Professional Documents
Culture Documents
1.
Table of Contents
List of Abbreviations
Acknowledgments
As a facility Chifuwe South health Post most obligated to express its warmly heartedly gratitude to the
min9istry of health through our district office for the consistency sufficient, proactive and unfailing
support it is rendering to the community at large the health post in delivery quality, suitable health are
services. We wish as well to thank the program officers at the district health offices for their support and
assistance throughout planning process in order to deliver quality health care. We also wish to thank you
our colleagues at the facility for their continued support. Above all we wish to thank our almighty God for
the unfailing support and love.
Executive Summary
Part 1: Introduction
1.1 Overview
CHIFUWE SOUTHHEALTH POST
Chifuwe south health post is located in the south east of Kabompo district. The centre shares borders
with Lukulu district on the south east and north Mufumbwe district. It is approximately 18km from
KDHO, via the shortest route through the pontoon. Kabompo district hospital is the nearest referral
site. The road network is poor and during rainy season the road is difficult as vehicles get stuck and noe
network coverage hence difficult to call for an ambulance. Centre was opened in 2005 and is in
operation though lacking some few equipment and inadequate space for labour and deliveries.
- MNCH – Postnatal
- EMTCT – Labour
- FP – GMP
- ART /TB
- Curative services
- Adolescent – health
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tables should not be pre-populated as they may change by year. The planning team should write briefly
about the top ten by year and relate this to 5 top causes of mortality in the discussion.
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In this table provide information on any outbreaks experienced during the year in the key notifiable
diseases.
NB. Include any other notifiable disease not listed in the table
Note: the list will be updated by adding new vaccines according to prevailing protocols and in
consultation with programme officers
2.3.1 NHCs
In this section, give the number of active NHCs per zone Table 2.3.1
ZONE NHC ACTIVE/NON ACTIVE
Central 1 ACTIVE
Minunga 1 ACTIVE
Mashimbila 1 ACTIVE
Mapolongo 1 ACTIVE
Lula 1 ACTIVE
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Current Yr (period)
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Unlike the traditional categorization of health care services, which is often a disease-centered, vertical
approach such as TB, HIV/AIDS or malaria programmes, this guide recommends that key results should
be organised using the Marginal Budgeting for Bottlenecks methodology around different service
delivery mechanisms, namely family and community based interventions, population based schedulable
services and individual oriented clinical care services comprising health centre and first level referral
clinical care services. This is because in the real world, health services are not delivered as a set of disease
specific activities, but as part of service delivery mechanisms, each delivery mechanism contributing
towards addressing several health problems.
Four spreadsheets are provided to assist in the costing and budgeting for both districts and hospitals,
namely the logframe, cost framework, consolidated spreadsheet and the activity sheet. The log frame has
one purpose and two objectives, one for service delivery and the other for systems management. The only
task for the planning team is to provide the targets in the spaces provided. The objectives correspond to
yellow book programs. Each objective has a number of outputs corresponding to yellow book activities.
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The task for the planning team is team is to provide targets by year. In column for means of verification,
reports to be used in tracking the indicators should be listed.
A list of interventions under each of the service delivery modes (Family and Community based services,
Schedulable and Outreach services, Clinical Services) is provided in Annex 3. For a completed example
see Annex 5C.
a. Organize activities from different programs (malaria, HIV/AIDS, TB, IRH, Child
health etc) by service delivery mode and insert them in the relevant rows in the
cost framework.
b. In the space for timeframe, put an “X” in the quarter the activity will be
implemented
c. The column “GRZ” will house the cost of funding the activity using government
funds. The grand total for all activities for this column should be equal to your
IPF. The amount will come from the GRZ consolidated spreadsheet
d. The column “Other” will house the cost of implementing the activity using other
sources including donors and locally generated revenue. The amount will come
from the Donor consolidated spreadsheet
e. Put “yes” in the column “funded” if funding from the donor is confirmed and
“no” if not
f. The name of donor go in the column called funder
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Subtotal GRZ
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Output 1.3
Schedulable
population services
1.3.1 Activity
IRH UCI service fuel 3,648 3,648 GRZ
1.3.2 Activity
staffs Allowances 1,078.81 1,078.81 GRZ
Health promotion GRZ
School health services 960 960 GRZ
Drama groups on
adolescent health, peer 2,516.29 2,516.29 GRZ
educator training
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Subtotal
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Output 1.4
Community and
family services
1.4.1 Activity
CHW’s Allowance 3,000 3,000
1.4.2 Activity
Train malaria
/Smagsincentives for 4,750 4,750
ANC +fully immunized
Subtotal 4563.20
HEALTH
PROMOTION
World Aids Day 500
School health
1,325.28 1,325.28
promotion
1825.2
Subtotal
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SUB TOTAL 1825.28
Sub Total
Output 2.3
Administrative
Support
2.3.1 Activity
2.3.2 Activity
Sub Total
SUB TOTAL
GRAND TOTAL
Community
CHWs – Mapulongo – 50 x 12 = 600
Mashimbila 50 x 12 = 600
Lula – 50 x 12 = 600
Minunga 50 x 12 = 600
Central – 50 x 12 = 600
Total = 3,000
Incentive
Baby nappies - 20 x 25 = 500
Chitenges - 60 x 50 = 3,000
Soap - 10 x 50 = 500
Baby powder - 15 x 50 = 750
Food stuff - 14 x 50 = 700
Total =
Health promotion
Staff allowances - 1 x 2 x 85 = 2040
Drama groups - 2 x 10 x 50 = 1000
Training peer educators - 5 x 50 = 250
Food for training - 186.29 = 186.29
Total 3476.29
Clinical
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Outreach
UCI services fuel 16.48 x 15.20 x 12 = 3006.81
Staff allowances
700 x 2 x 6 = 8400
700 x 6 = 4200
85 x 2 x3 x 12 = 6120
18720
Information feeding into the cost framework is derived from the consolidated spreadsheets
(annex 9). There are two tables in the consolidated spreadsheet the first being revenue table and
makes a provision to state expected income by funder and by month while the other table is
expenditure table. We advise that at least two table be completed, one for GRZ and another for
alternative sources of income. The third could aggregate the two tables. For the relevant
objective output and activity, indicate the input costs in the provided spaces with activity total at
the end of the row. The source of the cost information is the activity sheet (see annex 10). To
complete the activity sheet,
g. Indicate relevant unit program (objective) and output in the provided spaces.
Provide a brief description or justification in the space provided
h. Indicate the name of the activity in the space provided
i. List all the inputs (DSA, fuel, stationery etc.) required to implement the activity in
column H labelled “G8”
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j. Insert the relevant input codes in the space provided from the chart of accounts
provided in the sheet called “accounts”
k. Indicate the quantity and unit cost for each input and calculate the cost by input
l. Indicate using “yes/No” whether funding is internal and confirmed in the relevant
columns
m. Sum up input costs to get the total cost for the activity
n. Go to the next activity and cost it in the same way
After completing the activity and consolidated sheets follow the following steps to populate the
Part 4: Budget
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Based on the ceilings received from MoH HQ for the next MTEF, complete Table 4.1.1 Determine the
sources of “Other Income” for the district and enter these sources as a list in the second row. From this,
determine how much you expect to receive from “Other Income” in the coming year and enter in the
column for “projected funding” for next year. Consider whether there are any factors that may cause an
increase or decrease in the income from a particular source next year. Enter the projected income for the
coming year in the column for “projected funding for next year”.
Fees 0 0 0
Local Donors 0 0 0
Other income (specify): 0 0 0
Total projected funds 45,191.77 49,705.00 54,675.00
The projected amounts allocated for community based activities. The form at Table 4.3.3 should be used
to record the decisions.
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Table 4.1.2
Name of community Catchment % of Total Total Amount Allocated
Population health
Community funded Activities (B) (A) + (B)
centrePop.
Yr n+1 Yr n+2 Yr n+3 Yr n+1 Yr n+2 Yr n+3
2020 2021 2022
CENTRAL 892 47 4065.09 4471.10 4917.92
MINUNGA 469 25 2137.36 2350.83 2585.77
LULA 222 12 1011.71 1112.76 1223.97
MASHIMBILA 201 11 916.01 1017.50 1108.19
MAPULANGA 123 6 560.54 616.53 678.14
Total 1,907 8,690.7 9,558.7 10,514.0
2 3 0
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