Tandon, AjayCashin, Cheryl2013-05-292013-05-292010-02https://hdl.handle.net/10986/13613This document delineates a simple conceptual framework for assessing fiscal space for health and provides an illustrative roadmap for guiding such assessments. The roadmap draws on lessons learned from analyses of seven fiscal space case studies conducted over the past two years in Cambodia, India, Indonesia, Rwanda, Tonga, Uganda, and Ukraine. The document also includes a summary of the fiscal space assessments from these seven case studies. Any assessment of fiscal space typically entails an examination of whether and how a government could feasibly increase its expenditure in the short-to-medium term, and do so in a way that is consistent with a country's macroeconomic fundamentals. Although fiscal space generally refers to overall government expenditure, for a variety of reasons there has been growing demand for a framework for analyzing fiscal space specifically for the health sector. This document outlines ways in which generalized fiscal space assessments could be adapted to take a more health-sector specific perspective: what is the impact of broader macroeconomic factors on government expenditures for health? Are there sector-specific considerations that might expand the set of possible options for generating fiscal space for health? Are there country-specific examples of innovative strategies that have been successful in increasing fiscal space for health?en-USCC BY 3.0 IGOABSENTEEISMACCESS TO HEALTH CAREACCOUNTINGADMINISTRATIVE COSTSAGINGALLOCATIVE EFFICIENCYBUDGET CONSTRAINTBUDGETARY RESOURCESBURDEN OF DISEASECAPACITY MEASURECAPITA HEALTH EXPENDITURECENTRAL FUNDSCENTRAL GOVERNMENTCHILD HEALTHCOLLECTION OF CONTRIBUTIONSCOMMUNICABLE DISEASE CONTROLCOMMUNICABLE DISEASESCOMMUNITY HEALTHCOMPUTABLE GENERAL EQUILIBRIUMCOST ESTIMATESCOST OF CARECROWDINGDEBTDEBT INTERESTDEMAND FOR HEALTHDEMAND FOR HEALTH SERVICESDISASTERSDISEASE CONTROLDONOR FINANCINGDONOR FUNDINGECONOMIC DOWNTURNSECONOMIC GROWTHECONOMIC GROWTH RATESEFFECTIVENESS OF GOVERNMENTEFFECTIVENESS OF GOVERNMENT EXPENDITUREEFFICIENCY GAINSEFFICIENCY IMPROVEMENTSEMPLOYMENTEPIDEMIOLOGYEQUILIBRIUMEQUITY CONSIDERATIONSEXERCISESEXPENDITURE LEVELSEXPENDITURESEXPENDITURES ON HEALTHEXTERNAL ASSISTANCEEXTERNALITIESFINANCIAL CRISESFINANCIAL MANAGEMENTFINANCIAL POSITIONFINANCIAL PROTECTIONFINANCIAL RISKFINANCIAL RISK PROTECTIONFINANCING OF HEALTH CAREFISCAL CAPACITYFISCAL DEFICITFISCAL DEFICITSFISCAL ENVELOPEFISCAL HEALTHFISCAL POLICYFISCAL TARGETSFISCAL TRANSFERSGOVERNMENT BUDGETGOVERNMENT BUDGET CONSTRAINTGOVERNMENT EXPENDITUREGOVERNMENT EXPENDITURESGOVERNMENT REVENUEGOVERNMENT REVENUESGOVERNMENT SPENDINGGROWTH RATEHEALTH AFFAIRSHEALTH BUDGETSHEALTH CAREHEALTH CARE COVERAGEHEALTH CARE FINANCINGHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH EXPENDITUREHEALTH EXPENDITURE PER CAPITAHEALTH EXPENDITURE SHAREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCINGHEALTH FUNDINGHEALTH INSURANCEHEALTH INSURANCE COVERAGEHEALTH INSURANCE PROGRAMHEALTH INSURANCE SCHEMEHEALTH NEEDSHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PLANSHEALTH POLICYHEALTH PRICESHEALTH PROGRAMHEALTH PROMOTIONHEALTH REFORMHEALTH RESEARCHHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICESHEALTH SHAREHEALTH SPENDINGHEALTH SPENDING SHAREHEALTH STRATEGYHEALTH SYSTEMHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH WORKERSHEALTH-CAREHEALTH-SECTORHIV/AIDSHOSPITALSHUMAN DEVELOPMENTHUMAN RESOURCESILLNESSIMMUNIZATIONINCIDENCE ANALYSISINCOME GROUPSINFANT MORTALITYINFANT MORTALITY RATEINFECTIOUS DISEASESINFORMAL SECTORINFORMAL SECTOR WORKERSINSURANCEINSURANCE COVERAGEINSURANCE PREMIUMSINSURANCE SYSTEMINTEGRATIONINTEREST PAYMENTSLABOR MARKETSLIFE EXPECTANCYLOW INCOMELOW-INCOME COUNTRIESMACROECONOMIC CONDITIONSMACROECONOMIC INDICATORSMACROECONOMIC POLICIESMACROECONOMIC POLICYMEDIUM-TERM EXPENDITUREMEDIUM-TERM EXPENDITURE FRAMEWORKSMIGRATIONMORTALITYNATIONAL HEALTHNATIONAL HEALTH INSURANCENATIONAL HEALTH INSURANCE FUNDNATIONAL INCOMENUTRITIONPEDIATRICSPOCKET PAYMENTSPOVERTY LEVELPOVERTY REDUCTIONPRICE ELASTICITYPRICE OF HEALTH CAREPRIMARY CAREPRIVATE PROVIDERSPRIVATE SECTORPRIVATE SECTORSPROGRAMSPROVISION OF INSURANCEPUBLIC BUDGETPUBLIC BUDGETSPUBLIC EXPENDITUREPUBLIC EXPENDITURE MANAGEMENTPUBLIC EXPENDITURE ON HEALTHPUBLIC FUNDINGPUBLIC FUNDSPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH CARE SYSTEMPUBLIC HEALTH INSURANCEPUBLIC HEALTH INSURANCE SCHEMESPUBLIC HEALTH SPENDINGPUBLIC INFRASTRUCTUREPUBLIC RESOURCESPUBLIC SECTORPUBLIC SPENDINGQUALITY OF HEALTHQUALITY OF HEALTH CAREQUANTITATIVE ASSESSMENTSRECURRENT EXPENDITURESREPRODUCTIVE HEALTHRESOURCE ALLOCATIONSREVENUE SOURCESSHARE OF HEALTH SPENDINGSMOKINGSOCIAL HEALTH INSURANCESOCIAL INSURANCESOCIAL SECURITYSOCIAL SECURITY SYSTEMSTATE BUDGETTAX REVENUESTAX SYSTEMSTOTAL SPENDINGTUBERCULOSISUNCERTAINTYUNIVERSAL HEALTH INSURANCE COVERAGEWASTEWORKERSWorld Bank10.1596/13613