请输入您要查询的百科知识：

　

词条 Marginal budgeting for bottlenecks
释义

  1. Concept

  2. Development

  3. Use

  4. Key steps

  5. External links

  6. References

The marginal budgeting for bottlenecks tool (MBB) is an analytical costing and budgeting tool that helps countries develop their health plans by taking into account the most effective interventions, cost and budget marginal allocations of their implementation to health services and assess their potential impact on health coverage, Health related Millennium Development Goals (MDGs) and health outcomes of the poor.[1] It builds on the High Impact Interventions to reduce mortality as published in various scientific articles including The Lancet series on Child, Maternal and neonatal survival. The tool has been developed in the context of Highly Indebted Poor Country Initiative and Poverty Reduction Strategy Papers

Concept

The MBB mainly addresses the following six questions:

  • Who does what? Which high impact interventions can be integrated into existing providers/service delivery arrangements to accelerate progress towards the health MDGs?
  • Equity
  • What are the major hurdles or "bottlenecks" hampering the delivery of health services, and what is the potential for their improvement?
  • How much money is needed for the expected results?
  • How much can be achieved in health outcomes such as mortality reduction by removing the bottlenecks?
  • Which amounts of financing is it possible to mobilize and how should these be allocated and channelled ?

It builds on theoretical knowledge:

  • The Tanahashi model of evaluating the health service delivery performance by looking at 5 determinants of the health system [2]
  • The implementation of effective interventions also called High Impact Interventions[3]
  • Fiscal Space where governments can collect the money to implement the marginal cost required

Development

It has initially been developed by teams from the World Bank's Africa Region, South Asia region and Health Nutrition and Population Anchor, jointly with UNICEF and the World Health Organization. It is a development of health systems performance monitoring tools that were used in the West African Region in the nineties. At a certain point,{{When|date=April 2014}} WHO left the boat to develop their own approach. Since 2008, the MBB has the possibility to use the LiST tool to calculate impacts.[4] Currently,{{When|date=April 2014}} there are discussions going on to produce an integrated model that would reunify different models proposed by different agencies (UNICEF, WHO, UNAIDS? UNFPA into one comprehensive planning and budgeting tool. Since 2008, the tool is available in three languages.

Until now,{{When|date=April 2014}} the tool runs on Excel ₢ which makes it vulnerable to users' ability to correctly input data. (MBB 5, the current version, runs on Excel 2007 ₢ or later[5]). DevInfo has been tasked to provide support to users; they have developed an online support platform where the latest version can be downloaded along with on-the-job support.[6]

Use

Since its inception in 2002, the tool has been used at country and sub-country level in more than 17 countries across Africa and Asia. It has been used to prepare mid-term expenditures frameworks, investment cases, child survival strategic plans, national health plans,....

Key steps

The MBB consists of five key steps:[7]

  • An assessment of the key indicators of your health system at the baseline
  • Identification of system-wide supply and demand bottlenecks
  • Selection of interventions and the estimation of the expected impact on survival rates for each of the interventions.
  • Selection of the types, quantities and costs of additional inputs,
  • Analysis of budgetary implications, and the comparison of the marginal costs to the ’fiscal space’

External links

  • [https://web.archive.org/web/20120331131148/http://www.devinfolive.info/mbb/mbbsupport/index.php MBB support page on DEVINFO]
  • [https://web.archive.org/web/20111002215134/http://www.who.int/pmnch/topics/economics/costing_tools/en/index12.html Review of costing Tools – MBB]
  • Quick and dirty literature review

References

1. ^The oldest – although unpublished – concept note available on the topic: MARGINAL BUDGETING FOR BOTTLENECKS: A NEW COSTING AND RESOURCE ALLOCATION PRACTICE TO BUY HEALTH RESULTS
Using health sector’s budget expansion to progress towards the Millennium Development Goals in Sub-Saharan Africa; A Soucat, W Van Lerberghe, F Diop, S N Nguyen and R Knippenberg
Draft version: November 2002, please do not quote http://www.gavialliance.org/resources/14_MBB_Concept_paper.pdf {{Webarchive|url=https://web.archive.org/web/20100626014402/http://www.gavialliance.org/resources/14_MBB_Concept_paper.pdf# |date=2010-06-26 }}
2. ^Tanahashi 1978 bulletin of WHO_1978_56(2)_295-303 http://whqlibdoc.who.int/bulletin/1978/Vol56-No2/bulletin_1978_56%282%29_295-303.pdf{{full|date=March 2018}}
3. ^{{cite journal |doi=10.1016/S0140-6736(03)13811-1 |title=How many child deaths can we prevent this year? |journal=The Lancet |volume=362 |issue=9377 |pages=65 |year=2003 |last1=Jones |first1=Gareth |last2=Steketee |first2=Richard W |last3=Black |first3=Robert E |last4=Bhutta |first4=Zulfiqar A |last5=Morris |first5=Saul S }}
4. ^Lives Save Tools developed by Johns Hopkins University see http://www.jhsph.edu/dept/ih/IIP/list/index.html
5. ^as of July 2012
6. ^{{cite web |url=http://www.devinfolive.info/mbb/mbbsupport/index.php |title=DevInfo MBB support website |deadurl=yes |archiveurl=https://web.archive.org/web/20120331131148/http://www.devinfolive.info/mbb/mbbsupport/index.php |archivedate=2012-03-31 |df= }}
7. ^The State of the World Children 2008 : Child Survival, p 70 http://www.unicef.org/sowc08/
{{DEFAULTSORT:Marginal Budgeting For Bottlenecks}}

2 : Economic development|Budgets
随便看

　

开放百科全书收录14589846条英语、德语、日语等多语种百科知识，基本涵盖了大多数领域的百科知识，是一部内容自由、开放的电子版国际百科全书。

　

Copyright © 2023 OENC.NET All Rights Reserved
京ICP备2021023879号 更新时间：2024/11/11 18:48:48