Annual Performance Report Responsive Health System in the New Beginnings 2013 EFY (2020/2021)

Abstract

This annual performance report details the performance of the health sector in 2013 EFY, the first year of the HSTP-II period. The report mainly describes the achievements of the sector by comparing performance against the targets set for 2013 EFY, and includes major initiatives, activities and challenges by program and health system investment areas. The fiscal year was a time when the health system was challenged by the continued COVID-19 pandemic and conflicts in different parts of the country resulting in high number of internally displaced people (IDPs). Despite the emergency challenges that has huge negative impacts on the health system, the health sector has achieved encouraging results in terms of improving utilization of maternal and child health services, prevention and control of communicable and non-communicable diseases, emergency management and response and other health services. However, regional disparity in service utilization was observed, which denotes designing and implementation of interventions to close the equity gap among the regions. The achievements of the health sector in the fiscal year were not without challenges. In addition to the occurrence of emergencies, other challenges and shortcomings, that includes inadequate health workforce density and mix, inadequate basic amenities at health facilities; inadequate financing; and shortage of pharmaceutical supplies. The quality of health services was also sub-optimal.