Identify recurrent and capital components of the plan: services expected to be provided at each level of the health system at desired levels Cost the of coverage, together with the investments in human resources, infrastructure, and system strengthening investments required to deliver those services; Estimate the recurrent costs associated with delivering the services (personnel, consumables, overhead) Indicate the costs by year Estimate the potential health impacts the plan could deliver, if implemented properly. Table 2: Data sources used in the HSMTDP costing exercise (details in Annex 6) Data type Most common source Methods Baseline coverage of key health DHS 2008, updated with newer and nutrition interventions data from program reports where Overview applicable The costing exercise was conducted by New health sector strategies HSMTDP draft 12 August, 2010; a working group assembled under the Ghana Child Health Strategy; GHS Strategic Plan, individual program direction of the Ministry of plans 2010-2015 Health/PPME and complemented by Service coverage targets for Same as above 2013 representatives from the World Bank, UNICEF and Danida. The group agreed Epidemiology DHS 2008, UNICEF, WHO and UNFPA data; expert opinion upon a mix of methods developed and refined through similar exercises in Demography DHS and Ghana Statistical Service other countries and further adapted to suit specific context and goals. Ghana’s Macroeconomics IMF and Ghana Ministry of Finance and Economic Planning (MOFEP) The exercise involved five steps: a) an Unit prices: infrastructure and Ghana health sector Capital vehicles Investment Plan (CIP); revised by assessment of the structure of the MOH health system and current coverage of Unit prices: drugs and basic UNICEF global supply data commodities (occasionally updated where high-priority interventions; b) relevant) Infrastructure development Ghana health sector CIP, revised specification of new coverage targets targets by MOH associated with the planned strategies Funding sources and projected MOH (including facility construction and HR funding flows targets); c) calculation of the marginal costs of implementing the HSMTDP; d) integration of the marginal cost estimates with the baseline (2010) budget; e) assessment of the available resources or fiscal space for implementing the plan and identification of funding gaps. Each of these steps is described in detail below. Assessment of the structure of the current health system and current coverage of high-priority interventions
Identify recurrent and capital components of the plan: Cost the services expected to be provided at each level of the health system at desired levels of coverage, together with the investments in human resources, infrastructure, and system strengthening investments required to deliver those services; Estimate the recurrent costs associated with delivering the services (personnel, consumables, overhead) Indicate the costs by year Estimate the potential health impacts the plan could deliver, if implemented properly. Data type Most common source Baseline coverage of key health and nutrition interventions DHS 2008, updated with newer data from program reports where applicable New health sector strategies HSMTDP draft 12 August, 2010; Ghana Child Health Strategy; GHS Strategic Plan, individual program plans 2010-2015 Service coverage targets for 2013 Same as above Epidemiology DHS 2008, UNICEF, WHO and UNFPA data; expert opinion Demography DHS and Ghana Statistical Service Macroeconomics IMF and Ghana Ministry of Finance and Economic Planning (MOFEP) Unit prices: infrastructure and vehicles Ghana health sector Capital Investment Plan (CIP); revised by MOH Unit prices: drugs and basic commodities UNICEF global supply data (occasionally updated where relevant) Infrastructure development targets Ghana health sector CIP, revised by MOH Funding sources and projected funding flows MOH Table 2: Data sources used in the HSMTDP costing exercise (details in Annex 6) Methods Overview The costing exercise was conducted by a working group assembled under the direction of the Ministry of Health/PPME and complemented by representatives from the World Bank, UNICEF and Danida. The group agreed upon a mix of methods developed and refined through similar exercises in other countries and further adapted to suit Ghana’s specific context and goals. The exercise involved five steps: a) an assessment of the structure of the health system and current coverage of high-priority interventions; b) specification of new coverage targets associated with the planned strategies (including facility construction and HR targets); c) calculation of the marginal costs of implementing the HSMTDP; d) integration of the marginal cost estimates with the baseline (2010) budget; e) assessment of the available resources or fiscal space for implementing the plan and identification of funding gaps. Each of these steps is described in detail below. Assessment of the structure of the current health system and current coverage of high-priority interventions
707770ESW0P1150f0the0HSMT0Dev0Plan.docx