From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia

The way governments manage resources through the budget cycle has important implications for health policy and whether governments achieve societal objectives such as efficiency, equity, quality, and accountability. Studies found a positive association between health service delivery outcomes and go...

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Bibliographic Details
Main Authors:	Piatti-Funfkirchen, Moritz, Schneider, Pia
Format:	Journal Article
Published:	Taylor and Francis 2019
Subjects:	BUDGET EXECUTION FACILITY MANAGEMENT HEALTH SYSTEM REFORM PUBLIC FINANCIAL MANAGEMENT HEALTH SERVICE DELIVERY PUBLIC EXPENDITURE
Online Access:	http://hdl.handle.net/10986/31149

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recordtype	oai_dc
spelling	okr-10986-311492021-05-25T10:54:36Z From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia Piatti-Funfkirchen, Moritz Schneider, Pia BUDGET EXECUTION FACILITY MANAGEMENT HEALTH SYSTEM REFORM PUBLIC FINANCIAL MANAGEMENT HEALTH SERVICE DELIVERY PUBLIC EXPENDITURE The way governments manage resources through the budget cycle has important implications for health policy and whether governments achieve societal objectives such as efficiency, equity, quality, and accountability. Studies found a positive association between health service delivery outcomes and good governance of public finance; however, the mechanisms through which public financial management affects service delivery remain underexplored. This article maps the three stages of the budget cycle to common performance criteria used in health service delivery. It applies this approach to experiences in Tanzania and Zambia. The findings point to a number of stumbling blocks, including the lack of flexibility to provide additional resources for unexpected demand for care, misalignment between budgeting and planning, fragmented funding sources, rigid internal controls, insufficient budget provision leading to arrears, and a budget evaluation system that is excessively compliance driven and gives inadequate attention to issues of equity, quality, and efficiency in service delivery. 2019-01-11T20:35:44Z 2019-01-11T20:35:44Z 2018-11-06 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/31149 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Tanzania Zambia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	BUDGET EXECUTION FACILITY MANAGEMENT HEALTH SYSTEM REFORM PUBLIC FINANCIAL MANAGEMENT HEALTH SERVICE DELIVERY PUBLIC EXPENDITURE
spellingShingle	BUDGET EXECUTION FACILITY MANAGEMENT HEALTH SYSTEM REFORM PUBLIC FINANCIAL MANAGEMENT HEALTH SERVICE DELIVERY PUBLIC EXPENDITURE Piatti-Funfkirchen, Moritz Schneider, Pia From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
geographic_facet	Africa Tanzania Zambia
description	The way governments manage resources through the budget cycle has important implications for health policy and whether governments achieve societal objectives such as efficiency, equity, quality, and accountability. Studies found a positive association between health service delivery outcomes and good governance of public finance; however, the mechanisms through which public financial management affects service delivery remain underexplored. This article maps the three stages of the budget cycle to common performance criteria used in health service delivery. It applies this approach to experiences in Tanzania and Zambia. The findings point to a number of stumbling blocks, including the lack of flexibility to provide additional resources for unexpected demand for care, misalignment between budgeting and planning, fragmented funding sources, rigid internal controls, insufficient budget provision leading to arrears, and a budget evaluation system that is excessively compliance driven and gives inadequate attention to issues of equity, quality, and efficiency in service delivery.
format	Journal Article
author	Piatti-Funfkirchen, Moritz Schneider, Pia
author_facet	Piatti-Funfkirchen, Moritz Schneider, Pia
author_sort	Piatti-Funfkirchen, Moritz
title	From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
title_short	From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
title_full	From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
title_fullStr	From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
title_full_unstemmed	From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia
title_sort	from stumbling block to enabler : the role of public financial management in health service delivery in tanzania and zambia
publisher	Taylor and Francis
publishDate	2019
url	http://hdl.handle.net/10986/31149
_version_	1764473653251014656

From Stumbling Block to Enabler : The Role of Public Financial Management in Health Service Delivery in Tanzania and Zambia

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