District health expenditure mapping : a budget analysis tool for council health management teams

Date

2001

Journal Title

Journal ISSN

Volume Title

Publisher

Tanzania. Ministry of Health, Dar es Salaam, TZ

Abstract

The District Health Expenditure Mapping Tool has been developed by the Ministry of Health’s Tanzania Essential Health Interventions Project (TEHIP) in response to a District need and demand for a one-page summary and one-page graphical "picture" of their comprehensive, annual Council Health Plan. // This tool is intended to help Districts understand the accumulated total financial resources they have budgeted (or expended) in their plan; the respective sources from which they expect their revenue; and the major interventions and activities to which these funds are allocated. // The tool is based on a matrix relating activities to financial resources such that these health sector allocations can be determined at a glance. The tool calculates both the proportional shares of investment and the absolute per capita investments in the Comprehensive Council Health Plan (CCHP) in terms of all funding partners, and in terms of all core essential health interventions and health system support activities. In anticipation of the National Sentinel System of demographic surveillance sites for burden of disease estimates, it also integrates a District Burden of Disease Profile to provide a graphical comparison of the intervention addressable disease burden and the intervention priorities as selected and reflected in Comprehensive Council Health Plan budgets and expenditures. The tool further calculates the relative shares for curative vs. preventive/promotive expenditure; capital vs. recurrent expenditure; and direct support for health service delivery vs. general health system support. Finally, the tool provides additional basic statistics and specific graphs for the newly introduced Sector Wide Approach (SWAp) Council Health Basket Grant portion of the District Health budget and expenditure.

Description

Keywords

TANZANIA ESSENTIAL HEALTH INTERVENTIONS PROJECT (TEHIP), DISTRICT HEALTH EXPENDITURE MAPPING, BUDGET ANALYSIS TOOL, COUNCIL HEALTH MANAGEMENT TEAMS, HEALTH FINANCING, RESOURCE ALLOCATION, BUDGETING, TANZANIA

Citation

DOI