Publication:
Assessment OF UHC Performance Monitoring System and UHC Budget and Expenditure Analysis in Pakistan

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dc.contributor.authorWorld Bank
dc.date.accessioned2025-01-08T14:24:38Z
dc.date.available2025-01-08T14:24:38Z
dc.date.issued2025-01-08
dc.description.abstractIn 2016, Pakistan adopted the Sustainable Development Goals (SDGs) into its national development agenda as part of its commitment to the 2030 Agenda for Universal Health Coverage (UHC). In 2018, the Government of Pakistan designed and approved a National SDGs Framework to prioritize and localize SDGs, which included an accelerated path toward UHC. To measure the global advancement toward UHC, the World Bank and the World Health Organization (WHO) have regularly issued reports concerning how countries were progressing in achieving their goals. However, there is a fundamental challenge in reporting because UHC means different things to different countries, both at the national and sub-national levels. To address this challenge in Pakistan, the Ministry of National Health Services, Regulation and Coordination (MONHSRC) released a report that derives a public health system output referred to as the UHC Index. It uniformly measures the UHC at the subnational levels. The Index is derived from the 16 clusters1 identified by the WHO to monitor the UHC. The UHC analysis brought to light the need for interventions to improve the District Health Information System (DHIS) data quality, as well as steps to improve the Financial Accounting and Budgeting System (FABS) health budget coding. The DHIS data does not provide information about noncommunicable diseases (NCDs). Thus, it needs to be supplemented with other regularly reported information at the district level to monitor the NCD cluster. In addition, the DHIS internal verification mechanisms should be reinstituted, and further effort will be required to ensure data reliability. The reported wide variation in the Expanded Program on Immunization (EPI) indicators is an example of the lack of standardization in the system that should be addressed. For budgeting and accounting, the Government of Pakistan has a unified Chart of Accounts (CoA). It is implemented at all tiers of government. For a country of its size and diversification, this represents a major feat. Accounting data is reliable, and the financial reports generated are credible. However, the use of the CoA in the health sector is not consistent across provinces, which creates difficulties in producing an aggregate view of sector allocations and spending from the FABS.en
dc.identifierhttp://documents.worldbank.org/curated/en/099122424110063273/P17557112ec9000a11bedf1bedfe48d38a0
dc.identifier.doi10.1596/42632
dc.identifier.urihttps://hdl.handle.net/10986/42632
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.subjectGOOD HEALTH
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectHEALTH FINANCING
dc.subjectSOCIAL PROTECTION
dc.titleAssessment OF UHC Performance Monitoring System and UHC Budget and Expenditure Analysis in Pakistanen
dc.typeReport
dspace.entity.typePublication
okr.date.disclosure2025-01-08
okr.date.lastmodified2025-01-02T00:00:00Zen
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/099122424110063273/P17557112ec9000a11bedf1bedfe48d38a0
okr.guid099122424110063273
okr.identifier.docmidP175571-2ec900cd-e6e5-4ca1-bedf-bedfe48d38a0
okr.identifier.externaldocumentum34442368
okr.identifier.internaldocumentum34442368
okr.identifier.report196026
okr.import.id6243
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099122424110063273/pdf/P17557112ec9000a11bedf1bedfe48d38a0.pdfen
okr.region.administrativeSouth Asia
okr.region.countryPakistan
okr.sectorPublic Administration - Health,Health-HG
okr.themeHealth Systems and Policies,Gender,Human Development and Gender,Data Development and Capacity Building,Private Sector Delivery in Health,Health Finance,Disease Control,Health System Strengthening,Pandemic Response,Health Service Delivery,Public Sector Management,Data production, accessibility and use
okr.topicHealth, Nutrition and Population::Communicable Diseases
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicSocial Protections and Labor::Social Protections & Assistance
okr.unitHealth Nutri & Population SAR 2 (HSAHP)
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