Central America Social Expenditures and Institutional Review : Honduras

Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and ine...

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Bibliographic Details
Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	Washington, DC 2015
Subjects:	INFANT MORTALITY RATES UNEMPLOYMENT RATES BASIC EDUCATION ECONOMIC GROWTH FORMAL EDUCATION VACCINATION SOCIOECONOMIC STATUS PSYCHOLOGY LAWS PUBLIC EDUCATION INTERNATIONAL ORGANIZATIONS LABOR FORCE DEVELOPING COUNTRIES HEALTH CARE DROPOUT DEVELOPMENT GOALS CRIME INFORMATION SYSTEMS OLD-AGE HOSPITAL COMMUNITY PARTICIPATION MATERNAL MORTALITY ACCESS TO EDUCATION KNOWLEDGE HEALTH SECTOR DISABILITIES BEHAVIOR LABOR MARKET EXERCISES UNIVERSAL PRIMARY EDUCATION MILLENNIUM DEVELOPMENT GOAL GENDER GAP QUALITY OF EDUCATION IMMUNIZATION TRAINING EDUCATIONAL ATTAINMENT INTERVENTION SECONDARY SCHOOLS INCOME INEQUALITY HEALTH INDICATORS PUBLIC HOSPITALS CITIZEN SECONDARY SCHOOL VIOLENCE HOUSEHOLD SURVEYS DISASTERS FAMILY CARE MORTALITY RATE SERVICE DELIVERY MORTALITY HEALTH PROMOTION ELDERLY CANCER RESPECT PROGRESS ALCOHOL ABUSE EDUCATION SYSTEMS UNIONS INFANT MORTALITY INFANT POLICIES SOCIAL SECTOR AGED SCHOOL ATTENDANCE ECONOMIC STATUS LEVEL OF DEVELOPMENT VULNERABLE GROUPS NATIONAL PRIORITIES SCHOOL CHILDREN MEASUREMENT POPULATIONS SERVICE QUALITY TEACHER SHORTAGES CHILD MORTALITY HEALTH SYSTEM PHYSICIANS WEIGHT TEACHER RATIO CHILDREN TRAINING OPPORTUNITIES HEALTH PROVIDERS HIGH SCHOOL EDUCATION NATIONAL PLAN DISABILITY NATIONAL GOALS HOSPITAL BEDS POPULATION PURCHASING POWER PARITY LIVING CONDITIONS MEDICINES HOSPITALS MATERNAL MORTALITY RATES FINANCIAL CONSTRAINTS SECONDARY EDUCATION POLITICAL INSTABILITY NURSING HUMAN DEVELOPMENT SANITATION FACILITIES SANITATION RISKS PEOPLE URBANIZATION POLITICAL ACTION ABUSE INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PREVENTION SKILLS DEVELOPMENT MORBIDITY NEEDS ASSESSMENT LEVELS OF EDUCATION RESOURCE ALLOCATION SOCIAL WORK POPULATION GROUPS HEALTH INSURANCE PUBLIC SERVICES DRUGS PRENATAL CARE HUMAN RESOURCE MANAGEMENT HEALTH UNITED NATIONS POPULATION FUND HEALTH WORKERS DENTISTRY POPULATION FUND RURAL POPULATION VULNERABILITY HEALTH FACILITIES PUBLIC HEALTH SAFETY NETS COST EFFECTIVENESS DIABETES RURAL POPULATIONS MINISTRY OF HEALTH DISEASES POOR FAMILIES POPULATION GROWTH AGGRESSIVE SERVICE PROVISION SOCIAL SECURITY TEACHER SALARIES JOB TRAINING PRIMARY SCHOOL GLOBAL HEALTH GROSS DOMESTIC PRODUCT SOCIAL DEVELOPMENT SOCIAL EXPENDITURES UNEMPLOYMENT SCHOOL YEAR VOCATIONAL TRAINING WORKERS CHRONIC MALNUTRITION POLITICAL TURMOIL PUBLIC PERCEPTIONS HIV IMMUNODEFICIENCY PENSIONS PUBLIC HEALTH EXPENDITURE MINISTRY OF EDUCATION PURCHASING POWER SOCIAL POLICY POPULATION DENSITY URBAN AREAS MANDATES IMMUNIZATIONS GENDER GAP IN PRIMARY EDUCATIONAL SERVICES MEASLES NUTRITION INJURIES WORKSHOPS POLICY PRIMARY HEALTH CARE WORLD HEALTH ORGANIZATION SOCIAL SECTORS COMMUNICABLE DISEASES PREGNANT WOMEN LEVEL OF EDUCATION CLINICS RURAL AREAS STUDENTS MATERNAL MORTALITY RATE UNFPA STRATEGY PRIMARY EDUCATION FAMILIES REGISTRATION URBAN POPULATIONS WOMEN MILLENNIUM DEVELOPMENT GOALS IMPLEMENTATION HEALTH SERVICES TERTIARY EDUCATION BLUEPRINT
Online Access:	http://documents.worldbank.org/curated/en/2015/08/23839196/honduras-central-america-social-expenditures-institutional-review http://hdl.handle.net/10986/22672

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Summary:	Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, noncommunicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions. Sector-specific challenges aligned with these broad objectives are addressed below.

Central America Social Expenditures and Institutional Review : Honduras

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