Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
This study assesses the extent to which public financial management (PFM) in Malawi supports health service provision at the local government level. Using a conceptual framework that links the budget cycle to health service provider management and...
| Main Authors: | , , |
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| Format: | Report |
| Language: | English |
| Published: |
World Bank, Washington, DC
2021
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/241411624431388240/Public-Financial-Management-in-the-Health-Sector-An-Assessment-at-the-Local-Government-Level-in-Malawi http://hdl.handle.net/10986/35925 |
| Summary: | This study assesses the extent to which
public financial management (PFM) in Malawi supports health
service provision at the local government level. Using a
conceptual framework that links the budget cycle to health
service provider management and service delivery goals, the
study assesses how the various stages of the budget cycle
affect service delivery at health centers and hospitals.
Government and faith-based health providers, known as
Christian Health Association Malawi (CHAM), are assessed
separately. The study provides insights into provider
autonomy and flexibility; financial management capacity;
payment arrangements; and the performance orientation of
budget provisions or purchasing. The results suggest that
significant gaps exist, which undermine the service delivery
goals of efficiency, quality, equity, and accountability of
service provision. A summary of the findings is presented in
the report. It provides complimentary guidance as to how PFM
systems facilitate provider management and service delivery
at district level health centers and hospitals. Findings and
recommendations from the study are expected to support
decision makers and practitioners with ongoing PFM reforms. |
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