Public Financial Management Mentoring Guide for Primary Health Care (Primary Hospitals, Health Centers, and Woreda Health Offices)

The guide is designed to provide regional health bureaus, zonal health departments, and woreda health offices with an overarching structure and format for PFM mentoring. The guide is based on the Federal Ministry of Health's (FMOH) Health Sector Transformation Plan (HSTP), which sets ambitious goals to improve equity, coverage, and utilization of essential health services, quality of healthcare, and implementation capacity of the health sector. A robust PFM system is integral to achieving these goals, and strengthening the PFM workforce is essential through continued training and effective mentoring programs. The guide provides an introduction to PFM mentoring, including its background, rationale, purpose, and objectives. It also outlines the users of the guide, which include PFM supervisors and management personnel at the primary health care facility, woreda levels, and finance offices. The guide emphasizes the importance of mentors conducting PFM mentoring with finance, procurement, and property administration officers at health facilities to strengthen their management of financial transactions, public procurements, property administration, and internal control of the health system. The guide outlines the principles of effective mentoring, including preparation, conducting PFM mentoring, reporting and feedback, and scheduling on-site mentoring. It also provides models to use during mentoring sessions, approaches and methods for mentoring, and a checklist for PFM mentoring at the primary health care level. The guide is intended to be used together with the FMOH public financial management guidelines for primary health care to help both mentors and mentees understand PFM systems, processes, and tools. The guide is a valuable resource for strengthening the PFM system in Ethiopia's health sector and improving the quality of healthcare service delivery. The guide's target audience includes PFM supervisors and management personnel at the primary health care facility, woreda levels, and finance offices. The guide's content is relevant to the health sector in Ethiopia, and its recommendations can be applied to other countries with similar health systems. The guide's structure and format are designed to provide a clear and comprehensive framework for PFM mentoring. The guide's content is organized into chapters and sections that provide a logical flow of information and easy-to-follow instructions. The guide's recommendations are based on best practices in PFM mentoring and are tailored to the specific needs of the health sector in Ethiopia. The guide's content is supported by relevant research and literature on PFM mentoring and is consistent with international standards and guidelines. The guide's implementation will require a coordinated effort from regional health bureaus, zonal health departments, and woreda health offices. The guide's recommendations should be integrated into existing PFM systems and processes to ensure a smooth transition and effective implementation. The guide's evaluation and monitoring will be critical to its success. Regular assessments and feedback mechanisms should be established to ensure that the guide's recommendations are being implemented effectively and that the PFM system is being strengthened. Overall, the Public Financial Management Mentoring Guide for Primary Health Care in Ethiopia is a valuable resource for strengthening the PFM system in the country's health sector. Its comprehensive framework and clear instructions provide a solid foundation for effective PFM mentoring and improved healthcare service delivery.