Public expenditure tracking survey is a tool that is used to assess the efficiency and effectiveness of flow of funds from one level of government to the other. The key objectives of the PETS carried out by SNG were to understand the financing mechanisms currently used in the primary health care sector in Punjab province with a focus on the disbursement of funds and in-kind goods and services from the district health departments to Basic Health Units (BHUs). And secondly, to identify any bottlenecks, leakages, delays and inefficiencies in the flow of funds down from district health departments to BHUs, in order to establish a benchmark of the proportion of funds reaching BHUs.
- Through this survey problems and issues in the transfer of funds from the districts to the BHUs were identified.
- A plan was developed to implement recommendations of public expenditure tracking survey in all the 6 districts for improved flow of funds to health facilities/BHUs.
- A number of recommendations were implemented and are sustained in SNG pilot districts.