PSCI14 - Financial management:

  1. Critically analyze the health-related budget implementation part of the government. 5 [PSC/9- 76]
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  2. Approaches to Budgetary Process
    1. Top-down budgeting - Top-Down Budgeting is the term given to a budgeting process based on estimating the cost of higher level tasks first and using these estimates to constrain the estimates for lower level tasks.

    • Advantages
    • - Takes less time
    • - Promotes upper-level commitment
    • - Can address the objectives of the organization

    • Disadvantages
    • - Might be inaccurate due to limited knowledge, which in
    • turn will result in insufficient budget for the department
    • and cause potential for under performance .
    • - Lower morale of subordinates that they are not involved


    2. Bottom-up budgeting (Participated budgeting) - Bottom-up budgeting begins with identifying all the constituent tasks that are involved in implementing a project and working out the resources and funding required by each.

    • Advantages
    • - Clear and detailed information
    • - Get involved all employees
    • - Higher level of morale and motivation
  3. Steps in the budgetary process in Nepal?
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    1. Preparation/Formulation/Estimate Process of Budget - National planning commission is responsible to set up the long term plans and programs of annual development budget of the government. Nepal Central Bank and Ministry of Finance estimate the revenue and expenditure for next year. Macroeconomic policy will be set up by organizing joint meeting between MoF, NPC and Central Bank. The budget documents contains data concerning actual budget of previous years, revised estimates of current years and estimated budget of coming fiscal year. The district level office has practice Bottom up planning in different districts and submits to the MoHP through various departments.

    2. Screening Ministry of finance makes an analysis of the financial position of resources (Internal revenues and foreign assistance) and estimates expenditure. If the estimated expenditures are more than the receipts, MoF requests the ministers, departments and constitutional bodies for final budget discussion. There will be joint meeting between NPC, MoF and concerned ministry/constitutional bodies in NPC. The program manager should present logically and then after screening the budget for next years. The budget will be finalized by bargaining, negotiation and compromising. Priorities the budget on the basis of department of the program.


    • 2) Budget Approval
    • Intra mural approval system: The intra mural approval system, i.e. within the organization approval system. Two steps: firstly by the head of hospital and then by the head of institute.
    • Extra mural approval system: The approving authority is the same for all government funded hospitals i.e. through joint Secretary, Health Secretary, and Health Minister. It is then presented in the Parliament and final approval is signed by Prime Minister who is the chairman of Planning Commission.

    • 3. Sanction: Permission given by authorities to do something. By our constitution there will be joint sitting of parliaments an annual estimate including following:
    • - An estimate of revenue
    • - The money required to meet the charges on the consolidated fund.
    • - The money required to meet the expenditure to be provided for an appropriation act

    • The MoF presets the estimates of revenue and expenditure of Nepal government for the next fiscal years before joint sitting of parliament in the last week of Ashad of every year. Budget is discussed, item wise and sector wise by the members of parliament. After discussion, the budgets are passed by the
    • parliaments and sent to the President for his/her assent. Then after it would be eligible for implementation. The fiscal year starts from 1st Shrawan and ends at last day of Ashad. MoF prepares the estimated income and expenditure budget book (Red Book) for the coming year. Finance minister submit the budget in the parliament for its approval.

    4) Budget allocation - Final approval for the budget is voted ,then allocated to organizations. Finance is sanctioned in installment based on hospital funding, management policy, performance, actual expenditure of last year and future plans.

    • 5. Receipt of Budget or Implementation of Budget - According to our constitution, the budget cannot be implemented without the approval of the parliament. The following process had been adopted for the implementation of budget
    •  Provide authorized paper
    •  By checking out the authorized paper
    •  Approving the core and non-core program
    •  Process for budget release
    •  Guarantee the resources for priority 1 or core project.
    •  Release budget based on performance.


    6) Budget monitoring - Budget monitoring is usually made by the budget reports. Budget monitoring committee comprising of representatives of each department, financial advisor
  4. Describe the process of health sector budget formulation in Nepal.  [PSC/9- 74]
    https://publichealthupdate.com/process-timeframe-for-health-sector-budget-and-programme-formulation-in-nepal/
  5. What are the challenges of fiscal management in Health sector? Suggest applicable reform activities to face these challenges. 10 [PSC/9- 73]
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  6. Explain challenges of budget formulation in the health sector and suggest ways to tackle them. (2.5+2.5) [PSC/11- 71]
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  7. Every year the amount of budget allocation to health sector is quite substantial. But the return received so far seem to be very disappointing. Point out & describe the causes of the failure and what are the modalities, what do you suggest to improve this situation. 15 [PSC/9- 68]
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  8. "Finance is backbone of management" Do you agree with this statement? Give reason in points. [PSC/11- 72]
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  9. "Money spent on health is not expenditure but investment." Substantiate this statement with examples. Link this with current financial administration and regulations and critically review the situation. (5+5+5)=15 [PSC/11- 72]
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  10. Mention the national budget formulation process. Also note in points problems of low capital budget expenditure.  (2.5+2.5) [PSC/11- 72]Mention the national budget formulation process. Also note in points problems of low capital budget expenditure.  (2.5+2.5) [PSC/11- 72]
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  11. Briefly discuss the roles/responsibilities of the organs involved in financial control in a democratic government system and indicate how they exercise their power in this context. 5 [PSC/9- 65]
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  12. date of budget
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  13. Budget practice in Nepal
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  14. What is Program Budgeting? Illustrate its merits and lapses in brief. 5 [PSC/11- 65]
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Author
prem7777
ID
356975
Card Set
PSCI14 - Financial management:
Description
concept, approaches, budget formulation and implementation, auditing and topics related to fiscal management
Updated