Helping Design the Essential Health Care Package in Zambia
Actual Policy Use
The NHA results for the period 2002-2004 have been used as evidence to fault IMF Macro-economic Programs in Zambia by a Working Group on IMF Programs and Health Expenditures background paper of February 2007. Titled “IMF Programs and health spending: Case study of Zambia”. In the paper, the authors argue that, the IMF macroeconomic frameworks underlying the programs take a too conservative view of what is needed for macroeconomic stability and the prospects for aids flows and that some specific aspects of the program design, notably the use of wage bill ceilings, have adverse consequences for the health sector.
According to the Senior Advisor to the Permanent Secretary, the current NHA results for 2005-2006 will be used as an input in the design of the essential health care package. Currently there is no information on total actual expenditure on health by all sources. As such, it is extremely difficult to determine as to what to include or exclude in the essential package appropriately-i.e what could be an affordable essential health care package of cost effective interventions.
According to the GFTAM and Country NHA Team, the current NHA subaccounts results for HIV/AIDS, Malaria and TB for 2005-2006 will be used in the evaluation of the GFTAM and other donors contribution in health before and after the Global Fund. This information will be critical in assessing as to whether Global Fund resources have been additional to government resources or not.