Analysis of Health Budget Allocation in Tanzania 2016/17
This analysis examines the trends and distribution patterns of the final budget allocations for health in Tanzania for the fiscal year 2016/17. It builds upon prior analyses to advocate for efficient and effective budget allocations for health, providing valuable insights for decision-makers. The data shows slight increases in the total allocation to health over the years, with a focus on the domestic share of the government's health budget increasing from 2010 to 2017. The disaggregation of budget votes reveals how funds are allocated for different health services such as curative, pharmaceutical, preventive, and other services.
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Tanzania Budget 2016/17: Analysis of the Health Allocation HP+ Tanzania October 2016
Analysis Objectives HP+ examined trends in the final FY 2016/17 budget allocations for health and patterns of distribution Builds on prior analysis completed under HPP for FY 2015/16 Findings can be used to advocate for efficient and effective budget allocations for health and shared with decision makers
Percentage of Tanzanias National Budget Allocation to Health 2007- 2017 14 12.3 11.6 11.3 11.3 11.1 12 10.4 10.3 10.2 10.0 9.5 % health in total govt. budget 10 10.5 10.3 10.0 9.7 9.4 9.4 9.3 8.9 8 8.1 7.0 6 4 2 0 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 % health Tanzania (in-country sources, excl. CFS) % health Tanzania (in-country sources, incl. CFS) Source: MOFP Budget Books (include estimate of Government contribution to the NHIF) CFS: Consolidate Fund Services for mandatory debt repayments, GOT contribution to pension funds, and other expenditures
Domestic share of GOT Health Budget Increasing 2010-2017 100% 90% 80% 70% 62% 62% 63% 68% 72% 75% 60% 81% 50% 40% 30% 20% 38% 38% 37% 32% 28% 25% 10% 19% 0% 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 Foreign share on-budget Domestic share Source: MOFP Budget Volumes
Slight Increase in Total Allocation to Health 1,800 2,055 1,818 1,600 76 232 Nominal TZS Billions 19 1,400 191 185 1,200 200 209 1,000 85 99 92 800 600 805 796 400 200 0 FY 2015/16 FY 2016/17 MOHCDGEC PORALG (rec.+ dev.) Regions (dev.) including all basket fund LGAs: recurrent TACAIDS Regions (rec.) NHIF (est.) LGAs: dev. All values are net of CDGEC (Vote 53). Health basket fund values for regions and below have been accounted for.
Disaggregation of MOHCDGEC Budget Votes (Health only) 900 804.9 796.1 800 Nominal TZS Billions 198.4 700 374.6 600 500 320.1 67.9 400 300 200 362.4 277.6 100 0 FY 2015/16 FY 2016/17 Recurrent Dev: local Dev: foreign All values are net of CDGEC (Vote 53).
Disaggregation: MOHCDGECs Development Vote (domestic) 350 300 Nominal TZS Billions 250 200 New 251.5 150 100 50 61.6 49.6 0 FY 2015/16 FY 2016/17 Curative services Pharmaceutical services Preventive services Other All values are net of CDGEC (Vote 53).
New allocation to health supplies, infrastructure, & commodities Medical supplies and services for MSD inluding beds 2% FY 2016/17 TZS 251.5 billion Specialized Institutes 9% MSD DEBT 34% Vaccines (domestic) 2% Health Facilities 24% Public Facilities and Designated Hospitals 1% Clearing and Forwarding of Medical supplies and Services 14% Dental Supplies 1% Lab Supplies 2% FP, ARVs, MNCH 7% Blood Safety 4% Breakdown provided by the Chief Pharmacist at MOHCDGEC
Insufficient Disbursements made to MSD FY 2016/17 TZS 85.12 billion to clear outstanding amount at MSD and TZS 35 billion allocated for ongoing PSM needs at PSM Only TZS 20 billion has been disbursed this FY to repay MSD arrears. MSD is negotiating with the Treasury on a fixed payment schedule Sikika reported there is currently a critical shortage of health commodities and that 47% of items in the MSD medicines catalogue were out of stock
Summary of trends in TZ Health Budgets 2016/17 MOHCDGEC budget relatively flat, with internal changes Overall recurrent budget decreased by 33% for MOHCDGEC, PO-RALG, TACAIDS and Regions (local + foreign) Could be result of President Magufuli s austerity measures Similar scope of development budget increased by 39% Overall domestic development budget increased by 189% Increase in domestic allocation to MOHCDGEC development vote by 372% Fall in foreign allocation on MOHCDGEC dev. vote by 47% Mostly explained by nearly 200 billion planned phase down in GFATM funding
