世界银行-老挝人民民主共和国卫生预算执行_从瓶颈到解决方案（英）-2025_42页_5mb
报告摘要
Lao PDR Health Budget Execution: Summary
Overview
- Context: High average budget execution rate (89-104%) for domestic health spending (2015-2019), driven by strong central government commitment and ringfenced health budget.
Key Findings
| Category | Details | Notes |
|---|---|---|
| Execution Rates | Overall health budget executed above target, with exceptions at provincial level | Average 94.2% (2015/16-2022) |
| Good Practices | - High capital budget execution (~100%)<br>- Ringfenced health budget protection<br>- Execution of non-wage recurrent budget (avg. 95%) | Due to budget law flexibility and stability |
| Bottlenecks | - Delayed treasury payments to health facilities<br>- Weak linkage between spending and outputs<br>- Manual reporting & data consolidation errors |
Data Highlights
- Non-wage recurrent budget executed 95% of planned targets
- Provincial level better managed non-wage spending than central
- Capital budget overspent by ~5% annually at provincial level
Recommendations
- Strengthen budget reporting systems and digitize financial records
- Improve transparency in spending reports and audit mechanisms
- Enhance cash transfer mechanisms from NHI to health facilities
- Improve linkage between budget and actual service delivery
Source Analysis
- Data compiled from Lao PDR budget reports and World Bank technical analysis
- Analysis based on a mixed-method approach combining quantitative and qualitative assessment using international budget execution benchmarks
Publication Details
- Author(s): Emiko Masaki, Grant Beveridge, Chanhsy Samavong, Soulaxay Bounthideth
- Publisher: World Bank Health, Nutrition and Population Global Practice
- Date: November 2024
展开完整摘要
试读结束，高清完整版pdf/doc/ppt,请点下载
