HPNSDP Implementation ProgressJuly 2011 – June 2014

Program Management & Monitoring Unit (PMMU) Planning Wing

Ministry of Health and Family Welfare

HEALTH, POPULATION AND NUTRITION SECTOR DEVELOPMENT PROGRAM (HPNSDP)

July 2011 - June 2016

2

Bi-annual monitoring reports are produced to assess implementation progress of HPNSDP and feed into Annual Program Reviews by Independent Review Team.

Introduction

3

Trend in RADP Allocation for HPNSDP, July 2011 – June 2014

4

Overall Financial Progress, July 2011 – June 2014

• 8 Highlighted OPs constitute 75% of total HPNSDP budget as per PIP

MN

CA

HE

SDC

BH

CTB

LCN

ASP

CD

CN

CDC

NEC

HSM

AM

CIS

TPS

EP

MR

HIS

&eH

HEP

PLSM

NN

SM

CRA

HCC

SDFP

FSD

PM

EM

ISIE

CP

SSM

TR

DN

ES

SDA

MP

FDH

RM

SWP

MM

IFM

HEF

0%

20%

40%

60%

80%

100%88

%75

%84

%85

%75

%98

%82

% 89% 97

%92

%78

%96

%84

%82

%93

% 97%

72%

98%

90%

76%

98%

74%

87% 94

%84

% 90%

63%

96%

53%

73%

84%

67%

% s

pen

t of

RA

DP

all

ocat

ion

89%M

NC

AH

ESD

CB

HC

TBLC

NA

SPC

DC

NCD

CN

ECH

SMA

MC

IST

PSE

PM

RH

IS&

eHH

EPPL

SMN

NS

MCR

AH

CCSD

FPFS

DP

ME

MIS

IEC

PSS

MT

RD

NE

SSD

AM

PFD

HR

MSW

PM

MIF

MH

EF

0%

20%

40%

60%

80%

100%88

%75

%84

%85

%75

%98

%82

% 89% 97

%92

%78

%96

%84

%82

%93

% 97%

72%

98%

90%

76%

98%

74%

87% 94

%84

% 90%

63%

96%

53%

73%

84%

67%

% s

pen

t of

RA

DP

all

ocat

ion

5

Trend in Financial Progress, July 2011 – June 2014

91%87% 89%

6

Progress in OP Indicators, July 2011 – June 2014

7

Progress in OP Indicators by OP type, July 2011 – June 2014

HIS SHS HIS SHS HIS SHSFY 2011-12 FY 2012-13 FY 2013-14

0%

20%

40%

60%

80%

100%

60% 60%70% 69% 70%

64%

10% 14%

10% 13%20% 29%

25% 16%10% 5%

10% 7%5%10% 10% 13%

Not consideredNot achievedPartially achievedAchieved

8

Trends in Training Expenditure, July 2011 – June 2014

9

Trends in Training Participants, July 2011 – June 2014

10

Local Training Participants and Cost by Duration, FY 2013-14

11

Trends in Number of Challenges Reported by LDs, July 2011 – June 2014

12

Inad

equa

te c

apac

ity

Tim

e co

nstr

aint

s

Inad

equa

te c

oord

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ion

Leng

thy

proc

urem

ent p

roce

ss

Oth

er p

rocu

rem

ent

Mis

mat

ch b

etw

een

AD

P an

d O

P

Del

ay in

fund

rel

ease

Insu

ffic

ient

res

ourc

es fo

r M

&S

No/

wea

k sy

stem

of M

&S

in p

lace

Vac

ancy

in s

anct

ione

d po

sitio

n

Ret

entio

n of

trai

ned

Man

pow

er

Insu

ffic

ient

ski

lled

man

pow

er

Oth

er H

R

Implementation Procurement Financing Monitoring & Spervision

Human Resources

0

2

4

6

8

10

12

14

16

7

5 5

10

56

15

7 76

4

7

4

Nu

mbe

r of

OP

sKey Challenges reported by LDs,

FY 2013-14

13

Way Forward - Overall• Need for sustaining new initiatives:– Revitalization of Community Clinics– Mainstreaming nutrition– Strengthening RHIS– Institutionalization of PLMC and PMMU.

• Improving program management– Special attention to HRM and IFM OPs– Decision-making relating to use of GOB financial

resources– GOB-DP coordination on DPA and off-budget activities– Strengthening Planning Units of DGHS and DGFP for

monitoring and coordination.

14

Way Forward - HPNSDP

• Implement and monitor APR Prioritized Action Plan (PAP) activities

• Designing the next SWAp:– Financing modality: Program for Results?– Program focus: MNCH; NCDs; Urban Health – Strengthening Systems: RHIS; HRH– Streamlining Operational Plans (OPs)– Institutionalization of PLMC and PMMU.

• Closing out of HPNSDP (June 2016)