Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh
Robust public financial management (PFM) systems are crucial to ensure the efficacy and integrity of public health spending, thereby contributing to improved service coverage and financial protection, as required for achieving universal health cove...
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/856271558671301506/Diagnostic-Study-of-Public-Financial-Management-To-Strengthen-Health-Financing-and-Service-Delivery-in-Bangladesh http://hdl.handle.net/10986/31768 |
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okr-10986-317682021-05-25T09:44:44Z Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh Ahmed, Shakil Begum, Tahmina Smith, Owen PUBLIC FINANCIAL MANAGEMENT HEALTH FINANCING STRATEGY HEALTH SERVICE DELIVERY HEALTH FINANCE SERVICE DELIVERY Robust public financial management (PFM) systems are crucial to ensure the efficacy and integrity of public health spending, thereby contributing to improved service coverage and financial protection, as required for achieving universal health coverage. A weak PFM system has impeded implementation of the Bangladesh health care financing strategy 2012-2032. This paper aims to identify and document major PFM challenges in relation to the interventions outlined in this strategy document, on the grounds that relaxing these constraints will strengthen implementation. Further, the study examines PFM barriers in service delivery, such as delays in fund availability and procurement and the lack of operational funds at the facility level. The paper points to a number of obstacles, including the absence of a legal framework for implementing a social health protection scheme, no laws to retain user fees at health facilities or to change financial rules to introduce flexible cash at facilities, district health managers without delegated financial power, noncompliance with audit observations, and need for PFM capacity strengthening. Short-, medium- and long-term actions are presented to address these PFM issues. Removing these barriers will not require significant additional resources, but will offer the potential to significantly enhance value for money for Bangladesh’s government health budget. 2019-05-31T21:53:41Z 2019-05-31T21:53:41Z 2019-04 Working Paper http://documents.worldbank.org/curated/en/856271558671301506/Diagnostic-Study-of-Public-Financial-Management-To-Strengthen-Health-Financing-and-Service-Delivery-in-Bangladesh http://hdl.handle.net/10986/31768 English Health, Nutrition, and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper South Asia Bangladesh |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
PUBLIC FINANCIAL MANAGEMENT HEALTH FINANCING STRATEGY HEALTH SERVICE DELIVERY HEALTH FINANCE SERVICE DELIVERY |
| spellingShingle |
PUBLIC FINANCIAL MANAGEMENT HEALTH FINANCING STRATEGY HEALTH SERVICE DELIVERY HEALTH FINANCE SERVICE DELIVERY Ahmed, Shakil Begum, Tahmina Smith, Owen Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| geographic_facet |
South Asia Bangladesh |
| relation |
Health, Nutrition, and Population Discussion Paper; |
| description |
Robust public financial management (PFM)
systems are crucial to ensure the efficacy and integrity of
public health spending, thereby contributing to improved
service coverage and financial protection, as required for
achieving universal health coverage. A weak PFM system has
impeded implementation of the Bangladesh health care
financing strategy 2012-2032. This paper aims to identify
and document major PFM challenges in relation to the
interventions outlined in this strategy document, on the
grounds that relaxing these constraints will strengthen
implementation. Further, the study examines PFM barriers in
service delivery, such as delays in fund availability and
procurement and the lack of operational funds at the
facility level. The paper points to a number of obstacles,
including the absence of a legal framework for implementing
a social health protection scheme, no laws to retain user
fees at health facilities or to change financial rules to
introduce flexible cash at facilities, district health
managers without delegated financial power, noncompliance
with audit observations, and need for PFM capacity
strengthening. Short-, medium- and long-term actions are
presented to address these PFM issues. Removing these
barriers will not require significant additional resources,
but will offer the potential to significantly enhance value
for money for Bangladesh’s government health budget. |
| format |
Working Paper |
| author |
Ahmed, Shakil Begum, Tahmina Smith, Owen |
| author_facet |
Ahmed, Shakil Begum, Tahmina Smith, Owen |
| author_sort |
Ahmed, Shakil |
| title |
Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| title_short |
Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| title_full |
Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| title_fullStr |
Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| title_full_unstemmed |
Diagnostic Study of Public Financial Management : To Strengthen Health Financing and Service Delivery in Bangladesh |
| title_sort |
diagnostic study of public financial management : to strengthen health financing and service delivery in bangladesh |
| publisher |
World Bank, Washington, DC |
| publishDate |
2019 |
| url |
http://documents.worldbank.org/curated/en/856271558671301506/Diagnostic-Study-of-Public-Financial-Management-To-Strengthen-Health-Financing-and-Service-Delivery-in-Bangladesh http://hdl.handle.net/10986/31768 |
| _version_ |
1764475044645306368 |