EL SALVADOR COUNTRY SCORECARD 2012
COUNTRY OWNERSHIP & ACCOUNTABILITY
HEALTH SECTOR PLAN & AIDS STRATEGIES
COMMITMENTS DOCUMENTED
NATIONAL RESULTS FRAMEWORK AGREED
FUNCTIONING HEALTH MANAGEMENT INFORMATION SYSTEMS (HMIS)
HEALTH SECTOR AID EFFECTIVENESS MONITORING
• Signed Agreement
• Includes current targets and budgets
• Active joint monitoring
The International Health Partnership Global Compact was signed by Madam Minister of Health during the 64th World Health Assembly in May 2011.
• Jointly Assessed
• Number of development partner missions
5
• 18% of seats in the health sector coordination mechanism are allocated to civil society
HEALTH FINANCING DECISONS BASED ON RESULTS
JOINT HEALTH SECTOR REVIEWS CONDUCTED TOTAL HEALTH FINANCING US $1000m
NATIONAL BUDGET ALLOCATED TO HEALTH $898.3m
US $800m $668.6m
Domestic Financing
18.1%
External Financing
Allocated to Health
POOLED FUNDING
US $600m
HEALTH SYSTEMS STRENGTHENING
US $400m US $200m
100%
2007
75% 50% 25%
-3.1% Increase needed to meet the Abuja target
US $0m
2011
Number of Development Partners using Pooled Mechanisms
38.7% 15.6%
10.1%
0%
COUNTRY SYSTEMS
-25% -50%
PUBLIC FINANCIAL MANAGEMENT
PROCUREMENT
TECHNICAL ASSISTANCE
-75% -100%
ACCESS TO PHC CLINICS
AVAILABILITY OF HEALTH WORKERS
FUNDS FOR HEALTH SYSTEMS
32,093 outpatient department visits per 10,000 population per year
24.0 skilled medical personnel per 10,000 population
US$365,734,000 spent on health workforce increasing
REFLECTS GOOD PRACTICE (OR REFORM IN PROGRESS)
* Ratings are calculated using data up to and including 2011.
REFLECTS GOOD PRACTICE (OR REFORM IN PROGRESS)
DONOR CAPACITY DEVELOPMENT PROVIDED THROUGH COORDINATED PROGRAMMES
This work is licensed under the Creative Commons Atribution-NonCommercial 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org.licenses/by-nc/3.0
MANAGING FOR DEVELOPMENT RESULTS
Eradicate Extreme Poverty and Hunger Population living on less than $1 a day 5.1% in 2008. ( 5.9% since 2005)
Achieve Universal Primary Education Children enrolled in primary education 95.6% in 2008. ( 0.5% since 2005)
Promote Gender Equality and Empower Women
GOVERNMENT OF EL SALVADOR: PROGRESS IN IMPLEMENTING ITS IHP+ COMMITMENTS EXPECTED RESULTS
RATING
Commitments are documented and mutually agreed.
Support is based in country plans and strategies, including to strengthen Health Systems.
Funding commitments are long-term.
Gender parity index in primary level enrolment 0.97% in 2008. ( 0% since 2005)
Funds are disbursed predictably, as committed.
TARGET
OVERALL PROGRESS
An IHP+ Compact or equivalent mutual agreement is in place.
Improve Maternal Health
NO
UNDER DEVELOPMENT
YES
NO
UNDER DEVELOPMENT
YES
2011
A National Health Sector Plan/ Strategy is in place with current targets & budgets that have been jointly assessed.
2007
A costed, comprehensive national HRH plan (integrated with the health plan) is being implemented or developed.
2007
2011
2011
15
0
15% (or an equivalent published target) of the national budget is allocated to health.
20%
2007 2011
Halve the proportion of health sector funding not disbursed against the approved annual budget.
HOW TO INTERPRET THIS SCORECARD
0
100%
2007 2011
Improvement of at least one measure (ie 0.5 points) on the PFM/CPIA scale of performance.
1
2
3
4
5
2007 2011 No data Available
A
B
C
D
Improvement of at least one measure 2007 on the four-point scale used to assess performance for this sector.
NO
Resources are being managed for Development Results.
A transparent and monitorable performance assessment framework is in place to assess progress in the health sector.
2007
Mutual accountability is being demonstrated.
Mutual assesments (such as joint Annual Health Sector Review) are being made of progress implementing commitments in the health sector, including on aid effectiveness.
2007
Civil Society meaningfully engaged.
CSOs are represented at all key points of policy and planning process.
2007
UNDER DEVELOPMENT
YES
2011
NO
UNDER DEVELOPMENT
YES
NO
UNDER DEVELOPMENT
YES
The reverse of the Scorecard (opposite), shows natinal government performance against an agreed set of Standard Performance Measures (SPMs). The following headings are used: Expected Results reflect key commitments made in the IHP+ Global Compact. Progress Symbols illustrate whether in 2011 the government had achieved , made progress , or had not made progress against 10 SPMs, since the baseline year (2005-7). Details of these ratings and related targets can be found online on the IHP+Results website (www.ihpresults.net)
2011
2011
target achieved
data not provided
progress made towards achieving target
measure not applicable
no progress or regression
indicates agreed target
* Ratings are calculated using data up to and including 2011.
The majority of data presented in this Scorecard is from the Ministry of Health. There are two exceptions - the ratings for Technical Assistance and the quality of civil society engagement*. In the majority of cases data on MDG progress is taken from th UN Statistics Division. The Scorecard shows results using 5 Results Areas (see below) to tell the story of IHP+ implementation in a logical flow: from the national health plan to monitoring and evaluation of that plan. Where they are used, rating symbols illustrate whether the government has achieved , is working towards , or hasn’t made progress against agreed targets. Progress against the Millennium Development Goals is provided for contextual purposes.
Additional Information
2011
Combat HIV/AIDS, Malaria and other Diseases
Population using improved drinking water sources 87% in 2008. ( 1% since 2005) Population using improved sanitation sources 87% in 2008. ( 2% since 2005)
YES
0
Country systems for procurement and public financial management are used and strengthened.
Ensure Environmental Sustainability
UNDER DEVELOPMENT
Lower values are better
Under 5 Mortality rate 16 per 1000 live births in 2010. ( 8 since 2003)
HIV prevalence 0.03% in 2009. ( 0.8% since 2005) TB incidence 26.4 per 100,000 in 2009. ( 1.6 since 2007)
NO
2007
Reduce Child Mortality
Maternal mortality ratio 50.8 per 100,000 live births in 2011. ( 20.4 since 2005) Unmet need for family planning 1% in 2008. ( 7.9% since 2003)
AGENCIES REPORTING TO IHP+RESULTS IN EL SALVADOR
* The Technical Assistance rating on the front of the country scorecard reflects the aggregate of data reported by Development Partners (for indicator 2DPb) that are active in the country in question.
This work is licensed under the Creative Commons Atribution-NonCommercial 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org.licenses/by-nc/3.0
PROGRESS ON MILLENNIUM DEVELOPMENT GOALS