care kits. Improved forecasting, stock position visibility and reduced losses may mitigate against short-term funding variability Changes in physical or Low Moderate Moderate Indicators relevant to short term accountability structure of Pharmaceutical Logistics Strategic Plan the supply chain alter proposals. relevance of Flexibility of approach can support approach/indicators implementation of supply chain reform proposals Associated development Moderate Low Moderate Extensive preparation phase dialogue partner investments focusing with primary supply chain partners to on procurement, agree focus of support. infrastructure, and last-mile Availability DLIs most at risk, and priced delivery do not materialize accordingly. Quality of medicines Moderate Low Moderate A protocol for sampling, quarantining, purchased using Program testing (in laboratories meeting funds is poor international standards (e.g. ISO 17025)), releasing or withdrawing consignments of medicines purchased with Program funds to be agreed and incorporated in the Program Operations Manual (completion of which will be a condition of effectiveness). Education sector Difficulties in engaging, High Moderate Substantial DLIs focus: on council composition and training and retaining activity and; role of SDEJTs in providing community members supportive supervision sufficient for effective and Bank support to MinEd and SDEJTs to representative school ensure capacity development and councils performance based allocation well defined, targeted and reviewed on annual basis for adjustment if required Lack of cooperation and Moderate Moderate Moderate Supervision by SDEJTs, and targeting of support of school director for performance based allocations effective school council management engagement Implementation challenges Moderate Moderate Moderate Coalition between MoF, Ministry of in implementation of Health, Ministry of Education and Public program classification at works to overcome challenges at various district level levels Economic Assessment Rationale for Public Sector Delivery - Health and Education Public Sector Service Provision Education and health services in Mozambique are both overwhelmingly financed and provided through the public sector, with significant external donor assistance in both sectors. In both instances, sector administrative structures are mapped to the political structure of government, with central, provincial, municipal and district entities. An on-going, although
care kits. Improved forecasting, stock position visibility and reduced losses may mitigate against short-term funding variability Changes in physical or accountability structure of the supply chain alter relevance of approach/indicators Indicators relevant to short term Pharmaceutical Logistics Strategic Plan proposals. Flexibility of approach can support implementation of supply chain reform proposals Low Moderate Moderate Associated development partner investments focusing on procurement, infrastructure, and last-mile delivery do not materialize Extensive preparation phase dialogue with primary supply chain partners to agree focus of support. Availability DLIs most at risk, and priced accordingly. Moderate Low Moderate Quality of medicines purchased using Program funds is poor A protocol for sampling, quarantining, testing (in laboratories meeting international standards (e.g. ISO 17025)), releasing or withdrawing consignments of medicines purchased with Program funds to be agreed and incorporated in the Program Operations Manual (completion of which will be a condition of effectiveness). Moderate Low Moderate Education sector Difficulties in engaging, training and retaining community members sufficient for effective and representative school councils DLIs focus: on council composition and activity and; role of SDEJTs in providing supportive supervision Bank support to MinEd and SDEJTs to ensure capacity development and performance based allocation well defined, targeted and reviewed on annual basis for adjustment if required High Moderate Substantial Lack of cooperation and support of school director for effective school council management engagement Supervision by SDEJTs, and targeting of performance based allocations Moderate Moderate Moderate Implementation challenges in implementation of program classification at district level Coalition between MoF, Ministry of Health, Ministry of Education and Public works to overcome challenges at various levels Moderate Moderate Moderate Economic Assessment Rationale for Public Sector Delivery - Health and Education Public Sector Service Provision Education and health services in Mozambique are both overwhelmingly financed and provided through the public sector, with significant external donor assistance in both sectors. In both instances, sector administrative structures are mapped to the political structure of government, with central, provincial, municipal and district entities. An on-going, although
892910WP0P12460echnical0Assessment.docx