Author(s)
World BankKeywords
BEDSHOSPITALS
OUTPATIENT SERVICES
HEALTH CARE REFORM
PUBLIC EXPENDITURE
UTILITIES
PUBLIC SECTOR DEFICIT
SAVINGS
MARGINAL COST
HEALTH FACILITIES
EXPENDITURES
CROWDING OUT
EXTRABUDGETARY FUNDS
MORTALITY
PUBLIC EXPENDITURE REVIEW
DEBT
GOVERNMENT EXPENDITURES
CAPITATION
EMPIRICAL STUDIES
BUDGET PROCESS
PUBLIC FINANCE MANAGEMENT
EMPIRICAL EVIDENCE
LABOR FORCE
BASIC EDUCATION
TAX
FAMILIES
PRIMARY HEALTH CARE
MEDIA
GOVERNMENT SPENDING
EMPLOYMENT
LIVING STANDARDS
ECONOMIC GROWTH
HEALTH SPENDING
COMMUNITIES/RURAL-URBAN
RESOURCE ALLOCATION
LOCAL GOVERNMENTS
LOCAL AUTHORITIES
MARGINAL PRODUCTIVITY
PRIVATE SECTOR INVESTMENT
URBAN HEALTH CARE
TAXATION
HEALTH NEEDS
GOVERNMENT DEBT
EXTERNALITY
POLICY DECISIONS
URBAN HEALTH
GOVERNMENT GUARANTEES
RESOURCE USE
PUBLIC INVESTMENT
FINANCIAL RESOURCES
COMMUNITY DEVELOPMENT
BASIC HEALTH
LEGAL FRAMEWORK
PATIENTS
ECONOMICS
PREVENTIVE HEALTH CARE
PRODUCERS
TUBERCULOSIS
PUBLIC EXPENDITURE MANAGEMENT
BANKS
DEBT SERVICE
PRIVATE SECTOR
DEFICITS
TREASURY
SCHOOLS
PHYSICAL CAPITAL
INCOME
TRANSPARENCY
BUDGET EXECUTION
DEBT FINANCING
HEALTH CARE
INFECTIOUS DISEASES
FISCAL POLICY
HEALTH INDICATORS
MEDICAL SERVICES
PUBLIC GOODS
BORROWING
PUBLIC EXPENDITURES
INTEREST RATES
HEALTH STATUS
MACROECONOMIC STABILITY
OUTPATIENT CARE
PUBLIC FINANCE
EXTERNALITIES
FISCAL POLICIES
HUMAN CAPITAL
SOCIAL SUPPORT
PRIMARY CARE
HEALTH CARE DELIVERY
TAX RATES
PUBLIC HEALTH
FINANCIAL ACCOUNTABILITY
PUBLIC HEALTH EXPENDITURES
PUBLIC SECTOR
FISCAL DISCIPLINE
ECONOMIC FACTORS
DECENTRALIZATION
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http://hdl.handle.net/10986/8528Abstract
This Public Expenditure Review (PER) is Uzbekistan's first one, prepared as part of the Bank's effort to establish a multiyear program of public expenditure work with the Government. The PER seeks to demonstrate how to improve the quality of the ongoing fiscal adjustment, and increase the efficiency of government expenditure, emphasizing the interconnections between sector policies and budgeting. At the request of the Government, the PER focuses on the health and education sectors, and, complements a Country Financial Accountability Assessment (CFAA), being prepared in parallel, focused on issues of internal control, and internal and external public expenditures audit. The reduction of expenditure, in the face of declining revenues, led to a remarkable, necessary improvement in the overall fiscal position. The broad public sector deficit has fallen to around 2 percent of GDP by 2003, from close to 10 percent in the late 1990s and, as a result, although high, debt levels have stabilized. However, the PER argues how sustainable are the deficit reductions. The brunt of reductions fell on non-salary recurrent expenditures, often vital materials and supplies, and on maintenance expenditures. As a result, there are funding shortages for primary health and basic education, as Chapters 2 and 3 show, and the government is unable to allocate sufficient expenditures on some of its stated priorities. An important reason for such outcome is the budgeting system, as Chapter 4 shows, which determines budget allocations based on input norms. Nevertheless, under-funding and inefficient expenditure allocation is also due to other factors discussed in Chapter 4. Ensuring that key services, such as basic health and education, are maintained and do reach the poor, will entail a rationalization of expenditures which, in turn, will require sectoral and associated budgeting reforms. Finally, the report addresses policy priorities and expenditure issues in the health and education sectors, and the necessary reforms in public expenditure management to implement the sector policies.Date
2012-06-20Type
Economic & Sector WorkIdentifier
oai:openknowledge.worldbank.org:10986/8528http://hdl.handle.net/10986/8528
Copyright/License
CC BY 3.0 IGOCollections
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