Beyond Wage Bill Ceilings : The Impact of Government Fiscal and Human Resource Management Policies on the Health Workforce in Developing Countries, Background Country Study for Rwanda

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collection.link.95
https://openknowledge.worldbank.org/handle/10986/2203
collection.name.95
Other Health Study
dc.contributor.author
World Bank
dc.date.accessioned
2013-03-29T14:00:20Z
dc.date.available
2013-03-29T14:00:20Z
dc.date.issued
2008-06-23
dc.description.abstract
One of the main explanations put forth on why access to health workers is so low in developing countries is that there are insufficient resources within the public sector to pay the wage bill - the salary and allowance payments - of an expanded health workforce. In turn, the lack of wage bill resources for the health sector is thought to be a direct result of restrictive macroeconomic policies that limit the expansion of the overall public sector wage bill. The overarching message in this report is that, despite the relative contraction of the public sector wage bill, Rwanda has not only protected the health sector, but has succeeded through decentralization and the introduction of performance-based financing in linking salaries to performance in the health sector. The decentralization of budgets, along with the implementation of the performance-based grants scheme, has had two major effects. First, it has increased the resource envelope available for hiring health workers since there is a lot of flexibility in how the performance based grants can be used. Second, it has linked payments to health workers with performance, since the salary top amounts paid out of the grants are linked to service delivery results.
en
dc.identifier.uri
http://hdl.handle.net/10986/13063
dc.language
English
dc.language.iso
en_US
dc.publisher
Washington, DC
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ACCOUNTING
dc.subject
AGE STRUCTURE
dc.subject
ALLOCATION
dc.subject
ANNUAL BUDGET
dc.subject
ANNUAL BUDGET PREPARATION
dc.subject
ANNUAL BUDGETS
dc.subject
ANNUAL REPORT
dc.subject
ARTICLE
dc.subject
BLOCK GRANT
dc.subject
BLOCK GRANTS
dc.subject
BUDGET CYCLE
dc.subject
BUDGET ENVELOPE
dc.subject
BUDGET EXECUTION
dc.subject
BUDGET FRAMEWORK
dc.subject
BUDGET LAW
dc.subject
BUDGET MANAGEMENT
dc.subject
BUDGET MANAGEMENT PROCESS
dc.subject
BUDGET SUPPORT
dc.subject
BUDGETARY ITEMS
dc.subject
BUDGETING PROCESS
dc.subject
CAPACITY CONSTRAINTS
dc.subject
CENTRAL GOVERNMENT
dc.subject
CIVIL SERVANTS
dc.subject
CIVIL SERVICE
dc.subject
CIVIL SERVICE REFORM
dc.subject
CIVIL SERVICE SYSTEM
dc.subject
COMMUNITIES
dc.subject
CONDITIONALITY
dc.subject
CONTRACTUAL ARRANGEMENTS
dc.subject
DECENTRALIZATION
dc.subject
DECENTRALIZATION POLICIES
dc.subject
DECENTRALIZATION PROCESS
dc.subject
DESCRIPTION
dc.subject
DOCTORS
dc.subject
DONOR AGENCIES
dc.subject
DONOR COORDINATION
dc.subject
DONOR FINANCING
dc.subject
DONOR FUNDING
dc.subject
DONOR FUNDS
dc.subject
ECONOMIC DEVELOPMENT
dc.subject
ECONOMIC GROWTH
dc.subject
ECONOMIC POLICY
dc.subject
EXPENDITURE CEILINGS
dc.subject
EXPENDITURE CONSTRAINT
dc.subject
EXPENDITURE LEVELS
dc.subject
EXPENDITURES
dc.subject
FINANCIAL INSTITUTIONS
dc.subject
FINANCIAL RESOURCES
dc.subject
FISCAL DECENTRALIZATION
dc.subject
FISCAL DEFICIT
dc.subject
GENDER
dc.subject
GOVERNMENT BUDGET
dc.subject
GOVERNMENT EXPENDITURE
dc.subject
GOVERNMENT EXPENDITURES
dc.subject
GOVERNMENT STRUCTURES
dc.subject
GROSS DOMESTIC PRODUCT
dc.subject
HEALTH BUDGETS
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE WORKERS
dc.subject
HEALTH CENTERS
dc.subject
HEALTH EXPENDITURE
dc.subject
HEALTH EXPENDITURES
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH ORGANIZATION
dc.subject
HEALTH OUTCOMES
dc.subject
HEALTH PLANNING
dc.subject
HEALTH PROFESSIONALS
dc.subject
HEALTH PROVIDERS
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SERVICE
dc.subject
HEALTH SERVICE DELIVERY
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SPENDING
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH WORKERS
dc.subject
HEALTH WORKFORCE
dc.subject
HIV/AIDS
dc.subject
HOSPITAL DISTRICTS
dc.subject
HOSPITAL PERSONNEL
dc.subject
HOSPITALS
dc.subject
HOUSING
dc.subject
HR
dc.subject
HUMAN RESOURCE MANAGEMENT
dc.subject
HUMAN RESOURCES
dc.subject
INCENTIVE STRUCTURES
dc.subject
INCOME
dc.subject
LABOR MARKET
dc.subject
LAWS
dc.subject
LOCAL REVENUE
dc.subject
LOW-INCOME COUNTRIES
dc.subject
MACROECONOMIC POLICIES
dc.subject
MANAGEMENT RESPONSIBILITIES
dc.subject
MARKET DISTORTION
dc.subject
MEDIUM TERM EXPENDITURE
dc.subject
MEDIUM TERM EXPENDITURE FRAMEWORK
dc.subject
MEDIUM-TERM EXPENDITURE
dc.subject
MEDIUM-TERM EXPENDITURE FRAMEWORK
dc.subject
MINISTRY OF ECONOMY
dc.subject
MINISTRY OF FINANCE
dc.subject
MISMANAGEMENT
dc.subject
NATIONAL BUDGET
dc.subject
NATIONAL HEALTH
dc.subject
NATIONAL STRATEGY
dc.subject
NET LENDING
dc.subject
OPERATING EXPENDITURES
dc.subject
ORGANIZATIONAL STRUCTURE
dc.subject
PERFORMANCE CONTRACTS
dc.subject
PERFORMANCE CRITERIA
dc.subject
PERFORMANCE EVALUATION
dc.subject
PERFORMANCE EVALUATIONS
dc.subject
PERFORMANCE TARGETS
dc.subject
POVERTY REDUCTION
dc.subject
POVERTY REDUCTION STRATEGY
dc.subject
PROBABILITY
dc.subject
PROFESSIONAL ASSOCIATIONS
dc.subject
PROGRAMS
dc.subject
PUBLIC ADMINISTRATION
dc.subject
PUBLIC EXPENDITURE
dc.subject
PUBLIC EXPENDITURE REVIEW
dc.subject
PUBLIC FUNDING
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC INFORMATION
dc.subject
PUBLIC INSTITUTIONS
dc.subject
PUBLIC INVESTMENTS
dc.subject
PUBLIC SECTOR
dc.subject
PUBLIC SECTOR EMPLOYMENT
dc.subject
PUBLIC SECTOR MANAGEMENT
dc.subject
PUBLIC SERVICE
dc.subject
PUBLIC SERVICES
dc.subject
QUALITY ASSURANCE
dc.subject
QUALITY OF HEALTH
dc.subject
RECURRENT EXPENDITURES
dc.subject
REVENUE PROJECTIONS
dc.subject
REVENUE SOURCES
dc.subject
RURAL AREAS
dc.subject
SALARY PAYMENTS
dc.subject
SECTOR BUDGET
dc.subject
SERVICE DELIVERY
dc.subject
SERVICE EMPLOYMENT
dc.subject
SERVICE PROVISION
dc.subject
SHARE OF HEALTH EXPENDITURE
dc.subject
SHARE OF HEALTH SPENDING
dc.subject
SOCIAL SERVICES
dc.subject
TOTAL EXPENDITURE
dc.subject
TOTAL SPENDING
dc.subject
TUBERCULOSIS
dc.subject
URBAN AREAS
dc.subject
WAGE EXPENDITURE
dc.subject
WORKERS
dc.title
Beyond Wage Bill Ceilings : The Impact of Government Fiscal and Human Resource Management Policies on the Health Workforce in Developing Countries, Background Country Study for Rwanda
en
okr.date.disclosure
2012-06-05
okr.doctype
Economic & Sector Work :: Other Health Study
okr.doctype
Economic & Sector Work
okr.docurl
http://documents.worldbank.org/curated/en/2008/06/16332540/rwanda-beyond-wage-bill-ceilings-impact-government-fiscal-human-resource-management-policies-health-workforce-developing-countries
okr.globalpractice
Social, Urban, Rural and Resilience
okr.globalpractice
Governance
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
000427087_20120605094832
okr.identifier.internaldocumentum
16332540
okr.identifier.report
69333
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/06/05/000427087_20120605094832/Rendered/PDF/693330ESW0P1040es0for0Health00FY080.pdf
en
okr.region.administrative
Africa
okr.region.country
Rwanda
okr.sector
Health and other social services :: Health
okr.theme
Human development :: Health system performance
okr.topic
Health Economics and Finance
okr.topic
Health Monitoring and Evaluation
okr.topic
Health Systems Development and Reform
okr.topic
Public Sector Expenditure Policy
okr.topic
Housing and Human Habitats
okr.topic
Communities and Human Settlements
okr.topic
Health
okr.topic
Nutrition and Population
okr.topic
Public Sector Development
okr.unit
Health, Nutrition & Population (AFTHE)
okr.volume
1 of 1

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