Fiduciary Systems Assessment : Ethiopia Health MDG Support - Program for Results
This health millennium development goals (MDGs) program for results (PforR) operation contributes to Ethiopia's fourth health sector development program (HSDP-IV) objectives by disbursing against achievement of a subset of its key results. MDG...
| Main Author: | |
|---|---|
| Format: | Integrated Fiduciary Assessment |
| Language: | English en_US |
| Published: |
Washington, DC
2014
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2012/10/19794521/fiduciary-systems-assessment-ethiopia-health-mdg-support-program-results http://hdl.handle.net/10986/20173 |
| Summary: | This health millennium development
goals (MDGs) program for results (PforR) operation
contributes to Ethiopia's fourth health sector
development program (HSDP-IV) objectives by disbursing
against achievement of a subset of its key results. MDG
performance fund (PF) supports a sub set of key priorities
for HSDP-IV. The three areas that the MDG PF supports are:
(i) maternal health, (ii) child health, and (iii)
strengthening health systems. The presented P4R operation
will provide 100 million dollars International Development
Association (IDA) funding for the MDG PF provided agreed
results have been achieved and have been verified. The IDA
credit will be complemented by a United States (U.S.) 20
million dollars grant under the health results innovation
trust fund (HRITF). The assessment examined program
expenditure framework to determine whether it is
comprehensive, clearly defined, and determination whether it
is part of the borrower's budget and financial
management processes. It also focused on key elements of
program procurement arrangements. The key risks identified
by the integrated fiduciary systems assessment arise from
the performance of the pharmaceutical fund and supply agency
(PFSA), which is critical for PforR operation, and
responsible for procuring and distributing most of the
health products required for producing the results. The
assessment concludes that the examined program financial
management and procurement systems are adequate to provide
reasonable assurance that the financing proceeds will be
used for intended purposes, with due attention to principles
of economy, efficiency, effectiveness, transparency, and
accountability and for safeguarding program assets. |
|---|