This memorandum is divided into seven sections. Section 1 is the background, provides the rationale for the exercise and reviews key sectoral goals, objectives, targets and strategies. Section 2 reviews Adamawa specific health indicators and their implications. Section 3 reviews the health budget commitments of the State including the actuals and their compliance with the Abuja 15% Declaration. It also reviews whether the State has set and costed a Minimum Service Package for PHC and the whole of government and health in all policies approach. Section 4 is on the implementation of the Basic Health Care Provisions Fund in the State while Section 5 reviews the sustainability of the current health care financing model. Section 6 is on the operation of health insurance in Adamawa while Section 7 is on recommendations. The following recommendations for Adamawa State flow from the review and analysis in this Memorandum.
▪ Develop a New Strategic Health Development Plan.
▪ Prepare a Health MTSS.
▪ Mainstream the Plan, Policy and Budget Continuum in Health.
▪ Adopt a Whole-of-Government, Health-in-all Policies Approach.
▪ Stakeholder Engagement and Popular Participation in Preparation of MTSS.
▪ Adopt a Whole of Society Approach to Health.
▪ Increase Funding to the Sector and Invest in Value for Money.
▪ Moratorium on New Capital Projects.
▪ Invest in Transparency and Accountability.
▪ Prepare and publish Annual State of Health Report.
▪ Ensure Maximum Benefits from BHCPF.
▪ Full Implementation of Adamawa State Contributory Health Care Management
Agency Law and the National Health Authority Act.
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Adamawa State Pre 2023 Budget Health Memorandum (70 downloads)