Person:
Brixi, Hana

Global Practice on Social Protection and Jobs
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Public sector governance, Public finance, Public service delivery, Human development, Social Protection and Labor
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Global Practice on Social Protection and Jobs
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Last updated January 31, 2023
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As Practice Manager, Dr. Brixi leads the World Bank engagement on social protection and employment in the Middle East and North Africa (MENA) region. In her career in the World Bank, Dr. Brixi has been advancing analytic and operational contribution to human development, service delivery, and public sector governance. She led the Global Solutions Group on Public Service Delivery and a Thematic Group on Quality of Fiscal Adjustment; and held senior technical positions across regions, including Program Leader for the Gulf countries, Lead Economist for Human Development in the MENA region, and Senior Economist in China and in countries of Europe and Central & South East Asia. Based in China during 2001-10, she served as World Health Organization’s Sector Leader for Health Sector Development and UNICEF Social Policy Chief; and she taught international development as a Visiting Professor at Tsinghua University, School of Public Policy and Management, in Beijing. She published several books, including Trust, Voice and Incentives on governance and service delivery and Government at Risk on contingent liabilities and fiscal risk management (Oxford University Press), and numerous articles on topics of public finance, governance, and human development in professional journals.

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Author: Hipgrave, David × Subject: BASIC EDUCATION ×

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    Equity and Public Governance in Health System Reform : Challenges and Opportunities for China
    ( 2011-01-01) Brixi, Hana ; Mu, Yan ; Targa, Beatrice ; Hipgrave, David
    Achieving the objective of China's current health system reform, namely equitable improvements in health outcomes, will be difficult not least because of the continuously growing income disparities in the country. The analysis in this paper shows that since 2000, disparity in selected health outcomes has been declining across provinces, largely due to earmarked central government allocations. By contrast, public expenditure on health is increasingly regressive (positively correlated with local income per capita) across provinces, and across prefectures and lower levels within provinces. The increasing inequity in public expenditure at sub-national levels indicates that incentives, responsibilities, and resources at sub-national levels are not well aligned with China's national priorities. To address the weaknesses in equity and efficiency that characterize China's health system and health outcomes, China's health system reform may require complementary reforms to improve governance for public service delivery across sectors.