Publication:
Democratic Republic of the Congo Budget Execution in Health: From Bottlenecks to Solutions

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dc.contributor.authorCros, Marion Jane
dc.contributor.authorEl Kadiri El Yamani, Fatima
dc.contributor.authorMuvudi, Michel
dc.contributor.authorNana, Aminata TOU
dc.date.accessioned2025-07-15T18:11:09Z
dc.date.available2025-07-15T18:11:09Z
dc.date.issued2025-07-15
dc.description.abstractThe Democratic Republic of Congo is committed to achieving Universal Health Care by 2030. Progress toward this goal faces challenges due to limitations in the execution and allocation of the country's health budget. This contributes to health spending being predominantly financed by households and donors rather than the government. The only part of the government health budget that is consistently executed in line with allocations is for health worker payments. Execution rates for other spending categories are volatile and generally low. Many parts of the budget are not executed at all, while some activities are implemented without having been included in the budget. Budget execution within the Ministry of Health is influenced by both internal and external factors. Inconsistencies between strategic planning, budget preparation, and execution processes hinder effective financial management; inaccurate cost estimations; heavy reliance on exceptional procedures for spending and over-execution of specific budget lines to the detriment of otherwise planned activities. External challenges include a systematic over-estimation of national revenue; the highly centralized nature of budget execution processes; the dominance of health worker payments in budget allocations; the non-respect of budget management rules and cumbersome procurement and expenditure execution procedures.en
dc.identifierhttp://documents.worldbank.org/curated/en/099062325124533366
dc.identifier.doihttps://doi.org/10.1596/43458
dc.identifier.urihttps://hdl.handle.net/10986/43458
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.subjectBUDGET EXECUTION CHALLENGES
dc.subjectHEALTH FINANCING PERSPECTIVE
dc.subjectPUBLIC FINANCIAL MANAGEMENT
dc.subjectUNIVERSAL HEALTH CARE
dc.titleDemocratic Republic of the Congo Budget Execution in Healthen
dc.title.subtitleFrom Bottlenecks to Solutionsen
dc.typeWorking Paper
dspace.entity.typePublication
okr.date.disclosure2025-07-15
okr.date.doiregistration2025-07-17T02:11:08.644561Z
okr.date.lastmodified2025-06-27T06:05:09Zen
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099062325124533366
okr.guid099062325124533366
okr.identifier.docmidP506726-87b089b1-669c-4b12-9bf7-40a555ee6bc0
okr.identifier.externaldocumentum40024267
okr.identifier.internaldocumentum40024267
okr.identifier.report202495
okr.import.id7959
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttps://documents.worldbank.org/curated/en/099062325124533366/pdf/P506726-87b089b1-669c-4b12-9bf7-40a555ee6bc0.pdfen
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.countryCongo, Democratic Republic of
okr.sectorFY17 - Health
okr.sectorHealth
okr.themeFY17 - Health System Strengthening,FY17 - Health Finance,FY17 - Health Systems and Policies,FY17 - Health Service Delivery
okr.themeFY17 - Human Development and Gender
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicFinance and Financial Sector Development::Public & Municipal Finance
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
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