Central America Social Expenditures and Institutional Review : El Salvador

El Salvador’s development over the past decade has been dichotomous. On the one hand, economic growth has remained persistently low, employment and labor force participation have barely increased, and progress on poverty reduction has slowed. On th...

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Bibliographic Details
Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	Washington, DC 2015
Subjects:	INFANT MORTALITY RATES ACCESS TO HEALTH CARE CHILD HEALTH REPRODUCTIVE HEALTH UNEMPLOYMENT RATES BASIC EDUCATION ECONOMIC GROWTH OLDER MEN QUALITY OF SERVICES QUALITY OF HEALTH CARE PUBLIC EDUCATION MATERNAL MORTALITY DATA LIVE BIRTHS REDUCING MATERNAL MORTALITY LABOR FORCE DISCRIMINATION GROSS ENROLLMENT RATIO HEALTH CARE DEVELOPMENT POLICIES CRIME SOCIAL PROGRAMS FUTURE GENERATIONS INFORMATION SYSTEMS HOSPITAL COMMUNITY PARTICIPATION MATERNAL MORTALITY INEQUITIES HOSPITALIZATION KNOWLEDGE HEALTH SECTOR LABOR MARKET PUBLIC POLICY UNIVERSAL PRIMARY EDUCATION MILLENNIUM DEVELOPMENT GOAL IMMUNIZATION TRAINING HEALTH-CARE POLICY INTERVENTION HEALTH INDICATORS PUBLIC HOSPITALS CHILD DEVELOPMENT SECONDARY SCHOOL HEALTH CARE SERVICES VIOLENCE VULNERABLE POPULATIONS DISSEMINATION HOUSEHOLD SURVEYS MORTALITY RATE SERVICE DELIVERY SCHOOL LEVELS MORTALITY HEALTH CARE SYSTEM HEALTH PROMOTION ELDERLY RISK GROUPS PROGRESS INFANT MORTALITY INFANT HUMAN CAPITAL NATIONAL STRATEGY POLICIES SOCIAL SECTOR AGED QUALITY OF CARE USER FEES SCHOOL ATTENDANCE ECONOMIC STATUS VULNERABLE GROUPS CHLAMYDIA EARLY CHILDHOOD DECISION MAKING DISADVANTAGED GROUPS SCHOOL CHILDREN MEASUREMENT POPULATIONS YOUNG CHILDREN ADOLESCENTS POPULATION ESTIMATES CHILD MORTALITY SOCIAL POLICIES HEALTH SYSTEM WEIGHT MINORITY TEACHER RATIO CHILDREN MATERNAL DEATHS LOW BIRTH WEIGHT NUMBER OF CHILDREN OLD SYSTEM HOSPITAL BEDS POPULATION PURCHASING POWER PARITY TRAUMA GONORRHEA MEDICINES HOSPITALS MATERNAL MORTALITY RATES LABOR MARKETS ILLNESSES COMPLICATIONS INFANT MORTALITY RATE FINANCIAL CONSTRAINTS SECONDARY EDUCATION INTERNATIONAL COMPARISONS PREGNANCY HUMAN DEVELOPMENT SANITATION FACILITIES SANITATION NATIONAL DEVELOPMENT PLAN PEOPLE INFORMATION SYSTEM PREVENTION EMPLOYMENT OPPORTUNITIES LEVELS OF EDUCATION COMMUNITY HEALTH POPULATION GROUPS DRUGS NATIONAL DEVELOPMENT PRENATAL CARE HEALTH HYPERTENSION NUMBER OF PEOPLE RURAL POPULATION HEALTH FACILITIES PUBLIC HEALTH COST EFFECTIVENESS DIABETES COMMUNITY DEVELOPMENT MINISTRY OF HEALTH SOCIAL SERVICE DISEASES CAUSES OF DEATH POOR FAMILIES HEALTH SYSTEMS MIGRATION COVERAGE OF POPULATION TIMELY USE MODERNIZATION ACCESS TO HEALTH SERVICES PRIMARY HEALTH SERVICES SOCIAL SECURITY TEACHER SALARIES SCHOOL STUDENTS PRIMARY SCHOOL GROSS DOMESTIC PRODUCT SOCIAL DEVELOPMENT SOCIAL EXPENDITURES DISPARITIES IN HEALTH NATIONAL HEALTH SYSTEM PRIMARY SCHOOLS UNEMPLOYMENT HOUSEHOLD LEVEL FOOD SECURITY WORKERS SURVEILLANCE PENSIONS IMPACT ON HEALTH HEALTH POLICY MINISTRY OF EDUCATION PURCHASING POWER SOCIAL POLICY HEALTH OUTCOMES UNIVERSAL ACCESS SAFETY NET POPULATION DENSITY URBAN AREAS IMMUNIZATIONS MEASLES NUTRITION POLICY PRIMARY HEALTH CARE SOCIAL SECTORS VACCINES HUMAN RIGHTS COMMUNICABLE DISEASES PREGNANT WOMEN CARDIOVASCULAR DISEASES CITIZENSHIP PUBLIC HEALTH SERVICES RURAL AREAS ILLNESS COMMUNITY EDUCATION STUDENTS NEONATAL MORTALITY LOCAL DEVELOPMENT DIGESTIVE SYSTEM UNFPA STRATEGY PRIMARY EDUCATION SCARCE RESOURCES FAMILIES WOMEN IMPLEMENTATION HEALTH SERVICES TERTIARY EDUCATION AT RISK GROUPS
Online Access:	http://documents.worldbank.org/curated/en/2015/08/24893154/el-salvador-central-america-social-expenditures-institutional-review http://hdl.handle.net/10986/22491

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Summary:	El Salvador’s development over the past decade has been dichotomous. On the one hand, economic growth has remained persistently low, employment and labor force participation have barely increased, and progress on poverty reduction has slowed. On the other hand, inequality has fallen, and shared prosperity improved together with advances in many social indicators, such as pre-primary enrollment rates, access to prenatal care, immunizations, and water and sanitation. The increase in the use of social spending, which now accounts for 12.4 percent of GDP, together with an improvement in the quality of social spending, explain at least part of this dichotomy of redistributive and social gains despite low growth, a tight fiscal situation and generally low government revenues and spending. Looking forward, the key challenges El Salvador faces are related to continuing improving the quality and efficiency in the social sectors, while maintaining the overall level of social spending within an increasingly constrained fiscal environment, where fiscal constraints, low revenues, and the need to cut the deficit by 3 percent of GDP are significant elements, as well. Priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. This document analyzes social spending for El Salvador for the education, health and social protection and labor sectors in depth and explores a series of policy options for El Salvador to reallocate social spending for more effective impacts, to enhance and reform social policies and social service delivery, and to improve the management of public spending and budget execution in the social sectors.

Central America Social Expenditures and Institutional Review : El Salvador

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