,000 13,330,450 209,470,246 186,733,535 Federal School Of Dental Technology And 352,983,216 352,983,216 49,174,925 44,257,433 402,158,141 397,240,649 180,662,400 107,851,896 582,820,541 505,092,544 Therapy, Enugu Environmental Health Officers Tutors- Ibadan 22,474,444 22,474,444 9,405,569 8,465,012 31,880,013 30,939,456 30,000,000 7,000,000 61,880,013 37,939,456 Nurse Tutor Training - Enugu 16,059,374 16,059,374 1,747,612 1,572,851 17,806,986 17,632,225 20,000,000 7,000,000 37,806,986 24,632,225 Nurse Tutor Programme Akoka Lagos 92,191,268 92,191,268 1,707,570 1,536,813 93,898,838 93,728,081 20,000,000 7,000,000 113,898,838 100,728,081 Nurse Tutor Training Kaduna 38,211,602 38,211,602 1,872,240 1,685,016 40,083,842 39,896,618 30,000,000 16,800,000 70,083,842 56,696,618 Nurse Tutor Training Ibadan 18,345,204 18,345,204 1,747,613 1,572,852 20,092,817 19,918,056 20,000,000 4,732,000 40,092,817 24,650,056 National Post Graduate Medical College Of 216,229,504 216,229,504 17,594,063 15,834,657 233,823,567 232,064,161 20,000,000 20,000,000 253,823,567 252,064,161 Nigeria- Ijanikin Lagos Nhetc, Lagos 0 0 1,768,951 1,592,056 1,768,951 1,592,056 0 0 1,768,951 1,592,056 Nhetc, Maiduguri 0 0 1,768,951 1,768,951 1,768,951 1,768,951 0 0 1,768,951 1,768,951 Nhetc, Zaria 0 0 1,768,951 1,592,056 1,768,951 1,592,056 0 0 1,768,951 1,592,056 Nhetc, Enugu 0 0 1,768,951 1,592,056 1,768,951 1,592,056 0 0 1,768,951 1,592,056 Phc Tutors Programme, 'Uch-Ibadan 18,910,548 18,910,548 1,614,483 1,461,955 20,525,031 20,372,503 20,000,000 6,352,500 40,525,031 26,725,003 Phc Tutors Programme, Kaduna Polytechnic 0 0 2,621,547 2,359,392 2,621,547 2,359,392 20,000,000 7,000,000 22,621,547 9,359,392 Community Health Tutor Programme Uch 22,579,965 22,579,965 1,614,483 1,614,483 24,194,448 24,194,448 20,000,000 6,615,000 44,194,448 30,809,448 University College Hospital Ibadan 8,835,879,106 8,835,879,106 109,194,982 99,715,497 8,945,074,088 8,935,594,603 230,904,795 116,200,000 9,175,978,883 9,051,794,603 Lagos University Teaching Hospital 5,882,453,947 5,882,453,947 108,256,041 97,430,437 5,990,709,988 5,979,884,384 212,539,245 130,399,724 6,203,249,233 6,110,284,108 Ahmadu Bello Unversity Teaching Hospital 6,129,889,088 6,129,889,088 85,262,476 76,736,228 6,215,151,564 6,206,625,316 230,904,795 145,470,021 6,446,056,359 6,352,095,337 University Of Nigeria Teaching Hospital, Enugu 8,420,243,504 8,420,243,504 86,987,898 78,289,108 8,507,231,402 8,498,532,612 218,335,908 122,268,108 8,725,567,310 8,620,800,721 University Of Benin Teaching Hospital 5,845,479,264 5,845,479,264 73,232,666 65,909,399 5,918,711,930 5,911,388,663 212,886,502 105,151,196 6,131,598,432 6,016,539,859 Obafemi Awolowo University Teaching Hospital 7,569,849,825 7,569,849,825 108,626,091 97,811,122 7,678,475,916 7,667,660,947 162,622,221 102,451,999 7,841,098,137 7,770,112,946 University Of Ilorin Teaching Hospital, Ilorin 6,053,559,085 6,053,559,085 64,523,628 58,071,265 6,118,082,713 6,111,630,350 166,802,164 94,576,827 6,284,884,877 6,206,207,177 Jos University Teaching Hospital 5,641,238,751 5,641,238,751 75,136,414 67,622,773 5,716,375,165 5,708,861,524 228,717,880 125,102,460 5,945,093,045 5,833,963,984 University Of Port-Harcourt Teaching Hospital 6,138,180,645 6,138,180,645 78,963,420 71,067,078 6,217,144,065 6,209,247,723 169,498,390 102,829,024 6,386,642,455 6,312,076,747 University Of Calabar Teaching Hospital 6,120,837,184 6,120,837,184 103,453,348 93,108,013 6,224,290,532 6,213,945,197 201,082,447 103,523,925 6,425,372,979 6,317,469,122 University Of Maiduguri Teaching Hospital 5,840,337,184 5,840,337,184 88,514,850 79,663,365 5,928,852,034 5,920,000,549 215,151,873 117,017,677 6,144,003,907 6,037,018,226 UDUS Teaching Hospital, Sokoto 6,021,089,164 6,021,089,164