FinHealth Armenia
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World Bank, Washington, DC
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This report aims to assess public
financial management (PFM) bottlenecks in health service
delivery and identify recommendations for the Ministry of
Health (MOH) and its partners in Armenia. This PFM
assessment identifies health sector–specific bottlenecks and
recommends actions that the MOH and regional (Marz) health
authorities can take. Governments have a central role to
play in moving countries toward universal health coverage.
In low- and middle-income countries, making progress toward
universal health coverage involves financing mechanisms that
allow for coverage for the formal sector, the poor and the
informal sector, to improve the coverage of quality health
services. PFM systems, the way public budgets are formed,
executed, and monitored interact with health system
functions to influence service delivery outcomes. This study
builds on a body of research that links improved service
delivery outcomes in the health sector to systems for fiscal
sustainability, operational efficiency, fiscal transparency,
and accountability. The evidence supports the proposition
that governance matters for the effective use of public
resources in health service delivery.
Palabras clave
UNIVERSAL HEALTH COVERAGE, PUBLIC FINANCIAL MANAGEMENT, HEALTH FINANCE, HEALTH SERVICE DELIVERY, BUDGET PREPARATION, ACCOUNTABILITY, TRANSPARENCY, PUBLIC HEALTH EXPENDITURE, RURAL HEALTH CARE