Central America Social Expenditures and Institutional Review

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dc.creatorWorld Bank
dc.date2015-09-24T15:18:31Z
dc.date2015-09-24T15:18:31Z
dc.date2015-06-29
dc.date.accessioned2026-07-01T00:50:00Z
dc.descriptionHonduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, noncommunicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions. Sector-specific challenges aligned with these broad objectives are addressed below.
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dc.identifierhttp://documents.worldbank.org/curated/en/2015/08/23839196/honduras-central-america-social-expenditures-institutional-review
dc.identifierhttps://hdl.handle.net/10986/22672
dc.identifierhttps://doi.org/10.1596/22672
dc.identifier.urihttp://hdl.handle.net/123456789/411692
dc.languageEnglish
dc.languageen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectINFANT MORTALITY RATES
dc.subjectUNEMPLOYMENT RATES
dc.subjectBASIC EDUCATION
dc.subjectECONOMIC GROWTH
dc.subjectFORMAL EDUCATION
dc.subjectVACCINATION
dc.subjectSOCIOECONOMIC STATUS
dc.subjectPSYCHOLOGY
dc.subjectLAWS
dc.subjectPUBLIC EDUCATION
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectLABOR FORCE
dc.subjectDEVELOPING COUNTRIES
dc.subjectHEALTH CARE
dc.subjectDROPOUT
dc.subjectDEVELOPMENT GOALS
dc.subjectCRIME
dc.subjectINFORMATION SYSTEMS
dc.subjectOLD-AGE
dc.subjectHOSPITAL
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectMATERNAL MORTALITY
dc.subjectACCESS TO EDUCATION
dc.subjectKNOWLEDGE
dc.subjectHEALTH SECTOR
dc.subjectDISABILITIES
dc.subjectBEHAVIOR
dc.subjectLABOR MARKET
dc.subjectEXERCISES
dc.subjectUNIVERSAL PRIMARY EDUCATION
dc.subjectMILLENNIUM DEVELOPMENT GOAL
dc.subjectGENDER GAP
dc.subjectQUALITY OF EDUCATION
dc.subjectIMMUNIZATION
dc.subjectTRAINING
dc.subjectEDUCATIONAL ATTAINMENT
dc.subjectINTERVENTION
dc.subjectSECONDARY SCHOOLS
dc.subjectINCOME INEQUALITY
dc.subjectHEALTH INDICATORS
dc.subjectPUBLIC HOSPITALS
dc.subjectCITIZEN
dc.subjectSECONDARY SCHOOL
dc.subjectVIOLENCE
dc.subjectHOUSEHOLD SURVEYS
dc.subjectDISASTERS
dc.subjectFAMILY CARE
dc.subjectMORTALITY RATE
dc.subjectSERVICE DELIVERY
dc.subjectMORTALITY
dc.subjectHEALTH PROMOTION
dc.subjectELDERLY
dc.subjectCANCER
dc.subjectRESPECT
dc.subjectPROGRESS
dc.subjectALCOHOL ABUSE
dc.subjectEDUCATION SYSTEMS
dc.subjectUNIONS
dc.subjectINFANT MORTALITY
dc.subjectINFANT
dc.subjectPOLICIES
dc.subjectSOCIAL SECTOR
dc.subjectAGED
dc.subjectSCHOOL ATTENDANCE
dc.subjectECONOMIC STATUS
dc.subjectLEVEL OF DEVELOPMENT
dc.subjectVULNERABLE GROUPS
dc.subjectNATIONAL PRIORITIES
dc.subjectSCHOOL CHILDREN
dc.subjectMEASUREMENT
dc.subjectPOPULATIONS
dc.subjectSERVICE QUALITY
dc.subjectTEACHER SHORTAGES
dc.subjectCHILD MORTALITY
dc.subjectHEALTH SYSTEM
dc.subjectPHYSICIANS
dc.subjectWEIGHT
dc.subjectTEACHER RATIO
dc.subjectCHILDREN
dc.subjectTRAINING OPPORTUNITIES
dc.subjectHEALTH PROVIDERS
dc.subjectHIGH SCHOOL EDUCATION
dc.subjectNATIONAL PLAN
dc.subjectDISABILITY
dc.subjectNATIONAL GOALS
dc.subjectHOSPITAL BEDS
dc.subjectPOPULATION
dc.subjectPURCHASING POWER PARITY
dc.subjectLIVING CONDITIONS
dc.subjectMEDICINES
dc.subjectHOSPITALS
dc.subjectMATERNAL MORTALITY RATES
dc.subjectFINANCIAL CONSTRAINTS
dc.subjectSECONDARY EDUCATION
dc.subjectPOLITICAL INSTABILITY
dc.subjectNURSING
dc.subjectHUMAN DEVELOPMENT
dc.subjectSANITATION FACILITIES
dc.subjectSANITATION
dc.subjectRISKS
dc.subjectPEOPLE
dc.subjectURBANIZATION
dc.subjectPOLITICAL ACTION
dc.subjectABUSE
dc.subjectINFORMATION SYSTEM
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectPREVENTION
dc.subjectSKILLS DEVELOPMENT
dc.subjectMORBIDITY
dc.subjectNEEDS ASSESSMENT
dc.subjectLEVELS OF EDUCATION
dc.subjectRESOURCE ALLOCATION
dc.subjectSOCIAL WORK
dc.subjectPOPULATION GROUPS
dc.subjectHEALTH INSURANCE
dc.subjectPUBLIC SERVICES
dc.subjectDRUGS
dc.subjectPRENATAL CARE
dc.subjectHUMAN RESOURCE MANAGEMENT
dc.subjectHEALTH
dc.subjectUNITED NATIONS POPULATION FUND
dc.subjectHEALTH WORKERS
dc.subjectDENTISTRY
dc.subjectPOPULATION FUND
dc.subjectRURAL POPULATION
dc.subjectVULNERABILITY
dc.subjectHEALTH FACILITIES
dc.subjectPUBLIC HEALTH
dc.subjectSAFETY NETS
dc.subjectCOST EFFECTIVENESS
dc.subjectDIABETES
dc.subjectRURAL POPULATIONS
dc.subjectMINISTRY OF HEALTH
dc.subjectDISEASES
dc.subjectPOOR FAMILIES
dc.subjectPOPULATION GROWTH
dc.subjectAGGRESSIVE
dc.subjectSERVICE PROVISION
dc.subjectSOCIAL SECURITY
dc.subjectTEACHER SALARIES
dc.subjectJOB TRAINING
dc.subjectPRIMARY SCHOOL
dc.subjectGLOBAL HEALTH
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL EXPENDITURES
dc.subjectUNEMPLOYMENT
dc.subjectSCHOOL YEAR
dc.subjectVOCATIONAL TRAINING
dc.subjectWORKERS
dc.subjectCHRONIC MALNUTRITION
dc.subjectPOLITICAL TURMOIL
dc.subjectPUBLIC PERCEPTIONS
dc.subjectHIV
dc.subjectIMMUNODEFICIENCY
dc.subjectPENSIONS
dc.subjectPUBLIC HEALTH EXPENDITURE
dc.subjectMINISTRY OF EDUCATION
dc.subjectPURCHASING POWER
dc.subjectSOCIAL POLICY
dc.subjectPOPULATION DENSITY
dc.subjectURBAN AREAS
dc.subjectMANDATES
dc.subjectIMMUNIZATIONS
dc.subjectGENDER GAP IN PRIMARY
dc.subjectEDUCATIONAL SERVICES
dc.subjectMEASLES
dc.subjectNUTRITION
dc.subjectINJURIES
dc.subjectWORKSHOPS
dc.subjectPOLICY
dc.subjectPRIMARY HEALTH CARE
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectSOCIAL SECTORS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectPREGNANT WOMEN
dc.subjectLEVEL OF EDUCATION
dc.subjectCLINICS
dc.subjectRURAL AREAS
dc.subjectSTUDENTS
dc.subjectMATERNAL MORTALITY RATE
dc.subjectUNFPA
dc.subjectSTRATEGY
dc.subjectPRIMARY EDUCATION
dc.subjectFAMILIES
dc.subjectREGISTRATION
dc.subjectURBAN POPULATIONS
dc.subjectWOMEN
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectIMPLEMENTATION
dc.subjectHEALTH SERVICES
dc.subjectTERTIARY EDUCATION
dc.subjectBLUEPRINT
dc.titleCentral America Social Expenditures and Institutional Review
dc.titleHonduras
dc.typeReport
dc.typeRapport
dc.typeInforme

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