Transcript Improving Social Service Delivery To attain MDGs

Improving Social Services Delivery
To Achieve MDGs
Dr.Shereen Narejo
Program Officer-Health
SDSSP, Finance Department
August 22, 2005
Introduction
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State of Social services in Pakistan
(Sindh).
Government Initiative.
Sindh Devolved Social services Program
(SDSSP).
Way Forward.
Crises in Social Services
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The Social services outcome are worse
than countries of comparable income
level.
Uneven and inequitable distribution of
Health and Education.
Poor quality and accessing them is
costly.
Decreased Demand of Public services.
Cause and Effect: Reasons
for poor quality
Cause:
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Weak management and supervision
Insufficient Budget.
Weak Public demand.
Effect:
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Underused Facilities, Absenteeism, Run down
facilities etc.
Result : Poor Quality services
Agenda for Change (Devolution)
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Response to declining level of Public Service
Delivery over the years.
Giving Powers at Grass root levels to plan and
execute.
SLGO 2001 provides devolution of Health,
Education, Water & Sanitation Sector beside
other 09 function.
Involvement of people in decision making.
How to Improve Social
Services (Road Map)
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Realigning Provincial Policies to LGs to
achieve Results.
Building Sector Approach for using all
available resources to achieve results.
Improved Budget Processes.
Using Conditional Grants to Improve
performance.
Integration of Vertical Programs.
Stimulating Demand of Public Services.
SDSSP Initiative
ADB funded Program for improving
Social Services Delivery in Education,
Health and water and sanitation
sector to achieve desired results
as reflected in PRSP and MDGs.
Program is spread over three years
started in year 2004-05.
Objectives
(i)
(ii)
(ii)
Strengthen sector and program
management and monitoring
Develop Local Governments’ and CBO
governance capacity in social services
Support sector work on specific policy
reforms to improve sector
performance
Scope of the program
To create fiscal space with US$ 110 Million by
retiring most expensive loans.(Rs.1 bn over
three years).
 To improve Social Service delivery by
providing US $ 100 Million as budgetary support
to districts and TMAs in Health, Education,
Water & Sanitation sectors through PFC.
 Institutional development of the DGs and
PLDs with the Technical Assistance
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SDSSP Approach
To access SDSSP funds District Governments
are required to prepare Annual Sector Plan.
Ensure incremental budget raise in health
education and water sanitation.
 Encouraging Participatory approach in sectoral
planning.
 Involvement of CBOs and Civil Society in
`sector development.
 Performance based incentives.
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Annual Sector Plan
Main Features:
a. Current sector analysis
b. Total revenues & expenditures
c. All other initiatives being taken in
the sector
d. Total requirement for sector
improvement
e. Priorities for improving the devolved
service
SDSSP Financial Assistance
S.No.
NAME OF DISTRICT
HEALTH
EDUCATION
TOTAL
1
2
3
4
5
1
HYDERABAD
43.600
60.847
104.447
2
BADIN
40.000
22.021
62.021
3
THATTA
35.334
58.200
93.534
4
DADU
21.716
32.574
54.290
5
SUKKUR
23.916
30.000
53.916
6
KHAIRPUR
52.368
33.538
85.906
7
GHOTKI
30.000
30.000
60.000
8
NAWABSHAH
17.600
35.023
52.623
9
MIRPURKHAS
29.300
20.041
49.341
10
LARKANA
18.000
27.361
45.361
11
THARPARKAR
21.823
30.000
51.823
12
SANGHAR
45.00
30.00
75.00
13
SHIKARPUR
17.20
35.07
52.27
14
JACOBABAD
28.19
42.29
70.47
15
NAUSHEROFEROZE
24.82
37.24
62.06
16
KARACHI
0.00
TOTAL
448.870
524.202
973.062
46%
54%
973.072
SDSSP Contribution to Health
Sector (To Reduce MMR)
Strengthening of Basic Health Services
specially MCH services at all levels of
District.
 Providing equipments and Ambulances
at DHQ and THQ.
 Recruitment of staff specially female
medical and para medical staff.
 Introduction of safe motherhood
program at Thatta.
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SDSSP Contribution to Health
Sector (To Reduce IMR)
Strengthening immunization services
through Vaccines, Cold chain etc.
 Providing motor cycles and quinchi
Richshaw for use of LHWs in Rural areas.
 Recruitment of staff specially female
vaccinators, LHVs.
Financing in Awareness campaign.
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Achievements
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DGs prepared Annual sector Plan.
Sufficient budget was made available to
districts.
Successful in developing Synergetic
Approach.
40% amount has been utilized by within 06
months.
Public Private Partner Ship encouraged.
Challenges
Non availability of comprehensive data
base.
Lack of Technical Capacity at every level
of Planning in DGs.
Integration of Vertical Programs.
Governance.
Commitment
Continuity
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Way Forward
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Building Capacity through TA funds
worth($7.3m).
Improving Sectoral Planning Process.
Community Participation through initiative of
Public Private Partnership, funding through
CBOs
Placing M&E framework, Participatory
Planning.
Encouraging dialogue with all stakeholders
specially donors.
Thanks