Health Pooled Fund Financial Status Brief Analysis

07.11.2014

Commitments and Available Funds from Donors

Expected Funding Current REMARKS

(at Business Case Commitment
stage)1 ( millions)
( millions)
UK 56.0 56 Commitment remains
Sweden 5.7 17.3 Paid in full
Australia 22.7 16.1 This is paid already. The remaining tranche of approx. AUD 9 million will not
be received as confirmed by Australia
Canada 12 11.3 Paid in full
EU 25.7 6.5 Paid partly ( 4.03 million of 8 million). Process for remaining payment
underway.
TOTAL 122.1 107.2 HPF Programme Budget has to be realigned at 107.2 million unless
there is further commitment from any of the donors

1 This was based on the discussions with the donors then (2012) and before signing the DCAs
HPF Programme Budget (Realigned)

Committed Spent Revised REMARKS

Budget2 () Budget3 () Budget4 () (Rationale for the revised budget)
1. Bridging contracts 11,529,596 9,521,119 9,521,119 As These contracts are closed now, so no more spend expected.
2. County contracts Lot I 31,032,527 5,673,533 31,032,527 Commitment remains same despite a low burn-rate overall.
(20 contracts with 12 NGOs done in Additional expenses due to crisis (e.g. drugs/ charter
June13) flights/additional HR) likely to be offset by the early underspend
and expected to be managed within the overall ceiling for all 39
contracts (under both Lot I and II). The underspend will be
analysed in December/January and funds unlikely to be spent fully
by Dec2015 will be reprogrammed to cover additional areas (e.g.
counties spending more than planned, State hospitals, etc.).
3. County contracts Lot II 25,976,940 3,231,474 25,976,940 Same as above.
(19 contracts with 11 NGOs done in Oct14)
4. Management Fees/ Expenses Inception 1,903,705 1,689,956 1,698,656
Phase
5. Management Fees/Expenses 10,363,527 3,156,493 11,097,317
Implementation Phase
Sub-total of management fees/expenses 12,267,232 4,846,449 12,795,973 Revised budget (for management fees/expenses) agreed with
Crown Agents in October; contract amendment pending. The
increase is to accommodate additional costs incurred due to
increased insecurity (staff evacuations, security advice, equipment,
etc), staff increase (e.g. M&E, Finance, increased level of PFM
efforts, etc.), etc.
6. County Hospitals 10,296,581 0 11,500,000 Committed budget for the 8 county hospitals 10,296,581 (for
which contracts have been issued) + additional 1.2 million
(approx.) provisioned for one PHCC in NBeG which is being
assessed currently.
7. Support to Faith Based Hospitals 2,844,834 0 2,844,834 Contracts already issued.
8. Support to SMoH support 1,280,000 0 1,280,000 Done through contract amendment with one NGO in each of
the 6 states.

2 Committed in contract(s)
3 Until the end of Jun 2014 (Ref: HPF Annual Financial Report July2013-June2014)
4 This is revised considering funds committed and available as well as spent so far and possible future commitments
 Sub-Total I 95,227,710 23,272,575 94,951,393 This is the total for activities already contracted.

9. Support for Family Planning
10. Support to State Hospitals
11. Strategic Health Systems Support /
Technical Assistance5
11. M&E and cross-cutting areas6
TOTAL
0 0 1,990,000 Figure taken from HPF Monthly (Ocotber 2014) report.
Negotiations underway with the second preferred bidder now, and
contracts to be signed soon.
0 0 6,300,000 RFP has been issued for four hospitals. Contracts expected to be
in place by the end of 2014.
0 0 8,000,000 Estimated. HPF team will provide us a plan and estimated budget
breakdown for this. Major HSS activities had been put on hold or
slowed down in the interim (between January and August 2014).
However, these are being scaled-up after Aug.
0 0 1,500,000 This will be directly spent by DFID. E.g. on consultancies for
Annual Review/ Mid-term review, Third-party monitoring, specific
analyses/studies/help-desk reports, etc.
95,227,710 23,272,575 112,741,393 This is less than the existing funds available from the
donors (107.2 million). The plan is to cover this deficit
through additional funding from the donors and by re-
programming under-spent funds from long term county
contracts to more recent contracts (e.g. State
hospitals).

Areas to be covered with Potential Additional Funding within the current phase of HPF
- Support to State Hospitals (in an increased scale)
- Support for Nutrition (integrating it into the PHC delivery platform)
- Support to pre-service training

5 This component will be important in ensuring effective delivery of programme objectives and results and a transition towards sustainable health systems. This
component/budget can cover strategic technical assistance and inputs provided to the MoH (at different levels) for improving/ strengthening HRIS, PFM, Procurement and
Supply Chain Management, Quality of Care, Community Empowerment, Health Extension, Training systems and production of key health cadres, specific service delivery
component (e.g. scale-up of community level prevention of post-partum haemorrhage), etc.
6 This will be separately accounted for by DFID in January 2015.