Publication:
Budget Execution in Health: From Bottlenecks to Solutions

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dc.contributor.authorWorld Health Organization
dc.contributor.authorWorld Bank
dc.date.accessioned2025-03-11T14:02:58Z
dc.date.available2025-03-11T14:02:58Z
dc.date.issued2025-03-11
dc.description.abstractThis report builds on a joint WHO-World Bank initiative on budget execution challenges (described in more detail in Appendix 1). Following the introduction, section 2 provides an overview of core concepts from both a public financial management perspective and a health financing perspective and discusses how budget execution challenges can differ in countries with a separate purchasing agency, varying degrees of decentralization and significant donor funding. The trends and patterns in health budget execution data are analyzed and discussed in section 3. The analytical approach is detailed in Appendix 2. Section 4 identifies challenges that hinder good budget execution in health. These are drawn from an extensive literature review and a set of case studies. A summary of the case studies is provided in Appendix 3. Policy responses to these challenges are offered in section 5. This section lays out a pragmatic approach that Ministries of Finance, Ministries of Health and local governments can take to address six of the most frequently encountered budget execution challenges and points to examples from cases studies. Section 6 offers an engagement approach to address budget execution challenges. A four step diagnostic-to-solution model is proposed that guides an analyst through the process of identifying the right questions, data, and policy options in a structured manner. Section 7 concludes with a call to action for countries to embrace a more purposeful and collaborative budget implementation approach that involves finance, health and local government stakeholders. The compiled dataset used for the analysis is being released jointly with this report to support complementary analytical efforts.en
dc.identifierhttp://documents.worldbank.org/curated/en/099030625172546489
dc.identifier.doi10.1596/42930
dc.identifier.urihttps://hdl.handle.net/10986/42930
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Health Organization and the World Bank
dc.rightsCC BY-NC-SA 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/3.0/igo
dc.subjectGOOD HEALTH
dc.subjectBUDGET EXECUTION CHALLENGES
dc.subjectHEALTH FINANCING PERSPECTIVE
dc.subjectPUBLIC FINANCIAL MANAGEMENT
dc.subjectPARTNERSHIP FOR THE GOALS
dc.titleBudget Execution in Healthen
dc.title.subtitleFrom Bottlenecks to Solutionsen
dc.typeReport
dspace.entity.typePublication
okr.date.disclosure2025-03-11
okr.date.doiregistration2025-04-14T11:50:35.096420Z
okr.date.lastmodified2025-03-11T12:04:34Zen
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/099030625172546489
okr.guid099030625172546489
okr.identifier.docmidP506726-6e264c8a-b4fc-4023-bff2-019e16bf8d22
okr.identifier.externaldocumentum34463417
okr.identifier.internaldocumentum34463417
okr.identifier.report197671
okr.import.id6829
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttps://documents.worldbank.org/curated/en/099030625172546489/pdf/P506726-6e264c8a-b4fc-4023-bff2-019e16bf8d22.pdfen
okr.region.geographicalWorld
okr.sectorFY17 - Health
okr.sectorFY17 - Health
okr.themeFY17 - Health Systems and Policies,FY17 - Health Service Delivery,FY17 - Health Finance,FY17 - Health System Strengthening
okr.themeFY17 - Human Development and Gender
okr.topicFinance and Financial Sector Development::Public & Municipal Finance
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicGovernance::International Governmental Organizations
okr.unitPeople - HNP Global Engagement (HHNGE)
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