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Health Budget Report

The data provides, inter alia, information on the following key elements:

Income inequality (Gini coefficient)

GDP (per capita 2018, PPP constant US$)

Life expectancy (years)

Population (m)

Health budget formulation

Are health expenditures included in the central government budget?

Institutional responsibilities in budgeting for health – overall levels of healthcare

Institutional responsibilities in budgeting for health – capital and coverage

Institutional responsibilities in budgeting for health – payments and wages

Mechanisms for budgeting for health

Institutional structure of healthcare budgeting

Budget processes

Budget processes: medium-term allocations

Do the budgeting process and budget documents specify budget allocation by healthcare functions?
If Yes: are all public health expenditures included under the ceilings of the medium-term framework?

Does your country have a medium term fiscal and/or expenditure framework?
If yes:

Do the budgeting process and budget documents specify budget allocation to specific diseases?
If yes:

Do the budgeting process and budget documents specify budget allocation to individual health facilities?
If yes:

Budget process – other allocations and distinction between capital and operating expenditure

Performance-based budgeting

Budget process – protection from cuts, and performance-based budgeting

Institutional structure of health purchasers

Main providers of acute inpatient services

Main providers of preventive services

Main providers of primary care services

Main providers of specialist care and diagnostics

Main providers of pharmaceuticals

Main providers of public health

Provider payment systems

Provision of healthcare through health insurance

Main type of payment systems in surveyed countries

Use of caps on payments to providers

Procurement practices for pharmaceuticals

Procurement of pharmaceuticals dispensed in hospitals

Procurement of pharmaceuticals dispensed in the community

Practices to determine pharmaceutical prices

Mechanisms for monitoring expenditure

Responsibility for monitoring budget execution

Data availability for monitoring purposes

Budget execution

Reasons behind underspending

Performance agreements and assessments

Performance agreements – who decides on indicators?

Consequences of not achieving performance indicators

Use of spending reviews and other mechanisms to cut or expand spending

Figure 16: Government awareness of development assistance for health (DAH) funds and projects

Summary of DAH coordination mechanisms by country

Management process for use of development assistance

Establishment of additional structures for programmes and projects

Location of development assistance management function

Frequent content in aid management policies

Role of ministries of health in WASH activities

Role of Ministry of Health in Water, Sanitation and Hygiene (WASH) activities

Role of Ministry of Health in WASH activities, water and hygiene

Role of Ministry of Health in matters related to hygiene

Coordination of WASH activities

Financing of WASH activities

Monitoring of WASH activities and coordination with donors

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