CTAP II – Country Specific Health Sector Accountability Report

The current findings suggest that significant progress has been made in the health sector governance space. The multi-stakeholder approach in every tier of the health administration and policy formulation has boosted the sector. This was largely evident in the aspect of the devolution of responsibilities and the inclusion of local government authorities in the administration of primary healthcare at district and ward levels.

The findings also identified that the additional budgetary support from the central government to the health sector, coupled with the inadequate Parliamentary Oversight on Health, raised the funding challenges and aided requisite policy formulation and development towards the sector.

Additionally, the involvement of the HRMO in the promotions, recruitments, and transfers of healthcare workers largely reduced the unfair advantage in the sector and enhanced the overbearing human resource challenges and the undue delay in the approval of volunteer nurses. But this still remains a challenge.

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