Financing the Frontline in Papua New Guinea : An Analytical Review of Provincial Administrations' Rural Health Expenditure 2006-2012

Financing the Frontline updates the expenditure analysis carried out in Below the Glass Floor (2013) and tests whether the spending patterns emerging in 2009 and 2010 in Papua New Guinea have been sustained or improved in 2011 and 2012. The review also supports a better understanding of the issue...

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Bibliographic Details
Main Authors:	Cairns, Alan, Hou, Xiaohui
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2016
Subjects:	SANITATION COMMUNITIES SPENDING LEVELS DEFICIT BASIC SERVICES VILLAGES ACCOUNTING FINANCIAL MANAGEMENT OPERATIONAL EXPENDITURE VILLAGE AGGREGATE SPENDING PROVINCIAL SUPPORT PROVINCIAL BUDGET LOCAL GOVERNMENTS COMMUNITY HEALTH PROGRAMS SERVICES POLICY RECOMMENDATIONS COST ESTIMATES CENTRAL BUDGET HEALTH CARE REVENUES HEALTH CARE FACILITIES PROVINCIAL HOSPITAL HEALTH PROVINCIAL LEVELS PROVINCES GOVERNMENT ACCOUNTING HEALTH WORKERS PROJECTS PROJECT BUDGET MODEL TAX ENVIRONMENTAL HEALTH INFLATION RURAL COMMUNITY REVENUE SOURCES FISCAL IMPACT COST OF SERVICES BUDGET FISCAL CAPACITY HEALTH SECTOR KNOWLEDGE SUBNATIONAL CHART OF ACCOUNTS BUDGET ALLOCATIONS DISTRICT ADMINISTRATION DISTRICT LEVELS OUTREACH WORK TRAINING IMMUNIZATION PATIENT PATIENTS APPROPRIATION OPERATIONAL COSTS DISTRICT PROVINCIAL GOVERNMENT HEALTH CENTERS EX ANTE CONTROLS PROVINCIAL ‘TRANSFERS TRANSFERS PROVINCIAL SPENDING EXPENDITURE ANALYSIS PROVINCIAL ADMINISTRATORS AUDITOR-GENERAL COST OF SERVICE DISTRICT HEALTH ACCOUNTING SYSTEM PROVINCIAL LEVEL SERVICE DELIVERY DISTRICT LEVEL EXPENDITURE DATA NATIONAL AGENCY PUBLIC INVESTMENT HEALTH INFORMATION INFRASTRUCTURE DESIGN ENTITLEMENTS HEALTH SPENDING EXPENDITURE ASSIGNMENT OF RESPONSIBILITIES SUB-NATIONAL EQUITY SUBNATIONAL EXPENDITURE ACCOUNTABILITY WORKERS APPROPRIATIONS TRANSPARENCY PROVINCIAL EXPENDITURE CENTRAL ADMINISTRATION PUBLIC EXPENDITURE BUDGET PROCESS PROVISION OF WATER PROVINCE DISTRIBUTION FUNCTION CAPACITY CONSTRAINTS NATIONAL GOVERNMENT BUDGETS LEVEL OF GOVERNMENT PROVINCIAL PERFORMANCE FAMILY PLANNING PROVINCIAL ADMINISTRATIONS MEDICAL SUPPLIES PERFORMANCE INFORMATION FISCAL YEAR PROVINCIAL CAPITAL PERFORMANCE ANALYSIS PROVINCIAL ADMINISTRATION NUTRITION WORKSHOPS SERVICE DELIVERY FUNCTIONS PERSONNEL EMOLUMENTS PRIMARY HEALTH CARE MOBILE CLINICS INTERNET PROGRAM STRUCTURE SANITATION SERVICES CENTRAL COORDINATION DISTRICT HEADQUARTERS CLINICS ANNUAL BUDGET RURAL AREAS BIRTH ATTENDANTS HEALTH EXPENDITURE ALLOCATION PROVINCIAL GOVERNMENTS COST ESTIMATE REVENUE FACILITIES NATIONAL POLICY COMMUNITY HEALTH WORKER FINANCIAL SUPPORT PROVINCIAL TREASURY COMMUNITY STRATEGY PUBLIC INVESTMENT PROGRAM CENTRAL AGENCIES HOSPITALS PRICE INDEX PROVINCIAL DISCRETION OUTCOMES GOVERNMENT ACCOUNTS RURAL DEVELOPMENT HEALTH SERVICES IMPLEMENTATION SERVICE DISTRICTS FINANCING ARRANGEMENTS SERVICE PROVIDERS PROVINCIAL TREASURIES
Online Access:	http://documents.worldbank.org/curated/en/2016/02/25991656/financing-frontline-analytical-review-provincial-administrations-rural-health-expenditure-2006-2012 http://hdl.handle.net/10986/24075

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Summary:	Financing the Frontline updates the expenditure analysis carried out in Below the Glass Floor (2013) and tests whether the spending patterns emerging in 2009 and 2010 in Papua New Guinea have been sustained or improved in 2011 and 2012. The review also supports a better understanding of the issues that confront frontline service delivery — such as the ambiguity of roles and responsibilities in some rural health functions — and proposes next steps. Concurrently, the National Department of Health performance information on facilities (from the National Health Information System) has been reviewed. The integration of the expenditure analysis, the NHIS performance information and the findings from the Promoting Effective Public Expenditure facility surveys will provide a rich source of information to help sharpen understanding and shape solutions.

Financing the Frontline in Papua New Guinea : An Analytical Review of Provincial Administrations' Rural Health Expenditure 2006-2012

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