Behavior Profile: County Health Mangers Mobilize Resources
County Health Managers mobilize resources for outreaches, capacity building, demand creation, vaccine collection and distribution, and supportive supervision

Behavior Analysis

Strategy

BEHAVIOR AND STEPS

What steps are needed to practice this behavior?

County health managers mobilize adequate resources for outreaches, capacity building, demand creation, vaccine collection and distribution, and supportive supervision

  1. Develop annual workplan
  2. Budget annual workplan
  3. Identify all internal and external resources available
  4. Identify resource gaps
  5. Prioritize needs
  6. Seek resources from internal and external sources (e.g., partners, businesses, philanthropists, community leaders/groups)
  7. Track expenditures against budget
  8. Identify opportunities for improving budgeting, resourcing, and spending

FACTORS

What factors may prevent or support practice of this behavior?
Structural
Accessibility: The County Health Department does not currently have a system to track all internal and external resources
Accessibility: The roll-out and consistent use of the Integrated Financial Management Information System (IFMIS) financial tracking system is not complete
Accessibility: Lack of tool for budget tracking
Social
Norms: Full transparency and accountability is currently not the norm in setting budget priorities and expenditure performance
Norms: Strategic planning is the norm
Internal
Skills: Capacity to create an evidence-based investment case is lacking
Skills: Limited capacity to write proposals

SUPPORTING ACTORS AND ACTIONS

Who must support the practice of this behavior, and what actions must they take?
Institutional
Policymakers: Prioritize the use of the Integrated Financial Management Information System (IFMIS) for all budget planning and execution at all levels
Policymakers: Promote policy for one county health account that is transparent, responsive and accountable
Managers: Set up the optimal system to track internal and external resources
Development Partners: Provide technical assistance to create and defend an investment case
Development Partners: Facilitate development, adaptation, and training on financial tracking tool
Development Partners: Support the County Health Department (CHD) by routing support through the Department or at minimum inform CHD of support
Community
Community Leaders: Insist on transparency, accountability, and collaboration in health budgeting and expense

POSSIBLE PROGRAM STRATEGIES

What strategies will best focus our efforts based on this analysis?

Strategy requires Communication Support

Enabling Environment
Institutional Capacity Building: Build on annual strategic planning by reinforcing budgeting component with program-based budgeting
Institutional Capacity Building: Build the system to track internal and external resources and their identified priority areas of intervention
Policies and Governance: Design, implement, and monitor practical accountability mechanisms
Policies and Governance: Set directives and accountability measures for the use of IFMIS
Norm Shifting: [Design activities to shift norms around financial transparency and accountability]
Systems, Products and Services
Infrastructure: Ensure the necessary equipment is available to run IFMIS at all levels
Demand and Use
Skills Building: Provide access to virtual and in-person training and mentoring on resource mobilisation
Skills Building: Provide technical assistance to create and defend an investment case for health
Skills Building: Conduct onsite learning by doing or hands on IFMIS sessions