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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Main Author: World Bank
Format: Report
Language:English
en_US
Published: Washington, DC 2015
Subjects:
HIV
Online Access:http://documents.worldbank.org/curated/en/2015/08/23839196/honduras-central-america-social-expenditures-institutional-review
http://hdl.handle.net/10986/22672
id okr-10986-22672
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
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
spellingShingle 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
World Bank
Central America Social Expenditures and Institutional Review : Honduras
geographic_facet Honduras
description 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.
format Report
author World Bank
author_facet World Bank
author_sort World Bank
title Central America Social Expenditures and Institutional Review : Honduras
title_short Central America Social Expenditures and Institutional Review : Honduras
title_full Central America Social Expenditures and Institutional Review : Honduras
title_fullStr Central America Social Expenditures and Institutional Review : Honduras
title_full_unstemmed Central America Social Expenditures and Institutional Review : Honduras
title_sort central america social expenditures and institutional review : honduras
publisher Washington, DC
publishDate 2015
url http://documents.worldbank.org/curated/en/2015/08/23839196/honduras-central-america-social-expenditures-institutional-review
http://hdl.handle.net/10986/22672
_version_ 1764451730046582784
spelling okr-10986-226722021-04-23T14:04:10Z Central America Social Expenditures and Institutional Review : Honduras World Bank 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 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. 2015-09-24T15:18:31Z 2015-09-24T15:18:31Z 2015-06-29 Report http://documents.worldbank.org/curated/en/2015/08/23839196/honduras-central-america-social-expenditures-institutional-review http://hdl.handle.net/10986/22672 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 Honduras