Publication: Public Expenditure Review in Health: Improving Health Spending to Reclaim and Maximize Health Gains in Botswana - FY 2017-2018-2020-2021
Loading...
Published
2025-10-07
ISSN
Date
2025-10-22
Author(s)
Editor(s)
Abstract
Botswana’s health public expenditure review (PER) analyzes data on health financing and system performance with a view to enhancing the effectiveness, efficiency, equity, and sustainability of health expenditure in Botswana. The PER comprised an assessment of expenditures on health, including HIV/AIDS and nutrition, from FY 2017-2018 to FY 2020-2021 in Botswana and how this was linked to the desired quantity, quality, and distribution of health outputs and outcomes while optimizing available resources and moving to ever greater reliance on domestic resources. It examines public health expenditure, including on HIV/AIDS and nutrition, in Botswana and how this has been linked to the desired quantity, quality, and distribution of health outputs and outcomes, while optimizing available resources and moving to ever greater reliance on domestic resources.
Link to Data Set
Citation
“World Bank. 2025. Public Expenditure Review in Health: Improving Health Spending to Reclaim and Maximize Health Gains in Botswana - FY 2017-2018-2020-2021. © World Bank. http://hdl.handle.net/10986/43885 License: CC BY-NC 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Citations
Collections
Related items
Showing items related by metadata.
Publication Nicaragua - Public Expenditure Review : Improving the Poverty Focus of Public Spending(Washington, DC, 2001-12-07)This Public Expenditure Review has two broad objectives. The first is to analyze the pattern and evolution of public expenditures in Nicaragua with a view toward assessing their consistency with the priorities expressed in the recent Poverty Reduction Strategy Paper (PRSP), as well as recommending ways to improve their poverty reducing impact. The PRSP puts heavy emphasis on the social sectors and the rural sectors: projects in these sectors account for 80 percent of the total portfolio of poverty reducing projects. Accordingly, the sector reviews in this report mainly focus on these two sectors plus transport, which has the single largest sector investment program. Municipal finances are not covered for lack of adequate information. The second objective of the PER is to diagnose Nicaragua's institutional capacity to implement the poverty reduction programs to be defined in the PRSP and recommend measures for raising that capacity. The Joint Staff Assessment of the Interim and full PRSP point toward the need to proioritize further the poverty reducing projects and programs envisaged by the government. Such a prioritization is likely to require a significant reallocation of public resources that could strain the limited capacity of the public sector's planning and budgeting framework. As part of this institutional diagnosis, the PER also evaluates the tracking mechanism to monitor the use of HIPC funds, and recommends measures for strengthening it.Publication Ethiopia Public Expenditure Review : The Emerging Challenge, Volume 1. Public Spending in the Social Sectors 2000-2020(Washington, DC, 2004-06)This Public Expenditure Review (PER) features the expenditure requirements confronting the government which are enormous; and, the expenditure requirements confronting Ethiopia which are compounded by rapid population growth. The expenditure consequences are significant, because social programs are intensive in their demands on recurrent resources, so the expansions being committed to today, could overwhelm budget obligations in 20 years time, crowding out the capacity to fund other investments for growth. Furthermore, because of the very limited capacity to finance these needs domestically, they will heavily influence foreign aid requirements over the next two decades. Finally, because the cost of these programs fall primarily on the regional and local governments, they imply the need for a major increase in the share of resources transferred to lower level governments. The object of this PER is to put the numbers on the table to inform this debate. Current spending on education, health, population, food security transfers, and water supply is examined, along with an assessment of its adequacy, effectiveness, and absorptive capacity. The PER then projects the costs of alternative coverage targets over the next 20 years, including the costs of reaching the Millennium Development Goals (MDGs), and examines the implications for financing, and sectoral policy choices. Three cost scenarios are forecast for each sector: a 'business-as-usual' scenario that shows the cost of just keeping up with population growth; an 'Extended (Poverty Reduction Strategy Paper ) PRSP' scenario, that projects the costs of continuing with moderately ambitious targets developed over the past few years; and, finally an 'MDGs Plus' scenario that forecasts the full costs of implementing the most ambitious plans that government is currently proposing in various policy documents. The report comprises two volumes: public spending in the social sectors 2000-2020 (V. 1), and, medium trends and recent developments in public spending (v. 2), that includes statistical annexes.Publication Republic of Congo : Enhancing Efficiency in Education and Health Public Spending for Improved Quality Service Delivery for All(Washington, DC, 2014-06)The development of a wealthier, literate, and healthy society is a fundamental goal of Congo's national development plan (NDP) 2012-16 and poverty reduction strategy paper (PRSP) 2012-16. Appropriate funding allocations and efficient use of funds in education and health are fundamental for the development of the sectors. This public expenditure review (PER) of the Congolese education and health sectors aims at providing inputs to improve efficiency and equity in spending in these sectors. It takes into account the following findings of the macro PER: (i) spending on the social sectors is still low although it has increased over time; (ii) the fiscal space generated by the increased oil revenues has largely boosted investment expenditure; and (iii) budget execution is low which contributes to lower the real level of public spending. The PER is divided in two main parts. Part I, constitutes an overview of the two sector reports. Thus, it presents a brief analysis of the context of the country, a summary of findings of the education and health PER, a discussion on cross-cutting themes on spending in the two sectors, and a summary of recommendations. Part II includes the education and health PER.Publication Tajikistan - Second Programmatic Public Expenditure Review : Volume 4. Public Expenditure Ttracking Survey (PETS), Health Sector(World Bank, Washington, DC, 2008-06-12)This report, Second Programmatic Public Expenditure Review (PPER 2), is a sequel to PPER, which was published in July 2007. PPER 2 provides a detailed analysis of key public expenditure issues in Tajikistan and reports on the nonlending policy dialogue and technical assistance programs managed and coordinated by the World Bank. PPER 2 has a special focus on social sectors, especially the health and education sectors. Public Expenditure Tracking Surveys (PETS) carried out for the first time in Tajikistan in 2007 contributed to the findings in this report. The report also updates the macroeconomic and fiscal situation to take account of important developments in 2007 and analyzes the implications of energy sector reforms and investments for fiscal sustainability. This report is intended to contribute to improving the quality of life in Tajikistan through a comprehensive reform program. It spells out the macroeconomic, energy, and budget reforms necessary to achieve the growth the country seeks and, at the same time (and frequently via the same measures) the social welfare targets of the Millennium Development Goals (MDGs).Publication Health Public Expenditure Review(World Bank, Washington, DC, 2015-05)This Public Expenditure Review (PER) for health in Zimbabwe is an analytical report developed by the World Bank Health, Nutrition and Population Task Team working with the World Bank’s Macroeconomics and Fiscal Management Global Practice team, Zimbabwe’s Ministry of Finance and Economic Development (MOFED) and Ministry of Health and Child Care (MOHCC), with input from development partners. The aims of the PER are to provide objective evidence to inform the allocation of resources to enable equitable, efficient, and sustainable health care provision and to highlight questions about health sector performance for policy makers and key stakeholders. The findings also aim to present Zimbabwe’s health sector spending in an international and regional perspective, highlighting key issues for improving health outcomes. The PER is based on analysis of primary and secondary data as well as an extensive review of existing literature. The research was complemented by interviews with key stakeholders, and data collection from major development partners and domestic health funders, including private companies. Micro-level data from household and health facility surveys in May–August 2014 (primarily for the impact evaluation of the Results-Based Financing (RBF) program supported by the World Bank) complemented these scarce data.
Users also downloaded
Showing related downloaded files
No results found.