Zambia Health Sector Public Expenditure Review

Abstract

This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

Walking the Talk: Reimagining Primary Health Care after COVID-19

“…In many developing countries, administrative authorities (such as districts) act as agents for receiving and managing resources allocated to PHC together with resources for other purposes. Such arrangements have led to inadequate financing for PHC providers, in particular, inadequate resources for operational costs and hence missed opportunities to address community needs (Chansa et al 2018). In some countries, a shift to a program-based budget classification system has helped to allocate resources to programs that are organized around policy goals, rather than along administrative and input lines, providing an opportunity to link spending to policy priorities (Jakab, Evetovits, and McDaid 2018).…”

A Guiding Framework for Nutrition Public Expenditure Reviews

“…There could be other documents, especially by non-World Bank entities, that are not listed here. Sources: Chansa et al 2018;FMoH, n.d.;Policy Associates Team 2016;World Bank 2016, 2019c.…”

Effects of performance based financing on facility autonomy and accountability: Evidence from Zambia

“…Like many other LLMICs, resource constraints have limited Zambia’s ability to finance healthcare fully [20] fully. In addition to low funding, the available resources are not efficiently utilised, leading to gaps in service delivery and poor health outcomes [21] . Motivated by the idea of improving efficiency, the Zambian Government, with support from the World Bank, implemented a PBF project between 2012 and 2014 in 11 districts out of the 72 districts at that time, countrywide (See Annex A1).…”