REPUBLIC OF GHANA MEDIUM TERM EXPENDITURE FRAMEWORK (MTEF) FOR 2021-2024 MINISTRY OF HEALTH PROGRAMME BASED BUDGET ESTIMATES For 2021 Transforming Ghana Beyond Aid REPUBLIC OF GHANA Finance Drive, Ministries-Accra Digital Address: GA - 144-2024 MB40, Accra - Ghana +233 302-747-197 [email protected] mofep.gov.gh Stay Safe: Protect yourself and others © 2021. All rights reserved. No part of this publication may be stored in a retrieval system or Observe the COVID-19 Health and Safety Protocols transmitted in any or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the Ministry of Finance Get Vaccinated MINISTRY OF HEALTH 2021 BUDGET ESTIMATES The MoH MTEF PBB for 2021 is also available on the internet at: www.mofep.gov.gh ii | 2021 BUDGET ESTIMATES Contents PART A: STRATEGIC OVERVIEW OF THE MINISTRY OF HEALTH ................................ 2 1. NATIONAL MEDIUM TERM POLICY OBJECTIVES ..................................................... 2 2. GOAL ............................................................................................................................ 2 3. VISION .......................................................................................................................... 2 4. MISSION........................................................................................................................ 2 5. CORE FUNCTIONS ........................................................................................................ 2 6. POLICY OUTCOME INDICATORS AND TARGETS ....................................................... 4 7. EXPENDITURE TRENDS FOR THE MEDIUM TERM 2018 - 2020 ................................ 18 8. SUMMARY OF KEY ACHIEVEMENTS IN 2020 ........................................................... 18 PART B: BUDGET PROGRAMME SUMMARY ................................................................. 32 PROGRAMME 1: MANAGEMENT AND ADMINISTRATION .................................... 32 PROGRAMME 2: HEALTH SERVICE DELIVERY ..................................................... 58 PROGRAMME 3: HUMAN RESOURCES FOR HEALTH DEVELOPMENT ............... 82 PROGRAMME 4: HEALTH SECTOR REGULATION ................................................. 95 iii | 2021 BUDGET ESTIMATES 1.5. Appropriation Bill Summary of Expenditure by Sub-Programme, Economic Item and Funding Entity: 029 - Ministry of Health Year: 2021 | Currency: Ghanaian Cedi (GHS) 2021 Full Year Budget GoG IGF Funds / Others Donors Grand Total Compensation Goods and 31 - Non Compensation Goods and 31 - Non Goods and 31 - Non Total Total Statutory *Error: Invalid report object* Total of employees Services financial assets of employees Services financial assets Services financial assets 02901 - Management and Administration 230,289,056 29,396,576 9,771,740 269,457,372 10,312,476 10,312,476 32,425,000 160,056,447 69,643,695 229,700,142 541,894,991 02901001 - General Administration 213,070,543 1,325,000 214,395,543 2,312,476 2,312,476 148,282,063 148,282,063 364,990,082 02901002 - Health Research; Statistics and 638,941 638,941 638,941 Information 02901003 - Health Financing, Policy 10,587,211 27,907,651 9,771,740 48,266,603 32,425,000 11,774,384 69,643,695 81,418,079 162,109,682 Formulation,Planning, Budgeting,Monit & Eval 02901004 - Finance and Audit 3,911,755 163,925 4,075,680 4,075,680 02901005 - Procurement Supply and Logistics 1,053,359 1,053,359 1,053,359 02901006 - Human Resources for Health 1,027,247 1,027,247 8,000,000 8,000,000 9,027,247 Management 02902 - Health Service Delivery 4,283,633,416 3,311,075 3,303,259 4,290,247,750 54,146,123 192,239,520 29,518,721 275,904,364 651,587,846 651,587,846 5,217,739,960 02902004 - Regional and District Health Services 3,465,970,015 3,156,075 3,303,259 3,472,429,349 16,135,788 54,859,738 8,535,261 79,530,787 651,587,846 651,587,846 4,203,547,982 02902005 - Primary and Secondary Health 333,285,416 30,000 333,315,416 1,092,654 1,092,654 334,408,070 Services 02902006 - Tertiary and Specialized Health 406,990,655 406,990,655 34,463,504 120,319,657 15,025,430 169,808,590 576,799,245 Services 02902007 - Research 10,799,525 25,000 10,824,525 2,434,612 9,132,489 3,652,211 15,219,312 26,043,837 02902008 - Pre-hospital services 66,587,805 100,000 66,687,805 1,112,219 6,834,982 2,305,819 10,253,020 76,940,825 02903 - Tertiary and Specialised Services 534,311,978 212,500 534,524,478 160,824,787 1,291,895,743 135,781,568 1,588,502,099 2,123,026,577 02903001 - Tertiary Health Services 7,641,206 72,250 7,713,456 71,537 286,152 119,230 476,919 8,190,375 02903005 - Primary and Secondary Health 155,362,117 155,362,117 131,452,203 1,133,089,083 129,323,174 1,393,864,460 1,549,226,577 Services 02903006 - Tertiary and Specialized Health 371,308,655 140,250 371,448,905 29,301,047 158,520,508 6,339,164 194,160,719 565,609,624 Services 02904 - Human Resource Development and 157,044,881 25,000 157,069,881 24,652,302 238,492,721 66,552,462 329,697,484 486,767,366 Management 02904001 - Pre-Service Training 124,138,470 124,138,470 16,579,924 153,600,545 38,957,165 209,137,633 333,276,103 02904002 - Post-Basic Training 29,704,937 29,704,937 7,210,762 73,495,330 24,206,945 104,913,037 134,617,974 02904003 - Specialised Training 3,201,474 25,000 3,226,474 861,616 11,396,847 3,388,352 15,646,815 18,873,289 02905 - Health Sector Regulation 40,090,641 350,000 40,440,641 25,940,577 83,432,496 14,347,616 123,720,689 164,161,330 02905001 - Regulation of Health Facilities 4,239,872 50,000 4,289,872 1,836,614 3,265,299 1,441,788 6,543,701 10,833,573 02905002 - Regulation of Health Professions 17,025,811 250,000 17,275,811 8,710,129 57,066,902 7,685,706 73,462,737 90,738,548 02905003 - Regulation of Pharceuticals and 14,720,886 25,000 14,745,886 3,386,567 3,543,008 951,915 7,881,491 22,627,376 Medicinal Health Products Page 1 | 2 GIFMIS Budget Module Mar 14, 2021 time:3:51:11 AM 1.5. Appropriation Bill Summary of Expenditure by Sub-Programme, Economic Item and Funding Entity: 029 - Ministry of Health Year: 2021 | Currency: Ghanaian Cedi (GHS) 2021 Full Year Budget GoG IGF Funds / Others Donors Grand Total Compensation Goods and 31 - Non Compensation Goods and 31 - Non Goods and 31 - Non Total Total Statutory *Error: Invalid report object* Total of employees Services financial assets of employees Services financial assets Services financial assets 02905004 - Regulation of Food and Non- 4,104,072 25,000 4,129,072 12,007,266 19,557,287 4,268,207 35,832,760 39,961,832 medicinal health Products Grand Total 5,245,369,972 33,295,151 13,075,000 5,291,740,123 265,563,790 1,816,372,956 246,200,367 2,328,137,112 32,425,000 160,056,447 721,231,541 881,287,988 8,533,590,223 Page 2 | 2 GIFMIS Budget Module Mar 14, 2021 time:3:51:11 AM PART A: STRATEGIC OVERVIEW OF THE MINISTRY OF HEALTH 1. NATIONAL MEDIUM TERM POLICY OBJECTIVES Ensure sustainable, affordable, equitable, easily accessible healthcare services (Universal Health Coverage (UHC) Reduce morbidity, disability mortality and intensify prevention and control of non-communicable diseases. Enhance efficiency in governance and management of the health system Intensify prevention and control of communicable diseases and ensure the reduction of new HIV and AIDS/STIs infections, especially among the vulnerable groups 2. GOAL To have a healthy and productive population that reproduces itself safely. 3. VISION The vision of the health sector is to have a healthy population for national development. 4. MISSION The mission is to contribute to socio-economic development by promoting health and vitality through access to quality health for all people living in Ghana using well- motivated personnel. In order to achieve the overall sector goal, the following objectives will be perused: 5. CORE FUNCTIONS The core functions of the Ministry of Health are to: Formulate, coordinate and monitor the implementation of sector policies and programmes. Provide public health and clinical services at primary, secondary and tertiary levels. Regulate registration and accreditation of health service delivery facilities as well as the training and practice of various health professions regarding standards and professional conduct. Regulate the manufacture, implementation, exportation, distribution, use and advertisement of all food, drugs, cosmetics, medical devices and household chemical substances as well as the marketing and utilization of traditional medicinal products in the country. Conduct and promote scientific research into plant and herbal medicine. Provide pre-hospital care during accidents, emergencies and disasters. The Ministry of Health is responsible for the formulation, coordination, monitoring, and evaluation of policies, and resource mobilization in the health sector. The Ministry provides strategic direction for governance and financing, service delivery, regulation, training and has an oversight role of the Ministry of Health Page 2 National Health Insurance Authority, which regulates and supervises Health Insurance Schemes and manages the national health insurance fund (NHIF). Healthcare services delivery in Ghana is provided by both public and private (Non-state actors and private for profit). The Ghana Health Service (GHS), Teaching Hospitals, and Psychiatric Hospitals constitutes public providers, whilst Christian Health Associations (CHAG) and Ahamadiyya Missions Hospitals represent the main non-state actors. The Teaching and Psychiatric Hospitals provide tertiary and specialist services. GHS, CHAG, Ahamadiyya Missions Hospitals and private facilities provide both primary and secondary level services. The National Ambulance Service (NAS), St. John Ambulance Brigade, National Blood Service and Ghana Red Cross Society provide pre-hospital emergency care services (24-hour service) nationwide. The Health Training schools and colleges are responsible for the training function of the Ministry of Health. Pharmacy, Nursing & Midwifery and Physicians & Surgeons Colleges provide specialist training while the Health Training Institutions offer pre-service and post basic training.