World Bank2012-05-182012-05-182008-06-12https://hdl.handle.net/10986/6135This report, Second Programmatic Public Expenditure Review (PPER 2), is a sequel to PPER, which was published in July 2007. PPER 2 provides a detailed analysis of key public expenditure issues in Tajikistan and reports on the nonlending policy dialogue and technical assistance programs managed and coordinated by the World Bank. PPER 2 has a special focus on social sectors, especially the health and education sectors. Public Expenditure Tracking Surveys (PETS) carried out for the first time in Tajikistan in 2007 contributed to the findings in this report. The report also updates the macroeconomic and fiscal situation to take account of important developments in 2007 and analyzes the implications of energy sector reforms and investments for fiscal sustainability. This report is intended to contribute to improving the quality of life in Tajikistan through a comprehensive reform program. It spells out the macroeconomic, energy, and budget reforms necessary to achieve the growth the country seeks and, at the same time (and frequently via the same measures) the social welfare targets of the Millennium Development Goals (MDGs).CC BY 3.0 IGOABSENTEE RATESABSENTEEISMACCOUNTABILITYACCOUNTABILITY MECHANISMSADMINISTRATIVE COSTSADMINISTRATIVE STRUCTUREAGEDALLOCATION OF FUNDSALLOCATION OF RESOURCESALLOCATIVE EFFICIENCYAMBULATORY CAREANNUAL BUDGETBANDAGESBASIC SERVICESBEDSBUDGET ALLOCATIONBUDGET AMENDMENTSBUDGET DATABUDGET EXECUTIONBUDGET LAWBUDGET MANAGEMENTBUDGET PROCESSBUDGET REPORTBUDGET TRANSFERSBUDGETARY FUNDSBUDGETARY RESOURCESCAPITA HEALTH SPENDINGCAPITAL EXPENDITURECAPITAL EXPENDITURESCAPITATIONCARDIOVASCULAR DISEASESCATEGORIES OF EXPENDITURESCENTRAL GOVERNMENTCITIESCLINICSCOMMUNICABLE DISEASESCONTRACEPTIVESCOST OF HEALTH CARECOST-EFFECTIVENESSDATA ENTRYDEATHSDECISION-MAKINGDELIVERY OF SERVICESDELIVERY SYSTEMDIABETESDISCRETIONARY POWERDISEASE CONTROLDISPENSARIESDOCTORSDRUG USERSECONOMIC POLICYEMPLOYMENTEPIDEMICSEPIDEMIOLOGYEXPENDITURE CATEGORIESFAMILIESFINANCIAL ASSISTANCEFINANCIAL BARRIERSFINANCIAL CONTRIBUTIONSFINANCIAL CONTROLFINANCIAL REPORTSFINANCIAL SYSTEMGOITERHEALTH ADMINISTRATIONHEALTH AFFAIRSHEALTH BUDGETSHEALTH CAREHEALTH CARE ACCESSHEALTH CARE DELIVERYHEALTH CARE EXPENDITUREHEALTH CARE EXPENDITURESHEALTH CARE FACILITIESHEALTH CARE FINANCINGHEALTH CARE NEEDSHEALTH CARE PERSONNELHEALTH CARE POLICYHEALTH CARE PROVISIONHEALTH CARE REFORMHEALTH CARE RESOURCESHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH CARE SYSTEMSHEALTH CARE WORKERSHEALTH DEPARTMENTSHEALTH EXPENDITUREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCINGHEALTH FINANCING REFORMHEALTH FINANCING SYSTEMHEALTH FOR ALLHEALTH FUNDINGHEALTH INDICATORSHEALTH INSTITUTIONSHEALTH NEEDSHEALTH OUTCOMESHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROJECTHEALTH RESOURCESHEALTH SECTORHEALTH SECTOR REFORMHEALTH SECTOR WORKERSHEALTH SERVICEHEALTH SERVICESHEALTH SERVICES ORGANIZATIONHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEMSHEALTH UNITSHEALTH WORKERSHIV/AIDSHOSPITAL BEDSHOSPITAL CAREHOSPITAL MANAGEMENTHOSPITAL SERVICESHOSPITALSHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESIMMUNIZATIONINCOMEINCOME COUNTRIESINFANT MORTALITYINFANT MORTALITY RATESINFANTSINFECTIOUS DISEASESINFORMAL PAYMENTSINFRASTRUCTURE SERVICESINPATIENT CAREINTERNAL AUDITINTERNATIONAL ORGANIZATIONSIRONLIFE EXPECTANCYLIFE EXPECTANCY AT BIRTHLIVING CONDITIONSLIVING STANDARDSLOCAL TAXESLOW INCOMEMEDICAL CAREMEDICAL EDUCATIONMEDICAL EQUIPMENTMEDICAL PERSONNELMEDICAL SERVICESMEDICAL SUPPLIESMEDICINESMENTAL HEALTHMIGRANTSMINISTRY OF FINANCEMISMANAGEMENTMORBIDITYMORTALITYNATIONAL HEALTHNURSESNURSINGOPPORTUNITY COSTORGANIZATIONAL STRUCTUREOUTPATIENT CAREOUTPATIENT CARE FACILITIESOUTPATIENT SERVICESPATIENTPATIENTSPERVERSE EFFECTSPHARMACIESPHYSICIANPHYSICIANSPOCKET PAYMENTPOCKET PAYMENTSPOVERTY ASSESSMENTPOVERTY REDUCTIONPRIMARY CAREPRIMARY HEALTH CAREPRIVATE SECTORPRIVATE SPENDINGPROGRAMSPROVIDER INCENTIVESPROVIDER PAYMENTPROVISION OF HEALTH SERVICESPUBLIC ADMINISTRATIONPUBLIC EXPENDITUREPUBLIC EXPENDITURE MANAGEMENTPUBLIC EXPENDITURE REVIEWPUBLIC EXPENDITURE TRACKINGPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH EXPENDITURESPUBLIC HEALTH SPENDINGPUBLIC OFFICIALSPUBLIC RESOURCESPUBLIC SECTORPUBLIC SERVICESPUBLIC SPENDINGQUALITY OF HEALTHQUALITY OF HEALTH CAREREFORM EFFORTSREPRODUCTIVE HEALTHRESOURCE ALLOCATIONRURAL HEALTH CARERURAL HOSPITALSSECTOR BUDGETSERVICE DELIVERYSOCIAL SECURITYSOCIAL SERVICESSTATE AGENCIESTAX COLLECTIONTUBERCULOSISTUBERCULOSIS CASESUNDER FIVE MORTALITYUNDER-FIVE MORTALITYWAGE EXPENDITURESWORKERSWORKING CONDITIONSWorld Bank10.1596/6135