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Health Sector Planning at the County Level in Kenya What has Worked, Challenges and Recommendations

机译:肯尼亚县级卫生部门规划曾有关,挑战和建议

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Since the establishment of County Governments in 2012, County health departments have led in priority setting, Planning and Resource Allocation (PSRA) in line with the functions prescribed under the fourth schedule of the constitution. While devolution has expanded decision spaces concerning PSRA, it has introduced new sets of actors including the county assembly and the county executive. It has also introduced new requirements such as preparation of the County Integrated Development Plans, program-based budgets, and sector working group reports among others. This new environment complicates the PSRA process whose ultimate goal is to contribute towards a more efficient, responsive and accountable health department. The PSRA processes are anchored in the The Public Finance Management Act, 2012 (PFM Act 2012) which prescribes a continuum of critical activities and requirements to facilitate priority setting, resource allocation, budget alignment with existing resource envelops, legislation and budget execution. Health remains the most devolved of all social sectors thus its success speaks to the success of devolution.
机译:自2012年县政府建立以来,县卫生部门在宪法第四个计划中规定的职能,县卫生部门导致优先设定,规划和资源分配(PSRA)。虽然Devolution已经扩大了关于PSRA的决策区,但它引入了新的演员,包括县大会和县长。它还引入了新的要求,例如县综合发展计划,计划的预算和部门工作组报告等新要求。这种新环境使PSRA进程复杂化,其最终目标是为更有效,响应和负责任的卫生部门做出贡献。 PSRA进程在2012年公共财务管理法中锚定,该法案(2012年)规定了促进了优先设定,资源分配,与现有资源包围,立法和预算执行的预算对齐的连续性的连续性。所有社会部门的健康仍然是最偏离的,因此它的成功与Devolution的成功说话。

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