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SIERRA LEONE 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 national compact was signed by all partners, except Governments of Japan and US, in December 2011.

• Jointly Assessed

• Number of development partner missions

28

• 25% 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

NATIONAL BUDGET ALLOCATED TO HEALTH

POOLED FUNDING

US $50m US $40m

$36.91m

$40.64m

Domestic Financing

10.2%

External Financing

Allocated to Health

US $30m

HEALTH SYSTEMS STRENGTHENING

127.6% 100%

US $20m

186%

US $10m

4.8% Increase needed to meet the Abuja target

US $0m

88%

2007

75%

2011

Number of Development Partners using Pooled Mechanisms

50% 25% 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

4,036 outpatient department visits per 10,000 population per year

11.2 skilled medical personnel per 10,000 population

US$16,465,460 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

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MANAGING FOR DEVELOPMENT RESULTS


GOVERNMENT OF SIERRA LEONE: PROGRESS IN IMPLEMENTING ITS IHP+ COMMITMENTS EXPECTED RESULTS

Eradicate Extreme Poverty and Hunger Population living on less than $1 a day 53.4% in 2003. ( 9.4% since 1990)

RATING

Commitments are documented and mutually agreed.

Achieve Universal Primary Education Children enrolled in primary education null% in . ( 0% since )

Promote Gender Equality and Empower Women

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 0.68% in 2001. ( 0% since 1991)

Funds are disbursed predictably, as committed.

TARGET

OVERALL PROGRESS

An IHP+ Compact or equivalent mutual agreement is in place.

NO

UNDER DEVELOPMENT

YES

NO

UNDER DEVELOPMENT

YES

NO

UNDER DEVELOPMENT

YES

2007 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

Reduce Child Mortality

Lower values are better

Under 5 Mortality rate 174 per 1000 live births in 2010. ( 28 since 2005)

0

Country systems for procurement and public financial management are used and strengthened.

Improve Maternal Health Maternal mortality ratio 970 per 100,000 live births in 2008. ( 130 since 2005) Unmet need for family planning 27.6% in 2008. ( 0% since )

HIV prevalence 1.6% in 2009. ( 0.1% since 2005) Children U-5 sleeping under insecticide treated bednet 25.8% in 2008. ( 20.5% since 2005)

Improvement of at least one measure (ie 0.5 points) on the PFM/CPIA scale of performance.

Population using improved drinking water sources 49% in 2008. ( 2% since 2005) Population using improved sanitation sources 13% in 2008. ( 1% since 2005)

2

3

4

5

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.

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

NO

135

Ensure Environmental Sustainability

1

2007

2011

Combat HIV/AIDS, Malaria and other Diseases

TB incidence 644 per 100,000 in 2009. ( since 2005)

AGENCIES REPORTING TO IHP+RESULTS IN SIERRA LEONE

* 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.

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PROGRESS ON MILLENNIUM DEVELOPMENT GOALS


Sierra Leone