If you fail to plan, you have invariable planned to fail.
This technical brief focusses on how Medium Term Sector Strategy and Operational plans implementation have become the backbone of planning and development of the health sector in the states and federal. A full understanding of the annual budget planning and MTSS preparation system is essential, not just to derive expenditure projections and development but to be able to advise policymakers on the feasibility and desirability of specific budget proposals, from a macroeconomic or microeconomic perspective and how such proposals align to goal and objectives of the sector.
Budget planning and preparation are (or should be) at the heart of good public expenditure management because it is much easier to control government expenditures at the "upstream" point of budget preparation than later during the execution of the budget. For MTSS/AOP to be fully effective, state and federal public expenditure management systems should have a structure that addresses the following principles.
1. Planning within budget envelops: A system that the state controls aggregate expenditure of the MDAs to ensure affordability; that is, consistency with the macroeconomic constraints;
2. Policy documents / policy to guide expenditure: There is an effective means for achieving a resource allocation that reflects expenditure policy priorities. In the case of the health sector all plans developed are geared towards the achievements of the SHDP or the MDGs
3. Efficient delivery of public services (productive efficiency); comprehensiveness of budget, Transparency and realistic budget process, and implementing the budget in a very transparent manner.
4. Enhancing budget efficiency: Minimization of the financial costs of budgetary management i.e., efficient budget execution and cash and debt management practices.
5. Reinforces linkages with gains/performances of past