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Book
Central America Social Expenditures and Institutional Review : Costa Rica.
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Year: 2015 Publisher: Washington, D.C. : The World Bank,

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Abstract

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.

Keywords

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


Book
Central America Social Expenditures and Institutional Review : Panama.
Author:
Year: 2015 Publisher: Washington, D.C. : The World Bank,

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Abstract

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.

Keywords

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


Book
Central America Social Expenditures and Institutional Review : Costa Rica.
Author:
Year: 2015 Publisher: Washington, D.C. : The World Bank,

Loading...
Export citation

Choose an application

Bookmark

Abstract

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.

Keywords

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


Book
Central America Social Expenditures and Institutional Review : Panama.
Author:
Year: 2015 Publisher: Washington, D.C. : The World Bank,

Loading...
Export citation

Choose an application

Bookmark

Abstract

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.

Keywords

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

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