The Zambia health sector public expenditure review: accounting for resources to improve effective service coverage

"Zambia Health Sector Public Expenditure Review is part of the World Bank Country Study series. These reports are published with the approval of the subject government tocommunicate the results of the Bank's work on the economic and related conditions of memercountries to governments and to the development community." "This book portrays the performance of the health sector in Zambia using quantitative techniques. While there have been a number of health sector assessments in the country, they have relied on qualitative and anecdotal evidence for the most part. For the first time, this public expenditure review of the health sector brings together the results of three separate but related analytical efforts: multi-year national health accounts, a public expenditure tracking and quality of service delivery survey, and resource and impact modeling using the Marginal Budgeting for Bottlenecks software. These exercises combine to yield more powerful findings on the weaknesses and prospects of the Zambian health system." --Résumé de l'éditeur This Publication Examines The Performance Of The Health Sector In Zambia Using Quantitative Techniques. While There Have Been A Number Of Health Sector Assessments In The Country, They Have Relied On Qualitative And Anecdotal Evidence For The Most Part. For The First Time, This Public Expenditure Review Of The Health Sector Brings Together The Results Of Three Separate But Related Analytical Efforts: Multi-year National Health Accounts, A Public Expenditure Tracking And Quality Of Service Delivery Survey, And Resource And Impact Modeling Using The Marginal Budgeting For Bottlenecks Software. These Exercises Combine To Yield More Powerful Findings On The Weaknesses And Prospects Of The Zambian Health System.--publisher's Description. Background, Objectives, And Analytical Tools -- Health System Challenges -- Sources And Uses Of Funds In The Health Sector : Results Of The National Health Accounts Exercises, 1999-2004 -- Budget Allocation, Release, And Spending : Results Of The Public Expenditure Tracking Component Of The Pet/qsds, 2005-06 -- The State Of Health Facilities And Services : Results Of The Quality Of Service Delivery Component Of The Pet/qsds, 2005-06 -- Scaling Up Health Service Delivery To Reach The Mdgs : Results Of The Marginal Budgeting For Bottlenecks Modeling Exercise, 2006 -- Statistical Appendix. Oscar F. Picazo, Feng Zhao. Includes Bibliographical References (p. 91-92). Over the past few years, three nagging problems have bedeviled Zambia's health sector: the country is falling off-track from reaching the Millennium Development Goals (MDGs), it is facing severe financing constraints on the government front, and the health and HIV/AIDS sector is increasingly being fragmented by the reemergence of global disease initiatives. This health sector pubic expenditure review (PER) seeks to assist the Government of the Republic of Zambia (GRZ) and its development partners take stock of the resources in the health sector and how these resources can be better used to produce better health services. The results of the PER are expected to be the used for a variety of purposes, including the preparation of the health sector strategic plan, and succeeding rounds of the global fund request for proposals. Policy dialogue between the Bank and GRZ, both at the macro and sector levels, can also be enriched by the PER. The PER also provides critical inputs into the Medium-Term Expenditure Framework (MTEF) process, and in the assessment of the Poverty Reduction Strategy Paper (PRSP). Likewise, the PER can provide inputs to fine-tune the process of the pooled basket funding mechanism under the sector-wide approach (SWAp). Background, objectives, and analytical tools Health system challenges Sources and uses of funds in the health sector Budget allocation, release, and spending The state of health facilities and services Scaling up health service delivery to reach the MDGS Summary of key findings and recommendations.