This document summarizes implementation progress of the Health, Population and Nutrition Sector Development Program (HPNSDP) from July 2011 to June 2014. It finds that overall financial progress was 87-89% of the allocated budget, with most operational plans achieving over 75% of their targets. Key challenges reported by local districts included inadequate capacity, time constraints, and procurement issues. Moving forward, it recommends sustaining new initiatives, improving program management, and designing the next sector-wide approach program to focus on priority areas while strengthening health systems.

1. HPNSDP Implementation Progress
July 2011 – June 2014
Program Management & Monitoring Unit (PMMU)
Planning Wing
Ministry of Health and Family Welfare
HEALTH, POPULATION AND NUTRITION SECTOR
DEVELOPMENT PROGRAM (HPNSDP)
July 2011 - June 2016

2. Bi-annual monitoring reports are produced to assess
implementation progress of HPNSDP and feed into
Annual Program Reviews by Independent Review Team.
Introduction
2

3. Trend in RADP Allocation for HPNSDP,
July 2011 – June 2014
3

4. Overall Financial Progress,
July 2011 – June 2014
4
• 8 Highlighted OPs constitute 75% of total HPNSDP
budget as per PIP
88%
75%
84%
85%
75%
98%
82%
89%
97%
92%
78%
96%
84%
82%
93%
97%
72%
98%
90%
76%
98%
74%
87%
94%
84%
90%
63%
96%
53%
73%
84%
67%
0%
20%
40%
60%
80%
100% MNCAH
ESD
CBHC
TBLC
NASP
CDC
NCDC
NEC
HSM
AMC
IST
PSE
PMR
HIS&eH
HEP
PLSM
NNS
MCRAH
CCSD
FPFSD
PME
MIS
IEC
PSSM
TRD
NES
SDAM
PFD
HRM
SWPMM
IFM
HEF
%spentofRADPallocation
89%
88%
75%
84%
85%
75%
98%
82%
89%
97%
92%
78%
96%
84%
82%
93%
97%
72%
98%
90%
76%
98%
74%
87%
94%
84%
90%
63%
96%
53%
73%
84%
67%
0%
20%
40%
60%
80%
100% MNCAH
ESD
CBHC
TBLC
NASP
CDC
NCDC
NEC
HSM
AMC
IST
PSE
PMR
HIS&eH
HEP
PLSM
NNS
MCRAH
CCSD
FPFSD
PME
MIS
IEC
PSSM
TRD
NES
SDAM
PFD
HRM
SWPMM
IFM
HEF
%spentofRADPallocation

5. Trend in Financial Progress,
July 2011 – June 2014
91%87% 89%
5

6. Progress in OP Indicators,
July 2011 – June 2014
6

7. Progress in OP Indicators by OP type,
July 2011 – June 2014
7
60% 60%
70% 69% 70%
64%
10% 14%
10% 13%
20% 29%
25% 16%
10% 5%
10% 7%5%
10% 10% 13%
0%
20%
40%
60%
80%
100%
HIS SHS HIS SHS HIS SHS
FY 2011-12 FY 2012-13 FY 2013-14
Not considered
Not achieved
Partially achieved
Achieved

8. Trends in Training Expenditure,
July 2011 – June 2014
8

9. Trends in Training Participants,
July 2011 – June 2014
9

10. Local Training Participants and Cost
by Duration, FY 2013-14
10

11. Trends in Number of Challenges
Reported by LDs, July 2011 – June 2014
11

12. 7
5 5
10
5
6
15
7 7
6
4
7
4
0
2
4
6
8
10
12
14
16
Inadequatecapacity
Timeconstraints
Inadequatecoordination
Lengthyprocurementprocess
Otherprocurement
MismatchbetweenADPandOP
Delayinfundrelease
InsufficientresourcesforM&S
No/weaksystemofM&Sinplace
Vacancyinsanctionedposition
RetentionoftrainedManpower
Insufficientskilledmanpower
OtherHR
Implementation Procurement Financing Monitoring &
Spervision
Human Resources
NumberofOPs
Key Challenges reported by LDs,
FY 2013-14
12

13. Way Forward - Overall
• Need for sustaining new initiatives:
– Revitalization of Community Clinics
– Mainstreaming nutrition
– Strengthening RHIS
– Institutionalization of PLMC and PMMU.
• Improving program management
– Special attention to HRM and IFM OPs
– Decision-making relating to use of GOB financial
resources
– GOB-DP coordination on DPA and off-budget activities
– Strengthening Planning Units of DGHS and DGFP for
monitoring and coordination. 13

14. Way Forward - HPNSDP
• Implement and monitor APR Prioritized Action Plan
(PAP) activities
• Designing the next SWAp:
– Financing modality: Program for Results?
– Program focus: MNCH; NCDs; Urban Health
– Strengthening Systems: RHIS; HRH
– Streamlining Operational Plans (OPs)
– Institutionalization of PLMC and PMMU.
• Closing out of HPNSDP (June 2016)
14