[EQ] Assessing Public Expenditure on Health From a Fiscal Space Perspective

Assessing Public Expenditure on Health From a Fiscal Space Perspective

Ajay Tandon a and Cheryl Cashin b

a EASHH, World Bank, Washington DC., USA

b HDNHE Consultant, World Bank, Washington DC., USA

Health, Nutrition and Population (HNP) Discussion Paper, 2010

 

Available online as PDF file [84p.] at: http://bit.ly/acGo2t

 

“….This document delineates a simple conceptual framework for assessing fiscal space for health and provides an illustrative roadmap for guiding such assessments. The roadmap draws on lessons learned from analyses of seven fiscal space case studies conducted over the past two years in Cambodia, India, Indonesia, Rwanda, Tonga, Uganda, and Ukraine.

 

The document also includes a summary of the fiscal space assessments from these seven case studies. Any assessment of fiscal space typically entails an examination of whether and how a government could feasibly increase its expenditure in the short-to-medium term, and do so in a way that is consistent with a country’s macroeconomic fundamentals. Although fiscal space generally refers to overall government expenditure, for a variety of reasons there has been growing demand for a framework for analyzing fiscal space specifically for the health sector.

 

This document outlines ways in which generalized fiscal space assessments could be adapted to take a more health-sector specific perspective:
    What is the impact of broader macroeconomic factors on government expenditures for health?
      Are there sector-specific considerations that might expand the set of possible options for generating fiscal space for health?
        Are there country-specific examples of innovative strategies that have been successful in increasing fiscal space for health?....”…..
 

Content:

 

PART I – INTRODUCTION AND BACKGROUND

PART II - A ROADMAP FOR ASSESSING FISCAL SPACE FOR HEALTH

COMPONENT 1: IDENTIFYING THE NEED FOR ADDITIONAL FISCAL SPACE FOR HEALTH

COMPONENT 2: ASSESSING THE POTENTIAL FOR INCREASING FISCAL SPACE FROM THE FIVE PILLARS

Conducive Macroeconomic Conditions

Re-Prioritization of Health

Increase in Health Sector-Specific Resources

Health Sector-Specific Grants and Foreign Aid

Increase in Efficiency of Health Expenditures

COMPONENT 3: SUMMARY AND CONCLUSIONS

PART III - CASE SUMMARIES

CAMBODIA

INDIA

INDONESIA

RWANDA

TONGA

UGANDA

UKRAINE

ANNEX A SOME EXAMPLES OF FISCAL SPACE NEEDS-BASED ASSESSMENTS FROM THE LITERATURE

 *      *     *

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho

IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission. 

Thank you.