TAILIEUCHUNG - Guidelines for RMNCH-GET: A Reproductive, Maternal, Newborn, and Child Health Government Expenditure (and budget) Tracking tool

The referral system is not functional, and patients often ignore secondary or tertiary care due to the high costs involved. Stock- outs of drugs and supplies and inadequate HRH availability impact service delivery. Lack of financial and human resources adversely impacts regulation and quality control. Many services, including those related to HIV and tuberculosis (TB), are not well integrated into the general health delivery system and continue to be provided vertically. Evidence-based medicine is not consistently followed and facility- based quality improvement initiatives, while they exist, have not been institutionalized uniformly. The system also does not invest sufficiently in prevention and. | Guidelines for RMNCH-GET A Reproductive Maternal Newborn and Child Health Government Expenditure and budget Tracking tool A Methodology and Data Collection Tool to support tracking of Government expenditure on Reproductive Maternal Newborn and Child Health as part of an annual routine survey Working Document 01 November 2011 World Health Organization 1 Purpose This document is intended to provide an overview of the methodology proposed developed and tested by WHO for tracking government expenditure on reproductive maternal newborn and child health RMNCH . The intended audience is users of the expenditure reporting tool at country level as well as readers who wish to acquire a better understanding of methods that can be used to estimate government expenditure going towards RMNCH. This may include Ministry of Health government staff national health accountants expenditure tracking experts and consultants supporting the implementation of routine expenditure tracking as well as staff at international organizations supporting the development and application of monitoring mechanisms for RMNCH programmes. Abbreviations used in this document ARV - Anti Retroviral drugs CH - Child Health CoIA - Commission on Information and Accountability for Women s and Children s Health GAVI - The Global Alliance for Vaccines and Immunization GDP - Gross Domestic Product GGHE - General Government Health Expenditures HMIS - Health Management Information System ICD - International Classification of Diseases IMCI - Integrated Management of Childhood Illness IPD - Inpatient days ITN - Insecticide Treated Net JRF - Joint Reporting Form for Immunization MNH - Maternal and Neonatal Health MNCH - Maternal Neonatal and Child Health MNCAH - Maternal Newborn Child and Adolescent Health MOH - Ministry of Health NHA - National Health Accounts NASA - National AIDS Spending Assessment NIDI - Netherlands Interdisciplinary Demographic Institute OPV - Outpatient visits PG - WHO National Health Accounts .

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