Financial management systems for health
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Identifies resources to be mobilized to enhance sustainability. These approaches also help to build resilience.
Revenue generation in health systems focuses on developing detailed investment cases to advocate for additional funding, providing a detailed analysis of the imposition of a particular charge or tax. Funding could be from within countries’ own available funding or from external sources.
Where a country is experiencing an economic downturn, a strong case may need to be made that budget cuts within other government departments are not applied with the same vigour in the health system. Revenue generation should also ensure that patients payments for medicines and other services are captured completely within the existing finance systems.
In the Republic of Sudan, UNDP supported the Ministry of Health to document and obtain Global Fund approval of the Performance Incentive Scheme for government staff directly involved in the management and the implementation of the Global Fund grant activities. The incentive scheme set out the performance framework including performance indicators and targets, the basis of the calculations for the eligible Federal Ministry of Health (FMoH) entities that are managing and/ or implementing Tuberculosis (TB), HIV, Malaria and Health System Strengthening (HSS) interventions.
UNDP has extensive experience in working with governments to support ministries of health to build political commitment to improve financial revenue generation for health programmes
UNDP works closely with WHO and UNAIDS to support the development of investment for increased funding to the health sector, and specific disease programmes.
UNDP works with in-country partners to consider the best “blend” of financing to deliver services and consider the options for government financing and partners, to make the optimal investment in national programmes.
UNDP also looks at existing and future sourcing for health finance, and together with partners, prepares detailed analysis of the impact of: health insurance; a disease-specific payroll tax; sugar and/or tobacco consumption taxes; and/or out of pocket charges as a deterrent to accessing services.
UNDP works with governments and Civil Society Organizations (CSOs) to develop systems and processes that increase the accountability and transparency within a health system or project. This can directly result in enhancing the ability to attract and work with donors and partners, to build the confidence of decision makers and parliamentarians and increase accountability to the general public and end users.
Suggested capacity development indicators
The development and use of clear indicators to build sustainable health systems including
- a resource mobilization plan has been developed
- a plan to ensure the sustainable funding of health reform is approved