There has been an increasing trend in the allocation of financial resources for health sector development since the second evaluation. There has been greater involvement of the private sector in establishing nursing homes, pharmacies, training institutes and even medical colleges. Among the main constraints identified are the wide gaps between committed and allocated funds, and between disbursed and reimbursed funds, lack of delegation of authority, and lack of skilled personnel in financial management. To ensure efficient use of financial resources the government has introduced a three year rolling plan for making financial projections, a decentralized budget system, and improved audit and financial systems. Similarly, one PHC centre will be established in each of 205 electoral constituencies.
Funding is provided by the government and international donors.
Standard items of furniture and equipment are lacking. A nationwide cost sharing programme has recently been implemented which includes aspects such as training, supplies, monitoring and supervision. The main constraints are lack of adequately trained manpower, non-availability of transport when needed, and inadequate drug storage facilities. This support has contributed much to the expansion of health facilities throughout the country.