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Marginal Budgeting for Bottlenecks ' Phase II
Agency : UNICEF, Rajasthan
The mainstay of Marginal Budgeting for Bottleneck (MBB) was to identify country/state specific 'implementation constraints' of the health system and estimate the 'marginal costs' to overcome them. MBB used existing information available for selected tracer interventions to identify the 'bottlenecks', the weakest links in the chain of conditions, and debate various options to address them.
Rajasthan State had formally agreed to adopt the MBB tool to develop marginal budgeting for RCH - II Project. The State Government had formed a core group to identify the interventions and to come out with a marginal budget. In a series of state level workshops the core group had identified a set of interventions at three different levels i.e. family level, outreach level and institutional level. To measure the impact of the interventions, indicators had been developed along with tracer interventions at five levels i.e. availability, accessibility, utilisation, adequate coverage and effective coverage. Data collecting and budgeting were in process in RCH 2 design. However, in order to test the validity of the tool, the second phase of MBB had been initiated with a large sample size to provide district level estimates.
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