Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level
Health outcomes in Malawi have improved significantly, largely due to improvements in access and quality. Despite adverse macro-fiscal conditions, fiduciary concerns, and donors shifting funding toward off-budget financing modalities, there has bee...
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2021
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okr-10986-358652021-06-30T05:11:01Z Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level World Bank PUBLIC FINANCIAL MANAGEMENT HEALTH FINANCING HEALTH SERVICE DELIVERY HEALTH EXPENDITURE UNIVERSAL HEALTH COVERAGE BUDGET EXECUTION Health outcomes in Malawi have improved significantly, largely due to improvements in access and quality. Despite adverse macro-fiscal conditions, fiduciary concerns, and donors shifting funding toward off-budget financing modalities, there has been a huge improvement in service delivery over the past two decades. Improving the way government funds are spent in Malawi is paramount. Evidence shows that the quality of public financial management (PFM) significantly affects service provision and health outcomes. To assess the extent to which the PFM system in Malawi supports health service delivery, a study was undertaken in six districts focusing on health centers and hospitals. A total of 95 interviews were undertaken with officials from all six district councils and district health offices; 10 hospitals; and seven health centers. This policy brief draws on this study identifying PFM gaps and constraints at the local level, as well as critical areas for action. These findings and recommendations are expected to support decision makers and practitioners with ongoing public financial management reforms. 2021-06-29T18:12:43Z 2021-06-29T18:12:43Z 2021-04 Brief http://documents.worldbank.org/curated/en/614501624432539607/Public-Financial-Management-in-the-Health-Sector-in-Malawi-Opportunities-to-Strengthen-Service-Delivery-at-the-Local-Level http://hdl.handle.net/10986/35865 English Health, Nutrition and Population Policy Brief; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Brief Africa Africa Eastern and Southern (AFE) Malawi |
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 HEALTH SERVICE DELIVERY HEALTH EXPENDITURE UNIVERSAL HEALTH COVERAGE BUDGET EXECUTION |
spellingShingle |
PUBLIC FINANCIAL MANAGEMENT HEALTH FINANCING HEALTH SERVICE DELIVERY HEALTH EXPENDITURE UNIVERSAL HEALTH COVERAGE BUDGET EXECUTION World Bank Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
geographic_facet |
Africa Africa Eastern and Southern (AFE) Malawi |
relation |
Health, Nutrition and Population Policy Brief; |
description |
Health outcomes in Malawi have improved
significantly, largely due to improvements in access and
quality. Despite adverse macro-fiscal conditions, fiduciary
concerns, and donors shifting funding toward off-budget
financing modalities, there has been a huge improvement in
service delivery over the past two decades. Improving the
way government funds are spent in Malawi is paramount.
Evidence shows that the quality of public financial
management (PFM) significantly affects service provision and
health outcomes. To assess the extent to which the PFM
system in Malawi supports health service delivery, a study
was undertaken in six districts focusing on health centers
and hospitals. A total of 95 interviews were undertaken with
officials from all six district councils and district health
offices; 10 hospitals; and seven health centers. This policy
brief draws on this study identifying PFM gaps and
constraints at the local level, as well as critical areas
for action. These findings and recommendations are expected
to support decision makers and practitioners with ongoing
public financial management reforms. |
format |
Brief |
author |
World Bank |
author_facet |
World Bank |
author_sort |
World Bank |
title |
Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
title_short |
Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
title_full |
Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
title_fullStr |
Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
title_full_unstemmed |
Public Financial Management in the Health Sector in Malawi : Opportunities to Strengthen Service Delivery at the Local Level |
title_sort |
public financial management in the health sector in malawi : opportunities to strengthen service delivery at the local level |
publisher |
World Bank, Washington, DC |
publishDate |
2021 |
url |
http://documents.worldbank.org/curated/en/614501624432539607/Public-Financial-Management-in-the-Health-Sector-in-Malawi-Opportunities-to-Strengthen-Service-Delivery-at-the-Local-Level http://hdl.handle.net/10986/35865 |
_version_ |
1764483934501994496 |