Our firm was engaged to carry out a Public Expenditure Tracking Survey (PETS) at all levels of the health sector; specifically we collected information on public expenditure at selected primary health facilities and LGAs in the 2 states of Ekiti and Niger as well as the federal level. The objectives of PETS are to:
- Track resource flows in health from the origin to its beneficiaries/destination (e.g. from federal to state to local government through line ministries to the service delivery units)
- Prospectively collect information through a new approach of “continuous” PETS
- Devise an intervention seeking to improve controls and accountability in the PHC system through improved information and data recording, transmission and incentives for recording and supervision at the PHC and LGA levels, which will make use of a new PETS approach
The study has two main phases:
- a first phase (the pilot phase) to pilot recording and reporting tools at the PHC and district level/LGA and,
- a second phase (the survey phase) to implement a full scale survey of public healthcare facilities and health administrative units (LGAs) using a “continuous” PETS tools, complemented by a survey at PHC facilities and at the administrative units (LGA, States, Federal level) using a retrospective PETS tools.