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Improving governance is central to improving results in human development. It is clear that money is not enough: improved outcomes from service delivery require better governance, including mechanisms for holding service providers accountable and appropriate incentives for performance. There is therefore a growing demand for indicators to measure how and whether these processes work, and how they affect health and education results. This paper makes the case for measuring governance policies and performance, and the quality of service delivery in health and education. It develops a framework for selecting and measuring a set of indicators and proposes options, drawing from new and innovative measurement tools and approaches. The paper proposes the adoption of a more systematic approach that will both facilitate the work of health and education policymakers and allow for cross-country comparisons and benchmarking.

Education --- Education Finance --- Governance --- Governance Indicators --- Health --- Health Care Finance --- Health Monitoring & Evaluation --- Indicators --- Information --- Poverty Monitoring & Analysis --- Public Sector Corruption & Anticorruption Measures --- Public Sector Development --- Public Sector Expenditure Policy --- Public Sector Performance --- Service Delivery --- Teacher Motivation and Management

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• Reference Manager
• EndNote
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Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.

Child Development --- Clinics --- Evaluation --- Health --- Health Care --- Health Care Finance --- Health Insurance --- Health Monitoring and Evaluation --- Health Services --- Health Systems Development and Reform --- Health, Nutrition and Population --- Hospitals --- Implementation --- Inpatient Care --- Measurement --- Medicines --- Outpatient Care --- Patients --- Population --- Research Program --- Social Services --- Weight --- Workers