1. National Health Accounts MoHS, DPPI, 5/6/2012

2. Contents 1) Introduction to NHA What it is Its output Its Uses 2) Data Collection That’s where you come in 3) The future Next NHAs Specifically, how can we improve data collection from NGOs?

3. 1) Introduction to NHA What it is – Analysis of income and expenditure data collected from various groups within the health sector – The analysis aims to: Estimate total income and expenditure within the health sector. Capture the flow of funds from Sources to Users. – Basically, to ascertain who pays, how much, to whom and for what within the health system in Sierra Leone

4. 1) Introduction to NHA Output – 4 Matrices 1 - Health expenditure by financing source and type of financing agent. (FS x FA ) 2 - Health expenditure by type of financing agent type of provider. (FA x P ) 3 - Health expenditure by type of provider and type of function. (P x F ) 4 - Health expenditure by financing agent and type of function. (FA x F)

5. 1) Introduction to NHA 3 Main Uses – To assess the impact of health reforms – To provide a set of internationally comparable health accounts derived using standard methodology (we loosely follow A System of Health Accounts, which is jointly published by the the OECD, Eurostat and WHO) – To present a coherent financing data base to policy makers in the private and public health sector

6. 2) Data Collection Data collected from a variety of sources, main one being DPPI distributed surveys. This has lead to a number of problems, specifically with regards to NGOs: – Our NGO survey is not user friendly – Many NGOs have not completed or returned the survey – It is not clear that we have an accurate list of the NGOs currently working in the Health Sector at the ministry.

7. 3) The future Next NHAs – We are currently completing the NHA for 2007- 2010. – Next year we hope to complete it for 2011 and 2012. – Following that we hope it will be a yearly process, accounting for the previous year.

8. 3) The future Specifically, how can we improve data collection from NGOs? – We need your input in designing a more user friendly NGO survey. – Something should be done with regards our list of NGOs in the sector. – What else can we do to improve NHA data collection from NGOs?

9. Thanks for your time, and any questions?