- Drafting of legal texts for the pharmaceutical sector, including Order No.
022/2014/MS/CAB/DGS/DPLET of 12 March, 2014 defining the National
Pharmaceutical Supply System (SNAP);
- 458 renewals of authorisations for placing products on the market (AMM);
- Endorsement of 9 medical information/delegation agencies, 10 distribution
agencies for medical supplies and laboratory reagents, 14 private retail
pharmaceutical outlets;
- 36 inspection activities carried out; mainly consisting of prior inspections of
operational authorisations of pharmaceutical structures.
1.4- Health Financing:
166. The Ministry of Health is confronted with low budgetary allocation by the
government and under mobilisation of internal resources. In 2014, the projected
health budget incorporated in the Annual Work Plan and Budget (PTBA) was about
82 billion CFA francs. The government’s share was estimated at 43,370 billion CFA
francs, representing (53%). However, only 3.62% of the projected budget was
allocated to the Ministry of Health as against 3.92% in 2012 and 3.69% in 2013.
167. The reduction of the government budget from year to year is having an effect on
the sector performance which is currently beset by threats of outbreak of epidemic
diseases, particularly the Ebola Virus Disease (EVD)1. Furthermore, these funding
difficulties faced by the Government have an impact on the support from the central
government to the regional and other lower levels.
168. Several development partners participate in the interventions and financing of
the health sector to the tune of 47% of the projected budget. The major partners are
those of the United Nations system and bilateral and multilateral partners.
169. The households also contribute to the financing of health to the tune of 51% of
health expenses through direct payments (CNS 2008)2.
170. However, the country started operating the compulsory health insurance scheme
for public sector employees in 2012. The major challenge is the expeditious extension
of access to health insurance to the most vulnerable groups. Some local governments
(municipal councils or prefectures) participate in the financing of health services by
paying the salaries of some categories of employees.
171. Altogether, about 77 billion CFA francs were mobilised in 2014, i.e. 86% of the
90 billion earmarked to achieve the goals set out in the PNDS.
1
2
2014 Annual Performance Management Report, Ministry of Health
World Health Observatory, April 2014
49