Assessing Public Expenditure on Health From a Fiscal Space Perspective
Ajay Tandon a and Cheryl Cashin b
a EASHH, World Bank, Washington
b HDNHE Consultant, World Bank,
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
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?....”…..
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
ANNEX A SOME EXAMPLES OF FISCAL SPACE NEEDS-BASED ASSESSMENTS FROM THE LITERATURE
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