Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review

Publication:
Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review

dc.contributor.author	World Bank Group
dc.date.accessioned	2015-02-25T23:26:13Z
dc.date.available	2015-02-25T23:26:13Z
dc.date.issued	2014-12
dc.description.abstract	Kenya is currently in an expansionary phase of its fiscal policy reflected in a widening primary deficit. The fiscal framework is marked by a significant fiscal expansion over the last three years, 2011/12 to 2013/14. The fiscal stimulus implemented in 2009/10 increased aggregate spending by 2 percent of Gross Domestic Product (GDP). However the envisaged fiscal retrenchment at the end of the program did not materialize and fiscal expansion continued with the general election in 2013. Aggregate expenditure averaged 25 percent and revenue at 18 percent of GDP. The fiscal deficit financed through debt is reflected in the doubling of the primary deficit (commitment basis) now in the range of 3.3 percent of GDP, and the rising stock of public debt from 37 percent to 43 percent of GDP (net of deposits), of which about half 22 percent was external debt in 2013/14. The fiscal developments have seen an increase in the share of debt service in total spending from 13 percent to 15 percent of recurrent spending, equivalent to 2.6 percent of GDP. Kenya s debt service is higher among East Africa Community (EAC) peers, 2 percentage points above Ethiopia and Rwanda, and 1 percentage point higher than Uganda and Tanzania.	en
dc.identifier	http://documents.worldbank.org/curated/en/2014/12/23943075/null
dc.identifier.doi	10.1596/21508
dc.identifier.uri	https://hdl.handle.net/10986/21508
dc.language	English
dc.language.iso	en_US
dc.publisher	Washington, DC
dc.rights	CC BY 3.0 IGO
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo/
dc.subject	FISCAL EXPANSION
dc.subject	FISCAL STIMULUS
dc.subject	FUNDING
dc.subject	HEALTH CARE DELIVERY
dc.subject	HEALTH CARE SYSTEMS
dc.subject	HEALTH INFRASTRUCTURE
dc.subject	PERSONNEL
dc.subject	POVERTY
dc.subject	PUBLIC DEBT
dc.subject	PUBLIC EXPENDITURES
dc.subject	TECHNICAL EFFICIENCY
dc.title	Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review	en
dspace.entity.type	Publication
okr.date.disclosure	2015-02-02
okr.date.doiregistration	2025-05-07T09:14:23.808238Z
okr.doctype	Economic & Sector Work
okr.doctype	Economic & Sector Work::Public Expenditure Review
okr.docurl	http://documents.worldbank.org/curated/en/2014/12/23943075/null
okr.globalpractice	Health, Nutrition, and Population
okr.globalpractice	Governance
okr.guid	278451468038960033
okr.guid	230971468254049239
okr.identifier.externaldocumentum	000470435_20150202143058
okr.identifier.internaldocumentum	23943075
okr.identifier.report	94021
okr.language.supported	en
okr.pdfurl	http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/02/02/000470435_20150202143058/Rendered/PDF/940210WP0v20Bo0.Vol01120140FINALpdf.pdf	en
okr.region.administrative	Africa
okr.region.country	Kenya
okr.sector	Public Administration, Law, and Justice :: General public administration sector
okr.sector	Education
okr.sector	Health and other social services :: Health
okr.sector	Water, sanitation and flood protection
okr.theme	Public sector governance :: Other accountability/anti-corruption
okr.theme	Public sector governance :: Other public sector governance
okr.topic	Health Monitoring and Evaluation
okr.topic	Public Sector Expenditure Policy
okr.topic	Health Economics and Finance
okr.topic	Health Systems Development and Reform
okr.topic	Health, Nutrition and Population::Population Policies
okr.topic	Public Sector Development
okr.unit	Macro & Fiscal Mgmt - GP (GMFDR)