The Basics of Monitoring, Evaluation and Supervision of Health Services in NepalDeepak Karki
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
The Basics of Monitoring, Evaluation and Supervision of Health Services in NepalDeepak Karki
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
This National Strategic Roadmap on Health workforce Provides comprehensive guidance to the federal, provincial and local levels on Health, Health education. HRH strategy envisions to ensure equitable distribution and availability of quality health workforce as per the country health service system to ensure universal health coverage. This strategy provides guidance to the government at all levels in the federal context to fulfill the constitutional right for the access to health services by each citizen through effective management of the health workforce.
This presentation is prepared as part of the Course assignment of " EPI 525: "Public Health Service Management" for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials for Local Level Health Planning
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
This National Strategic Roadmap on Health workforce Provides comprehensive guidance to the federal, provincial and local levels on Health, Health education. HRH strategy envisions to ensure equitable distribution and availability of quality health workforce as per the country health service system to ensure universal health coverage. This strategy provides guidance to the government at all levels in the federal context to fulfill the constitutional right for the access to health services by each citizen through effective management of the health workforce.
This presentation is prepared as part of the Course assignment of " EPI 525: "Public Health Service Management" for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials for Local Level Health Planning
This presentation was made by Lourenço Pinto, Timor-Leste, at the 14th OECD-Asian Senior Budget Officials Meeting held in Bangkok, Thailand, on 13-14 December 2018
Title: The Budget Process: An Overview and Analysis
Description:
The budget process is a structured and comprehensive approach to managing financial resources within an organization. This report provides a detailed description and analysis of the budget process, exploring its various stages and key considerations.
The report begins by introducing the concept of the budget process as a fundamental aspect of financial management. It emphasizes the significance of systematic planning, preparation, implementation, and evaluation in achieving organizational goals effectively.
The first stage discussed is budget planning, where financial goals are established, priorities are set, and alignment with strategic objectives is ensured. The report highlights the importance of assessing past performance, forecasting revenue and expenditure, and conducting cost-benefit analyses during this stage. It also emphasizes the need for stakeholder engagement and consultations to ensure the budget reflects diverse perspectives and requirements.
Moving on to the budget preparation stage, the report explains the detailed planning and allocation of resources. It explores the formulation of revenue estimates, identification of expenditure requirements, and the allocation of funds to different departments or programs. The report emphasizes the significance of maintaining consistency, fairness, and transparency through the establishment of budgetary guidelines and frameworks. Collaboration between finance departments and operational units is also stressed as a crucial factor in producing realistic budget estimates.
The report then delves into the budget approval stage, describing the review and approval process. It highlights the different bodies involved in this stage, such as legislative assemblies or executive boards in the public sector, and senior management or board of directors in private companies. The report underlines the evaluation criteria for budget approval, including alignment with strategic objectives, feasibility, and fiscal responsibility.
Finally, the report explores the budget implementation stage, where the approved budget is executed. It emphasizes the allocation of funds to various departments and programs, ensuring adherence to the approved budgetary allocations. The report highlights the importance of effective monitoring and control mechanisms during implementation to track progress, identify deviations, and make necessary adjustments.
Overall, this report provides a comprehensive description of the budget process, elucidating its stages, considerations, and the significance of collaboration and evaluation at each step. It serves as a valuable resource for understanding the intricacies of budget management and its role in achieving organizational objectives.
Budget is the heart of administrative management. It served as a powerful tool of co-ordination and negatively an effective device of eliminating duplicating and wastage. Budgeting, though primarily recognized as a device for controlling, becomes a major part of the planning process in any organization
Evolution of budgeting system in malaysia (10 page)Mohd Hasim Ujang
A group assignment for the subject 'Budget Administration', Master of Public Policy, University Malaya. This subject was taught by Tan Sri Sulaiman Mahbob, former Director-General of Economic Planning Unit, Prime Minister's Department and current Chairman of Felda Global Ventures (FGV).
Even tho Pi network is not listed on any exchange yet.
Buying/Selling or investing in pi network coins is highly possible through the help of vendors. You can buy from vendors[ buy directly from the pi network miners and resell it]. I will leave the telegram contact of my personal vendor.
@Pi_vendor_247
how to sell pi coins effectively (from 50 - 100k pi)DOT TECH
Anywhere in the world, including Africa, America, and Europe, you can sell Pi Network Coins online and receive cash through online payment options.
Pi has not yet been launched on any exchange because we are currently using the confined Mainnet. The planned launch date for Pi is June 28, 2026.
Reselling to investors who want to hold until the mainnet launch in 2026 is currently the sole way to sell.
Consequently, right now. All you need to do is select the right pi network provider.
Who is a pi merchant?
An individual who buys coins from miners on the pi network and resells them to investors hoping to hang onto them until the mainnet is launched is known as a pi merchant.
debuts.
I'll provide you the Telegram username
@Pi_vendor_247
The secret way to sell pi coins effortlessly.DOT TECH
Well as we all know pi isn't launched yet. But you can still sell your pi coins effortlessly because some whales in China are interested in holding massive pi coins. And they are willing to pay good money for it. If you are interested in selling I will leave a contact for you. Just telegram this number below. I sold about 3000 pi coins to him and he paid me immediately.
Telegram: @Pi_vendor_247
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What price will pi network be listed on exchangesDOT TECH
The rate at which pi will be listed is practically unknown. But due to speculations surrounding it the predicted rate is tends to be from 30$ — 50$.
So if you are interested in selling your pi network coins at a high rate tho. Or you can't wait till the mainnet launch in 2026. You can easily trade your pi coins with a merchant.
A merchant is someone who buys pi coins from miners and resell them to Investors looking forward to hold massive quantities till mainnet launch.
I will leave the telegram contact of my personal pi vendor to trade with.
@Pi_vendor_247
Currently pi network is not tradable on binance or any other exchange because we are still in the enclosed mainnet.
Right now the only way to sell pi coins is by trading with a verified merchant.
What is a pi merchant?
A pi merchant is someone verified by pi network team and allowed to barter pi coins for goods and services.
Since pi network is not doing any pre-sale The only way exchanges like binance/huobi or crypto whales can get pi is by buying from miners. And a merchant stands in between the exchanges and the miners.
I will leave the telegram contact of my personal pi merchant. I and my friends has traded more than 6000pi coins successfully
Tele-gram
@Pi_vendor_247
how can i use my minded pi coins I need some funds.DOT TECH
If you are interested in selling your pi coins, i have a verified pi merchant, who buys pi coins and resell them to exchanges looking forward to hold till mainnet launch.
Because the core team has announced that pi network will not be doing any pre-sale. The only way exchanges like huobi, bitmart and hotbit can get pi is by buying from miners.
Now a merchant stands in between these exchanges and the miners. As a link to make transactions smooth. Because right now in the enclosed mainnet you can't sell pi coins your self. You need the help of a merchant,
i will leave the telegram contact of my personal pi merchant below. 👇 I and my friends has traded more than 3000pi coins with him successfully.
@Pi_vendor_247
how can I sell pi coins after successfully completing KYCDOT TECH
Pi coins is not launched yet in any exchange 💱 this means it's not swappable, the current pi displaying on coin market cap is the iou version of pi. And you can learn all about that on my previous post.
RIGHT NOW THE ONLY WAY you can sell pi coins is through verified pi merchants. A pi merchant is someone who buys pi coins and resell them to exchanges and crypto whales. Looking forward to hold massive quantities of pi coins before the mainnet launch.
This is because pi network is not doing any pre-sale or ico offerings, the only way to get my coins is from buying from miners. So a merchant facilitates the transactions between the miners and these exchanges holding pi.
I and my friends has sold more than 6000 pi coins successfully with this method. I will be happy to share the contact of my personal pi merchant. The one i trade with, if you have your own merchant you can trade with them. For those who are new.
Message: @Pi_vendor_247 on telegram.
I wouldn't advise you selling all percentage of the pi coins. Leave at least a before so its a win win during open mainnet. Have a nice day pioneers ♥️
#kyc #mainnet #picoins #pi #sellpi #piwallet
#pinetwork
when will pi network coin be available on crypto exchange.DOT TECH
There is no set date for when Pi coins will enter the market.
However, the developers are working hard to get them released as soon as possible.
Once they are available, users will be able to exchange other cryptocurrencies for Pi coins on designated exchanges.
But for now the only way to sell your pi coins is through verified pi vendor.
Here is the telegram contact of my personal pi vendor
@Pi_vendor_247
how can I sell my pi coins for cash in a pi APPDOT TECH
You can't sell your pi coins in the pi network app. because it is not listed yet on any exchange.
The only way you can sell is by trading your pi coins with an investor (a person looking forward to hold massive amounts of pi coins before mainnet launch) .
You don't need to meet the investor directly all the trades are done with a pi vendor/merchant (a person that buys the pi coins from miners and resell it to investors)
I Will leave The telegram contact of my personal pi vendor, if you are finding a legitimate one.
@Pi_vendor_247
#pi network
#pi coins
#money
how to sell pi coins on Bitmart crypto exchangeDOT TECH
Yes. Pi network coins can be exchanged but not on bitmart exchange. Because pi network is still in the enclosed mainnet. The only way pioneers are able to trade pi coins is by reselling the pi coins to pi verified merchants.
A verified merchant is someone who buys pi network coins and resell it to exchanges looking forward to hold till mainnet launch.
I will leave the telegram contact of my personal pi merchant to trade with.
@Pi_vendor_247
2. HISTORY of budgeting in Nepal
The first annual budget was presented in 1951.
The budget covered the period March 1951-
February 1952.
The budget amount was Rs. 5,25,29,000.
Finance minister Subarna Shamsher who was one of
the members of the council of ministers led by the
then Prime Minister Matrika Prasad Koirala.
11/22/2017 2
3. BUDGET PLANNING
Budget planning is the process by which a
company or individuals evaluate their earnings
and expenses and project their monetary intakes
and outtakes for the future.
Goal is to lay out all necessary components and
brainstorm future goals.
Budget planning may be completed in one
meeting or it may take weeks of evaluating
available data to finalize.11/22/2017 3
4. Budgeting
It is the process of creating a plan to spend money.
This spending plan is called a budget.
Budgeting is the process of designing, implementing
and operating budgets.
It is the managerial process of budget planning and
preparation, budgetary control and the related
procedures.
Budgeting is the highest level of accounting in terms
of future which indicates a definite course of action
and not merely reporting.
11/22/2017 4
5. 10 Principles of Budgeting
Manage budgets within clear, credible and predictable
limits for fiscal policy.
Closely align budgets with the medium-term strategic
priorities of government.
Design the capital budgeting framework in order to meet
national development needs in a cost-effective and
coherent manner.
Ensure that budget documents and data are open,
transparent and accessible.
11/22/2017 5
6. Provide for an inclusive, participative and realistic debate
on budgetary choices.
Present a comprehensive, accurate and reliable account of
the public finances.
Actively plan, manage and monitor budget execution.
Ensure that performance, evaluation and value for money
are integral to the budget process.
11/22/2017 6
7. Identify, assess and manage prudently longer-term
sustainability and other fiscal risks.
Promote the integrity and quality of budgetary forecasts,
fiscal plans and budgetary implementation through
rigorous quality assurance including independent audit.
11/22/2017 7
9. DEFINITION
Budgetary process is a systematic activity that
develop a plan for expenditure of a usually fixed
resource, such as money or time, during a given
period to achieve a desired result.
Budgetary process is sequential activity where
various steps are followed.
The budget process consists of activities that
encompass the development, implementation and
evaluation of a plan for the provision of services and
capital assets.
11/22/2017 9
10. A budget process
refers to the process by which governments create
and approve a budget, which are as follows:
The Financial Service Department prepares
worksheets to assist the department head in
preparation of department budget estimates .
The Administrator calls a meeting of managers and
they present and discuss plans for the following
year’s projected level of activity.
The managers can work with the Financial Services,
or work alone to prepare an estimate for the
departments coming year.
11/22/2017 10
11. The completed budgets are presented by the
managers to their Executive Officers for review and
approval.
Justification of the budget request may be required
in writing. In most cases, the manager talks with
their administrative officers about budget
requirements.
Adjustments to the budget submission may be
required as a result of this phase in the process.
11/22/2017 11
14. Cont...
According to FURST,1981
The goals and objectives must be known.
There must be an organizational structure to support the
plan.
Each individual who will have responsibility for the
budget must be involved in its development if
commitment to the goals and budget is required.
11/22/2017 14
15. Cont...
The manager should have the knowledge about
budget process. They need to have the orientation
regarding format or process utilized in the specific
institution.
Data must be available to facilitate forecasting or
projecting activity.
The budget period must be clearly defined.
The accounting system must be clear.
11/22/2017 15
16. CONT...
Feedback must be available to departmental managers to
measure and guide their performance.
Assumptions related to budget must be known and utilized
throughout the process.
Prioritizing the goals of organization according to
importance and affordable within a specific period of time
before the capital or program budget is prepared.
Prepare statistical budget to develop the operating
budget, so that capital budget can be prepared.
11/22/2017 16
18. Top-down budgeting
Top-Down Budgeting is the term given to a budgeting
process based on estimating the cost of higher level
tasks first and using these estimates to constrain the
estimates for lower level tasks (Anon, 2010)
11/22/2017 18
19. Advantages
Takes less time
Promotes upper-level commitment
Can address the objectives of the organization
11/22/2017 19
20. Disadvantages
Might be inaccurate due to limited knowledge, which in
turn will result in insufficient budget for the department
and cause potential for under performance .
Lower morale of subordinates that they are not involved
11/22/2017 20
21. Bottom-up budgeting (Participated budgeting)
Bottom-up budgeting begins with identifying all the
constituent tasks that are involved in implementing a
project and working out the resources and funding
required by each.
11/22/2017 21
22. Advantages
Clear and detailed information
Get involved all employees
Higher level of morale and motivation
11/22/2017 22
23. STEPS IN BUDGETARY PROCESS
Budget
estimate
preparation
Screening
Budget
approval and
sanction
Budget
allocation
Budget receipt/
Implementation
Budget
monitoring
11/22/2017 23
24. 1. Preparation/Formulation/Estimate
Process of Budget
National planning commission is responsible to set
up the long term plans and programs of annual
development budget of the government.
Nepal Central Bank and Ministry of Finance
estimate the revenue and expenditure for next year.
Macroeconomic policy will be set up by organizing
joint meeting between MoF, NPC and Central Bank.
11/22/2017 24
25. Cont...
The budget documents contains data concerning
actual budget of previous years, revised estimates
of current years and estimated budget of coming
fiscal year.
The district level office has practice Bottom up
planning in different districts and submits to the
MoHP through various departments.
11/22/2017 25
26. 2. Screening
Ministry of finance makes an analysis of the financial
position of resources (Internal revenues and foreign
assistance) and estimates expenditure.
If the estimated expenditures are more than the
receipts, MoF requests the ministers, departments and
constitutional bodies for final budget discussion.
11/22/2017 26
27. Cont...
There will be joint meeting between NPC, MoF and
concerned ministry/constitutional bodies in NPC.
The program manager should present logically and
then after screening the budget for next years.
The budget will be finalized by bargaining,
negotiation and compromising.
Priorities the budget on the basis of department of the
program.
11/22/2017 27
29. cont…
Intra mural approval system:
The intra mural approval system, i.e. within the
organization approval system
Two steps: firstly by the head of hospital and then by
the head of institute.
11/22/2017 29
30. cont…
Extra mural approval system:
The approving authority is the same for all government
funded hospitals i.e. through joint Secretary, Health
Secretary, and Health Minister.
It is then presented in the Parliament and final
approval is signed by Prime Minister who is the
chairman of Planning Commission.
11/22/2017 30
31. 3. Sanction: Permission given by authorities to do
something.
By our constitution there will be joint sitting of
parliaments an annual estimate including following:
An estimate of revenue
The money required to meet the charges on the
consolidated fund.
The money required to meet the expenditure to be
provided for an appropriation act
11/22/2017 31
32. Cont...
The MoF presets the estimates of revenue and
expenditure of Nepal government for the next fiscal
years before joint sitting of parliament in the last week
of Ashad of every year.
Budget is discussed, item wise and sector wise by the
members of parliament.
After discussion, the budgets are passed by the
parliaments and sent to the President for his/her assent.
Then after it would be eligible for implementation.
11/22/2017 32
33. Cont...
The fiscal year starts from 1st Shrawan and ends at last
day of Ashad. MoF prepares the estimated income and
expenditure budget book (Red Book) for the coming
year.
Finance minister submit the budget in the parliament
for its approval.
11/22/2017 33
34. 4) Budget allocation
Final approval for the budget is voted ,then allocated
to organizations.
Finance is sanctioned in installment based on hospital
funding, management policy, performance, actual
expenditure of last year and future plans
11/22/2017 34
35. 5. Receipt of Budget or Implementation of
Budget
According to our constitution, the budget cannot be
implemented without the approval of the parliament.
The following process had been adopted for the
implementation of budget
Provide authorized paper
By checking out the authorized paper
Approving the core and non-core program
Process for budget release
Guarantee the resources for priority 1 or core project.
Release budget based on performance.
11/22/2017 35
36. 6) Budget monitoring
Budget monitoring is usually made by the budget
reports.
Budget monitoring committee comprising of
representatives of each department, financial advisor
11/22/2017 36
37. Agencies Involved in Budgetary Process
in Nepal
National Planning Commission
Ministry of Health and Population
Line Ministers
DoHS
Ministry of Economics
Health Economists organizations.
Health Specialists team.
11/22/2017 37
38. Budget Formulation Practice in Nepal
Present budget formulation approach:
(Before 1991 mostly top down approach, after
democracy both top down and bottom up)
11/22/2017 38
40. - Bottom up approach (for local government)
NGOs
Ward offices/
Consumer
committee/ Political
parties
Rural M./
Municipal
ity
District
Council
District
developme
nt
Committe
e
11/22/2017 40
41. (Prime
Minister)
NPC
(Call circular with
guidelines + ceiling,
discussion)
Line Ministries
(Sectoral budget)
Cabinet
(For policy
approval)
Departments
District
Level offices
MOF
(Resource
committee, budget
committee, budget
Discussion, finalize
budget,)
Policy
directives
– plan
MOF
Legislative
(Parliament) Finance
Minister
(Budget
Approval)
Local Government
(Policy guidelines –NPC,
Formulate and approved,
informed to NPC and
Line Ministries
11/22/2017 41
42. Budgetary Practice in Nepal
11/22/2017 42
Month Agency Activities
October /
November
NPC +
MOF,
Cabinet,
Line
ministries
Macro economic frame work is prepared
(Budget deficit, growth)
Development plan and programs decision
for next year budget
Project priorities are defined
Revenue mobilization
periodic plan and goals
November NPC,
Cabinet
Ceiling are determined by sectors; cabinet
approves overall plan
December NPC Budget circular released with budget
guidelines, sector wise ceilings and budget
request format
43. 11/22/2017 43
March
last week
Line Ministries Submit budget to NPC and MOF
April/
May
NPC, MOF,
Line ministries
Budget Discussion:
NPC- objectives, plan, programs,
strategies, target, indicators on
development budget .
MOF- line item budget allocation
for recurrent and capital expenditure.
(Budget request are reviewed and
negotiated between MOF, NPC and
line ministries reached the consensus;
and NPC gives policy approval for
ministerial budget and MOF finalize
funding part).
44. 11/22/2017 44
June MOF Finalize budget and submit to
cabinet for approval
July MOF Finance minister present budget
proposal in the parliament for
approval
September Parliament Approves budget
45. BUDGET PLANNING AT ALL
GOVERNMENTS- BUDGET DATES
Government
of Nepal-
29th May
Provincial
Government-
14th June
Local
Government
30th June
17th July
Budget
execution
48. REFERENCES
Basavanthapa BT, Nursing administration, jaypee
brothers publications; 2nd edition;2009;page number-
306-317.
Singh Dr Indira, Leading and Managing in Health, fifth
edition,Hisi offset Printers Pvt. Ltd,kathmandu, pg. no.
380-382
Meheta,R and Pokharel T. Leadership and
Management, 3rd edition,2012, Makalu publication
House , Kathmandu pg.no.346-359
www.unsouthal.edu/osp/documents/sample research
budg.doc.
www.doculink.org/downloads/doc sample.
11/22/2017 48
49. Cont...
Rana Muna, Bista Archana, Leadership
and Management in Nursing, 1st edition,
Medhavi Publication, kathmandu, pg.no.
160-164
Vati jogindra, Principle and practise of
Nursing Management and
Administration for BSc and MSc
Nursing,first edition,2013,Jaypee
Brothers Medical Publishers(p) Ltd,New
Delhi, India, Pg.no.580-593
11/22/2017 49