Fiduciary Systems Assessment : Ethiopia Health MDG Support - Program for Results
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Washington, DC
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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.
Palabras clave
ACCOUNTABILITY, ACCOUNTING, ACCOUNTING SYSTEMS, ACCOUNTS PAYABLE, ACCOUNTS RECEIVABLE, ACTION PLAN, ADVERTISEMENT, ADVERTISEMENTS, ADVERTISING, ANTI- CORRUPTION, ANTI-CORRUPTION, APPROVAL SYSTEM, ASSETS, AUDITOR, AUDITORS, AUDITS, BENEFICIARIES, BENEFICIARY, BIDDING, BORROWER, BUDGETARY ALLOCATIONS, BUDGETING, CAPACITY BUILDING, CAPITAL EXPENDITURE, CAPITAL EXPENDITURES, CASH FLOW, CASH MANAGEMENT, CHAMBER OF COMMERCE, CIVIL SERVANTS, CLINICS, COLLUSION, COMMODITIES, COMMODITY, COMPETITIVE BID, COMPETITIVE BIDDING, COMPETITIVE BIDS, COMPETITIVENESS, COMPLAINT, COMPLAINTS, CONSTRUCTION INDUSTRY, CONTRACEPTIVES, CONTRACT AWARD, CONTRACT MANAGEMENT, CONTRACT MONITORING, CORPORATE GOVERNANCE, CORRUPT, CORRUPT PRACTICE, CORRUPTION, CORRUPTION OFFENCES, CORRUPTION PERCEPTION, CREDITOR, CRIMINAL, DATA LIMITATION, DEBT, DEBT MANAGEMENT, DECENTRALIZATION, DECISION MAKING, DECISION MAKING PROCESS, DELIVERY SYSTEM, DEVELOPMENT GOALS, DISBURSEMENT, DISBURSEMENTS, DISCLOSURE, DISTRIBUTION NETWORK, DOMAIN, DRUGS, ECONOMIC DEVELOPMENT, ELECTRICITY, EMBEZZLEMENT, EQUIPMENT, ESSENTIAL DRUGS, ETHICS, EXTERNAL AUDITS, FEDERAL GOVERNMENT, FINANCIAL MANAGEMENT, FINANCIAL MANAGEMENT SYSTEM, FINANCIAL MANAGEMENT SYSTEMS, FINANCIAL PERFORMANCE, FINANCIAL REPORTING, FINANCIAL STATEMENT, FINANCIAL STATEMENTS, FIXED ASSET, FOREIGN CURRENCY, FOREIGN EXCHANGE, FRAUD, FUNCTIONALITY, FUND MANAGEMENT, GOVERNANCE STRUCTURE, GOVERNANCE STRUCTURES, HEALTH CARE, HEALTH POLICY, HEALTH SERVICES, HOSPITALS, HUMAN RESOURCES, IMMUNIZATION, IMPLEMENTING AGENCIES, IMPLEMENTING AGENCY, INFORMATION FLOW, INFORMATION SYSTEM, INNOVATION, INSPECTION, INSTITUTION, INSTITUTIONAL ARRANGEMENTS, INSTITUTIONAL FRAMEWORK, INSURANCE, INTEGRITY, INTERNAL AUDIT, INTERNAL AUDITS, INTERNATIONAL STANDARDS, INVENTORIES, INVENTORY, INVENTORY CONTROL, INVENTORY LEVELS, INVENTORY MANAGEMENT, INVESTIGATION, LABORATORIES, LAWS, LEGAL ADVICE, LEGAL FRAMEWORK, LEGAL REQUIREMENTS, LIQUIDATION, LOCAL MANUFACTURERS, LOGISTICS SYSTEMS, MANAGEMENT SYSTEM, MANDATE, MEDIA, MEDICAL SUPPLIES, MEDICINE, MEDICINES, MEDIUM ENTERPRISES, MINISTER, MINISTERS, MISAPPROPRIATION, MONOPOLIES, NEGOTIATION, NEGOTIATIONS, NETWORKS, NUTRITION, OPERATIONAL FUNCTIONS, PATIENTS, PERFORMANCE INDICATORS, PHARMACEUTICAL, PHARMACEUTICAL PRODUCTS, PHARMACEUTICALS, PHARMACISTS, POLICY FORMULATION, PRIMARY HEALTH CARE, PRIVATE SECTOR, PROCUREMENT, PROCUREMENT LAW, PROCUREMENT PLAN, PROCUREMENT PLANS, PROCUREMENT POLICY, PROCUREMENT PROCESS, PROCUREMENT PROCESSES, PROCUREMENTS, PROJECT MANAGEMENT, PROSECUTION, PROTOCOL, PROTOCOLS, PUBLIC HEALTH, PURCHASING, QUALITY CONTROL, RATIONAL DRUG USE, RECORD KEEPING, RELIABILITY, RESULT, RESULTS, SERVICE DELIVERY, SETTLEMENTS, SITES, SOFTWARE SOLUTION, STATEMENTS OF EXPENDITURE, SUPERVISION, SUPPLY CHAIN, SUPPLY CHAIN MANAGEMENT, TARGETS, TAX IDENTIFICATION NUMBERS, TAX REVENUE, TECHNICAL ASSISTANCE, TECHNICAL SUPPORT, TELECOMMUNICATIONS, TRACKING SYSTEM, TRANSACTION, TRANSFER OF GOODS, TRANSISTORS, TRANSPARENCY, TRUST FUND, USES, VACCINES, VERIFICATION, WASTE, WORKERS, ZERO TOLERANCE