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...

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Main Authors:	Piatti-Funfkirchen, Moritz, Chansa, Collins, Nkhoma, Dominic
Format:	Report
Language:	English
Published:	World Bank, Washington, DC 2021
Subjects:	HEALTH SERVICE DELIVERY PUBLIC HEALTH SERVICE PUBLIC FINANCIAL MANAGEMENT HEALTH EXPENDITURE BUDGET CYCLE LOCAL GOVERNANCE BUDGET ALLOCATION HEALTH FACILITY AUTONOMY
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

id	okr-10986-35925
recordtype	oai_dc
spelling	okr-10986-359252021-07-16T05:10:44Z Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi Piatti-Funfkirchen, Moritz Chansa, Collins Nkhoma, Dominic HEALTH SERVICE DELIVERY PUBLIC HEALTH SERVICE PUBLIC FINANCIAL MANAGEMENT HEALTH EXPENDITURE BUDGET CYCLE LOCAL GOVERNANCE BUDGET ALLOCATION HEALTH FACILITY AUTONOMY 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. 2021-07-15T16:50:35Z 2021-07-15T16:50:35Z 2020 Report 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 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study 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	HEALTH SERVICE DELIVERY PUBLIC HEALTH SERVICE PUBLIC FINANCIAL MANAGEMENT HEALTH EXPENDITURE BUDGET CYCLE LOCAL GOVERNANCE BUDGET ALLOCATION HEALTH FACILITY AUTONOMY
spellingShingle	HEALTH SERVICE DELIVERY PUBLIC HEALTH SERVICE PUBLIC FINANCIAL MANAGEMENT HEALTH EXPENDITURE BUDGET CYCLE LOCAL GOVERNANCE BUDGET ALLOCATION HEALTH FACILITY AUTONOMY Piatti-Funfkirchen, Moritz Chansa, Collins Nkhoma, Dominic Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
geographic_facet	Africa Africa Eastern and Southern (AFE) Malawi
description	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.
format	Report
author	Piatti-Funfkirchen, Moritz Chansa, Collins Nkhoma, Dominic
author_facet	Piatti-Funfkirchen, Moritz Chansa, Collins Nkhoma, Dominic
author_sort	Piatti-Funfkirchen, Moritz
title	Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
title_short	Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
title_full	Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
title_fullStr	Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
title_full_unstemmed	Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi
title_sort	public financial management in the health sector : an assessment at the local government level in malawi
publisher	World Bank, Washington, DC
publishDate	2021
url	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
_version_	1764483961372803072

Public Financial Management in the Health Sector : An Assessment at the Local Government Level in Malawi

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