Assessing Public Expenditure Governance of the Primary Health Care Programme in Uganda
Author: Emmanuel Keith Kisaame
Publisher:
Published: 2019
Total Pages: 80
ISBN-13: 9789970567478
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PEFA, Public Financial Management, and Good Governance
Author: Jens Kromann Kristensen
Publisher: World Bank Publications
Published: 2019-11-24
Total Pages: 168
ISBN-13: 146481466X
DOWNLOAD EBOOKThis project, based on the Public Expenditure and Financial Accountability (PEFA) data set, researched how PEFA can be used to shape policy development in public financial management (PFM) and other major relevant policy areas such as anticorruption, revenue mobilization, political economy analysis, and fragile states. The report explores what shapes the PFM system in low- and middle-income countries by examining the relationship between political institutions and the quality of the PFM system. Although the report finds some evidence that multiple political parties in control of the legislature is associated with better PFM performance, the report finds the need to further refine and test the theories on the relationship between political institutions and PFM. The report addresses the question of the outcomes of PFM systems, distinguishing between fragile and nonfragile states. It finds that better PFM performance is associated with more reliable budgets in terms of expenditure composition in fragile states, but not aggregate budget credibility. Moreover, in contrast to existing studies, it finds no evidence that PFM quality matters for deficit and debt ratios, irrespective of whether a country is fragile or not. The report also explores the relationship between perceptions of corruption and PFM performance. It finds strong evidence of a relationship between better PFM performance and improvements in perceptions of corruption. It also finds that PFM reforms associated with better controls have a stronger relationship with improvements in perceptions of corruption compared to PFM reforms associated with more transparency. The last chapter looks at the relationship between PEFA indicators for revenue administration and domestic resource mobilization. It focuses on the credible use of penalties for noncompliance as a proxy for the type of political commitment required to improve tax performance. The analysis shows that countries that credibly enforce penalties for noncompliance collect more taxes on average.
The Efficiency of Government Expenditure
Author: Ms.Keiko Honjo
Publisher: International Monetary Fund
Published: 1997-11-01
Total Pages: 61
ISBN-13: 145192240X
DOWNLOAD EBOOKThis paper assesses the efficiency of government expenditure on education and health in 38 countries in Africa in 1984-95, both in relation to each other and compared with countries in Asia and the Western Hemisphere. The results show that, on average, countries in Africa are less efficient than countries in Asia and the Western Hemisphere; however, education and health spending in Africa became more efficient during that period. The assessment further suggests that improvements in educational attainment and health output in African countries require more than just higher budgetary allocations.
Evaluating Public Spending
Author: Sanjay Pradhan
Publisher: World Bank Publications
Published: 1996-01-01
Total Pages: 150
ISBN-13: 9780821336335
DOWNLOAD EBOOKWorld Bank Discussion Paper No. 318. Analyzes the condition needed for achieving sustainable private sector growth in the Visegrad countries--the Czech Republic, Hungary, Poland, and the Slovak Republic. The analysis focuses on the legal and regulatory framework and institutional capacity, the privatization of state enterprises, and private sector development.
Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda
Author: Julia Mensah
Publisher: World Bank Publications
Published: 2024-02-15
Total Pages: 438
ISBN-13: 1464819939
DOWNLOAD EBOOKIn Uganda, conditions in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) remain the primary drivers of morbidity and mortality, accounting for 60 percent of years of life lost. The high burden of these conditions can be attributed to a poor quality of care resulting from inadequate financial, human, and material resources compounded by weak multisectoral coordination. Moreover, the country's high population growth rate and a young population imply that RMNCAH service delivery will continue to dominate health sector reforms--even with the increasing prevalence of noncommunicable and infectious diseases. Over the past two decades, Uganda has focused on improving the quality of RMNCAH service delivery, leading to declines in the maternal, infant, and under-five mortality ratios and the increased use of modern contraception among married women. However, the neonatal mortality and teenage pregnancy rates have stagnated, and the low civil registration of births and deaths remains challenging. Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here? comprises 12 studies conducted as part of the RMNCAH Operational Research Program drafted between 2019 and 2021 and finalized and disseminated in October 2022 across 45 districts of Uganda with funding from Sweden and the World Bank. These studies underscore important lessons learned and offer suggestions for enhancing the delivery of RMNCAH interventions. Each chapter represents one study and discusses service delivery, the health workforce, financing, health information systems, and governance and leadership. Two appendixes summarize key findings and recommendations and explain the roles of key stakeholders in the RMNCAH Operational Research Program.
Health Financing Progress Matrix assessment, Uganda 2023
Author: World Health Organization
Publisher: World Health Organization
Published: 2023-09-29
Total Pages: 58
ISBN-13: 9240078614
DOWNLOAD EBOOKHow Useful Are Benefit Incidence Analyses of Public Education and Health Spending
Author: Sawitree S. Asawanuchit
Publisher: International Monetary Fund
Published: 2003-11-01
Total Pages: 49
ISBN-13: 1451875436
DOWNLOAD EBOOKThis paper provides a primer on benefit incidence analysis (BIA) for macroeconomists and a new data set on the benefit incidence of education and health spending covering 56 countries over 1960-2000, representing a significant improvement in quality and coverage over existing compilations. The paper demonstrates the usefulness of BIA in two dimensions. First, the paper finds, among other things, that overall education and health spending are poorly targeted; benefits from primary education and primary health care go disproportionately to the middle class, particularly in sub-Saharan Africa, HIPCs and transition economies; but targeting has improved in the 1990s. Second, simple measures of association show that countries with a more propoor incidence of education and health spending tend to have better education and health outcomes, good governance, high per capita income, and wider accessibility to information. The paper explores policy implications of these findings.
Using Public Expenditure Tracking Surveys to Monitor Projects and Small-scale Programs
Author: Margaret Koziol
Publisher: World Bank Publications
Published: 2010
Total Pages: 82
ISBN-13: 0821385194
DOWNLOAD EBOOKPublic Expenditure Tracking Surveys help identify delays in financial and in-kind transfers, leakages, and other inefficiencies in government programs. This guidebook provides a starting point for civil society and other organizations interested in taking a closer look at government spending processes, both on a small and a larger scale.
Health Care in Uganda
Author: Paul Hutchinson
Publisher: World Bank Publications
Published: 1999-01-01
Total Pages: 228
ISBN-13: 9780821345313
DOWNLOAD EBOOK"The government of Uganda faces a multitude of challenges in the health care arena, from ensuring that health care services are delivered in the most equitable manner, to structuring the health care delivery system to be most effective, to waging campaigns against the leading causes of mortality and morbidity. The government needs the best information available on existing conditions, in order to devise strategies to successfully meet these challenges." This technical paper summarizes the results of three research efforts concerning current health care issues in Uganda. Its purpose is to summarize key actions and identify new challenges. In Part I, "Equity of Access to Health Services in Uganda: The Effects of Income, Gender, Proximity to Services, and Quality of Care," the author examines a number of factors that affect access to health services, including quality of services and income. Part II of this technical paper, "Decentralization of Health Services in Uganda: Moving Toward Improved Delivery of Services," summarizes the key actions that have been undertaken during the decentralization of Uganda's health sector and identifies challenges that are emerging during this process. Part III, "Malaria: A Priority Health Problem," summarizes the status of malaria control in Uganda and highlights some of the key issues that need to be addressed to further strengthen malaria control efforts. This paper should prove useful to those working in Uganda and in other countries facing similar policy changes, to anticipate the challenges as they seek to improve the quality of health and other public services.
External Evaluation of the ESAF
Author: International Monetary Fund
Publisher: International Monetary Fund
Published: 1998-06-24
Total Pages: 148
ISBN-13: 9781557757357
DOWNLOAD EBOOKOne result of the IMF's move to increased openness are independent external evaluations of important IMF policies, to complement its own in-house evaluations. This paper, prepared by a team of evaluators, includes in addition to the external evaluation, a statement by Bernd Esdar, Chairman of the Executive Director's group concerned with external evaluations; the summing up by IMF Managing Director Michel Camdessus of the Executive Board's discussion of the report; the terms of reference; and the IMF staff's response to the evaluation.
