Health sector operational planning and budgeting processes in Kenya-"never the twain shall meet"

The International Journal of Health Planning and Management
Benjamin TsofaCatherine Goodman

Abstract

Operational planning is considered an important tool for translating government policies and strategic objectives into day-to-day management activities. However, developing countries suffer from persistent misalignment between policy, planning and budgeting. The Medium Term Expenditure Framework (MTEF) was introduced to address this misalignment. Kenya adopted the MTEF in the early 2000s, and in 2005, the Ministry of Health adopted the Annual Operational Plan process to adapt the MTEF to the health sector. This study assessed the degree to which the health sector Annual Operational Plan process in Kenya has achieved alignment between planning and budgeting at the national level, using document reviews, participant observation and key informant interviews. We found that the Kenyan health sector was far from achieving planning and budgeting alignment. Several factors contributed to this problem including weak Ministry of Health stewardship and institutionalized separation between planning and budgeting processes; a rapidly changing planning and budgeting environment; lack of reliable data to inform target setting and poor participation by key stakeholders in the process including a top-down approach to target setting. We conclude...Continue Reading

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Citations

Aug 4, 2018·The International Journal of Health Planning and Management·Juliet Nabyonga-OremDelanyo Dovlo
Sep 14, 2018·The International Journal of Health Planning and Management·Paulo FerrinhoAntónio Pedro Delgado
Mar 12, 2018·International Journal of Health Policy and Management·Kenneth MungeJane Chuma
Nov 5, 2019·BMJ Global Health·Prosper TumusiimeJuliet Nabyonga-Orem
Jul 1, 2016·Global Health Action·Elesban KihubaUlla K Griffiths
Apr 17, 2018·The International Journal of Health Planning and Management·Dennis WaithakaEdwine Barasa
Jan 20, 2019·BMC Health Services Research·Kenneth MungeJane Chuma
May 7, 2021·The International Journal of Health Planning and Management·Benjamin TsofaJane Chuma
Oct 15, 2021·BMC Health Services Research·Angela KairuEdwine Barasa

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Software Mentioned

AOP
MTEF

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