Abstract:
This annual performance report details the performance of the health sector in 2013 EFY, the first year of the
HSTP-II period. The report mainly describes the achievements of the sector by comparing performance against
the targets set for 2013 EFY, and includes major initiatives, activities and challenges by program and health
system investment areas. The fiscal year was a time when the health system was challenged by the continued
COVID-19 pandemic and conflicts in different parts of the country resulting in high number of internally
displaced people (IDPs). Despite the emergency challenges that has huge negative impacts on the health
system, the health sector has achieved encouraging results in terms of improving utilization of maternal and
child health services, prevention and control of communicable and non-communicable diseases, emergency
management and response and other health services. However, regional disparity in service utilization was
observed, which denotes designing and implementation of interventions to close the equity gap among the
regions. The achievements of the health sector in the fiscal year were not without challenges. In addition to the
occurrence of emergencies, other challenges and shortcomings, that includes inadequate health workforce
density and mix, inadequate basic amenities at health facilities; inadequate financing; and shortage of
pharmaceutical supplies. The quality of health services was also sub-optimal.