Diagnostic Study of Public Financial Management

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dc.creatorAhmed, Shakil
dc.creatorBegum, Tahmina
dc.creatorSmith, Owen
dc.date2019-05-31T21:53:41Z
dc.date2019-05-31T21:53:41Z
dc.date2019-04
dc.date.accessioned2026-07-01T00:40:22Z
dc.descriptionRobust public financial management (PFM) systems are crucial to ensure the efficacy and integrity of public health spending, thereby contributing to improved service coverage and financial protection, as required for achieving universal health coverage. A weak PFM system has impeded implementation of the Bangladesh health care financing strategy 2012-2032. This paper aims to identify and document major PFM challenges in relation to the interventions outlined in this strategy document, on the grounds that relaxing these constraints will strengthen implementation. Further, the study examines PFM barriers in service delivery, such as delays in fund availability and procurement and the lack of operational funds at the facility level. The paper points to a number of obstacles, including the absence of a legal framework for implementing a social health protection scheme, no laws to retain user fees at health facilities or to change financial rules to introduce flexible cash at facilities, district health managers without delegated financial power, noncompliance with audit observations, and need for PFM capacity strengthening. Short-, medium- and long-term actions are presented to address these PFM issues. Removing these barriers will not require significant additional resources, but will offer the potential to significantly enhance value for money for Bangladesh’s government health budget.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/856271558671301506/Diagnostic-Study-of-Public-Financial-Management-To-Strengthen-Health-Financing-and-Service-Delivery-in-Bangladesh
dc.identifierhttps://hdl.handle.net/10986/31768
dc.identifier10.1596/31768
dc.identifier.urihttp://hdl.handle.net/123456789/408830
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition, and Population Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectPUBLIC FINANCIAL MANAGEMENT
dc.subjectHEALTH FINANCING STRATEGY
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH FINANCE
dc.subjectSERVICE DELIVERY
dc.titleDiagnostic Study of Public Financial Management
dc.titleTo Strengthen Health Financing and Service Delivery in Bangladesh
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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