LEADER 00000nam a22005173i 4500 
001    EBC459648 
003    MiAaPQ 
005    20200713055136.0 
006    m     o  d |       
007    cr cnu|||||||| 
008    200713s2008    xx      o     ||||0 eng d 
020    9780821378052|q(electronic bk.) 
020    |z9780821378045 
035    (MiAaPQ)EBC459648 
035    (Au-PeEL)EBL459648 
035    (CaPaEBR)ebr10273764 
035    (CaONFJC)MIL195981 
035    (OCoLC)311077796 
040    MiAaPQ|beng|erda|epn|cMiAaPQ|dMiAaPQ 
050  4 RA410.55.Z33 -- P53 2009eb 
082 0  338.4/73621096894 
100 1  Picazo, Oscar 
245 10 Zambia Health Sector Public Expenditure Review :
       |bAccounting for Resources to Improve Effective Service 
       Coverage 
264  1 Herndon :|bWorld Bank Publications,|c2008 
264  4 |c©2009 
300    1 online resource (116 pages) 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
490 1  Country Studies 
505 0  Contents -- Acknowledgments -- Acronyms and Abbreviations 
       -- Executive Summary -- Key Findings -- Key 
       Recommendations -- 1. Background, Objectives, and 
       Analytical Tools -- Impelling Factors for the Health 
       Sector PER -- Objectives and Analytical Tools of the 
       Health Sector PER -- Uses of the PER -- 2. Health System 
       Challenges -- Health System Goals and Structures -- 
       Challenges at the Health Outcome Level -- Challenges at 
       Health Service Level -- Challenges at the Service Delivery
       Level -- 3. Sources and Uses of Funds in the Health Sector
       : Results of the National Health Accounts Exercises, 1999-
       2004 -- Total and Per Capita Health Expenditures -- 
       Sources of Health Expenditures -- Health Expenditures by 
       Service Provision and Administration -- Health Expenditure
       Patterns of Donors, MOH, and Households -- Financing of 
       Service Providers -- Uses of Health Expenditures -- 4. 
       Budget Allocation, Release, and Spending: Results of the 
       Public Expenditure Tracking Component of the PET/QSDS, 
       2005-06 -- Funds Flow and Resource Envelope -- MOH Budget 
       Process and Allocation Formula -- MOH Allocations versus 
       Release of Resources -- Allocation and Releases of 
       District Grants -- Health Facilities' Management of 
       Vertical Funds -- Health Facilities' Management of 
       Internally-generated Funds -- Overall Resource 
       Availability at the Facility Level -- 5. The State of 
       Health Facilities and Services: Results of the Quality of 
       Service Delivery Component of the PET/QSDS, 2005-06 -- 
       Management of Infrastructure, Utilities, and Equipment -- 
       Management of Health Personnel -- Management of Drugs and 
       Other Medical Supplies -- Clinic and Patient Management --
       6. Scaling Up Health Service Delivery to Reach the MDGs: 
       Results of the Marginal Budgeting for Bottlenecks Modeling
       Exercise, 2006 -- Health Sector Response to the Challenges
       : Strategy and Resources 
505 8  Bottlenecks in the Service Delivery Chains -- Scenarios 
       for Scaling Up Service Coverage -- Statistical Appendix --
       References -- Table 1. Health Facilities in Zambia, 2000s 
       -- Table 2. Summary Statistics on the Major Diseases, 2000
       -05 -- Table 3. Selected Health Service Delivery 
       Indicators, 2000-04 -- Table 4. Service Coverage 
       Indicators of Key Childhood Health Interventions in 
       Selected African Countries, 2000s -- Table 5. Maternal 
       Mortality Ratio and Service Coverage Indicators of Key 
       Maternal Health Interventions in Selected African 
       Countries, 2000s -- Table 6. Government Health 
       Expenditures (ZK Billion) Using Alternative Definitions, 
       1995-2007 -- Table 7. Health Expenditures (ZK Billion) 
       Under the Discretion of the Government, by Source, 2001-07
       -- Table 8. Trends in Health Expenditures by Source, 1995-
       2004 -- Table 9. Total Financing of Health Facilities, 
       2002-04 -- Table 10. Health Sector Resource Envelope, FY05
       and FY06 -- Table 11. Range of Cost Estimates to Meet the 
       Health MDGs in Zambia -- Table 12. Amount of GRZ Budget 
       Provided by DHMTs to Their Health Facilities, FY05 -- 
       Table 13. Health Centers' Reponses on Whether They 
       Received an Amount More Than, Equal to, or Less Than Their
       Annual Allocations, 2006 -- Table 14. Uses of GRZ Budget 
       and Basket Funds by Health Facilities, FY05 -- Table 15. 
       Composition of Average Debt Per Facility, FY05 -- Table 
       16. Donors' Vertical Funds Received by Health Facilities, 
       FY05 -- Table 17. Uses of Vertical Funds by Health 
       Facilities, FY05 -- Table 18. Internally Generated Funds 
       of Health Facilities, 2005 -- Table 19. User Fee Practices,
       2005 -- Table 20. Percent of Health Facilities' Rate of 
       Retained Fee Revenues, FY05 -- Table 21. Uses of User Fee 
       Revenues by Health Facilities, FY05 -- Table 22. Expected 
       Versus Actual User Fee Revenues for OPD, FY05 
505 8  Table 23. Level of Annual Resources at the Facility Level,
       by Major Sources, FY05 -- Table 24. Health Facilities 
       Reporting Inadequate Medical Equipment, Instruments, and 
       Lab Test Supplies, 2006 -- Table 25. Vacancy Rates in 
       Health Facilities, by Cadre, 2006 -- Table 26. Established
       Posts and Average Number of Actual Staff by Major 
       Occupational Groups, 2006 -- Table 27. Salary Management, 
       2006 -- Annex A. MOFNP and Local Government Authorities' 
       Health Expenditures by Recipient, 1995-2004 -- Annex B. 
       Donors' Health Expenditures by Recipient, 1995-2004 -- 
       Annex C. Employers' and Households' Health Expenditures by
       Recipients, 1995-2009 -- Annex D. Total Health 
       Expenditures by Service Provision, Administration, and 
       Rest of the World Transactions, 1995-2004 -- Annex E. 
       Total Health Expenditures by Service Provision and 
       Administration and by Type of Providers, 1999-2004 -- 
       Annex F. Donor Health Expenditures by Type of Providers 
       and Administrators, 2002-04 -- Annex G. MOH/CBOH Health 
       Expenditures by Level of Care and Administration, 1999-
       2004 -- Annex H. Household Health Expenditures by Type of 
       Providers, 1999-2004 -- Annex I. Health Expenditures by 
       Line Items by Type of Facility, 1999-2004 -- Annex J. 
       Resources at the Disposal of a Typical DHMT, FY05 -- Annex
       K. Self-Reported Versus Actual Capacity to Deliver 
       Selected Health Services in Rural Health Centers, 2006 -- 
       Annex L. Self-Reported Versus Actual Capacity to Deliver 
       Selected Health Services in Urban Health Centers, 2006 -- 
       Figure 1. Comparison of IMR and U5MR in Selected African 
       Countries, Latest Year Available -- Figure 2. Trends in 
       Neonatal, Infant, and Under-Five Mortality in Zambia, 1992,
       1996, and 2001/02 Rates (Per 1,000 Live Births) -- Figure 
       3. Trends and Levels of Major Diseases in Zambia, 2002-04 
       -- Figure 4. Coverage of Key Health Services, 2000-04 
505 8  Figure 5. Provincial Inequities in Health Service Coverage
       by Region -- Figure 6. Differences in Selected Maternal 
       and Child Health Indicators Between Rural and Urban 
       Households in Zambia, 2000/01 -- Figure 7. Differences in 
       Selected Maternal and Child Health Indicators Between 
       Lowest and Highest Asset Quintile Households in Zambia, 
       2000/01 -- Figure 8. Unfilled Posts by Profession -- 
       Figure 9. Gaps in Numbers of Health Facilities -- Figure 
       10. Trends of Child Mortality in Zambia, 1990-2015 -- 
       Figure 11. Trend of Maternal Mortality in Zambia, 1996-
       2015 -- Figure 12. Total Health Expenditures in Nominal 
       and Real Terms, 1995-2004 -- Figure 13. Selected Health 
       Expenditure Ratios, 1995-2007 -- Figure 14. Trends in Per 
       Capita Government Health Expenditure and Per Capita Total 
       Health Expenditure, 1995-2007 -- Figure 15. Trends in 
       Health Expenditures by Source, 1995-2004 -- Figure 16. In-
       Budget versus Off-Budget Donor Health Expenditures, 2000-
       04 -- Figure 17. Total Health Expenditures Going to 
       Service Provision and Administration, 2001-2004 -- Figure 
       18. MOH/CBOH Health Expenditures Going to Service 
       Provision and Administration, 2001-04 -- Figure 19. MOH/
       CBOH Health Expenditures by Level of Care, 1999-2004 -- 
       Figure 20. Financing of Health Facilities by Source, 2002-
       04 -- Figure 21. Health Expenditures of MOH, Mission, and 
       For-Profit Facilities by Inputs, 1999-2004 -- Figure 22. 
       Flow of Funds and Other Resources in Zambia's Government 
       Health Sector -- Figure 23. Per Capita MOH Released + 
       Supplementary Funding, by Province, FY05 -- Figure 24. 
       Budget Release Per Capita Versus Incidence of Malaria and 
       Under-5 Pneumonia, 2005 -- Figure 25. Cumulative Budgeted 
       Versus Released Amounts of Total MOH Budget, by Month, 
       FY05 -- Figure 26. Cumulative Budgeted Versus Released 
       Amounts for Personal Emoluments, by Month, FY05 
505 8  Figure 27. Cumulative Budgeted Versus Released Amounts for
       District Grants, by Month, FY05 -- Figure 28. Cumulative 
       Budgeted Versus Released Amounts for RDCs, by Month, 2005 
       -- Figure 29. Cumulative Budgeted Versus Released Amounts 
       for Essential Drugs, by Month, FY05 -- Figure 30. 
       Cumulative Budgeted Versus Released Amounts for Capital 
       Expenditures, by Month, FY05 -- Figure 31. MOH Allocation 
       Versus Releases to Provinces Included in the Survey, FY05 
       -- Figure 32. MOH Allocation Versus Releases to DHMTs 
       Included in the Survey, FY05 -- Figure 33. Cumulative 
       Planned Versus Actual Facility Grants by DHMTs to RHCs, by
       Month, FY05 -- Figure 34. Cumulative Planned Versus Actual
       Hospital Grants, by Month, FY05 -- Figure 35. Allocated 
       Versus Received Budgets of Selected District Hospitals 
       FY05 -- Figure 36. Allocated Versus Received Budgets of 
       Selected Health Centers, FY05 -- Figure 37. Health 
       Facilities With Functional and Nonfunctional Utilities and
       Transport Equipment, 2006 -- Figure 38. Health Facilities 
       with Imaging Equipment, 2006 -- Figure 39. Health 
       Facilities with Functional and Nonfunctional Medical 
       Equipment, 2006 -- Figure 40. Personnel Expenditures in 
       MOH Budget and Share of Personnel Expenditures to Total 
       MOH Expenditures, 2000-07 -- Figure 41. Average Number of 
       Hours Worked in a Week by Type of Task, 2006 -- Figure 42.
       Per Capita Health Expenditures and Share of Personal 
       Emoluments to Health Expenditures, 2006 -- Figure 43. 
       Summary Rates of Staff Vacancy, Absenteeism, Tardiness, 
       Involvement in Income-Augmenting Activities, and 
       Dissatisfaction, 2006 -- Figure 44. Composite Monthly 
       Salaries and Allowances of Clinical/Professional Health 
       Workers, 2005 -- Figure 45. Drug Expenditures and Drug 
       Kits Opened Per 1,000 Patients, 1999-2005 -- Figure 46. 
       Sequential Relationships of Health Services -- Figure 47. 
       Bottlenecks in Community-Based Services 
505 8  Figure 48. Bottlenecks in Population-Based Outreach 
       Services 
520    This book portrays the performance of the health sector in
       Zambia using quantitative techniques. While there have 
       been a number of health sector assessments in the country,
       they have relied on qualitative and anecdotal evidence for
       the most part. For the first time, this pubic expenditure 
       review of the health sector brings together the results of
       three separate but related analytical efforts: multi-year 
       national health accounts, a public expenditure tracking 
       and quality of service delivery survey, and resource and 
       impact modeling using the Marginal Budgeting for 
       Bottlenecks software. These exercises combine to yield 
       more powerful findings on the weaknesses and prospects of 
       the Zambian health system 
588    Description based on publisher supplied metadata and other
       sources 
590    Electronic reproduction. Ann Arbor, Michigan : ProQuest 
       Ebook Central, 2020. Available via World Wide Web. Access 
       may be limited to ProQuest Ebook Central affiliated 
       libraries 
650  0 Medical economics -- Zambia.;Zambia -- Statistics, Medical
655  4 Electronic books 
700 1  Zhao, Feng 
776 08 |iPrint version:|aPicazo, Oscar|tZambia Health Sector 
       Public Expenditure Review : Accounting for Resources to 
       Improve Effective Service Coverage|dHerndon : World Bank 
       Publications,c2008|z9780821378045 
830  0 Country Studies 
856 40 |uhttps://ebookcentral.proquest.com/lib/sinciatw/
       detail.action?docID=459648|zClick to View