Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey

Zambia’s health sector has continued to evolve with the government undertaking several reforms aimed at improving the performance of the sector to achieve the Sustainable Development Goals (SDGs) and their precursor, the Millennium Development Goal...

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Main Authors: Chansa, Collins, Matsebula, Thulani, Piatti, Moritz, Mudenda, Dale, Chama-Chiliba, Chitalu Miriam, Chitah, Bona, Kaonga, Oliver, Mphuka, Chris
Format: Report
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/495051559625589764/Zambia-Health-Sector-Public-Expenditure-Tracking-and-Quantitative-Service-Delivery-Survey
http://hdl.handle.net/10986/31783
id okr-10986-31783
recordtype oai_dc
spelling okr-10986-317832021-05-25T09:24:15Z Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey Chansa, Collins Matsebula, Thulani Piatti, Moritz Mudenda, Dale Chama-Chiliba, Chitalu Miriam Chitah, Bona Kaonga, Oliver Mphuka, Chris PUBLIC EXPENDITURES SERVICE DELIVERY HEALTH SERVICE DELIVERY HEALTH FACILITY NATIONAL HEALTH CARE HEALTH CARE SERVICES HEALTH FINANCE HEALTH CARE FINANCING HEALTH POLICY REFORM BUDGET PROCESS BUDGET EXECUTION DONOR RESOURCES HEALTH INFRASTRUCTURE MEDICINES CLINICAL CARE ACCESS TO HEALTH SERVICES Zambia’s health sector has continued to evolve with the government undertaking several reforms aimed at improving the performance of the sector to achieve the Sustainable Development Goals (SDGs) and their precursor, the Millennium Development Goals (MDGs). Amid the ongoing reforms, the health sector has recorded a number of achievements, but some challenges remain. This Public Expenditure Tracking and Quantitative Service Delivery Survey (PET-QSDS) assesses the financing and delivery of health services, and whether the reform objectives have been made. This was achieved by reviewing the flow of financial and other resources in the public health sector from administrative units to service delivery points at the facility level. The data were collected from administrative units, health workers, and patients to gauge the various dimensions of the health system that include financial flows, management of infrastructure, human resources for health, and patient management. Specifically, the issues which were reviewed are: Availability, adequacy, and timeliness of resources for service delivery; implementation of some key policy reforms such as user fee removal and adherence to policy guidelines; donor resource coordination, ownership, and fragmentation at the district level; assessment of human resources management at the district and facility levels; and comparison of staff satisfaction, absenteeism, and service delivery in districts implementing the Results-based Financing (RBF) model and non-RBF districts. 2019-06-05T15:34:45Z 2019-06-05T15:34:45Z 2019-04 Report http://documents.worldbank.org/curated/en/495051559625589764/Zambia-Health-Sector-Public-Expenditure-Tracking-and-Quantitative-Service-Delivery-Survey http://hdl.handle.net/10986/31783 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work :: Public Expenditure Review Economic & Sector Work Africa Zambia
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic PUBLIC EXPENDITURES
SERVICE DELIVERY
HEALTH SERVICE DELIVERY
HEALTH FACILITY
NATIONAL HEALTH CARE
HEALTH CARE SERVICES
HEALTH FINANCE
HEALTH CARE FINANCING
HEALTH POLICY REFORM
BUDGET PROCESS
BUDGET EXECUTION
DONOR RESOURCES
HEALTH INFRASTRUCTURE
MEDICINES
CLINICAL CARE
ACCESS TO HEALTH SERVICES
spellingShingle PUBLIC EXPENDITURES
SERVICE DELIVERY
HEALTH SERVICE DELIVERY
HEALTH FACILITY
NATIONAL HEALTH CARE
HEALTH CARE SERVICES
HEALTH FINANCE
HEALTH CARE FINANCING
HEALTH POLICY REFORM
BUDGET PROCESS
BUDGET EXECUTION
DONOR RESOURCES
HEALTH INFRASTRUCTURE
MEDICINES
CLINICAL CARE
ACCESS TO HEALTH SERVICES
Chansa, Collins
Matsebula, Thulani
Piatti, Moritz
Mudenda, Dale
Chama-Chiliba, Chitalu Miriam
Chitah, Bona
Kaonga, Oliver
Mphuka, Chris
Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
geographic_facet Africa
Zambia
description Zambia’s health sector has continued to evolve with the government undertaking several reforms aimed at improving the performance of the sector to achieve the Sustainable Development Goals (SDGs) and their precursor, the Millennium Development Goals (MDGs). Amid the ongoing reforms, the health sector has recorded a number of achievements, but some challenges remain. This Public Expenditure Tracking and Quantitative Service Delivery Survey (PET-QSDS) assesses the financing and delivery of health services, and whether the reform objectives have been made. This was achieved by reviewing the flow of financial and other resources in the public health sector from administrative units to service delivery points at the facility level. The data were collected from administrative units, health workers, and patients to gauge the various dimensions of the health system that include financial flows, management of infrastructure, human resources for health, and patient management. Specifically, the issues which were reviewed are: Availability, adequacy, and timeliness of resources for service delivery; implementation of some key policy reforms such as user fee removal and adherence to policy guidelines; donor resource coordination, ownership, and fragmentation at the district level; assessment of human resources management at the district and facility levels; and comparison of staff satisfaction, absenteeism, and service delivery in districts implementing the Results-based Financing (RBF) model and non-RBF districts.
format Report
author Chansa, Collins
Matsebula, Thulani
Piatti, Moritz
Mudenda, Dale
Chama-Chiliba, Chitalu Miriam
Chitah, Bona
Kaonga, Oliver
Mphuka, Chris
author_facet Chansa, Collins
Matsebula, Thulani
Piatti, Moritz
Mudenda, Dale
Chama-Chiliba, Chitalu Miriam
Chitah, Bona
Kaonga, Oliver
Mphuka, Chris
author_sort Chansa, Collins
title Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
title_short Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
title_full Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
title_fullStr Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
title_full_unstemmed Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey
title_sort zambia health sector public expenditure tracking and quantitative service delivery survey
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/495051559625589764/Zambia-Health-Sector-Public-Expenditure-Tracking-and-Quantitative-Service-Delivery-Survey
http://hdl.handle.net/10986/31783
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