Publication:
Georgia Public Expenditure Review: Building a Sustainable Future

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dc.contributor.authorWorld Bank
dc.date.accessioned2017-06-14T17:25:26Z
dc.date.available2017-06-14T17:25:26Z
dc.date.issued2017-06
dc.description.abstractThis Public Expenditure Review (PER) was prepared at the request of the Ministry of Finance of Georgia; its analysis of public spending is designed to inform the Georgian authorities on the fiscal policies that support growth and equity. As Georgia strives to meet the challenges of a fluid global economic environment, this PER is intended to support the government’s efforts to secure macroeconomic and fiscal sustainability to promote growth and equity. This is a testing time for Georgia’s public finances, as the country faces slowing growth and a difficult regional context.This Public Expenditure Review (PER) is organized in two chapters; the first focusing on the overarching macro-fiscal challenges facing Georgia, and the second “zooming in” to the challenges for public spending in the health sector. In particular, the PER provides an overview of the recent macroeconomic and fiscal developments highlighting major drivers of rising spending, and analyzes potential revenue gains that could be derived from eliminating tax expenditures (Chapter 1). The second part of the report carries out a detailed review of the health spending in Georgia, providing both the context and rationale for implementing the much needed Universal Healthcare (UHC) program in 2013, while highlighting the need for properly managing the existing short-term cost pressures, as well further improving the system’s long-term efficiency and sustainability. This PER is an integral part of the programmatic series of PERs (2012, 2014, and 2015) providing new analyses and recommendations that are complementary to the existing ones. The PER (2012) analyzed the rising expenditure pressures on social and capital spending, and presented options for fiscal consolidation, including measures to improve selectivity in capital expenditures, enhance the sustainability of the pension program, and the coverage of targeted social assistance. The PER (2014) examined the spending on social protection, health, and education, and provided recommendations including strengthening the Social Service Agency, increasing the UHC drug coverage, strengthening preschool education, and improving general and vocational education. It also analyzed quasi-fiscal spending and intergovernmental fiscal relations. A special volume of the PER (2014) studied Georgia’s Public Investment Management and how it could be further enhanced to improve the efficiency of public investment. The PER (2015) highlighted the presence of spending pressures from social programs and analyzed spending efficiency, which led to policy options to direct the redistribution policies towards greater equity, improve agriculture subsidy programs and local government spending.This PER, as a continuation of the series, while focusing its analyses and recommendations strategically on new and specific challenges, it also draws a selected number of recommendations from previous PERs, notwithstanding that most issues covered in previous PERs remain crucial and need to be addressed in parallel.en
dc.identifierhttp://documents.worldbank.org/curated/en/630321497350151165/Georgia-Public-expenditure-review-building-a-sustainable-future
dc.identifier.doi10.1596/27138
dc.identifier.urihttps://hdl.handle.net/10986/27138
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectFISCAL TRENDS
dc.subjectMACROECONOMIC POLICY
dc.subjectHEALTH SPENDING
dc.subjectHEALTH SYSTEM
dc.subjectPUBLIC EXPENDITURE
dc.titleGeorgia Public Expenditure Reviewen
dc.title.subtitleBuilding a Sustainable Futureen
dc.typeReporten
dc.typeRapportfr
dc.typeInformees
dspace.entity.typePublication
okr.crossref.titleGeorgia Public Expenditure Review
okr.date.disclosure2017-06-13
okr.doctypeEconomic & Sector Work
okr.doctypeEconomic & Sector Work::Public Expenditure Review
okr.docurlhttp://documents.worldbank.org/curated/en/630321497350151165/Georgia-Public-expenditure-review-building-a-sustainable-future
okr.guid630321497350151165
okr.identifier.doi10.1596/27138
okr.identifier.externaldocumentum090224b084c8a007_1_0
okr.identifier.internaldocumentum27575706
okr.identifier.report114062
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/630321497350151165/pdf/114062-PER-P156724-PUBLIC-PERFINAL.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryGeorgia
okr.sectorHealth and other social services :: Health
okr.sectorPublic Administration, Law, and Justice
okr.themeHuman development :: Health system performance
okr.topicEducation
okr.topicPublic Sector Development::Public Sector Expenditure Policy
okr.topicPublic Sector Development::Public Sector Economics
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicMacroeconomics and Economic Growth::Economic Policy, Institutions and Governance
okr.topicMacroeconomics and Economic Growth::Fiscal & Monetary Policy
okr.unitGMF - Europe and Central Asia 3 (GMF11)
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