Zambia Health Sector Public Expenditure Review

Accounting for Resources to Improve Effective Service Coverage

Author: Oscar F. Picazo,Feng Zhao

Publisher: World Bank Publications

ISBN: 0821378058

Category: Medical

Page: 92

View: 5325

This book portrays the performance of the health sector in Zambia using quantitative techniques. While there have been a number of health sector assessments in the country, they have relied on qualitative and anecdotal evidence for the most part. For the first time, this pubic expenditure review of the health sector brings together the results of three separate but related analytical efforts: multi-year national health accounts, a public expenditure tracking and quality of service delivery survey, and resource and impact modeling using the Marginal Budgeting for Bottlenecks software. These exercises combine to yield more powerful findings on the weaknesses and prospects of the Zambian health system.

Zambia Health Sector Public Expenditure Review

Accounting for Resources to Improve Effective Service Coverage

Author: Oscar F. Picazo,Feng Zhao

Publisher: World Bank Publications

ISBN: 0821378058

Category: Medical

Page: 92

View: 9636

This book portrays the performance of the health sector in Zambia using quantitative techniques. While there have been a number of health sector assessments in the country, they have relied on qualitative and anecdotal evidence for the most part. For the first time, this pubic expenditure review of the health sector brings together the results of three separate but related analytical efforts: multi-year national health accounts, a public expenditure tracking and quality of service delivery survey, and resource and impact modeling using the Marginal Budgeting for Bottlenecks software. These exercises combine to yield more powerful findings on the weaknesses and prospects of the Zambian health system.

Zambia

Building Prosperity from Resource Wealth

Author: Christopher Adam,Paul Collier,Michael Gondwe

Publisher: OUP Oxford

ISBN: 0191636266

Category: Business & Economics

Page: 448

View: 5646

Zambia is a landlocked mineral dependent country in Southern Africa whose history is intimately entwined with the copper mining industry. Having gained Independence from Britain in 1964 at the height of a copper boom, the country experienced a slow and painful economic decline over the next quarter century. However, following a traumatic and protracted process of economic adjustment through the 1990s and early 2000s, Zambia's economic potential is now better than it has been at any time since Independence. This book, which contains a set of rigorous but accessible essays by a range of Zambian and international scholars, seeks to examine the challenges and opportunities that currently face Zambian policymakers as they seek to harness the country's valuable natural assets to broad-based and sustainable economic growth over the coming decades. Written in a non-technical manner by leading scholars in the field, the chapters address key challenges in the areas of natural resource management, agriculture, trade, employment and migration, education, finance, and investment. This is the second volume in the Africa: Policies for Prosperity series following on from the successful first volume on Kenya.

Zambia: 2005 Article IV Consultation, Third Review Under the Three-Year Arrangement Under the Poverty Reduction and Growth Facility, Request for Waiver and Modification of Performance Criterion, and Financing Assurances Review - Staff Report; Public Information Notice and Press Release on the Executive Board Discussion; and Statement by the Executive Director for Zambia

Author: International Monetary Fund

Publisher: International Monetary Fund

ISBN: N.A

Category:

Page: 113

View: 368

Zambia’s 2005 Article IV Consultation and Third Review Under the Poverty Reduction and Growth Facility are discussed. Expenditure restraint, including on the wage bill, has helped to put the fiscal operations of the government on a sustainable course and contributed to the attainment of the Heavily Indebted Poor Countries completion point. Progress has also been made on the structural reforms agenda, including public expenditure management, public debt management, the resolution of insolvent nonbank financial institutions, and the privatization of the Zambia National Commercial Bank.

Zambia

Fourth Review of the Three-Year Arrangement Under the Poverty Reduction and Growth Facility, Request for Modification of Performance Criteria, and Financing Assurances Review: Staff Report; and Press Release on the Executive Board Consideration

Author: International Monetary Fund

Publisher: International Monetary Fund

ISBN: 145279376X

Category: Business & Economics

Page: 73

View: 7626

Zambia has achieved robust economic growth over the years, and poverty has begun to trend downward under the Poverty Reduction and Growth Facility Arrangement. Prudent fiscal policy has reduced the domestic financing need and facilitated the implementation of a firmer monetary policy. Executive Directors agreed that the relief under the economic program and the Multilateral Debt Relief Initiative has reduced its external debt, and its economic fundamentals have helped in gaining market confidence. They advised the authorities to maintain macroeconomic stabilization and stressed the need to accelerate structural reform.

The Evaluation of Public Expenditure in Africa

Author: Henry J. Bruton,Catharine Hill,Arup Banerji

Publisher: World Bank Publications

ISBN: 9780821336809

Category: Business & Economics

Page: 172

View: 5977

World Bank Technical Paper No. 335. Describes the World Bank's successful interventions in three international river basins--the Indus, the Mekong, and the Aral Sea--to foster riparian dialogue, cooperation, and agreements. The paper highlights the Bank's successes in these basins as model strategies to follow for avoiding the adverse impacts that riparian conflicts may have on economic development in other regions.

Education and Health in Sub-Saharan Africa

A Review of Sector-wide Approaches

Author: N.A

Publisher: World Bank Publications

ISBN: 9780821348574

Category: Business & Economics

Page: 138

View: 9543

This book discusses the prevalent process of commodity market reform in the specific context of cocoa, coffee, cotton, grains and sugar markets, and provides lessons by selectively drawing on cross-country experience in those markets. The commodity markets covered in this book deserve special attention for the following reasons. A? They play an important role in many developing countries. A? These markets illustrate how well special features can influence the reform process and illustrate the importance of taking initial conditions into account when designing reform. A? Experience from commodity markets illustrates how long-standing interventions can crowd out markets and institutions geared toward the support of private markets. A? Close examination of liberalization at the commodity level shows the practical ways that changes in marketing systems can result in a shift in political power away from the government and toward the private sector in the design and implementation of commodity subsector policies. This book focuses on commodity-specific conditions that quickened or slowed the pace of reform and looks at the relationship between changing markets and institutions. It argues that the benefits of market reform and trade liberalization are only fully realized when the supporting factor markets and the institutions work.

Aid and Poverty Reduction in Zambia

Mission Unaccomplished

Author: Oliver S. Saasa,Jerker Carlsson

Publisher: Nordic Africa Institute

ISBN: 9789171064899

Category: Social Science

Page: 141

View: 7780

Zambia, a once prosperous African country, now has 73 per cent of its people below the poverty line and by the early 1990s, the country was included on the list of the least developed countries. Despite significant aid volumes and structural reforms, the country is getting deeper and deeper into poverty. What is the missing link between aid and positive change? Is the problem mainly that the volume of aid is not sufficient and, as is often heard, more of it would make a difference? Has the sluggish social and economic progress in Zambia been appropriately diagnosed and correct remedies and strategies prescribed? This book attempts to address these and related questions.

Fiscal Space for Health in Uganda

Author: Peter Okwero,Ajay Tandon,Susan Sparkes,Julie McLaughlin,Johannes G. Hoogeveen

Publisher: World Bank Publications

ISBN: 9780821382950

Category: Medical

Page: 64

View: 6453

This paper reviews the performance of the health sector in Uganda. It addresses concerns in the Ugandan health community that health financing must be increased to improve health, nutrition, and population outcomes, especially given the rapid increase in the country s population. Although international development aid targeted to health has increased dramatically, Uganda s first priority is actions to reduce waste and inefficiency in existing health expenditures. Such actions could include improved management of human resources in the health sector, strengthened procurement and logistics management for medicines and medical supplies, and better programming of development assistance of health. This paper is targeted to health policy makers and those involved in health services financing, both in the government and in donor agencies. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom, and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition, and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharmaceuticals, Governance and Service Delivery, and Infrastructure and ICT.

The New Microfinance Handbook

A Financial Market System Perspective

Author: Joanna Ledgerwood,Julie Earne,Candace Nelson

Publisher: World Bank Publications

ISBN: 0821389289

Category: Business & Economics

Page: 530

View: 6581

The New Microfinance Handbook provides a detailed overview of client financial service needs, the various providers and financial products and services that meet those needs, and the supporting functions that allow the financial market system to provide better, more appropriate financial services to the poor sustainably.

Zambia's Health Reforms

Selected Papers, 1995-2000

Author: Chris Ngenda Mwikisa

Publisher: N.A

ISBN: 9789188042156

Category: Health care reform

Page: 231

View: 6323

Using Public Expenditure Tracking Surveys to Monitor Projects and Small-Scale Programs

A Guidebook

Author: Margaret Koziol,Courtney Tolmie

Publisher: World Bank Publications

ISBN: 0821385208

Category: Political Science

Page: 80

View: 5863

Public Expenditure Tracking Surveys (PETS) are a tried and tested methodology to identify delays in financial and in-kind transfers, leakages, and other inefficiencies in government programs. This guidebook aims to provide a starting point for civil society groups and other organizations interested in taking a closer look at government spending processes, both on a small and a larger scale. It is designed to lead users from the definition of the appropriate Public Expenditure Tracking Survey to be used, to the dissemination of its findings, with an emphasis on using evidence effectively to influence policy decisions at any level. Based on the experience of the World Bank in measuring and improving the effectiveness of service delivery, this approach helps empower citizens to keep service providers accountable through better information, communication, and engagement.

Zambia Country Assistance Review

Turning an Economy Around

Author: Gladstone G. Bonnick

Publisher: World Bank Publications

ISBN: 9780821338797

Category: Political Science

Page: 152

View: 9258

This book draws on country case studies to focus on the environmental implications of economywide policy reforms undertaken at the sectoral or macroeconomic level. Although the emphasis is upon economic policies, other noneconomic measures are also relevant, such as social, institutional, and legal actions. The main feature of most policy reforms directed at various levels of economic decisionmaking are price changes designed to promote efficiency and reduce waste. This report reinforces the view that policies that address price-related distortions can contribute to both economic and environmental goals (win-win policy reforms). A recurring theme in the case studies is that the potential for achieving parallel gains in conventional economic, social, and environmental goals is often present when economywide reforms attempt to improve macroeconomic stability, increase efficiency, and alleviate poverty. However, in important cases these potential gains cannot be realized unless complementary environmental and social measures are carried out. Of related interest: The Greening of Economic Policy Reform: Volume I: Principles (ISBN 0-8213-3477-8) Stock no. 13477; Volume II: Case Studies (ISBN 0-8213-3797-1) Stock no. 13797.

Low Carbon, High Growth

Latin American Responses to Climate Change : an Overview

Author: Augusto de la Torre,Pablo Fajnzylber,John Nash

Publisher: World Bank Publications

ISBN: 9780821376195

Category: Business & Economics

Page: 78

View: 1882

role can Latin America play in the area of climate change mitigation? While the book does not attempt to provide definitive answers to these questions, it contributs new information and analysis that could help to inform the public policy debate on this important issue." --Book Jacket.

World Bank HIV/AIDS Interventions

Ex-ante and Ex-post Evaluation

Author: Julia Dayton

Publisher: World Bank Publications

ISBN: 9780821342510

Category: Medical

Page: 35

View: 1742

The AIDS epidemic is one of the greatest development challenges of the 20th century. Since 1986, the World Bank has supported member countries' efforts to fight the epidemic in many ways including committing over US$550 million to HIV/AIDS prevention and mitigation efforts. This paper, the first comprehensive study of all World Bank HIV/AIDS-related activities, assesses the appropriateness of Bank interventions from the perspective of public economies and reviews the economic evaluation and implementation of projects.

Health Financing Policy

The Macroeconomic, Fiscal, and Public Finance Context

Author: Cheryl Cashin

Publisher: World Bank Publications

ISBN: 1464807973

Category: Business & Economics

Page: 74

View: 9368

The global movement toward universal health coverage (UHC) is accompanied by requests for large increases in government health spending in some countries. This combined with the global economic situation and stagnant economic growth across many low- and middle-income countries make it more critical than ever to place health financing discussions firmly in the context of macroeconomic and fiscal realities. Unfortunately, there is often a disconnect in decision making, with key fiscal decisions made in the absence of a clear understanding on the one hand of the potential consequences for the health sector, and on the other, the consequences for the country’s macroeconomic and fiscal position of increasing or reallocating government spending. Constructive health financing policy dialogue aims to reach a common understanding between health sector leaders and central budget authorities about policy objectives for the health sector and the resources needed to achieve those objectives, how much priority will be given to health in the government budget, and how the health sector will be held accountable for using funds effectively. This common understanding should be built on a realistic picture of the country’s macroeconomic and fiscal context, the constraints and competing priorities in the budget-setting process. When ministries of health and ministries of finance have a common understanding of macroeconomic and fiscal constraints, discussions can focus productively on using funds within the potential health resource envelope in the most effective way to achieve health system objectives. This guidance note outlines the key components of the macroeconomic, fiscal, and public financial management context that need to be considered for an informed health financing discussion at the country level. The guidance note is organized around four sets of questions that are key to placing the health financing dialogue in the context of a country’s macroeconomic and fiscal context. Each section points to measures, resources, and analytical tools that are available to assist in answering these questions for a specific country. The guidance note draws on case studies from 11 countries moving toward or sustaining universal health coverage conducted as part of the Japan†“World Bank Partnership Program on UHC as well as from other country examples.