RMAWG MEETING 19-20 June 2012 Brussels DISTRICT BUDGET ADVOCACY By Josiah Otege Policy & Advocacy...
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Transcript of RMAWG MEETING 19-20 June 2012 Brussels DISTRICT BUDGET ADVOCACY By Josiah Otege Policy & Advocacy...
RMAWG MEETING19-20 June 2012
Brussels
DISTRICT BUDGET ADVOCACY
By Josiah OtegePolicy & Advocacy OfficerMarie Stopes Tanzania
CONTENT• Overview of MST• What is a district• Overview of the
district budget• MST’s study• Trends• Implications
OVERVIEW OF MST
I. Marie Stopes Tanzania (MST) is an affiliate of Marie Stopes International
II. 12 clinics; 16 outreach teams; 6 auto-rickshaws
III. Working in Tanzania since 1989
IV. Largest private sector provider of FP services; 27% of market for LAPM
WHAT IS A DISTRICT
National government
Regional Govt
District Govt
OVER VIEW OF THE DISTRICT BUDGET ADVOCACY
• A product of various guidelines(National targets, MoF ceilings,MoH guidelines,National priorities etc.)
• Districts lack their own resources• District approving bodies (Executives, Councilors)
have the power to revise/refute the budget within the allocation set by MoH/MoF
• Most of its funding come from donor –basket fund
OVER VIEW OF THE DISTRICT BUDGET ADVOCACY
• MST received funds from PAI in February 2012 to conduct a survey in 10 districts to examine FP budget trends.
• Data from 2 FY years: 2010/11-2011/12• In TZ FY runs July-June. This not usual for most countries.• Results are Provisional not published yet • Showed small increase in the FP budget but high
dependency on donor funding• Trends similar to the national health budgets in the EA
region.
TRENDS• FP/Health budget has been increasing though small and
unstable (data From 10 District)
TRENDS• Confirms findings from an earlier study in 40
districts by EngenderHealth
TRENDSSimilar trends are seen in national health budgets in the region, e.g. Tanzania 1998-2012
Trends By source of Funding ( District level) 10 district 40 district
IMPLICATIONS/OBSERVATIONS• Districts have very little bargaining power to
prioritize their budget/needs.
• Other issues (e.g. malaria, HIV/AIDS) receive more attention, so FP budget needs a separate budget line and funding from district resources.
• To facilitate this, and do budget tracking, we need advocates within district authorities as well as local partners (e.g. CBOs) to raise the profile of FP at district level.
• Evidence of the impact of FP spending on health and economic development is needed for advocacy with national and local governments.
• Advocacy should involve stakeholders including the media, the private sector and religious leaders to help mobilise resources.
• How do we increase the profile and priority for FP compared with HIV, malaria, etc.?
IMPLICATIONS/OBSERVATIONS
THANK YOU !