Publication: Uganda - Public Expenditure Review 2022-23: Module III (B) - Efficiency, Effectiveness, and Equity in Health Spending
Loading...
Date
2024-04-18
ISSN
Published
2024-04-18
Author(s)
Editor(s)
Abstract
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.
Link to Data Set
Citation
“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.”
Associated URLs
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
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. It therefore details 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; it outlines spending problems in key sectors (e.g., infrastructure and human development) and their impact on efficiency and effectiveness of fiscal policies; and it provides an assessment of the broad options for expenditure rationalization and restructuring. The PER is organized in four modules as follows: (i) Module I identifies broad options for an effective and sustainable fiscal adjustment; (ii) Module II identifies options for enhancing effectiveness, efficiency, and equity of spending in two areas critical for service delivery: (a) public investment management; and (b) the intergovernmental fiscal transfers (IGFT) system, that includes the plans and assumptions underpinning the medium-term plan (MTP) for financing of local service delivery; (iii) Module III identifies options for enhancing spending on human development, by delving into the efficiency, effectiveness, and equity of spending within the education and health sectors; and (iv) Module IV synthesizes the findings and recommendations into a summary report. Chapter 1 presents introduction. Chapter 2 presents identifying broad macro-fiscal options for an effective and sustainable fiscal adjustment. Chapter 3 presents the options for improving effectiveness, efficiency, and equity in critical areas of service delivery, focusing on the systems for intergovernmental fiscal transfers to local governments and management of public investments. Chapter 4 elaborates on the options for enhancing spending for human capital development, focusing on education and health, chapter 5 concludes.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 module of the Public Expenditure Review (PER) sought to identify options for an effective and sustainable fiscal adjustment by considering key macroeconomic variables, fiscal policy priorities, spending trends, and Uganda’s overall development needs. 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. Chapter 1 gives introduction and country context. Chapter 2 discusses the macro-fiscal developments and changes to overall fiscal management; chapter 3 assesses the expenditure trends and their implication on growth and social outcomes; and chapter 4 relays the results and implications of simulations of the options for fiscal adjustment, before concluding with the final remarks and recommendations.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. The report is based on extensive documentary review, analysis of available data on local government (LG) finances, fieldwork in selected LGs and consultations with national ministries, departments, and agencies (MDAs) involved in the management of the IGFTRP. Ministry of Finance, Planning, and Economic Development (MoFPED) provided data in various forms, and some data was publicly available at its website. It also includes data analysis on aspects of LG financing outside the IGFTRP system, but with implications to its delivery. These aspects include LG Own Source Revenues (OSR), Other Government Transfers (OGT) and External Finance that are captured by LG budgets and reports (available on the MoFPED website).Publication Uganda - Public Expenditure Review 2022-23(Washington, DC: World Bank, 2024-04-18)This report focuses on Module II(a) related to raising fiscal space through efficiency improvements in public investment management (PIM). The report assessed the performance of the public investment program and how it can have contributed to the evolution of fiscal policy over the last decade. 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.
Users also downloaded
Showing related downloaded files
Publication World Bank Annual Report 2024(Washington, DC: World Bank, 2024-10-25)This annual report, which covers the period from July 1, 2023, to June 30, 2024, has been prepared by the Executive Directors of both the International Bank for Reconstruction and Development (IBRD) and the International Development Association (IDA)—collectively known as the World Bank—in accordance with the respective bylaws of the two institutions. Ajay Banga, President of the World Bank Group and Chairman of the Board of Executive Directors, has submitted this report, together with the accompanying administrative budgets and audited financial statements, to the Board of Governors.Publication Supporting Youth at Risk(World Bank, Washington, DC, 2008)The World Bank has produced this policy Toolkit in response to a growing demand from our government clients and partners for advice on how to create and implement effective policies for at-risk youth. The author has highlighted 22 policies (six core policies, nine promising policies, and seven general policies) that have been effective in addressing the following five key risk areas for young people around the world: (i) youth unemployment, underemployment, and lack of formal sector employment; (ii) early school leaving; (iii) risky sexual behavior leading to early childbearing and HIV/AIDS; (iv) crime and violence; and (v) substance abuse. The objective of this Toolkit is to serve as a practical guide for policy makers in middle-income countries as well as professionals working within the area of youth development on how to develop and implement an effective policy portfolio to foster healthy and positive youth development.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Women, Business and the Law 2024(Washington, DC: World Bank, 2024-03-04)Women, Business and the Law 2024 is the 10th in a series of annual studies measuring the enabling conditions that affect women’s economic opportunity in 190 economies. To present a more complete picture of the global environment that enables women’s socioeconomic participation, this year Women, Business and the Law introduces two new indicators—Safety and Childcare—and presents findings on the implementation gap between laws (de jure) and how they function in practice (de facto). This study presents three indexes: (1) legal frameworks, (2) supportive frameworks (policies, institutions, services, data, budget, and access to justice), and (3) expert opinions on women’s rights in practice in the areas measured. The study’s 10 indicators—Safety, Mobility, Workplace, Pay, Marriage, Parenthood, Childcare, Entrepreneurship, Assets, and Pension—are structured around the different stages of a woman’s working life. Findings from this new research can inform policy discussions to ensure women’s full and equal participation in the economy. The indicators build evidence of the critical relationship between legal gender equality and women’s employment and entrepreneurship. Data in Women, Business and the Law 2024 are current as of October 1, 2023.Publication Digital Progress and Trends Report 2023(Washington, DC: World Bank, 2024-03-05)Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.