Financing the Frontline: An Analytical Review of Provincial Administrations' Rural Health Expenditure 2006-2012

Alan Cairns and Xizohui Hou

No 103552, Health, Nutrition and Population (HNP) Discussion Paper Series from The World Bank

Abstract: Financing the frontline updates the expenditure analysis carried out in below the glass floor (2013) and tests whether the spending patterns emerging in 2009 and 2010 in Papua New Guinea have been sustained or improved in 2011 and 2012. The review also supports a better understanding of the issues that confront frontline service delivery - such as the ambiguity of roles and responsibilities in some rural health functions - and presents next steps. Concurrently, the national department of health performance information on facilities (from the national health information system (NHIS)) has been reviewed. The integration of the expenditure analysis, the NHIS performance information, and the findings from the promoting effective public expenditure facility surveys will provide a rich source of information to help sharpen understanding and shape solutions.

Keywords: sanitation; communities; spending levels; deficit; basic services; villages; accounting; financial management; operational expenditure; village; aggregate spending; provincial ... See More + support; provincial budget; local governments; community health; programs; services; policy recommendations; cost estimates; central budget; health care; revenues; health care facilities; provincial hospital; health; provincial levels; provinces; government accounting; health workers; projects; project; budget model; tax; environmental health; inflation; rural community; revenue sources; fiscal impact; cost of services; budget; fiscal capacity; health sector; knowledge; subnational; chart of accounts; budget allocations; district administration; district levels; outreach work; training; immunization; patient; patients; appropriation; operational costs; district; provincial government; health centers; ex ante controls; provincial ‘transfers; transfers; provincial spending; expenditure analysis; provincial administrators; auditor-general; cost of service; district health; accounting system; provincial level; service delivery; district level; expenditure data; national agency; public investment; health information; infrastructure; design; entitlements; health spending; expenditure; assignment of responsibilities; sub-national; equity; subnational expenditure; accountability; workers; appropriations; transparency; provincial expenditure; central administration; public expenditure; budget process; provision of water; province; distribution function; capacity constraints; national government; budgets; level of government; provincial performance; family planning; provincial administrations; medical supplies; performance information; fiscal year; provincial capital; performance analysis; provincial administration; nutrition; workshops; service delivery functions; personnel emoluments; primary health care; mobile clinics; internet; program structure; sanitation services; central coordination; district headquarters; clinics; annual budget; rural areas; birth attendants; health expenditure; allocation; provincial governments; cost estimate; revenue; facilities; national policy; community health worker; financial support; provincial treasury; community; strategy; public investment program; central agencies; hospitals; price index; provincial discretion; outcomes; government accounts; rural development; health services; implementation; service; districts; financing arrangements; service providers; provincial treasuries (search for similar items in EconPapers)
Pages: pages 54 pages
Date: 2015-09
New Economics Papers: this item is included in nep-hea
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