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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Main Author: World Bank
Format: Report
Language:English
en_US
Published: Washington, DC 2015
Subjects:
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
id okr-10986-22491
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic 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
spellingShingle 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
World Bank
Central America Social Expenditures and Institutional Review : El Salvador
geographic_facet Latin America & Caribbean
El Salvador
description 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.
format Report
author World Bank
author_facet World Bank
author_sort World Bank
title Central America Social Expenditures and Institutional Review : El Salvador
title_short Central America Social Expenditures and Institutional Review : El Salvador
title_full Central America Social Expenditures and Institutional Review : El Salvador
title_fullStr Central America Social Expenditures and Institutional Review : El Salvador
title_full_unstemmed Central America Social Expenditures and Institutional Review : El Salvador
title_sort central america social expenditures and institutional review : el salvador
publisher Washington, DC
publishDate 2015
url http://documents.worldbank.org/curated/en/2015/08/24893154/el-salvador-central-america-social-expenditures-institutional-review
http://hdl.handle.net/10986/22491
_version_ 1764451247724691456
spelling okr-10986-224912021-04-23T14:04:09Z Central America Social Expenditures and Institutional Review : El Salvador World Bank 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 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. 2015-08-18T21:04:22Z 2015-08-18T21:04:22Z 2015-06-29 Report http://documents.worldbank.org/curated/en/2015/08/24893154/el-salvador-central-america-social-expenditures-institutional-review http://hdl.handle.net/10986/22491 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work Economic & Sector Work :: Public Expenditure Review Latin America & Caribbean El Salvador