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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dc.contributor.author
World Bank
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dc.date.accessioned
2013-03-29T14:00:20Z
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dc.date.available
2013-03-29T14:00:20Z
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dc.date.issued
2008-06-23
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dc.identifier.uri
http://hdl.handle.net/10986/13063
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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.
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dc.language
English
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dc.language.iso
en_US
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dc.publisher
Washington, DC
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dc.rights
CC BY 3.0 Unported
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dc.rights.uri
http://creativecommons.org/licenses/by/3.0/
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dc.subject
ACCOUNTING
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dc.subject
AGE STRUCTURE
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dc.subject
ALLOCATION
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dc.subject
ANNUAL BUDGET
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dc.subject
ANNUAL BUDGET PREPARATION
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dc.subject
ANNUAL BUDGETS
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dc.subject
ANNUAL REPORT
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dc.subject
ARTICLE
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dc.subject
BLOCK GRANT
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dc.subject
BLOCK GRANTS
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dc.subject
BUDGET CYCLE
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dc.subject
BUDGET ENVELOPE
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dc.subject
BUDGET EXECUTION
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dc.subject
BUDGET FRAMEWORK
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dc.subject
BUDGET LAW
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dc.subject
BUDGET MANAGEMENT
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dc.subject
BUDGET MANAGEMENT PROCESS
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dc.subject
BUDGET SUPPORT
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dc.subject
BUDGETARY ITEMS
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dc.subject
BUDGETING PROCESS
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dc.subject
CAPACITY CONSTRAINTS
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dc.subject
CENTRAL GOVERNMENT
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dc.subject
CIVIL SERVANTS
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dc.subject
CIVIL SERVICE
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dc.subject
CIVIL SERVICE REFORM
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dc.subject
CIVIL SERVICE SYSTEM
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dc.subject
COMMUNITIES
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dc.subject
CONDITIONALITY
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dc.subject
CONTRACTUAL ARRANGEMENTS
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dc.subject
DECENTRALIZATION
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dc.subject
DECENTRALIZATION POLICIES
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dc.subject
DECENTRALIZATION PROCESS
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dc.subject
DESCRIPTION
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dc.subject
DOCTORS
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dc.subject
DONOR AGENCIES
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dc.subject
DONOR COORDINATION
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dc.subject
DONOR FINANCING
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dc.subject
DONOR FUNDING
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dc.subject
DONOR FUNDS
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dc.subject
ECONOMIC DEVELOPMENT
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dc.subject
ECONOMIC GROWTH
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dc.subject
ECONOMIC POLICY
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dc.subject
EXPENDITURE CEILINGS
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dc.subject
EXPENDITURE CONSTRAINT
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dc.subject
EXPENDITURE LEVELS
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dc.subject
EXPENDITURES
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dc.subject
FINANCIAL INSTITUTIONS
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dc.subject
FINANCIAL RESOURCES
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FISCAL DECENTRALIZATION
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dc.subject
FISCAL DEFICIT
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GENDER
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dc.subject
GOVERNMENT BUDGET
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GOVERNMENT EXPENDITURE
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dc.subject
GOVERNMENT EXPENDITURES
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dc.subject
GOVERNMENT STRUCTURES
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dc.subject
GROSS DOMESTIC PRODUCT
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dc.subject
HEALTH BUDGETS
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dc.subject
HEALTH CARE
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dc.subject
HEALTH CARE WORKERS
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dc.subject
HEALTH CENTERS
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dc.subject
HEALTH EXPENDITURE
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dc.subject
HEALTH EXPENDITURES
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dc.subject
HEALTH FACILITIES
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dc.subject
HEALTH ORGANIZATION
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dc.subject
HEALTH OUTCOMES
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dc.subject
HEALTH PLANNING
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dc.subject
HEALTH PROFESSIONALS
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dc.subject
HEALTH PROVIDERS
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dc.subject
HEALTH SECTOR
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dc.subject
HEALTH SERVICE
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dc.subject
HEALTH SERVICE DELIVERY
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dc.subject
HEALTH SERVICES
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dc.subject
HEALTH SPENDING
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dc.subject
HEALTH SYSTEM
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dc.subject
HEALTH WORKERS
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dc.subject
HEALTH WORKFORCE
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dc.subject
HIV/AIDS
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dc.subject
HOSPITAL DISTRICTS
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dc.subject
HOSPITAL PERSONNEL
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dc.subject
HOSPITALS
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dc.subject
HOUSING
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HR
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dc.subject
HUMAN RESOURCE MANAGEMENT
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dc.subject
HUMAN RESOURCES
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dc.subject
INCENTIVE STRUCTURES
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dc.subject
INCOME
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dc.subject
LABOR MARKET
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LAWS
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LOCAL REVENUE
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LOW-INCOME COUNTRIES
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dc.subject
MACROECONOMIC POLICIES
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dc.subject
MANAGEMENT RESPONSIBILITIES
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dc.subject
MARKET DISTORTION
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dc.subject
MEDIUM TERM EXPENDITURE
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dc.subject
MEDIUM TERM EXPENDITURE FRAMEWORK
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dc.subject
MEDIUM-TERM EXPENDITURE
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dc.subject
MEDIUM-TERM EXPENDITURE FRAMEWORK
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dc.subject
MINISTRY OF ECONOMY
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dc.subject
MINISTRY OF FINANCE
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dc.subject
MISMANAGEMENT
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dc.subject
NATIONAL BUDGET
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dc.subject
NATIONAL HEALTH
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dc.subject
NATIONAL STRATEGY
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dc.subject
NET LENDING
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OPERATING EXPENDITURES
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ORGANIZATIONAL STRUCTURE
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PERFORMANCE CONTRACTS
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PERFORMANCE CRITERIA
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PERFORMANCE EVALUATION
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PERFORMANCE EVALUATIONS
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PERFORMANCE TARGETS
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POVERTY REDUCTION
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POVERTY REDUCTION STRATEGY
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PROBABILITY
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PROFESSIONAL ASSOCIATIONS
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PROGRAMS
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PUBLIC ADMINISTRATION
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PUBLIC EXPENDITURE
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PUBLIC EXPENDITURE REVIEW
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PUBLIC FUNDING
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dc.subject
PUBLIC HEALTH
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dc.subject
PUBLIC INFORMATION
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dc.subject
PUBLIC INSTITUTIONS
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dc.subject
PUBLIC INVESTMENTS
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dc.subject
PUBLIC SECTOR
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PUBLIC SECTOR EMPLOYMENT
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dc.subject
PUBLIC SECTOR MANAGEMENT
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dc.subject
PUBLIC SERVICE
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PUBLIC SERVICES
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dc.subject
QUALITY ASSURANCE
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dc.subject
QUALITY OF HEALTH
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dc.subject
RECURRENT EXPENDITURES
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dc.subject
REVENUE PROJECTIONS
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dc.subject
REVENUE SOURCES
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RURAL AREAS
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SALARY PAYMENTS
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SECTOR BUDGET
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SERVICE DELIVERY
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SERVICE EMPLOYMENT
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SERVICE PROVISION
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SHARE OF HEALTH EXPENDITURE
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SHARE OF HEALTH SPENDING
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SOCIAL SERVICES
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TOTAL EXPENDITURE
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TOTAL SPENDING
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dc.subject
TUBERCULOSIS
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URBAN AREAS
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dc.subject
WAGE EXPENDITURE
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dc.subject
WORKERS
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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_US
okr.identifier.externaldocumentum
000427087_20120605094832
en_US
okr.identifier.internaldocumentum
16332540
en_US
okr.volume
1 of 1
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okr.date.disclosure
2012-06-05
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okr.topic
Health Economics and Finance
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okr.topic
Health Monitoring and Evaluation
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okr.topic
Health Systems Development and Reform
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okr.topic
Public Sector Expenditure Policy
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okr.topic
Housing and Human Habitats
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okr.topic
Communities and Human Settlements
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okr.topic
Health
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okr.topic
Nutrition and Population
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okr.topic
Public Sector Development
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okr.theme
Human development :: Health system performance
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okr.sector
Health and other social services :: Health
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okr.region.administrative
Africa
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okr.identifier.report
69333
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okr.unit
Health, Nutrition & Population (AFTHE)
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okr.region.country
Rwanda
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okr.doctype
Economic & Sector Work :: Other Health Study
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okr.doctype
Economic & Sector Work
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dc.rights.holder
World Bank
en_US
okr.globalpractice
Social, Urban, Rural and Resilience
okr.globalpractice
Governance
okr.googlescholar.linkpresent
yes

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