Publication: Uganda - Public Expenditure Review 2022-23: Module III (B) - Efficiency, Effectiveness, and Equity in Health Spending
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2024-04-18
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2024-04-18
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The Government of Uganda (GoU) with support from the World Bank Group has conducted a Public Expenditure Review (PER) of the health sector as part of the broader PER which also covers macro-fiscal adjustment, education, public investment management, and intergovernmental fiscal transfers. The overall PER seeks to provide evidence on the financing and spending in the country in order to inform the GoU on areas for fiscal savings and expenditure rationalization, raising the equity and efficiency of spending, rebalancing expenditures between hard infrastructure, investments in quality service delivery and human capital development, and strengthening institutional aspects of public financial management. The health component of the PER builds on four pieces of work that have previously been undertaken by the GoU with support from the World Bank that look at public spending on health, efficiency, resource mobilization, and service delivery. These are: (i) the 2008 PER that focused on affordability of pay reform and the health sector; (ii) the 2010 fiscal space for health analysis; (iii) the 2013 service delivery indicator survey in the health and education sectors; and (iv) the 2021 study on raising taxes for improving health in Uganda. The findings from these studies have been used to inform policy and planning. However, some challenges still persist which require more evidence for the GoU to design and implement the most appropriate interventions.
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“World Bank. 2024. Uganda - Public Expenditure Review 2022-23: Module III (B) - Efficiency, Effectiveness, and Equity in Health Spending. © World Bank. http://hdl.handle.net/10986/41438 License: CC BY-NC 3.0 IGO.”
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Publication Uganda - Public Expenditure Review 2022-23(Washington, DC: World Bank, 2024-04-18)The Uganda Public Expenditure Review (PER) 2022-23 focused on selected aspects of fiscal policy management and outcomes with a view to supporting a fiscal adjustment to a more inclusive growth agenda. This report focuses on Module III (A) which is related to identifying options for enhancing spending efficiency and raising fiscal space to sustain and improve service delivery in Uganda’s education sector. The report assesses the evolution in spending in the education sector over the last decade. It delves into the efficiency, effectiveness, and equity of spending within the education sector, with a view to find ways of improving service provision within the sector.Publication Uganda - Public Expenditure Review 2022-23(Washington, DC: World Bank, 2024-04-18)This public expenditure review (PER) 2022-2023 identifies options for an effective, sustainable, and inclusive fiscal adjustment. 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It therefore analyzed the performance of the capital budget and fiscal outcomes; outlined the gaps in public investment management and makes recommendations on the priorities for the next phase of PIM reforms to improve efficiency and create fiscal space. The diagnostic is based on information and evidence gathered through desk reviews of government documents and information gathered through interviews of a wide range of stakeholders within government, nongovernment organizations and academia, conducted during December of 2021 and April 2023.Publication Uganda - Public Expenditure Review 2022-23(Washington, DC: World Bank, 2024-04-18)This report presents a review of the intergovernmental fiscal transfer reforms program (IGFTRP) and its performance since 2015, as part of a broader Public Expenditure Review (PER) that aimed to explore avenues for improving efficiency effectiveness in cross cutting areas of service delivery. 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It has, therefore, detailed Uganda’s macro-fiscal challenges and government’s current fiscal policy stance in relation to both the short-term shocks and longer-term structural issues such as demographics and structural transformation; outlined spending problems in key sectors (e.g., infrastructure and human development) and their impact on efficiency and effectiveness of fiscal policies; and provided an assessment of the broad options for expenditure rationalization and restructuring. The report summarizes the outcome of the analysis together with options for macro-fiscal adjustment and a action plan that includes broad expenditure rationalization measures and the quantification of potential fiscal savings. This module is the first of a four-module PER and is focused on selected aspects of fiscal policy management and outcomes with a view of supporting an effective and sustainable fiscal adjustment to a more inclusive growth agenda. this report is presented in four parts. 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