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Sub-Saharan Africa needs much faster economic growth and more effective economic, financial, and social policies if it is to make up for lost ground and reduce the number of people living in abject poverty. Edited by Laura Wallace, this volume presents the proceedings of a May 1998 seminar in Paris, organized jointly by the IMF and the Japanese Ministry of Finance, on ways to accelerate Africa's growth in our increasingly globalized world. Senior African and Asian government officials, representatives from multicultural institutions, donors, academics, and private sector participants gathered to discuss how to improve the private investment environment in African countries and take advantage of globalization's benefits while minimizing its risks, and how to strengthen the contribution of government in areas of capacity building, good governance, effective public resource management, and improved quality and composition of government spending.
This paper assesses the efficiency of government expenditure on education and health in 38 countries in Africa in 1984-95, both in relation to each other and compared with countries in Asia and the Western Hemisphere. The results show that, on average, countries in Africa are less efficient than countries in Asia and the Western Hemisphere; however, education and health spending in Africa became more efficient during that period. The assessment further suggests that improvements in educational attainment and health output in African countries require more than just higher budgetary allocations.
This book considers the principal sources of agreement and disagreement among policymakers and analysts concerning the current economic problems of Sub-Saharan Africa. A distinguished collection of international and African authors, including economists from the IMF and the World Bank, as well as their critics, addresses the key policy issues in agriculture, trade, macroeconomic management, social issues, privatization, external capital flow, and political economy. An introductory interpretive essay searches for areas of consensus and identifies those of continuing controversy.
There is little empirical evidence to support the claim that public spending improves education and health indicators. This paper uses cross-sectional data for 50 developing and transition countries to show that expenditure allocations within the two social sectors improve both access to and attainment in schools and reduce mortality rates for infants and children. The size and efficiency of these allocations are important for promoting equity and furthering second-generation reforms.
In this 1998 study the authors isolate the effect of specific policy measures associated with adjustment programs in ten African countries.
The last decade has bought sharp adjustments and rising poverty to much of the developing world. The experiences of Africa and Latin America are contrasted with areas which were able to combine adjustment with protecting the poor.
Globalization is breaking down economic, political, cultural, demographic, and social barriers across the world at an astonishing pace. The topic of globalization can arouse passionate debate in many circles including academic journals, the popular media, and even on the streets. This new world order is marked by new actors, new rules of governance, new forms of communication, and the global movement of populations. Health is an exquisitely sensitive mirror of social conditions, and the authors of this book argue that the assessment of health is an important criterion for evaluating and monitoring the progress of globalization. This book provides an analysis of the most serious global threats to health, the tools that can be used to evaluate them, and the international agencies established to respond to them. Medical threats such as infectious diseases, obesity, tobacco use, and global climate change are discussed, but the authors also expand their scope to include socio-political health impacts such as economic inequality. The complex role of organizations such as the World Health Organization, the International Monetary Fund, and the World Bank is also analyzed, as is the increasing interconnectedness of health and non-health actors. Is this blurring of boundaries really beneficial to the public's health, or have these actors abandoned health issues for power politics? By drawing together an international group of health experts,Globalization and Health provides a comprehensive account of the successes and failures, as well as the challenges and opportunities of globalization for public health.
Takes an in-depth look at twenty-six economic and social development successes in Sub-Saharan African countries, and addresses how these countries have overcome major developmental challenges.
This paper provides a primer on benefit incidence analysis (BIA) for macroeconomists and a new data set on the benefit incidence of education and health spending covering 56 countries over 1960-2000, representing a significant improvement in quality and coverage over existing compilations. The paper demonstrates the usefulness of BIA in two dimensions. First, the paper finds, among other things, that overall education and health spending are poorly targeted; benefits from primary education and primary health care go disproportionately to the middle class, particularly in sub-Saharan Africa, HIPCs and transition economies; but targeting has improved in the 1990s. Second, simple measures of association show that countries with a more propoor incidence of education and health spending tend to have better education and health outcomes, good governance, high per capita income, and wider accessibility to information. The paper explores policy implications of these findings.