Madagascar 2015 Review of Public Expenditure in Social Sectors : Executive Summary

Madagascar’s economic growth has been slow at 1 percent annually in the last five years and far inferior to sub-Saharan region’s average. Income per capita in 2014 fell to around USD 400 (2005 constant USD), losing about 20 percent from 1970 when p...

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Bibliographic Details
Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	Washington, DC 2016
Subjects:	CHILD HEALTH PARASITIC DISEASES ECONOMIC GROWTH QUALITY OF SERVICES PEOPLE PROVISION OF HEALTH CARE FINANCING ANTENATAL CARE DEATHS INCOME UNDER-FIVE MORTALITY PUBLIC EDUCATION HEALTH EXPENDITURES PUBLIC INVESTMENTS GOVERNMENT SPENDING COMMUNITY HEALTH PRIMARY CARE PROGRAMS SERVICES OPERATIONAL EXPENDITURES HEALTH INSURANCE PUBLIC SERVICES HEALTH CARE POPULATION POLICIES HEALTH WAGE EXPENDITURES HEALTH FACILITIES TOTAL PUBLIC EXPENDITURE PUBLIC HEALTH QUALITY OF HEALTH BUDGET DOMESTIC FUNDING HEALTH SECTOR MACROECONOMIC STABILITY TOTAL EXPENDITURE BUDGET CREDIBILITY INCIDENCE ANALYSIS COSTS QUALITY OF EDUCATION IMMUNIZATION COST RECOVERY PATIENT SALARY PAYMENTS ADMINISTRATIVE EXPENSES HEALTH INDICATORS HEALTH SYSTEMS HEALTH CENTERS HEALTH SYSTEM PERFORMANCE HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES DEBT HUMAN RESOURCES MANAGEMENT EDUCATION SYSTEM CAPITAL EXPENDITURE HOSPITAL SERVICES SERVICE DELIVERY CASH TRANSFERS RECURRENT EXPENDITURE MORTALITY MONETARY AUTHORITIES EDUCATION SPENDING HEALTH SPENDING EXPENDITURE PRIMARY SCHOOLS EQUITY EXTERNAL AID OPPORTUNITY COST WORKERS GOVERNMENT BUDGET AGED SCHOOL FEES PUBLIC HEALTH PROGRAMS PUBLIC EXPENDITURE CARE DELIVERY OF SERVICES EDUCATION SERVICES FAMILY PLANNING EXPENDITURES DECISION MAKING NUTRITION BENEFIT INCIDENCE ANALYSIS POVERTY LEVEL PUBLIC DEBT BURDEN OF DISEASE PRIMARY HEALTH CARE TAX REVENUE HEALTH SYSTEM INSURANCE COMMUNICABLE DISEASES PUBLIC RESOURCES CHILDREN EVALUATION HUMAN RESOURCES TOTAL SPENDING HEALTH PROVIDERS MINISTRY OF FINANCE POVERTY HEALTH EXPENDITURE INTEGRATION ALLOCATION INCIDENCE TOTAL EXPENDITURES INVESTMENT BUDGET POPULATION CAPITAL EXPENDITURES EXTERNAL FINANCING STRATEGY FEES CHILD HEALTH SERVICES MEDICINES PUBLIC SPENDING FINANCIAL PROBLEMS MANAGEMENT OF SERVICE DELIVERY OUTCOMES GOVERNMENT ACCOUNTS CIVIL SERVICE FINANCIAL CONSTRAINTS HEALTH PROGRAMS HEALTH SERVICES IMPLEMENTATION HEALTH STRATEGY TOTAL PUBLIC SPENDING PRIMARY HEALTH CARE SERVICES
Online Access:	http://documents.worldbank.org/curated/en/2016/04/24841449/madagascar-2015-review-public-expenditure-social-sectors-executive-summary http://hdl.handle.net/10986/24091

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Summary:	Madagascar’s economic growth has been slow at 1 percent annually in the last five years and far inferior to sub-Saharan region’s average. Income per capita in 2014 fell to around USD 400 (2005 constant USD), losing about 20 percent from 1970 when per capita income reached the highest point since independence. The economic and social effects of the 2009 political crisis were intensified by the suspension of many donor activities which, in a country where international aid represented 40 percent of the government budget, led to significant cuts in investments and a sharp decline in the delivery of services. Macroeconomic stability was maintained during the crisis, as both fiscal and monetary authorities maintained prudent policies. A low public debt to GDP ratio (37.3 percent in 2014) and a low tax revenue (9.7 percent of GDP in 2014) contributed to hindering public investments necessary for development and adequate provision of public services. In a context of high poverty rates, low overall public resources to finance public services delivery, and continuous fragility, economic and political instability, how can public spending promote better outcomes in education and health? How can the Government of Madagascar and its partners support better access to improved quality of services, in particular for the most vulnerable? The Review of Public Spending in Social Sectors in Madagascar systematically analyses how education, health and nutrition have been financed over the past five years. It examines the amounts, distribution and impact of public spending, and formulates recommendations on how best to allocate future public spending with a focus on incremental resources.

Madagascar 2015 Review of Public Expenditure in Social Sectors : Executive Summary

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