Zambia Health Sector Public : Accounting for Resources to Improve Effective Service Coverage

Over the past few years, three nagging problems have bedeviled Zambia's health sector: the country is falling off-track from reaching the Millennium Development Goals (MDGs), it is facing severe financing constraints on the government front, and the health and HIV/AIDS sector is increasingly being fragmented by the reemergence of global disease initiatives. This health sector pubic expenditure review (PER) seeks to assist the Government of the Republic of Zambia (GRZ) and its development partners take stock of the resources in the health sector and how these resources can be better used to produce better health services. The results of the PER are expected to be the used for a variety of purposes, including the preparation of the health sector strategic plan, and succeeding rounds of the global fund request for proposals. Policy dialogue between the Bank and GRZ, both at the macro and sector levels, can also be enriched by the PER. The PER also provides critical inputs into the Medium-Term Expenditure Framework (MTEF) process, and in the assessment of the Poverty Reduction Strategy Paper (PRSP). Likewise, the PER can provide inputs to fine-tune the process of the pooled basket funding mechanism under the sector-wide approach (SWAp).

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Bibliographic Details
Main Authors: Picazo, Oscar F., Zhao, Feng
Format: Publication biblioteca
Language:en_US
Published: Washington, DC: World Bank 2009
Subjects:abortion, Absenteeism, Accountability, Accounting, administrative costs, allocation of resources, annual reviews, basic health care, basic health services, Budget Allocation, Budget Process, budget support, budgetary allocations, capita health expenditure, capita health spending, Capital Expenditures, cash budgeting, cash budgeting system, Cash payments, catchment population, central government, Child Health, Child Mortality, civil servants, clinical services, clinics, communicable diseases, Cost analysis, Cost Estimates, crowding, deaths, Debt, debt relief, delivery mechanisms, delivery systems, Development Planning, dissemination, Doctors, Donor financing, epidemiological transition, Essential Drugs, exchange rate, Exercises, external assistance, externalities, family planning, financial contributions, Financial Management, financing arrangements, fiscal discipline, fiscal implications, fiscal management, fiscal sustainability, fiscal transfers, forecasts, government expenditures, government spending, Gross Domestic Product, gynecology, health care, health care facilities, Health Centers, health clinics, Health Committees, health delivery, health delivery system, Health Economics, Health Expenditure, Health Expenditures, Health Facilities, health financing, Health Indicators, Health Institutions, health insurance, health insurance schemes, Health Interventions, Health Management, Health Outcome, health outcomes, Health Policy, health posts, health projects, Health Resources, Health Sector, health sector reform, Health Service, Health Service Delivery, health service provision, Health Services, health specialist, health spending, health status, Health System, Health System Goals, Health Workers, HIV/AIDS, Hospital, hospital accreditation, hospital financing, Hospital Management, Hospitals, HR, Human Resources, illness, immunization, Income, income countries, Inequities, Infant, Infant Mortality, Infant Mortality Rate, Information System, inpatient care, Intervention, legal status, life expectancy, Live Births, Living Conditions, Macroeconomic Policy, macroeconomic situation, Malaria, malaria control, Management of Health, management responsibilities, marginal increase, Maternal Health, Maternal Health Interventions, Maternal Mortality, Maternal Mortality Ratio, Maternal Mortality Reduction, Medical economics, Medical Equipment, medical instruments, Medical Supplies, Medium Term Expenditure, Medium Term Expenditure Framework, Medium-Term Expenditure, Medium-Term Expenditure Framework, member countries, Millennium Development Goals, Ministry of Defense, Ministry of Finance, Ministry of Health, morbidity, Mortality, National Government, National Health, National Health Insurance, National Health Insurance Fund, national health spending, National Planning, national priorities, nongovernmental organizations, nurses, nutrition, Oral Rehydration Therapy, outpatient care, Patient, Patient Management, Patients, pediatrics, performance data, Personnel Expenditures, PHO, Policy Analysis, policy discussions, postnatal care, Poverty Reduction, Poverty Reduction Strategy, pregnancy, pregnant women, Primary health care, private clinics, private providers, private sector, providers of health services, provincial level, psychiatry, Public Expenditure, Public Expenditure Review, Public Expenditure Tracking, public expenditures, public finance, public funds, Public Health, public health programs, public institutions, public sector, Recurrent Expenditures, reform program, Resource allocation, Resource Availability, resource flows, risk factor, sanitation, sector ministries, sectoral allocation, Service Providers, social health insurance, sponsors, surgery, total expenditures, Tuberculosis, tuberculosis cases, Under-Five Mortality, Workers,
Online Access:http://hdl.handle.net/10986/13532
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