Results Based Budgeting (RBB) Technical Guidelines

Direct Clients Needs Extent (Magnitude/seriousness)

1. MoHCC -Timeous actioning to HRH requests (cases)
-Adequate staff establishment
-Training and Development in needy areas
-Policy direction and guidelines
- Support for specialists training

2. Health Workers for Public - Timeous resolutions of grievances and appeals

Health Institutions, Rural - Conducive working environment
District Councils and - Recognition and Competitive remuneration
Mission Institutions - Capacitation in skills and knowledge
- Fair and equitable treatment

3. Prospective Employees - Job opportunities

- Transparent and fair recruitment processes
- Ease of access to registration platforms
-Good customer service

4. Hospital Management - Induction

Boards - Policy direction and guidance
- HRH capacity building

5. HSB Secretariat - Conducive working environment

- Recognition and Competitive remuneration
- Capacitation in skills and knowledge
 Results Based Budgeting (RBB) Technical Guidelines

Direct Stakeholders Demands/ Expectations Extent (Magnitude/seriousness)

1. Office of the President and - Compliance to policy and regulatory requirements
Cabinet - Delivery on the HSB mandate

2. Parliament - Transparency and accountability

- Delivery on the mandate
- Compliance to policy and regulations
3. Ministry of Finance and - Compliance to policy directives
Economic Development - Effective control and management of Health Worker constituencies

4. PRAZ - Compliance to relevant statutory provisions

5. Attorney General - Timeous and reliable instructions on legal matters

6. Auditor General
7. Public Service Commission
8. Health Professional
Regulatory Councils
-Collaboration and support
-Compliance to audit timeframes
- Compliance to reporting standards
- Collaboration on matters of mutual interests
-
- Compliance to their regulatory requirements
- Collaboration areas of mutual interests

9. Health Workers - Fair negotiating fora

Associations - Facilitate their recognition by the Minister of Health and Child Care

10. Development Partners - Compliance to agreements

11. Media
12. Civil Society Organisations
- Transparency and accountability
- Pre-empt on issues of public interests
- Timeous responses
- Transparency and accountability
- Delivery on mandate

14 STRATEGIES, ASSUMPTIONS, RISKS AND MITIGATIONS

Strategies: Game plan to achieve the targets
Assumptions: Positive factors that can assist in the achievement of the targets
Risks: Factors which militate against the achievement of results
Mitigation: Interventions to reduce the gravity or intensity of the damage
 Results Based Budgeting (RBB) Technical Guidelines

Period Strategies Assumptions Risks Mitigations

Programme 1: Governance and Administration
Outcome 1: Improved Operational Efficiency
Upgrade ICT infrastructure Availability of technical Inadequate funding - Increased lobbying
expertise in improving for HSB activities with Treasury, GoZ
connectedness and Partners.
- Development and
submission funding
proposals.
- Institutionalising the
Budget Year principle of value for
money.
Capacity building Resource availability – Negative attitude by Sensitisation on good
financial and material management teams management practices

Lobby for funding for HRH programs Support from funding partners. Lack of funding Timeous and increased
lobbying with
Treasury, GoZ and
Partners.
Research and Development - Cooperation from workers Research and - Train staff on
and health institutions. development not operations research.
- Availability of Research prioritised and funded - Mainstreaming
2-3 Years Skills research and
development in all
HSB programmes
Monitoring and evaluation Availability of M & E support Limited application of Continuous capacity
and expertise M&E skills development.

Review of SOPs, procedures and policies - Easy integration in reviewing Misunderstanding - Continuous capacity
SOPs and guidelines and wrong development.
- Adherence to SOPs and interpretation of - Constant sharing of
guidelines by institutions regulations, policies information.
and procedures - Timeous
dissemination of
information
Conduct Exhibitions Exhibition schedules will not Lack of funding Timeous and increased
change lobbying with
Treasury, GoZ and
Conduct Institutional Visits Institutional visits schedule Partners.
will not change
Policy reviews and development Adherence to policies Face resistance from Continuous education
 Results Based Budgeting (RBB) Technical Guidelines

staff members

Cooperation from workers and
health institutions.
Strengthen Compliance to all relevant Statutes Adherence to SOPs and
guidelines by institutions
Realign internal HSB functions in line with the Roles review is completed and
new strategic direction communicated
High Staff Turnover Improving the work
environment
Negative attitude by Continuous
management teams sensitisation on the
need for compliance
Face resistance from Timeous dissemination
staff members of information.

Review the M & E framework to be risk based Availability of M & E skills Unavailability of Training and
M&E tools Development
development skills
Roll out E- HR service across all employee All HR touchpoints are - Inadequate hardware - Procure the essential
touch points e.g. self-service portal, e – automated/ computerised and software IT equipment
recruitment with an automatic shortlisting - Limited technical - Training and
platform capacity by users Development of HRH
staff
Reconfigure all health institution to allow for Automation of all HRH Unavailability of Procure the essential IT
biometric attendance registers systems requisite equipment equipment
Embark on a culture transformation of the whole Cooperation from workers and High Staff Turnover Improving the work
health services focused on service delivery, health institutions. environment
work ethic and performance culture
Review and alignment of HSB Legal Expedited review and approval System delays Lobbying the
Framework process appropriate levels or
offices

Period Strategies Assumptions Risks Mitigations

Programme 1: Governance and Administration
Outcome:
Budget Year

2-3 Years
 Results Based Budgeting (RBB) Technical Guidelines

Period Strategies Assumptions Risks Mitigations

Programme 2: Pay and Benefits Management
Outcome:
Budget Year

2-3 Years

Period Strategies Assumptions Risks Mitigations

Programme 3: Human Capital Development
Outcome 1: Improved staff establishment
Budget Year

2-3 Years

Period Strategies Assumptions Risks Mitigations

Programme 3: Human Capital Development
Outcome 2: Improved HRH performance in the health sector
Budget Year

2-3 Years