* Fairly good budgeting system but expenditure not tracked according to categories
* Weakness in procurements
* Robust Government financial planning systems in place
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* Annual plans and budgets exist which covers different donors
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* No comprehensive budget which reflects ACP’s annual plan of income and expenditure but budgets of different projects supported by donors
* Budget information restricted to only a few individuals
* Financial reports exist which provide information on project accounts but does not track expenditure according to categories.
*There is no costed strategic plan and as such there is no link b/w annual and long term budget planning
* Procurement systems weak and fraught with delays
* Some financial decisions often done at level in MOH above ACP and can’t be controlled.
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* Develop a costed HSHASP that is aligned to the HSSPIII and the NSP priorities.
* Develop through a participatory process, annual operational plans and budgets which derives from the HSHASP and which incorporates all funding sources
* Build capacity of designated accounting staff to track expenses and provide information in a timely manner.
* Convene periodic program evaluation meetings to review plans, budgets and expenditure
* Build ACP capacity on procurement and contracting
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