Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

The Service Delivery Indicators (SDIs) provides a set of key indicators serving as a benchmark for service delivery performance in the health and education sectors in Sub-Saharan Africa. The overarching objective of the SDIs is to ascertain the quality of service delivery in primary education and basic health services. This would in turn enable governments and service providers alike to identify gaps and bottlenecks, as well as track progress over time, and across countries. The SDI survey interviewed 403 heath providers across Tanzania between May 2014 and July 2014. This technical report presents the findings from the implementation of the SDI in the health sector in Tanzania in 2014. Survey implementation activities took place following extensive consultations with the government and key stakeholders on survey design, sampling, and adaptation of survey instruments. A major challenge for Tanzania's health sector is the shortage of skilled human resources for health (HRH). This survey found that provider knowledge and abilities were not adequate to deliver quality services. Caseload per provider and absenteeism are relatively low, so the issue is not over burdened providers. There seems to be ample room for a significant increase in the caseload of Tanzanian providers, id est the level of productivity in health service delivery, without jeopardizing quality. In addition to increasing the volume of skilled HRH to address the shortage of providers, improvements in management, supervision and training is important to improving service delivery. Health for all in Tanzania will mean the simultaneous availability of widely accessible inputs and skilled providers.

Anemia --- Burden of Disease --- Children --- Dehydration --- Diabetes --- Diarrhea --- Disease Control & Prevention --- Doctors --- Financial Management --- Health --- Health Insurance --- Health Monitoring & Evaluation --- Health Professionals --- Health System Performance --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hepatitis --- Hospitals --- Human Development --- Human Resources --- Incentives --- Insurance --- Internet --- Knowledge --- Latrines --- Malaria --- Measles --- Measurement --- Morbidity --- Mortality --- Nurses --- Pneumonia --- Polio --- Population --- Posters --- Poverty --- Public Health --- Sterilization --- Tetanus --- Treatment --- Tuberculosis --- Vaccines --- Waste --- Weight --- Workers

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Panama has experienced impressive and significant economic growth, emerging as one of the better performers in Central America in recent years and one of the fastest growing economies worldwide. From 2003 to 2013, Panama has averaged an annual GDP growth rate of approximately 7 percent, surpassing the average GDP growth in Central America. It has also emerged as one of the fastest growing economies worldwide. Even during the economic crisis of 2008-2009, its economy continued to grow albeit at a lower rate. This note recommends that Panama prioritize three main aspects: a) improving the effectiveness of social public spending by further enhancing the pro-poor and pro-indigenous features of targeting mechanisms; b) reducing inefficiencies in the various sectors, for example, by improving the coordination between the Ministries of Education, Health, Social Development, and CSS to minimize duplication of efforts and resources; and c) strengthening planning, budgeting, and information tools and systems, legislation, and institutions to support implementation and track progress toward Government goals.

Access to Health Services --- Adolescents --- Child Mortality --- Children --- Communicable Diseases --- Decision Making --- Diabetes --- Disabilities --- Early Childhood --- Education --- Environmental Health --- Epidemiology --- Food Security --- Gross Domestic Product --- Health --- Health Monitoring & Evaluation --- Health Outcomes --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hospitals --- Household Surveys --- Human Capital --- Human Development --- Improving Labor Markets --- Income Inequality --- Indigenous Peoples --- Internet --- Investment In Education --- Job Creation --- Maternal Health --- Maternal Mortality --- Measles --- Measurement --- Migration --- Millennium Development Goals --- Morbidity --- Mortality --- Mortality Rate --- Needs Assessment --- Nurses --- Nutrition --- Physicians --- Population Density --- Population Policies --- Pregnancy --- Prenatal Care --- Prevention --- Primary Education --- Public Expenditure, Financial Management and Procurement --- Public Health --- Public Sector Development --- Public Sector Governance --- Purchasing Power --- Purchasing Power Parity --- Quality of Education --- Quality of Health Care --- Sanitation --- School Attendance --- Secondary Education --- Social Development --- Social Protection and Risk Management --- Social Safety Nets/Social Assistance Social Care Services --- Tertiary Education --- Tetanus --- Tuberculosis --- Unemployment --- Universal Primary Education --- Urban Areas --- Weight --- Whooping Cough --- Women --- Workers --- World Health Organization

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

The evolution of Costa Rica's social sectors over the past decade has been dichotomous. On the one hand, economic growth has remained relatively high, however poverty and inequality have not declined (moreover, they have increased), and persistent employment challenges remain. On the other hand, the country has continued experiences advances in many social indicators, such as pre-primary and tertiary enrollment rates, access to improved sanitation, and labor force participation, though not in others (secondary school completion, immunizations, employment). Higher economic growth and (to a lesser extent) revenues seem to have allowed a substantial increase in public social spending. Looking forward, the key challenges Costa Rica faces are related to continuing improving the quality and efficiency in the social sectors, while improving targeting to serve the most in need, in a tight and severe fiscal context. To expand coverage of excluded population, priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. With a fiscal deficit of more than 6 percent of GDP, further expanding public social spending is no longer an option and budget cuts are looming. Improvements in public spending management and budget execution, including the need of institutional reform to consolidate programs and improve coordination among executing agencies is equally important. In a country that has long been the champion in expanding universal welfare state, sustainability concerns will imply that hard fiscal decisions would need to be made to increase the social returns of budget allocation.

Access to Education --- Chemotherapy --- Child Development --- Child Mortality --- Childbirth --- Children --- Communicable Diseases --- Decision Making --- Diabetes --- Early Childhood --- Education --- Education For All --- Educational Attainment --- Family Health --- Fertility --- Gross Domestic Product --- Health --- Health Insurance --- Health Monitoring & Evaluation --- Health Outcomes --- Health, Nutrition and Population --- Hospitals --- Household Income --- Household Surveys --- Human Capital --- Human Development --- Immunizations --- Improving Labor Markets --- Infant Mortality --- Interpersonal Skills --- Investment In Education --- Knowledge --- Labor Market --- Labor Markets --- Life Expectancy --- Long-Term Care --- Marketing --- Maternal Mortality --- Measles --- Mortality --- Mortality Rate --- Nutrition --- Population Density --- Pregnancy --- Prenatal Care --- Prevention --- Primary Education --- Public Expenditure, Financial Management and Procurement --- Public Health --- Public Hospitals --- Public Sector Development --- Public Sector Governance --- Respect --- Rural Population --- Sanitation --- Secondary Education --- Skilled Workers --- Social Protection and Risk Management --- Social Protections and Labor --- Social Safety Nets/Social Assistance Social Care Services --- Surgery --- Teacher Salaries --- Tertiary Education --- Tetanus --- Tuberculosis --- Unemployment --- Urban Areas --- Whooping Cough --- Women --- Workers --- World Health Organization

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Panama has experienced impressive and significant economic growth, emerging as one of the better performers in Central America in recent years and one of the fastest growing economies worldwide. From 2003 to 2013, Panama has averaged an annual GDP growth rate of approximately 7 percent, surpassing the average GDP growth in Central America. It has also emerged as one of the fastest growing economies worldwide. Even during the economic crisis of 2008-2009, its economy continued to grow albeit at a lower rate. This note recommends that Panama prioritize three main aspects: a) improving the effectiveness of social public spending by further enhancing the pro-poor and pro-indigenous features of targeting mechanisms; b) reducing inefficiencies in the various sectors, for example, by improving the coordination between the Ministries of Education, Health, Social Development, and CSS to minimize duplication of efforts and resources; and c) strengthening planning, budgeting, and information tools and systems, legislation, and institutions to support implementation and track progress toward Government goals.

Access to Health Services --- Adolescents --- Child Mortality --- Children --- Communicable Diseases --- Decision Making --- Diabetes --- Disabilities --- Early Childhood --- Education --- Environmental Health --- Epidemiology --- Food Security --- Gross Domestic Product --- Health --- Health Monitoring & Evaluation --- Health Outcomes --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hospitals --- Household Surveys --- Human Capital --- Human Development --- Improving Labor Markets --- Income Inequality --- Indigenous Peoples --- Internet --- Investment In Education --- Job Creation --- Maternal Health --- Maternal Mortality --- Measles --- Measurement --- Migration --- Millennium Development Goals --- Morbidity --- Mortality --- Mortality Rate --- Needs Assessment --- Nurses --- Nutrition --- Physicians --- Population Density --- Population Policies --- Pregnancy --- Prenatal Care --- Prevention --- Primary Education --- Public Expenditure, Financial Management and Procurement --- Public Health --- Public Sector Development --- Public Sector Governance --- Purchasing Power --- Purchasing Power Parity --- Quality of Education --- Quality of Health Care --- Sanitation --- School Attendance --- Secondary Education --- Social Development --- Social Protection and Risk Management --- Social Safety Nets/Social Assistance Social Care Services --- Tertiary Education --- Tetanus --- Tuberculosis --- Unemployment --- Universal Primary Education --- Urban Areas --- Weight --- Whooping Cough --- Women --- Workers --- World Health Organization

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, noncommunicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions. Sector-specific challenges aligned with these broad objectives are addressed below.

Access to Education --- Cancer --- Child Mortality --- Children --- Communicable Diseases --- Crime --- Developing Countries --- Diabetes --- Disabilities --- Disasters --- Drugs --- Education --- Education For All --- Education Indicators and Statistics --- Educational Attainment --- Educational Institutions & Facilities --- Gross Domestic Product --- Health --- Health Indicators --- Health Insurance --- Health Monitoring & Evaluation --- Health, Nutrition and Population --- Hospitals --- Household Surveys --- Human Development --- Immunizations --- Improving Labor Markets --- Income Inequality --- Infant Mortality --- Injuries --- Knowledge --- Labor Market --- Labor Policies --- Maternal Mortality --- Measles --- Measurement --- Millennium Development Goals --- Morbidity --- Mortality --- Mortality Rate --- Needs Assessment --- Nutrition --- Other Human Development --- Other Social Protection and Risk Management --- Pensions & Retirement Systems --- Physicians --- Political Instability --- Population Density --- Population Growth --- Population Policies --- Prenatal Care --- Prevention --- Primary Education --- Public Expenditure, Financial Management and Procurement --- Public Health --- Public Hospitals --- Public Sector Development --- Public Sector Governance --- Purchasing Power --- Purchasing Power Parity --- Quality of Education --- Respect --- Sanitation --- School Attendance --- Secondary Education --- Social Development --- Social Protection and Risk Management --- Social Protections & Assistance --- Social Protections and Labor --- Social Safety Nets --- Teacher Salaries --- Tertiary Education --- Unemployment --- Unions --- Universal Primary Education --- Urban Areas --- Urbanization --- Violence --- Vulnerable Groups --- Weight --- Women --- Workers --- World Health Organization