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Both Ghana and Bangladesh have implemented health budget accountability mechanisms. Their experiences offer practical lessons that other countries can adapt to their own budget execution needs.
In response to an emergency request from the Government of Laos, the Local Health System Sustainability Project (LHSS) is on the ground in Laos working with the Ministry of Health (MOH) to combat the spread of COVID-19.
What do Lao PDR, Malaysia, and Kenya have in common? All three countries have strengthened their budget structures and processes to enable good health budget execution. Their experiences hold valuable lessons for others striving to increase budget execution and unlock significant resources for health.
Late last year, health sector practitioners from eight countries met to tackle the issue head-on as participants in the Joint Learning Network Health Budget Execution Learning Exchange. They made meaningful progress.
Poor budget execution results in inefficiencies that undermine the ability of health agencies to improve access to needed health services and improve population health. Yet billions of dollars in unexecuted health budgets are returned to treasuries every year.
At the request of the Laos Ministry of Health, LHSS helped mobilize volunteer medical students to support a national hotline for COVID-19. At the peak of the Pai Mai holiday, the hotline fielded 5,000 calls a day.
The proliferation of mobile telephones and advances in digital financial technology have created opportunities for faster progress towards achieving Universal Health Coverage.