7000. BONTHE WESTERN KOINADUGU KAILAHUN KENEMA PUJEHUN MOYAMBA KAMBIA BOMBALI TONKOLILI PORT LOKO KONO. BO. 1. 2. 3. 4.
SIERRA LEONE HEALTH BUDGET TRACKING SCORECARD 2013
FEWER MOTHERS AND BABIES WILL SURVIVE IF OUR GOVERNMENT DOES NOT INVEST MORE IN THE NATIONS HEALTH We call on the government to increase the budget for health and make sure that funds are disbursed on time
KEEP THE PROMISE, MEET THE ABUJA TARGET
TRANSFER FUNDS ON TIME!
ABUJA TARGET GOVERNMENT HEALTH BUDGET 11%
15%
PROMISED 15% 15%
7.4%
2011
10.5%
2012
15%
COMMITED TO SPEND 10.5% IN 2013 AS OF JULY 2013 LESS THAN 2% HAD BEEN DISBURSED
2013
Progress Against Abuja Target In 2001 Sierra Leone promised to spend 15% of its total annual budget on health by 2015 under the Abuja Declaration.
Proportion Of Health Budget Disbursed
Despite the increase of health budget from 7.4% in 2012 to 10.5% in 2013, Sierra Leone is still below the promised 15% target. Yet the gap can be closed. Neighbouring countries like Liberia achieved 15% Abuja target before 2015.1
Allocated funds are not getting to where they are most needed on time. Six months into 2013, less than 2% of the 10.5% that had been promised for health had actually been disbursed.4
5 MOTHERS AND 30 BABIES DIE EVERY DAY IN SIERRA LEONE. WE MUST INVEST IN HEALTH.
This means that many health providers, working tirelessly in remote communities have gone for at least 6 months without the funds.
2
3
INVEST MORE IN EACH SIERRA LEONEAN WHO RECOMMENDATION PER CAPITA GOSL EXPENDITURE ON HEALTH $54 $6.4
$54 $6.6
2011
2012
MAKE HEALTH A PRIORITY IN SALONE Government’s Health Budget as a share of GDP
$7.6
$54
2013
GoSL Health Expenditure Per Capita The World Health Organisation (WHO) advises governments to spend at least US$54 per person in order to provide basic health services.5 Sierra Leone only spends $7.6 per person, far below the recommendation. In comparison, Ghana spends 4 times more.6 Our health is worth more than LE 43,000 per person! We estimate that increasing Government health expenditure per capita by $1 a year could save 1000 more children under-5 and 100 more mothers in Sierra Leone.7
1.2%
In 2012 Sierra Leone had the fastest growing economy in sub-Saharan Africa. However the proposed expenditure on health as a proportion of GDP remains unacceptably low at 1.2% in 2013.
IF OUR ECONOMIC GROWTH IS TO BE SUSTAINABLE THEN WE MUST INVEST IN THE HEALTH OF OUR PEOPLE. Sources
$1
MORE PER
1000 MORE CHILDREN UNDER 5
100 MORE MOTHERS IN SALONE
All except ‘Proportion of Health Budget Disbursed’ cited from: Budget Tracking Report 2013 1. UNAIDS 2013 2. WHO 2012 3. UNICEF 2012 4. MoFED: Release of FY 2013 first half ( Jan- Jun) allocations 5. Morena-Serra 2011 6. Africa public health 2012 7. Estimates; Source: Bokhari et al. 2007, WHO 2012, UNICEF 2013
SIERRA LEONE HEALTH BUDGET TRACKING SCORECARD 2013
FEWER MOTHERS AND BABIES WILL SURVIVE IF OUR GOVERNMENT DOES NOT INVEST MORE IN THE NATIONS HEALTH We call on the government to increase the budget for health and make sure that funds are disbursed on time
DISTRICT COUNCILS NEED TO SPEND MORE ON HEALTH Health Expenditure Per Person, January - June 2013
7000
IN LEONES, ROUNDED TO THE NEAREST HUNDRED LEONES
6000 5000 4000 3000 2000 1000 BONTHE
RANK 2013 PER CAPITA EXPENDITURE
WESTERN KOINADUGU KAILAHUN
KENEMA
PUJEHUN
MOYAMBA
KAMBIA
BOMBALI
BO
2
3
4
5
6
7
8
9
10
11
12
13
6100
4700
4300
3500
2400
2200
1800
1600
1400
1300
1200
1000
700
Disbursement from Ministry of Finance to Local councils, by end of June 2013
10000
Although 46% of the money transferred to each council had been sent by the middle of the year, no council had received funding during the first quarter.
IN MILLION LEONES, ROUNDED TO THE NEAREST HUNDRED OF MILLION
8000
FUNDS FOR HEALTH NEED TO BE DISBURSED TIMELY.
6000 4000 2000
ALLOCATED DISBURSED
KONO
1
12000
0
TONKOLILI PORT LOKO
FREETOWN
BO
BOMBALI
KENEMA PORT LOKO WESTERN RURAL TONKOLILI KAILAHUN KOINADUGU KONO
111000 3400 3300 3100 2200 1800 5100
1600
1500
1400
1000
800
KAMBIA
PUJEHUN MOYAMBA BONTHE
1500
1500
1400
1300
1200
1100
1000
700
700
700
600
600
500
500
500
300
Sources: • Africa Public Health Alliance and Public Health Network (2012) 2012 Public health financing scorecard - Second quarter 2012: AU July 2012 summit , & joint conference of ministers of finance and health • Bokhari, F.,Y.Gai, and P. Gottret (2007) Government health expenditures and health outcomes. Health economics 16 • Budget tracking Consortium (2013) Sierra Leone Budget tracking Report 2013 • MoFED: Release of FY 2013 first half ( January- June) allocations • UNAIDS and AU (2013) Abuja+12: shaping the future of health in Africa • UNICEF (2012) Child mortality report 2012. • WHO, UNFPA, UNICEF and the World Bank (2012) Trends in maternal mortality: 1990 to 2010 • R. Moreno-Serra et al. (2011) The effects of health coverage on population outcomes
www.mamaye.org.sl
Freetown receives the highest amount for health, far before the other districts. Although Bonthe receives the most per person, due to the small population of the district, the council still receives the smallest amount for health compared to the other districts. Kono receives few money per person and overall.
