The Lesotho budget reform introduced a type of programme
or output-based budgeting. Individual hospitals began the
process by developing plans organized by objectives set out by
the Ministry (i.e. increase access to services etc.). Each plan was
to specify those activities needed to achieve objectives and to
identify indicators to measure accomplishments. Hospital staff
would then create a performance-based budget organized by
programme (e.g. general administration, curative services, etc.).
Using a set of worksheet forms, hospital staff would map
activities to specific programmes and outputs. They would then
estimate the frequency and total cost of inputs for each activity,
and roll up this information to determine total programme
costs. MOHSW staff would review and amend budget