...Gharama za dawa shilingi milioni 10.5; gharama za usambazaji zaidi ya shilingi milioni 100!

[Mkeshaji]

Wadau,
Hii nimeikuta kwenye facebook page ya Diwani mmoja wa chadema huko Moshi vijijini. Nikaona si vibaya nikawashirikisha. Hapo nimekopi na kupaste tu:

"Nimetoka kwenye kikao cha Baraza la Madiwani. Mfuko wa Afya: Dawa na Vifaa sh milioni 10.5, kutengeneza magari ya kusambaza na usimamizi mililion 50.7. Kujenga uwezo na mpango ml. 57. Leo nitalala nikiwaza sana. Dawa na vifaa vya mil. 10.5 kusambazwa na kusimamiwa kwa mil. 50+!!! Nimekataa!!"

 

[Zimamoto]

Cha kushangaa sio hicho bali hiki hapa:

Watumishi wa umma wanaaminika kuwa na mishahara ya chini kuliko wa sekta binafsi, ila ndio wanaomiliki magari ya kifahari, majumba mazuri na matumizi ya hali ya juu.

NCHI INATAFUNWA NA WACHACHE, HATA HURUMA HAWANA WALA AIBU.

 

[Facilitator]

"Nimetoka kwenye kikao cha Baraza la Madiwani. Mfuko wa Afya: Dawa na Vifaa sh milioni 10.5, kutengeneza magari ya kusambaza na usimamizi mililion 50.7. Kujenga uwezo na mpango ml. 57. Leo nitalala nikiwaza sana. Dawa na vifaa vya mil. 10.5 kusambazwa na kusimamiwa kwa mil. 50+!!! Nimekataa!!"

Hapo kwenye RED ndo nimekoma. Nchi yetu bana, raha sana.

 

[tusichoke]

Ni watumishi gani hao maana walimu ndio wengi na ndio wenye mishahara midogo bila marupurupu yoyote je ndio wenye magari na majumba ya kifahari? May be ni watumishi waliopo kwenye uongozi maana wana posho na rushwa

 

[Mlangaja]

Kuongozwa na ccm ni sawa na kuongozwa na kichaa. Haiingii akilini ila kwa ccm ni kitu cha kawaida kabisa. Ee Mungu wasaidie viongozi wetu waweze kujua namna ya kutuongoza.

 

[dunia ndivyo ilivyo]

wizi mtupu,,

 

[MtamaMchungu]

Kesi ya kuku, unauza ng'ombe.

 

[Lyimo]

Walishajaribu hilo, na sasa wanaendelea kusonga mbele.

 

[Khakha]

kweli hii bongo. huliwa na wenye meno.

 

[Ubungo]

Daylight robbery.

 

[Bongolander]

Wadau,
Hii nimeikuta kwenye facebook page ya Diwani mmoja wa chadema huko Moshi vijijini. Nikaona si vibaya nikawashirikisha. Hapo nimekopi na kupaste tu:

"Nimetoka kwenye kikao cha Baraza la Madiwani. Mfuko wa Afya: Dawa na Vifaa sh milioni 10.5, kutengeneza magari ya kusambaza na usimamizi mililion 50.7. Kujenga uwezo na mpango ml. 57. Leo nitalala nikiwaza sana. Dawa na vifaa vya mil. 10.5 kusambazwa na kusimamiwa kwa mil. 50+!!! Nimekataa!!"

Ufisadi sio Richmond peke yake.

 

[BONGOLALA]

zahanati zote za mkoa wa kilimanjaro naweza peleka dawa kwa siku moja,maana hata mkoa wenyewe una eneo dogo sana!

 

[Savannah]

TZ ufisazi umeshika hatamu kwelikweli.

 

[Mkeshaji]

zahanati zote za mkoa wa kilimanjaro naweza peleka dawa kwa siku moja,maana hata mkoa wenyewe una eneo dogo sana!

Yawezekana kutokana na umuhimu wa hizo dawa zinahitaji escort ya gharama kubwa.

 

[ligendayika]

Hiyo kiboko na mkurugenzi amepitisha hilo. Wizi mtupu

 

[PauloKichaa]

Mtazamo bila kukurupuka nawaza kwa kina: hapo naangalia swala endelevu yaani ubora wa magari ya kusambaza na kuwapa mafunzo wasambazaji kumbuka hizi dawa ni pamoja na chanjo ambazo usambazaji si kama unasambaza mahindi kuna chain za kufuata hivyo kanba ya kutoa maoni napenda mtoa mada aeleze ni mafunzo yatakayo kuwa valid kwa muda gani, ie kama ni skills utakazotumia kwa miaka mitatu na magari yatakua imara kwa miaka mitatu inamaana bajet ya dawa kwa mwaka ujao itakua million 100! unaofuatia 100mil maana kutakua hakuna mafunzo wala matengenezo makubwa hivyo nikiwaza kwa kina nadhani tunahitaj taarifa zaidi kabla ya kupongeza diwan kukataa. Kumbuka hawa madiwan wamekua wakikataa hata kupitisha bajet za gauze kwa kusema gauze mil 50??? Bila kujua utahitaj katika kila oparation na mgonjwa anapotoka damu.

 

[PauloKichaa]

zahanati zote za mkoa wa kilimanjaro naweza peleka dawa kwa siku moja,maana hata mkoa wenyewe una eneo dogo sana!

Nijuavyo mimi dawa si zote zinasambazwa kama pipi, utasambaza vipi chanjo iwapo huna facilities na vitendea kazi imara ie ku maintain cold chain au ndo unataka chanjo zifike zime expare tuanze tena lalamika wamekulaaaaaa ela

 

[kibogo]

Wadau,
Hii nimeikuta kwenye facebook page ya Diwani mmoja wa chadema huko Moshi vijijini. Nikaona si vibaya nikawashirikisha. Hapo nimekopi na kupaste tu:

"Nimetoka kwenye kikao cha Baraza la Madiwani. Mfuko wa Afya: Dawa na Vifaa sh milioni 10.5, kutengeneza magari ya kusambaza na usimamizi mililion 50.7. Kujenga uwezo na mpango ml. 57. Leo nitalala nikiwaza sana. Dawa na vifaa vya mil. 10.5 kusambazwa na kusimamiwa kwa mil. 50+!!! Nimekataa!!"

Hiyo taarifa hata kama umeikopi ni vizuri kwanza ungetafakari na kujua anazungumzia Mfuko upi wa Afya.
Afya ina vyanzo mbalimbali vya mapato
1. Kuna OC (Other Charges)
2. HBG (Basket Fund) Mfuko wa wahisani
3. CHF
4. Cost Shairing
- Hizo fedha zote zina miongozo juu ya matumizi yake, ukizungumzia suala la kujenga uwezo semina zote zimefutwa hadi kwa kibali maalum kutoka mamlaka za juu.
- Nafikiri uwezo wa huyo Diwani unaweza ukawa ni mdogo katika uchambuzi wa Bajeti, hiyo Ml 50.7 inawezekana ikawa ni katika matengenezo ya magari yote ya Idara ikiwa ni pamoja na ununuzi wa mafuta ambayo kwa kweli yanatumia fedha nyingi sana na hatujui wana magari mangapi hapo.

 

[kibogo]

[h=1]GUIDING PRINCIPLES on the use AND DISBURSEMENT OF FUNDS fROM DIFFERENT SOURCES[/h]
[h=2]3.1 Overview of funds currently available for the CCHP[/h]
The CCHP can easily be developed if all financial resources available are known because most of activities need to be matched with funds. Sources of funds for CCHP include:

Funding Flowing through the Councils:
[h=6]1) Health Block Grants/ Council grants consist of:[/h]a) Personnel Emoluments (P.E.): salaries for the staff
b) Other Charges (O.C.): recurrent costs
c) Development Grant
[h=6]2) Health Basket Funds[/h][h=6]3) Cost sharing money - User fees, from Facilities, CHF/TIKA, NHIF, DRF, NSSF[/h]4) Local Government Development Grant (LGDG)
5) Health Sector Development Grant (HSDG) (Health window)
6) Council-own sources consist of:
a) Recurrent Costs
b) Development Budget

Other Funding:
1) Block Grant from MOHSW to Council Designated Hospitals
2) Bed and staff grant to VAs Hospitals
3) MOHSW-Fund for medicines, equipments and supplies through MSD
4) Global Fund
5) National programs (NMCP, NACP, EPI, NTLP, FP, others specify )
6) NGO (Plan international, World Vision etc)
7) Development partners Bilateral and Multilateral.
8) Donations (cash/receipts in kind)

It is essential that the respective authorities (MoHSW, PMORALG, and Councils), National programmes, NGOs and other partners working in the Councils to provide the planning team with reliable financial figures in time. But it is also the responsibility of the CHMT to actively request for this information.

[h=2][/h]
[h=2]3.2 General Guiding Principles for the Health Block and Health Basket Grants and Other sources of funds[/h]
a) The Health Block Grants are divided into Personnel Emoluments (PE) (Salaries), Other Charges (OC) and Development.

b) OC of the Health Block Grants and Health Basket Funds are intended to support mainly the recurrent budget of health sector. The Health basket should not be funding PE activities.

c) Funds for rehabilitation/construction are provided for under LGDG and Health Sector Development Grant (HSDG) through PMO-RALG as stipulated in the Primary Health Services Development Programme –MMAM (2007-2017).

d) Complementary sources such as CHF, NHIF and TIKA are spent at the Health facility where it was collected, in line with financial regulations of the Government.

e) The CDH and VA hospitals receiving Basket Funds or sign the Service Agreement are restricted not to charge MNCH services

3.3 In budgeting and spending Health Block Grant and Health Basket Fund resources, LGAs should comply to:

a) All technical and professional regulations provided by MoHSW in the delivery of health services.
b) Their own set performance targets within the context of local health and social welfare plans, which takes into account national priorities, local conditions, local priorities and the availability of local resources.

c) All financial standards and budget procedures as mandated by PMO-RALG in the Local Government Authorities Accounting Manual.

[h=2]3.4 Resource allocation formula for Health Block Grants and Health Basket Funds[/h]
The annual allocation of funds from Central Government to the LGAs is based on a resources allocation formula that is used to distribute the Health Basket Funds and Health Block Grant. It takes into account the following allocation factors:
· Population (70 %)
· Poverty count (10 %)
· District medical vehicle route (10%)
· Under-five mortality (10%)

a) In recognition of the individual as the main client-recipient of health and social welfare services, 70 percent of the Health Block Grant and the Health Basket are distributed in proportion to the population of each district. In addition to the overall population, districts receive additional resources for the special needs of a poor population (10% of the grant resources), the special needs of rural population and the needs of local governments with a higher Burden of Disease.

b) The formula recognizes the higher expenditure needs of rural areas by directing 10% for the route mileage regularly travelled by health sector vehicles. As such, the formula takes into account the higher operational cost of delivering health services to a rural population and to sparsely populated areas; including higher costs faced in drug distribution, immunization and supervision.

c) The formula also aims at directing resources (10%) to places with high burden of diseases; here the under-five mortality (U5M) is considered as an appropriate proxy for burden of diseases.

d) The funds allocated through the resources allocation formula is translated into action through the CCHP and its six cost centres. It is important to note that the resource allocation formula and the cost centres have no direct relationship.
[h=2][/h][h=2]3.5 Allocation to Cost Centers in the Council[/h]
Funding is allocated to the following 6 cost centres:
a) Office of DMO
b) Council Hospital (including CDH)
c) Voluntary Agency Hospitals (VAH) / Service Agreement (SA)
d) Health Centre (Public and VA owned)
e) Dispensary (Public and VA owned)
f) Communities

For each cost centre the percentage allocation range for the combined funding from the health basket and OC of the Block Grant is as follows:





Table 6: Allocation Ceiling for the combined basket Fund and OC of Block Grant

Cost center	Allocation Ceiling Range within allocation to Council
Office of DMO	15% - 20%
Council Hospital /CDH /	25% - 35%
Voluntary Agency Hospitals (VAH) / if none exists, this should be allocated to other priority health Interventions in the Council.	10% - 15% (of basket funds only)
Health Centre	15% - 20%
Dispensary	15% - 20%
Communities	5% - 10%

 

[kibogo]

GUIDING PRINCIPLES on the use AND DISBURSEMENT OF FUNDS fROM DIFFERENT SOURCES


3.1 Overview of funds currently available for the CCHP


The CCHP can easily be developed if all financial resources available are known because most of activities need to be matched with funds. Sources of funds for CCHP include:

Funding Flowing through the Councils:
1) Health Block Grants/ Council grants consist of:

a) Personnel Emoluments (P.E.): salaries for the staff
b) Other Charges (O.C.): recurrent costs
c) Development Grant
2) Health Basket Funds

3) Cost sharing money - User fees, from Facilities, CHF/TIKA, NHIF, DRF, NSSF

4) Local Government Development Grant (LGDG)
5) Health Sector Development Grant (HSDG) (Health window)
6) Council-own sources consist of:
a) Recurrent Costs
b) Development Budget

Other Funding:
1) Block Grant from MOHSW to Council Designated Hospitals
2) Bed and staff grant to VAs Hospitals
3) MOHSW-Fund for medicines, equipments and supplies through MSD
4) Global Fund
5) National programs (NMCP, NACP, EPI, NTLP, FP, others specify )
6) NGO (Plan international, World Vision etc)
7) Development partners Bilateral and Multilateral.
8) Donations (cash/receipts in kind)

It is essential that the respective authorities (MoHSW, PMORALG, and Councils), National programmes, NGOs and other partners working in the Councils to provide the planning team with reliable financial figures in time. But it is also the responsibility of the CHMT to actively request for this information.


3.2 General Guiding Principles for the Health Block and Health Basket Grants and Other sources of funds


a) The Health Block Grants are divided into Personnel Emoluments (PE) (Salaries), Other Charges (OC) and Development.

b) OC of the Health Block Grants and Health Basket Funds are intended to support mainly the recurrent budget of health sector. The Health basket should not be funding PE activities.

c) Funds for rehabilitation/construction are provided for under LGDG and Health Sector Development Grant (HSDG) through PMO-RALG as stipulated in the Primary Health Services Development Programme –MMAM (2007-2017).

d) Complementary sources such as CHF, NHIF and TIKA are spent at the Health facility where it was collected, in line with financial regulations of the Government.

e) The CDH and VA hospitals receiving Basket Funds or sign the Service Agreement are restricted not to charge MNCH services

3.3 In budgeting and spending Health Block Grant and Health Basket Fund resources, LGAs should comply to:

a) All technical and professional regulations provided by MoHSW in the delivery of health services.
b) Their own set performance targets within the context of local health and social welfare plans, which takes into account national priorities, local conditions, local priorities and the availability of local resources.

c) All financial standards and budget procedures as mandated by PMO-RALG in the Local Government Authorities Accounting Manual.

3.4 Resource allocation formula for Health Block Grants and Health Basket Funds


The annual allocation of funds from Central Government to the LGAs is based on a resources allocation formula that is used to distribute the Health Basket Funds and Health Block Grant. It takes into account the following allocation factors:
· Population (70 %)
· Poverty count (10 %)
· District medical vehicle route (10%)
· Under-five mortality (10%)

a) In recognition of the individual as the main client-recipient of health and social welfare services, 70 percent of the Health Block Grant and the Health Basket are distributed in proportion to the population of each district. In addition to the overall population, districts receive additional resources for the special needs of a poor population (10% of the grant resources), the special needs of rural population and the needs of local governments with a higher Burden of Disease.

b) The formula recognizes the higher expenditure needs of rural areas by directing 10% for the route mileage regularly travelled by health sector vehicles. As such, the formula takes into account the higher operational cost of delivering health services to a rural population and to sparsely populated areas; including higher costs faced in drug distribution, immunization and supervision.

c) The formula also aims at directing resources (10%) to places with high burden of diseases; here the under-five mortality (U5M) is considered as an appropriate proxy for burden of diseases.

d) The funds allocated through the resources allocation formula is translated into action through the CCHP and its six cost centres. It is important to note that the resource allocation formula and the cost centres have no direct relationship.
3.5 Allocation to Cost Centers in the Council


Funding is allocated to the following 6 cost centres:
a) Office of DMO
b) Council Hospital (including CDH)
c) Voluntary Agency Hospitals (VAH) / Service Agreement (SA)
d) Health Centre (Public and VA owned)
e) Dispensary (Public and VA owned)
f) Communities

For each cost centre the percentage allocation range for the combined funding from the health basket and OC of the Block Grant is as follows:





Table 6: Allocation Ceiling for the combined basket Fund and OC of Block Grant

Cost center	Allocation Ceiling Range within allocation to Council
Office of DMO	15% - 20%
Council Hospital /CDH /	25% - 35%
Voluntary Agency Hospitals (VAH) / if none exists, this should be allocated to other priority health Interventions in the Council.	10% - 15% (of basket funds only)
Health Centre	15% - 20%
Dispensary	15% - 20%
Communities	5% - 10%