Publication:
Myanmar Improving Public Financial Management for Health Services: Challenges and Opportunities for Improving Service Delivery in the Wake of COVID

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dc.contributor.authorWorld Bank
dc.date.accessioned2021-08-16T19:18:24Z
dc.date.available2021-08-16T19:18:24Z
dc.date.issued2020-08-27
dc.description.abstractMyanmar exhibits poor health outcomes and lags regional peers. Myanmar’s Human Capital Index (HCI) score is 0.47, compared to a regional average of 0.60. Every year, 2,000 pregnant women and 50,000 children die from preventable causes, and 29 percent of children under age 5 are stunted. While there are many reasons for these poor outcomes, the effective coverage (access, utilization, and quality) of service delivery in the health sector plays a fundamental role. Budget execution remains prominent among PFM challenges in the health sector, demonstrated by several roadblocks to spending on time and on target. There is an urgent need to better understand the PFM bottlenecks that affect frontline service delivery. Budgeted expenditure for the Ministry of Health and Sports (MoHS) has been increasing, but actual spending has been declining. Budgeted expenditure increased for the MoHS from 0.86 percent of gross domestic product (GDP) in 2014-15 to 1.15 percent of GDP in 2017-18. However, actual expenditure by MoHS has declined from 1.0 percent to 0.8 percent of GDP in the same period. The increase in resources available through the budget allocation process had helped expand access and availability of health services to some extent, but it has not been able to address significantly the major health challenges and achieve better outcomes at population level. This is partly due to weaknesses at several points along the chain of financial management within MoHS and at the point of service delivery. The main objective of this report on PFM in the health sector is to improve service delivery and the efficiency of health financing at all levels of health care in Myanmar. This will be achieved by identifying and analyzing relevant PFM bottlenecks and providing recommendations to address them. Secondary objectives are to deepen the understanding of PFM arrangements in Myanmar’s health sector, including the PFM reforms required under the health financing reforms for UHC, and strengthen the communication and coordination between MoHS and MOPFI to ensure sustainability of reforms going forward.en
dc.identifierhttp://documents.worldbank.org/curated/en/439921613542231195/PFM-in-Health-assessment
dc.identifier.doi10.1596/36133
dc.identifier.urihttps://hdl.handle.net/10986/36133
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectDISEASE PREVALENCE
dc.subjectHEALTH FINANCING
dc.subjectHEALTH EXPENDITURE
dc.subjectPANDEMIC IMPACT
dc.subjectPUBLIC FINANCIAL MANAGEMENT
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectBUDGET PROCESS
dc.subjectRESOURCE ALLOCATION
dc.subjectSTAFF RECRUITMENT
dc.subjectPUBLIC INVESTMENT MANAGEMENT
dc.subjectACCOUNTABILITY
dc.subjectFINANCIAL REPORTING
dc.titleMyanmar Improving Public Financial Management for Health Servicesen
dc.title.subtitleChallenges and Opportunities for Improving Service Delivery in the Wake of COVIDen
dc.typeReporten
dc.typeRapportfr
dc.typeInformees
dspace.entity.typePublication
okr.crossref.titleMyanmar Improving Public Financial Management for Health Services
okr.date.disclosure2021-08-06
okr.date.doiregistration2025-05-07T11:40:39.468091Z
okr.doctypeEconomic & Sector Work
okr.doctypeEconomic & Sector Work::Public Expenditure Review
okr.docurlhttp://documents.worldbank.org/curated/en/439921613542231195/PFM-in-Health-assessment
okr.guid439921613542231195
okr.identifier.externaldocumentum090224b088858e94_4_0
okr.identifier.internaldocumentum32835957
okr.identifier.report156744
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/439921613542231195/pdf/PFM-in-Health-assessment.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryMyanmar
okr.topicPublic Sector Development::Public Sector Expenditure Policy
okr.topicPublic Sector Development::Public Financial Management
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.unitEquitable Growth, Finance and Institutions Global Practice; and Health, Nutrition and Population Global Practice
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