Georgia Public Expenditure Review : Building a Sustainable Future

This Public Expenditure Review (PER) was prepared at the request of the Ministry of Finance of Georgia; its analysis of public spending is designed to inform the Georgian authorities on the fiscal policies that support growth and equity. As Georgia...

Full description

Bibliographic Details
Main Author: World Bank
Format: Report
Language:English
en_US
Published: Washington, DC 2017
Subjects:
Online Access:http://documents.worldbank.org/curated/en/630321497350151165/Georgia-Public-expenditure-review-building-a-sustainable-future
http://hdl.handle.net/10986/27138
id okr-10986-27138
recordtype oai_dc
spelling okr-10986-271382021-05-25T09:00:44Z Georgia Public Expenditure Review : Building a Sustainable Future World Bank FISCAL TRENDS MACROECONOMIC POLICY HEALTH SPENDING HEALTH SYSTEM PUBLIC EXPENDITURE This Public Expenditure Review (PER) was prepared at the request of the Ministry of Finance of Georgia; its analysis of public spending is designed to inform the Georgian authorities on the fiscal policies that support growth and equity. As Georgia strives to meet the challenges of a fluid global economic environment, this PER is intended to support the government’s efforts to secure macroeconomic and fiscal sustainability to promote growth and equity. This is a testing time for Georgia’s public finances, as the country faces slowing growth and a difficult regional context.This Public Expenditure Review (PER) is organized in two chapters; the first focusing on the overarching macro-fiscal challenges facing Georgia, and the second “zooming in” to the challenges for public spending in the health sector. In particular, the PER provides an overview of the recent macroeconomic and fiscal developments highlighting major drivers of rising spending, and analyzes potential revenue gains that could be derived from eliminating tax expenditures (Chapter 1). The second part of the report carries out a detailed review of the health spending in Georgia, providing both the context and rationale for implementing the much needed Universal Healthcare (UHC) program in 2013, while highlighting the need for properly managing the existing short-term cost pressures, as well further improving the system’s long-term efficiency and sustainability. This PER is an integral part of the programmatic series of PERs (2012, 2014, and 2015) providing new analyses and recommendations that are complementary to the existing ones. The PER (2012) analyzed the rising expenditure pressures on social and capital spending, and presented options for fiscal consolidation, including measures to improve selectivity in capital expenditures, enhance the sustainability of the pension program, and the coverage of targeted social assistance. The PER (2014) examined the spending on social protection, health, and education, and provided recommendations including strengthening the Social Service Agency, increasing the UHC drug coverage, strengthening preschool education, and improving general and vocational education. It also analyzed quasi-fiscal spending and intergovernmental fiscal relations. A special volume of the PER (2014) studied Georgia’s Public Investment Management and how it could be further enhanced to improve the efficiency of public investment. The PER (2015) highlighted the presence of spending pressures from social programs and analyzed spending efficiency, which led to policy options to direct the redistribution policies towards greater equity, improve agriculture subsidy programs and local government spending.This PER, as a continuation of the series, while focusing its analyses and recommendations strategically on new and specific challenges, it also draws a selected number of recommendations from previous PERs, notwithstanding that most issues covered in previous PERs remain crucial and need to be addressed in parallel. 2017-06-14T17:25:26Z 2017-06-14T17:25:26Z 2017-06 Report http://documents.worldbank.org/curated/en/630321497350151165/Georgia-Public-expenditure-review-building-a-sustainable-future http://hdl.handle.net/10986/27138 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 Europe and Central Asia Georgia
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 FISCAL TRENDS
MACROECONOMIC POLICY
HEALTH SPENDING
HEALTH SYSTEM
PUBLIC EXPENDITURE
spellingShingle FISCAL TRENDS
MACROECONOMIC POLICY
HEALTH SPENDING
HEALTH SYSTEM
PUBLIC EXPENDITURE
World Bank
Georgia Public Expenditure Review : Building a Sustainable Future
geographic_facet Europe and Central Asia
Georgia
description This Public Expenditure Review (PER) was prepared at the request of the Ministry of Finance of Georgia; its analysis of public spending is designed to inform the Georgian authorities on the fiscal policies that support growth and equity. As Georgia strives to meet the challenges of a fluid global economic environment, this PER is intended to support the government’s efforts to secure macroeconomic and fiscal sustainability to promote growth and equity. This is a testing time for Georgia’s public finances, as the country faces slowing growth and a difficult regional context.This Public Expenditure Review (PER) is organized in two chapters; the first focusing on the overarching macro-fiscal challenges facing Georgia, and the second “zooming in” to the challenges for public spending in the health sector. In particular, the PER provides an overview of the recent macroeconomic and fiscal developments highlighting major drivers of rising spending, and analyzes potential revenue gains that could be derived from eliminating tax expenditures (Chapter 1). The second part of the report carries out a detailed review of the health spending in Georgia, providing both the context and rationale for implementing the much needed Universal Healthcare (UHC) program in 2013, while highlighting the need for properly managing the existing short-term cost pressures, as well further improving the system’s long-term efficiency and sustainability. This PER is an integral part of the programmatic series of PERs (2012, 2014, and 2015) providing new analyses and recommendations that are complementary to the existing ones. The PER (2012) analyzed the rising expenditure pressures on social and capital spending, and presented options for fiscal consolidation, including measures to improve selectivity in capital expenditures, enhance the sustainability of the pension program, and the coverage of targeted social assistance. The PER (2014) examined the spending on social protection, health, and education, and provided recommendations including strengthening the Social Service Agency, increasing the UHC drug coverage, strengthening preschool education, and improving general and vocational education. It also analyzed quasi-fiscal spending and intergovernmental fiscal relations. A special volume of the PER (2014) studied Georgia’s Public Investment Management and how it could be further enhanced to improve the efficiency of public investment. The PER (2015) highlighted the presence of spending pressures from social programs and analyzed spending efficiency, which led to policy options to direct the redistribution policies towards greater equity, improve agriculture subsidy programs and local government spending.This PER, as a continuation of the series, while focusing its analyses and recommendations strategically on new and specific challenges, it also draws a selected number of recommendations from previous PERs, notwithstanding that most issues covered in previous PERs remain crucial and need to be addressed in parallel.
format Report
author World Bank
author_facet World Bank
author_sort World Bank
title Georgia Public Expenditure Review : Building a Sustainable Future
title_short Georgia Public Expenditure Review : Building a Sustainable Future
title_full Georgia Public Expenditure Review : Building a Sustainable Future
title_fullStr Georgia Public Expenditure Review : Building a Sustainable Future
title_full_unstemmed Georgia Public Expenditure Review : Building a Sustainable Future
title_sort georgia public expenditure review : building a sustainable future
publisher Washington, DC
publishDate 2017
url http://documents.worldbank.org/curated/en/630321497350151165/Georgia-Public-expenditure-review-building-a-sustainable-future
http://hdl.handle.net/10986/27138
_version_ 1764463942121291776