Publication: Assessing Public Expenditure on Health from a Fiscal Space Perspective
Date
2010-02
ISSN
Published
2010-02
Author(s)
Tandon, Ajay
Cashin, Cheryl
Abstract
This document delineates a simple
conceptual framework for assessing fiscal space for health
and provides an illustrative roadmap for guiding such
assessments. The roadmap draws on lessons learned from
analyses of seven fiscal space case studies conducted over
the past two years in Cambodia, India, Indonesia, Rwanda,
Tonga, Uganda, and Ukraine. The document also includes a
summary of the fiscal space assessments from these seven
case studies. Any assessment of fiscal space typically
entails an examination of whether and how a government could
feasibly increase its expenditure in the short-to-medium
term, and do so in a way that is consistent with a
country's macroeconomic fundamentals. Although fiscal
space generally refers to overall government expenditure,
for a variety of reasons there has been growing demand for a
framework for analyzing fiscal space specifically for the
health sector. This document outlines ways in which
generalized fiscal space assessments could be adapted to
take a more health-sector specific perspective: what is the
impact of broader macroeconomic factors on government
expenditures for health? Are there sector-specific
considerations that might expand the set of possible options
for generating fiscal space for health? Are there
country-specific examples of innovative strategies that have
been successful in increasing fiscal space for health?
Citation
“Tandon, Ajay; Cashin, Cheryl. 2010. Assessing Public Expenditure on Health from a Fiscal Space Perspective. Health, Nutrition and Population (HNP)
discussion paper;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/b7bbf4d2-e9d7-5df7-b1f1-144c5b7a4d51 License: CC BY 3.0 IGO.”