compared to other alternatives. Ministries of Support Improves strategic Existence, and Some financial Requires Possible Finance and establishment of allocation of implementation, and management increased training resistance and Economic overarching existing scarce of clearer costs in setting up on value for inertia from Planning principles for resources. Helps guidelines for and then regularly money Ministry of Health allocating scarce Ministries make allocating scarce implementing considerations in officials initially. health resources best use of what resources, more rigorous procurement. But if improved and achieving resources they especially within resource Requires capacity resource value for money have. Reallocates the health sector. allocation criteria. for allocation criteria in the Ministry of scarce resources If done properly, effectiveness convinces Health (and if from high cost / and implemented, analysis (perhaps Ministry of necessary other low impact potential for very available in the Finance, and Ministries). Would programs to low – large savings and country’s development include clearer medium cost / freeing up of Universities) when partners, that and more explicit high impact existing resources larger MOH has better requirements for programs. that can be procurement management of determining value reallocated to packages are scarce resources, for money higher priorities / being considered. the business case purchases, and higher impact Some resistance for seeking minimum goods and from vested additional funding thresholds for services. interests. is stronger. undertaking Increased effectiveness revenue. analysis in larger procurement packages.
compared to other alternatives. Ministries of Finance and Economic Planning Support establishment of overarching principles for allocating scarce health resources and achieving value for money in the Ministry of Health (and if necessary other Ministries). Would include clearer and more explicit requirements for determining value for money purchases, and minimum thresholds for undertaking analysis in larger procurement packages. Improves strategic allocation of existing scarce resources. Helps Ministries make best use of what resources they have. Reallocates scarce resources from high cost / low impact programs to low – medium cost / high impact programs. Existence, and implementation, of clearer guidelines for allocating scarce resources, especially within the health sector. Some financial and management costs in setting up and then regularly implementing more rigorous resource allocation criteria. If done properly, and implemented, potential for very large savings and freeing up of existing resources that can be reallocated to higher priorities / higher impact goods and services. Increased revenue. Requires increased training on value for money considerations in procurement. Requires capacity for analysis (perhaps available in the country’s Universities) when larger procurement packages are being considered. Some resistance from vested interests. Possible resistance and inertia from Ministry of Health officials initially. But if improved resource allocation criteria convinces Ministry of Finance, and development partners, that MOH has better management of scarce resources, the business case for seeking additional funding is stronger. effectiveness effectiveness