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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Main Author: World Bank
Format: Brief
Language:English
Published: World Bank, Washington, DC 2021
Subjects:
Online Access: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
id okr-10986-35865
recordtype oai_dc
spelling 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
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