Zambia Health Sector Public Expenditure Tracking and Quantitative Service Delivery Survey

Chansa, Collins ; Matsebula, Thulani ; Piatti, Moritz ; Mudenda, Dale ; Chama-Chiliba, Chitalu Miriam ; Chitah, Bona ; Kaonga, Oliver ; Mphuka, Chris

World Bank, Washington, DC

关键词: PUBLIC EXPENDITURES;    SERVICE DELIVERY;    HEALTH SERVICE DELIVERY;    HEALTH FACILITY;    NATIONAL HEALTH CARE;   

RP-ID  :  137375

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Zambia’s health sector has continued toevolve with the government undertaking several reforms aimedat improving the performance of the sector to achieve theSustainable Development Goals (SDGs) and their precursor,the Millennium Development Goals (MDGs). Amid the ongoingreforms, the health sector has recorded a number ofachievements, but some challenges remain. This PublicExpenditure Tracking and Quantitative Service DeliverySurvey (PET-QSDS) assesses the financing and delivery ofhealth services, and whether the reform objectives have beenmade. This was achieved by reviewing the flow of financialand other resources in the public health sector fromadministrative units to service delivery points at thefacility level. The data were collected from administrativeunits, health workers, and patients to gauge the variousdimensions of the health system that include financialflows, management of infrastructure, human resources forhealth, and patient management. Specifically, the issueswhich were reviewed are: Availability, adequacy, andtimeliness of resources for service delivery; implementationof some key policy reforms such as user fee removal andadherence to policy guidelines; donor resource coordination,ownership, and fragmentation at the district level;assessment of human resources management at the district andfacility levels; and comparison of staff satisfaction,absenteeism, and service delivery in districts implementingthe Results-based Financing (RBF) model and non-RBF districts.