Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 14564
Country/Region: Haiti
Year: 2013
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $3,425,000

This project will consolidate critical management systems functions under MSPP supervision, and implemente needed policy changes at the Central and Departmental levels. The project will work to develop and implement a comprehensive human resources strategy aimed at hiring new staff and addressing the structural issues that make it difficult to retain qualified staff. The project objectives are: 1) Improved allocation of health sector resources (human and financial) to fundamentally support the ongoing decentralization objectives of the Haitian health sector, including diversification of funding and resources within and beyond the public sector; and 2) Improved effectiveness of health sector resources for maximum impact in a decentralized structure. Expected results include: Increase in the percent of the GOH budget spent on health from approximately 5% to 10%; Reduction of out-of-pocket health expenditure from approximately 48% to 40%; Achievement of annual benchmarks for bottom-up, results based budgeting and planning within the national budget setting cycle; Increase in the number of health workers per 10,000 population by cadre and/or geographic area; and Improved equity for health services coverage indicators (comparison of indicator in highest and lowest income quintile groups). USAID will work with the MSPP, the Ministry of Finance, the Prime Ministers office, the World Bank, and other development partners active in the health sector.

Funding for Health Systems Strengthening (OHSS): $3,425,000

A proliferation of health actors has made it harder for the MSPP to provide leadership, coordination, management, and appropriate regulation of health service delivery. Provision of free services and lack of reimbursement post-earthquake created a financial crisis for both public and private Haitian hospitals. A critical shortage of health workers throughout the health system is driven in part by salary structures that create disincentives for highly-educated Haitians to work in the health sector.

The USG has determined that the creation of a sustainable health system in Haiti will require a concerted effort to rebuild and strengthen the central, departmental and local levels of the MSPP and also support the sustainability of NGOs by reducing their reliance on public or donor financing. USAIDs vision for a fully sustainable health system in Haiti includes:

Objective 1 - Improved allocation of health sector resources illustrative activities include:

Coordinate with the MSPP to align sector planning and budgeting to the national process

Support the MSPP to lead donor coordination and resource generation processes

Support strategic planning for human resources for health at the central level.

Support departmental level human resource planning, deployment, and training

Objective 2 - Improved effectiveness of health sector resources illustrative activities include:

Support policy dialogue to develop actions that respond to the results of Demographic and Health Surveys (DHS), Service Provision Assessment (SPA), National Health Accounts (NHA) and other assessments of the current health situation.

Institute and ensure compliance with norms and standards for quality service provision

Support development of annual integrated departmental plans

Create a culture of data use for evaluating and responding to changing circumstances

Cross Cutting Budget Categories and Known Amounts Total: $342,500
Human Resources for Health $342,500
Key Issues Identified in Mechanism
Child Survival Activities
Safe Motherhood
Family Planning