Following the Government Playbook? Channeling Development Assistance for Health through Country Systems
Development partners (DPs) contribute to a significant share of total health financing, especially in low-income countries, and support the achievement of universal health coverage (UHC). However, if DP support is not well aligned with government systems, it can lead to inefficiencies, such as poor prioritization, fragmentation, and duplication of activities, and inhibit the government’s ability to maintain effective stewardship over sector activities. This note develops a comprehensive interpretation of the term ‘country systems’ in a public financial management (PFM) environment along with a checklist across the budget cycle that can be used to assess whether DPs in a given country are aligned to various PFM aspects. Undertaking an assessment is expected to have the following benefits: to provide a better understanding of the DP financial architecture and contribute to the literature of DP alignment and aid effectiveness; to articulate a clear baseline of DP financing modalities to allow for establishing a logical framework that will help articulate a reform program and strengthen mutual accountability. to foster learning across countries and DPs.
Main Authors: | , , , |
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Format: | Report biblioteca |
Language: | English |
Published: |
World Bank, Washington, DC
2021-10-21
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Subjects: | STRATEGIC PLANNING, DEVELOPMENT ASSISTANCE, BUDGET PREPARATION, BUDGET EXECUTION, PUBLIC FINANCIAL MANAGEMENT, HEALTH FINANCE, |
Online Access: | http://documents.worldbank.org/curated/undefined/332531634794859261/Following-the-Government-Playbook-Channeling-Development-Assistance-for-Health-through-Country-Systems http://hdl.handle.net/10986/36525 |
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Summary: | Development partners (DPs) contribute
to a significant share of total health financing, especially
in low-income countries, and support the achievement of
universal health coverage (UHC). However, if DP support is
not well aligned with government systems, it can lead to
inefficiencies, such as poor prioritization, fragmentation,
and duplication of activities, and inhibit the government’s
ability to maintain effective stewardship over sector
activities. This note develops a comprehensive
interpretation of the term ‘country systems’ in a public
financial management (PFM) environment along with a
checklist across the budget cycle that can be used to assess
whether DPs in a given country are aligned to various PFM
aspects. Undertaking an assessment is expected to have the
following benefits: to provide a better understanding of the
DP financial architecture and contribute to the literature
of DP alignment and aid effectiveness; to articulate a clear
baseline of DP financing modalities to allow for
establishing a logical framework that will help articulate a
reform program and strengthen mutual accountability. to
foster learning across countries and DPs. |
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