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CHAPTER 8

Available Financing for HRH

A

dequate fiscal space is an important parameter without which overcoming the human resources for health crisis is not possible. All of the factors discussed above and that influence labor market dynamics depend on adequate fiscal space. This section assesses the existing picture on fiscal space. Summary of main findings • • • •

The budget allocated to the health sector is below the Abuja target. Much of the health budget in Zambia comes from donor funding. Donor funding is largely earmarked, restricting the actual budget for HRH. The wage bill (budget for personal emoluments) has declined over time (largely due to this earmarking of donors funding).

The national budget allocated to health in Zambia is below the Abuja target. As the fifth National Development Plan and the latest Medium-Term Expenditure Framework outline, health, education, and water and sanitation are public spending priorities (ZMoFNP 2007). Yet in 2006, the MoH expressed significant concerns about Zambia’s prospects for meeting global commitments such as the 2015 Abuja target.1 During fiscal years 2006 and 2007, about 10 percent of the national budget was allocated to the health sector, fairly consistent with figures from the previous six years but still far from the Abuja target (figure 8.1).

Figure 8.1. Health allocations as share of the national budget 14 12.4 12

11.6

10

10 8.7 Percent

10.4

10.1

2006

2007

9.2 8

8 6 4 2 0

2000

2001

2002

2003

2004 Year

Source: HIV/AIDS aid effectiveness study.

74

2005

The Human Resources for Health Crisis in Zambia  

Despite reporting some health gains since the 1990s, health outcomes remain poor in Zambia and it will be very challenging to achieve the he...

The Human Resources for Health Crisis in Zambia  

Despite reporting some health gains since the 1990s, health outcomes remain poor in Zambia and it will be very challenging to achieve the he...