delta state primary health care development agency … · i. inaugurated the first state primary...

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DELTA STATE PRIMARY HEALTH

CARE DEVELOPMENT AGENCY

BUDGET 2016 - 2018

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INTRODUCTION

The Delta State Primary Health Care Development Agency is a body having perpetual succession and a common seal with

power to sue or be sued in the corporate name and to acquire, manage, hold and dispose of property movable or immovable

vide the law which came into force on 17th November, 2004. It is a parastatal of the Ministry of Health which commenced

operation in October, 2005.

MISSION

To ensure that all Deltans have adequate access to affordable, sustainable, promotive, preventive, curative, and rehabilitative

high-quality primary health care services.

Functions of the Agency

To formulate Primary Health Care policies,

Assist the State and Local Primary Health Care Authority in resource mobilization,

Support the monitoring and evaluation of all Primary Health Care Programmes at LGA levels and using such data for

management decision making,

Training and retraining of all cadres of Health workers with proper re-orientation to community participation and

development.

To support directly the strengthening of the School of Health Technology,

To support community participation in Primary Health Care,

To support studies in Health System Research as a tool for finding better ways for the provision of essential care as a

component of Health for all at the LGA level.

To stimulate Universities, Non-Governmental Organization and International Agencies to work with LGAs in nurturing

their capacity for problem-solving using locally available means.

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To support intersectoral collaboration in the Primary Health Care system especially amongst line Ministries and

Agencies.

Support the development of strategies to strengthen the referral system and encourage at all times its utilization.

Ensure sustainability of PHC programmes at the community level through Local initiatives and intersectoral

collaboration

To undertake any other function assigned to it by the relevant authorities from time to time.

Health Service Delivery: The Delta State Primary Health Care Development Agency provides the necessary primary health care

services to the community through its 440 Primary Health Care facilities in the 25 Local Government Area of the State. The

State Government in citing these facilities have ensured that at least there is one primary health care centre in each political

ward of the state.

Ensuring Universal Coverage: in order to reduce the out of pocket expenses for its populace, the state government has

established the Delta State Contributory Health scheme. To date 107 primary health facilities have been accredited for the

scheme in the first phase providing free maternal and under five child care services including free health care service for

widows in the communities

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The Delta State Health Care System:

Introduction

The Delta State Health Care system is structured into three levels of care with the State Ministry of Health as the policy

making body.

Tertiary Care is provided by the Delta State University Teaching Hospital (DELSUTH), Oghara and the Federal Medical Centre

(FMC), Asaba. Secondary care is provided by the sixty-five (65) state-owned hospitals and private hospitals in the state. The

Local Government in collaboration with the state is responsible for primary health care.

Primary Health Care System

At present there are 444 primary health facilities across the state achieved through the state government initiative of ensuring

that in every five-kilometer radius of the State, there is a Primary Health Care Center and each of the 268 political wards have

primary health care facilities. To ensure coordination of all primary health care activities in the state, the Delta State Primary

Health Care Development Agency law was enacted in 2005 and the Agency established same year.

A key strategy of the SMART Agenda of the present administration of the Delta State Government, as articulated in the Delta

State Medium Term Development Plan (DSMTDP) is “Reform of the Delta State Primary Health Care (DSPHC) services to align

with the NPHCDA policy of “PHC under one roof”. This is to ensure better governance, administration and monitoring of service

and also expand the access for Health for All Deltans (HeFAD)”.

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Governance Structure

Primary health care system governance in Delta State has been fragmented with all tiers of government including

development partners addressing and governing different aspects of the system. In order to address the poor governance

structure, the Delta state Government under the present administration of His Excellency, Senator Dr Ifeanyi Okowa;

I. Inaugurated the first State primary Health Care Development Board in 2016.

II. Fully adopted and implementing the Primary Health Care Under One Roof (PHCUOR) policy was adopted by the National

Council on Health in 2010. The policy is aimed at creating a coordinated management system for primary health care

services in the country.

III. The relocation of the department of Public health in the State Ministry of Health and all its programmes and activities to

the State primary Health care Development Agency.

IV. Establish the Local government Health Authorities across all 25 Local government area council of the state, with the

posting of medical Officers of Health to serve as director of Primary health care in theses LGAs.

Financing:

the primary health care services are currently financed by;

I. The National Primary Health Care Development Agency, through fund mobilization from partners and provision of

vaccines and commodities

II. The State government through

a. direct funding through dedicated PHC budget lines for infrastructural development, procurement of equipment

and implementation of programmes and also

b. government’s counterpart funding of other health programmes and activities

c. the State Contributory health scheme which was established to reduce the financial hardship and out of pocket

expenses of persons accessing health care and achieve Universal Health Coverage.

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III. The Local government area through salaries and remuneration for some local government health personnel and

support for programmes.

IV. Development partners, through counterpart funding and direct funding of some programmes.

V. Saving One million Lives programme.

It is hoped that with the recent provision in the National Health Budget for the Basic Health Care Provision Fund (BHCPF) and

its full implementation, the state will have access to more funding to finance primary health care activities.

SUMMARY OF 2016 – 2018 CAPITAL AND RECURRENT BUDGET ESTIMATES

Economic Code

2016 2017 2018

21010101 Personnel Cost 0 0 180,000,000

22021000 Overhead Cost 30,250,000 21,000,000 41,000,000 Capital Cost 556,052,016 542,966,241.36 581,002,018

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DETAILS OF CAPITAL COST ESTIMATES 2016 - 2018

VOC 459

Programme Code

Economic Code

Function Code

Activity 2016 2017 2018

1 0521180001 23030105 70731 Renovation of Primary health Care Centre

500,000,000 400,000,000 400,000,000

2 0521180002 Disease Control

26,000,000 30,000,000 70,000,000

9 0521180007 Health Services research and Health Statistical Information

5,000,000 5,000,000 2,000,000

17 0521180012 State Primary health care Development Agency

5,000,000 25,000,000 30,000,000

31 0521180019 Supply of 12000 Mama Kits to Health Centres in the State

50,000 50,000,000 10,000,000

80 Provision of Medical Equipment for Health Centres and Other Health Institutions in Oshimili South

7,500,000 0 0

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Primary Health Centre

83 Frukama and Asra Health Centre

0 25,000,000 0

102 Primary Health Centre Okuredafe

5,000,000 0 0

114 Supply of Medical Equipment to General Hospital Orerokpe and PHC Centres at Amuokpokpo

7,500,000 7,964,224.36 0

116 0521180024 23020106 70721 Completion of Primary Health Centre Emonu - Orogun

0 0 4,000,000

291 0521180032 23015001 70750 Nutrition 0

0 20,000,000

292 0521180033 23050100 70721 Immunisation Activities, Cold Chain Management

0 0 40,000,000

296 0521180037 23050101 70750 Reproductive Health Programme

0 0 5,000,000

556,052,016 542,966,241.36 581,002,018

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CAPITAL AND RECURRENT COST ESTIMATES 2018 - 2019

Economic Code

Location Code

2018 2019 (Proposed)

21010101 51042600 Personnel Cost 180,000,000 180,000,000

22021000 OverHead Cost 41,000,000 46,000,000

Capital Cost 531,002,018 1,130,092,277

CAPITAL ESTIMATES FOR 2019 (052100100100)

Programme Code

Economic Code

Location Code

Activity 2018 2019 (Proposed)

0521190001 23030105 51042600 Renovation of Primary health Care Centres

400,000,000 363,117,481

0521190002 23050101 51042600 Disease Control (Control and Management of Infectious Diseases)

70,000,000 124,525,676

0521190003 23010100 51042600 TB Control Activities

0 5,000,000

0521190004 23010100 51042600 Neglected Tropical Diseases

0 5,000,000

0521190009 23050100 51042600 Health Services 2,000,000 4,372,610

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research and Health Statistical Information

0521190014 23020106 51010200 State Primary health care Development Agency

30,000,000 542,566,510

0521190030 23020106 51042600 Nutrition

20,000,000 10,000,000

0521190031 23010120 51042600 Immunisation Activities, Cold Chain Management

40,000,000 35,000,000

05221180037 0521180035 (2019)

23050101 51042600 Reproductive Health Programme

5,000,000 10,000,000

0521190039 23010101 51042600 Family Planning 0

8,500,000

0521190043 23010100 51042600 Malaria Elimination Programme

0 20,000,000

0521190044 23010123 51042600 School Health Programme

0 4,000,000

0521190045 23010100 51042600 DHIS 2 Activities 0 5,000,000

0521190046 23010110 51042600 E- Health Activities

0 3,000,000

567,002,018 1,130,092,277

DELTA STATE GOVERNMENT

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OVERHEADS EXPENDITURE DETAILS FOR 2016-2018

O52110100100 DELTA STATE PRIMARY HEALTH CARE DEVELOPMENT AGENCY

ECONOMIC CODES DETAILS OF EXPENDITURE

APPROVED BUDGET 2016

N

ACTUAL EXPENDITURE

(Jan - Dec 2016) N


N

ACTUAL EXPENDITURE

(Jan - Dec 2017) N


N

ACUTAL EXPENDITURE

(Jan - Aug 2018) N

22020000 OVERHEADS

22020100 TRAVEL AND TRANSPORT-GENERAL

22020102 local travel and transport-others 180,000.00

160,000.00

11,732,183.39

10,517,200.00

15,540,000.00

10,360,000.00

22020200 UTILITIES-GENERAL

22020201 Electricity Charges 233,606.25

207,650.00

255,901.08

229,400.00

78,900.00

52,600.00

22020202 Telephone Charges 13,725.00 12,200.00

16,453.97

14,750.00

4,500.00 3,000.00

22020203 internet access charges -

-

108,094.22

96,900.00

13,500.00

9,000.00

22020204 satelite broadcasting access charges

145,800.00

129,600.00

30,119.13

27,000.00

6,000.00

4,000.00

22020206 sewerage charges - -

80,317.69

72,000.00 -

-

22020209 other utilities charges - -

24,541.52

22,000.00

31,500.00

21,000.00

22020300 MATERIALS & SUPPLIES-GENERAL

22020301 office stationeries/computer consumable

188,381.25

167,450.00

607,402.53

544,500.00

336,697.50

224,465.00

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22020302 books 247,500.00

220,000.00

267,725.63

240,000.00

112,500.00

75,000.00

22020303 newspaper 729,000.00

648,000.00 -

- -

-

220204 MAINTENANCE SERVICES-GENERAL

22020401 Maintenance of motor vehicle 234,000.00

208,000.00

817,678.70

733,000.00

449,250.00

299,500.00

22020402 Maintenance of office furniture 99,000.00

88,000.00 -

- -

-

22020403 maintenance of building (office) 1,918,125.00

1,705,000.00

1,511,534.30

1,355,000.00

256,500.00

171,000.00

22020406 maintenance of air conditioners - - -

-

95,250.00

63,500.00

22020407 maintenance of office Equipment - -

203,583.03

182,500.00 -

-

22020409 maintenance of plants and generators

220,275.00

195,800.00

552,072.56

494,900.00

513,000.00

342,000.00

22020413 other maintenance service - -

105,974.73

95,000.00 -

-

220205 TRAINING-GENERAL

22020501 local Training-course fee 1,200,375.00

1,067,000.00

117,129.96

105,000.00

-

-

22020503 Other Training Material 1,103,062.50

980,500.00 -

- -

-

22020600 OTHER SERVICES - GENERAL

22020601 security service - -

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540,000.00 480,000.00 - -

22020602 Cleaning & Fumigation services 675,000.00

600,000.00 -

-

62,250.00

41,500.00

22020700 CONSULTING & PROFESSIONAL SERVICES GENERAL

22020701 Financial Consulting 1,539,000.00

1,368,000.00

669,314.08

600,000.00

3,782,542.50

2,521,695.00

22020800 FUEL & LUBRICANT-GENERAL

22020801 Motor vehicle fuel cost 551,925.00

490,600.00

1,392,061.73

1,247,900.00

2,052,600.00

1,368,400.00

22020803 Plant/Generator Fuel Cost 568,125.00

505,000.00

1,282,405.78

1,149,600.00

1,040,100.00

693,400.00

22020900 FINANCIAL GENERAL

22020901 Bank charges - -

28,222.74

25,300.00

75,105.00

50,070.00

220210 MISCELLANEOUS GENERAL

22021001 Refreshment & meals 208,462.50

185,300.00

1,080,819.53

968,890.00

718,005.00

478,670.00

22021002 event packages and consumables -

-

784,213.00

703,000.00

160,500.00

107,000.00

22021003 Honorarium & sitting allowance payment

855,000.00

760,000.00

4,255,722.02

3,815,000.00

6,458,250.00

4,305,500.00

22021004 Publicity & Advertisement 1,412,325.00

1,255,400.00

159,519.86

143,000.00

150,000.00

100,000.00

22021006 Postages & Courier Services 61,875.00

55,000.00

24,541.52

22,000.00 -

-

22021007 welfare Packages

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3,807,000.00 3,384,000.00 1,922,046.93 1,723,000.00 5,064,750.00 3,376,500.00

22021017 other miscellaneous expenses 3,518,437.50

3,127,500.00

2,812,078.48

2,520,860.00

1,351,500.00

901,000.00

23000000 CAPITAL EXPENDITURE

23010000 Fixed asset Purchased

23010110 Purchase of office furniture/fittings

- -

58,341.88

52,300.00

46,800.00

31,200.00

TOTAL 20,250,000.00

18,000,000.00

30,900,000.00

27,700,000.00

38,400,000.00

25,600,000.00

DETAILS OF COST ESTIMATES(PHCUOR) 2018

S/NO EXPENDITURE DETAILS 2016 ACTUAL EXPENDITURE (N)

2017 ACTUAL EXPENDITURE (N)


SOURCES OF FUNDS

1. Procurement of Office Equipment and items of Furniture for the DSPHDA

NIL NIL 5,556,000 STATE GOVERNMENT

2. Rehabilitation of the Chairman’s office

NIL NIL 1,700,000 STATE GOVERNMENT

3. Renovation of DPHCDA NIL NIL 5,340,509.74 STATE GOVERNMENT

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DETAILS OF EXPENDITURE FOR SUPPLEMENTAL IMMUNISATION ACTIVITIES (2016 – 2018)

S/No EXPENDITURE DETAILS 2016 ACTUAL EXPENDITURE (N)

UNICEF

2016 ACTUAL EXPENDITURE (N) STATE GOVERNMENT


UNICEF



UNICEF


1. 1ST &2ND Round NIPDS, Logistics and Social Mobilization

10,611,000 10,611,000 41,312,400 17,908,000 41,312,400 16,705,500

2. 1st & 2nd Round MNCHW Logistics and Social Mobilization

16,180,000 6,607,650 18,517,600 3,042,800 16,804,250 -

3. For SAMSANG Monitor for 2nd round MNCHW

309,000 - NIL - NIL -

4. Integrated Measles Vaccination Campaign (MVC)

- - 8,319,000 - 67,679,300 30,286,250

5. Support for MNTE State microplanning development/accommodation

NIL - NIL - 3,971,000 -

6. Social mobilization support for 2018 MNTE Campaign

NIL - NIL - 7,919,200 -

7. Implementation of MNTE 2018 Campaign

NIL - NIL - 87,684,005 -

8. Flag off Ceremony of Pneumococcal Conjugate

319,187 - NIL - NIL -

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Vaccine (PCV)

DETAILS OF EXPENDITURE 2016-2018 - DONORS

S/NO EXPENDITURE DETAILS 2016 ACTUAL EXPENDITURE (N)



SOURCES OF FUNDS

1. For Training and Monitoring by UNICEF Designated Officials

989,060 NIL NIL UNICEF

2. World Breast feeding week

637,750 755,000

NIL UNICEF

3. Establishment of WDC NIL 1,100,000 NIL

UNICEF

4. Advocacy Meeting in Collaboration with C4D for 150 Stakeholders and Duty bearers on EBF and ACF in Delta State

NIL 1,035,000 NIL UNICEF

5. Stakeholders Sensitization Meeting for PHCUOR

NIL 593,500 NIL UNICEF

6. Integrated Supportive Supervision


7. Implementation of one day Sensitization Meeting with PHC Coordinators on PHCUOR


8. Two Day Advocacy NIL 1,402,880 NIL UNICEF

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Sensitization Workshop for Mandatory Breast-Feeding Mills substitute in Delta State

9. Sensitization and Mobilization of Youth groups and adolescent


10. Nutrition Society of Nigeria


11. LCCOS Monthly Meeting

NIL 745,000 522,000 UNICEF

12. Establishment of Ward Development Committees (WDC)

NIL 1,100,000

NIL UNICEF

13. To Supporting Three Day Workshop and ISS


14. Reimbursement for training of Health Workers and other Stakeholders on Nutrition in Emergency

NIL NIL 1,862,780 UNICEF

15. Core Technical Committee Meeting for MNCHW

NIL NIL 274,300 UNICEF

16. LGA Data validation from October-December 2018


17. 4th quarter coordination review meeting for LGAS


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NFPS and support groups leaders /OIC at the state level

18. Training of health workers on Integrated Community Case Management in Delta State


19. Conduct of cold chain inventory and assessment in Delta state


20. Launching of Delta state 2017 MPDSR annual report


21. Printing, Hosting of big strategic big banners for MNCHW


22. Workshop on 1 PHC/WARD


23. Stakeholders sensitization on amendment of DPHCDA Law


24. Quarterly Co-ordination on IYCF as Follow up for the three Focus LGAs


25. Sensitization on use of Chlorhexidine for umbilical cord


26. Production of Delta NIL NIL 590,000 UNICEF

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State MPDSR 2017 annual report

27. Production of Delta State MPDSR Notification forms


28. Delta State MPDSR Steering Committee Meeting


29. CTC Sub Committee for the Development of Delta Newborn action Plan


30. CTC Meeting for MNCHW


31. A 3- Day workshop on sensitization and orientation of OICs health facility and community volunteers


32. HWS training on integrated primary health care services


33. Stakeholders sensitization meeting for PHCUOR


34. Advocacy meeting with policy makers in 3 LGAS

81,000 NIL UNICEF

35. 4th quarter coordination review meeting for LGAS NFPS and support


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groups leaders /OIC at the state level

36. Sensitisation of stakeholders for leveraging resources


37. Monthly CCOs review meetings for 4 months

- - 1,044,000 UNICEF

38. 4th quarter coordination review meeting for LGAS NFPS and support groups leaders /OIC at the state level


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OTHER EXPENDITURE 2018 – DONORS

S/No Detail of Expenditure Cost Estimate

Funding Body

1. Procurement of 26 HP laptops and 26 Modems for Roll Back Malaria Officers

4,030,000 Global Fund

2. Makeover (Renovation) of 2 PHCs; Okpanam and Illah. 6,000,000 The Challenge Initiative (TCI) Funds/SPHCDA/RH Unit

3. Procurement of Office Furniture/Office Renovation

501,000 AFENET

4. Pretesting of Family Planning Media Spots 383,000 The Challenge Initiative (TCI)

5. Inauguration of SBCC Committee 6,684,000 The Challenge Initiative (TCI)

6. Orientation and Training of SBCC Committee members 1,565,000 The Challenge Initiative (TCI)

7. Training of Social Mobilizers for Family Planning

3,301,000 The Challenge Initiative (TCI)

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Details of Expenditure from SOML for PforR

SN Expenditure Detail 2017/2018 2018/2019 Source of Funds i.e. Budgetary Provisions, Donor etc

Releases Actual Expenditure

Releases Actual Expenditure

1 Provision of Cold Chain Equipment, SDDRs for 25 PHCs/LGA Hub

65,700,000.00 48,000,000.00 52,000,000.00 52,000,000.00 SOML PforR

2 Provision of LLINs for 25 LGAs distributed through PHCs to communities

52,500,000.00 50,000,000.00 0.00 0.00 SOML PforR

3 Provision of 200 sets of Family Planning (FP) Long Acting Reversible Contraceptive (LARC) Instruments; IUD and Implant Kits for 200 PHCs. Also 15,000 units Povidone Iodine Towelettes

12,000,000.00 12,000,000.00 0.00 0.00 SOML PforR

4 Provision of LARC Consumables and National FP Tools for 400 PHCs offering FP Services

11,500,000.00 11,500,000.00 0.00 0.00 SOML PforR

5 Procurement of Computers (4), Laptops (4) and Back-

4,520,000.00 4,520,000.00 0.00 0.00 SOML PforR

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up Systems (5kva Inverter, batteries & solar panels) for FP Data Management at State RH Office

6 Provision of Vit A Supplements to support in-reaches in 50 PHCs (HeFAD)

2,525,000.00 2,525,000.00 0.00 0.00 SOML PforR

7 1.Procurement of test kits (include PMV of test kits) and 2. Support for Referral Centre (ART Centre, Agbor)

21,978,000.00

19,625,665.00

0.00 0.00 SOML PforR

8 Printing & Distribution of NHMIS Data Collection Tools

5,704,000.00

5,704,000.00 0.00 0.00 SOML PforR

9 Printing and Distribution of IDSR Notification forms

3,500,000.00 3,500,000.00

0.00 0.00 SOML PforR

10 Provision of Basic Equipment (Sphygmomanometer, Stethoscope, Infra-Red Thermometers, Weighing Scale Adult & Paediatric and Emergency Light) for 200 PHCs

25,000,000.00 24,640,000.00 0.00 0.00 SOML PforR

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DSPHCDA RELEASES OF FUNDS FOR IMMUNIZATION 2016-2018

Details of Expenditure 2016 2017 2018

NIPDs (POLIO CAMPAIGNS) - 17,908,000.00 16,724,000.00

MEASLES VACCINATION CAMPAIGN 9,526,500.00 30,321,696.00 0

ROUTINE IMMUNIZATION (FIXED & OUTREACH SESSIONS/SUPERVISION)

0 0 0

COLD CHAIN (MAINTENANACE AND VACCINE DISTRIBUTION)

1,280,000.00 800,000.00 1,600,000.00

GAVI FUND FOR ROUTINE SUPPORTING SUPERVISION

NIL NIL 7,389,000

Dr Jude Winful-Orieke Executive Director

delta state primary health care development agency … · i. inaugurated the first state primary...

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