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Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária

Medeiros, Aparecida Dantas de Almeida
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Serviço Social; Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Serviço Social; Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
76.16%
Health policies in Brazil, the decentralization of SUS management responsibilities for the three spheres of government has driven the creation and regulation of the audits of health services in the National Audit Office, this is a trend of neoliberal policies imposed by international bodies like the World Bank and IMF to peripheral countries characterized by productive restructuring and reforming the state focuses on the presence of two competing projects in the area of health: Health Sector Reform Project which is based on the democratic rule of law with the assumption of health as social right and duty of the State in defending the extension of the conquest of rights and democratization of access to health care guaranteed through the public financing strategies and the effective decentralization of decisions pervaded by social control and privatized Health Project which is based on the state minimum, with a reduction in social spending or in partnerships and privatization, stronger nonprofit sector, subject to capitalist interests, is made effective through strategies targeting health policy and refilantropização actions. In this context, the present study is an analysis on the work of social audits of public health in infants from a qualitative and quantitative approach...

Seychelles - Selected Issues : Social Protection, Labor Market and Public Enterprise Reforms - Public Expenditure Review 2

World Bank
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
36.2%
Until 2008, Seychelles pursued a state-led economic model of self sufficiency which ultimately proved unsustainable. In 2008, precipitated by rising global commodity prices, Seychelles entered a balance of payments and debt crisis, as international reserves were virtually depleted and external debt service payments were missed. The Government of Seychelles responded quickly by floating the rupee and liberalizing the foreign exchange regime, and agreeing a program with the International Monetary Fund under a 2 year stand-by agreement in November 2008. Although the liberalization of the exchange rate in November 2008 led to initial inflation rates in excess of 60 percent, the relative prices shock was quickly absorbed. Annual inflation fell from a high of positive 63.3 percent in December 2008 to negative 1.0 in August 2010. As the price and foreign exchange controls were lifted, the informal market in foreign currency quickly disappeared. This Public Expenditure Review (PER) also provided the Bank with an analytical basis to inform development policy lending in 2010. The specific objectives of the review are to: (i) provide an update on the macroeconomic stabilization efforts and changes to the fiscal policy for medium term debt sustainability and a more efficient and affordable public sector; (ii) analyze key public enterprise reform issues...

Romania : Public Expenditure and Institutional Review : Background Papers

World Bank
Fonte: World Bank Publicador: World Bank
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36.16%
The government has embarked upon a comprehensive and difficult medium term program for reforming the public sector aimed at rebalancing the relation between revenue and spending and enhancing the efficiency and efficacy of service delivery. The Romanian economy has been hit hard by the global economic downturn. Latest estimates suggest that real Gross Domestic Product (GDP) may have contracted by around 7 percent in 2009, before modestly recovering in 2010. The severe decline in output has had a significant adverse effect on consolidated budget revenues, which fell substantially below the initial target in 2009. To prevent a further deterioration of the already large fiscal deficit, the shortfall in revenue has led to adjustments in spending. Consolidation of expenditure needs however continue in order to put public finances on a sustainable trajectory over the medium term. The report is structured in two volumes. The first volume synthesizes the menu of options suggested to reduce the short term gap between budget expenditure and revenues. It also highlights the key challenges and recommendations for improving efficiency and efficacy of spending in the sectors investigated. Volume two consists of the background analyses...

Guinea - Decentralization in Guinea : Strengthening Accountability for Better Service Delivery

World Bank
Fonte: Washington, DC Publicador: Washington, DC
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36.13%
The purpose of this report is to present reform options for the implementation of the new code that would strengthen accountability in service delivery. The report is structured as follows: chapter one discusses how decentralization can be an effective tool for improving service delivery and local governance. Chapter two assesses progress in fiscal, administrative and political decentralization, scrutinizes their impact on accountability relationships and makes recommendations to further decentralization, in line the new code. Chapter three analyses current arrangements for service delivery in two sectors (water and education), maps out strengths and weaknesses of existing accountability relationships and makes recommendations, drawing on existing innovative practices in Guinea and/or the region. Chapter four offers recommendations to manage change and maintain the momentum for reform. Chapter five concludes with an outlook.

India : Synthesis Study of Public Financial Management and Accountability in Urban Local Bodies

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
45.96%
This study assesses the current state of Public Financial Management and Accountability (PFMA) systems in Indian urban local bodies. It identifies, analyzes, and documents good practices, focusing on their existing context, success factors, and replicability. It is important to mention that urban governance in India is a state subject and there are vast differences in the levels of reform that have achieved in different states. For the purpose of comparison, this study has developed good practice benchmarks in each PFMA area and used those to compare practices across Urban Local body (ULB)s. The study analyzes linkages between the legislative, budgeting, implementation, reporting, and oversight process in urban local bodies. Benchmarks and indicators have been developed for each strategic area. Analysis of policy, practice, and progress in each strategic area has also been conducted. This study synthesizes existing literature on PFMA in urban local bodies, identifies key PFMA areas where focused attention was required...

Multidimensional Auctions for Public Energy Efficiency Projects : Evidence from the Japanese ESCO Market

Iimi, Atsushi
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
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45.9%
Competitive bidding is an important policy tool to procure goods and services from the market at the lowest possible cost. Under traditional public procurement systems, however, it may be difficult to purchase highly customized objects, such as energy efficiency services. This is because not only prices but also other nonmonetary aspects need to be taken into account. Multidimensional auctions are often used to evaluate multidimensional bids. This paper examines the bidding strategy in multidimensional auctions, using data from public energy service company projects in Japan. It shows that multidimensional auctions work well, as theory predicts. The competition effect is significant. In addition, strategic information disclosure, including walk-through and preannouncement of reserve prices, can also promote energy savings and investment. Risk sharing arrangements are critical in the energy service company market. In particular, the public sector should take regulatory risk.

Georgia Public Expenditure Review : Diagnostics of Public Investment Management System

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
36.13%
Generating growth and creating jobs within a sustainable fiscal framework is Georgia s biggest macroeconomic challenge. Although Georgia registered rapid growth of 5.7 percent a year during 2010-13, unemployment remains high at 15 percent. New growth companies, especially in tourism and other service sectors, did not generate enough formal or even informal employment. Fiscal policy played a crucial role in Georgia s recent growth performance with a fiscal stimulus driven post-crisis recovery which increased deficit and debt levels followed by fiscal consolidation during 2010-12 when recovery took hold. The weak execution of the budget in 2013 and policy uncertainty were largely responsible for the growth slowdown during the year. Tackling the growth and jobs agenda in Georgia will require significant investment in human and physical capital and the government has a large role to play here. Additional spending, where it is needed, should be undertaken within the fiscal consolidation agenda of the government, designed to help restore the macroeconomic buffers needed to secure stability and sustain confidence in the future. The change in government in 2012 marked a shift in fiscal policy with prioritization of recurrent social expenditures over capital spending...

Evidence of Development Impact from Institutional Change : A Review of the Evidence on Open Budgeting

Ling, Cristina; Roberts, Dawn
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
EN_US
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36.19%
Despite the growing body of literature examining the effectiveness of transparency and accountability initiatives, there remains limited substantiation for whether and how open budgeting contributes to reductions in poverty and improvements in the lives of the poor. This paper reviews available evidence and conclude that institutional changes can contribute to higher-level outcomes in certain contexts. The approach first draws from existing studies of transparency and accountability initiatives and then follows their references to broaden the evidence base. The findings highlight the importance of measuring budget transparency, accountability, and participation and tracing their outcomes along an incremental, nonlinear results chain. Logical links or ongoing loops in this sequence include the interplay or interdependency among these three dimensions; the subsequent achievement of key, often mutually reinforcing, intermediate development outcomes; and ultimately, improved program or service delivery as the key lever for influencing development impact. Rather than establishing standard indicators...

Local Service Delivery in Nepal

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
36.1%
The effectiveness of public service delivery depends in large part on the capability, resources and inputs, and the motivation of frontline service providers at the local level. In Nepal a combination of de-concentrated line agencies and local bodies at the district, municipal, and village level provides inputs which are translated into delivery of service outputs and outcomes. Yet the relationships between line agencies and local bodies in service delivery are not well understood. The purpose of this report is to examine in detail the current dynamics of frontline service delivery to identify institutional limitations and present approaches to addressing them. This study seeks to map out the dynamics of service delivery at the local level through analysis of the institutional framework and actual practices in service delivery in 14 jurisdictions in the two districts of Dhankuta and Dhanusa. The study includes a detailed review of the provision of local roads networks and primary and lower secondary education. In this context...

Building Public Participation in Kenya’s Devolved Government

Finch, Christopher; Omolo, Annette
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Tipo: Trabalho em Andamento
EN_US
Relevância na Pesquisa
46.06%
Kenya has embarked on a highly ambitious decentralization that seeks to fundamentally change the relationship between government and citizens under the 2010 Constitution. The Constitution and new legal framework place a strong emphasis on strengthening public participation. This paper summarizes findings and analysis from five working papers and case studies reviewing opportunities and challenges for strengthening public participation in Kenya’s newly decentralized system. It provides a consolidated list of recommendations emerging from all the working papers.

Environment and Social Policy and Procedures

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Relatório
EN_US
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45.83%
Comprehensive details about Mizoram state and its environmental and social sensitivities. Mizoram Investment Plan under NERPSIP (GoI & World Bank Funding).

Public Expenditure and Financial Accountability Assessment

Government of Nepal Ministry of Finance
Fonte: World Bank, Kathmandu Publicador: World Bank, Kathmandu
Tipo: Relatório
EN_US
Relevância na Pesquisa
45.95%
The objective of this assessment is to update the public expenditure and financial accountability (PEFA) assessment published in early 2008. The assessment is expected to assist the Government of Nepal to: (a) establish indicator led assessment of the country’s public financial management (PFM) system, (b) update the fiduciary environment of the PFM systems and processes of the country, and (c) assist in identifying those parts of the PFM system that may need further reform and development. The institutional and organizational approach taken by the Government of Nepal ensured coordination among various government institutions. The assessment included collection of additional documentation, including meeting minutes, and interviews with government counterpart teams and main stakeholders. The report was updated and refined following advice from a World Bank team. A specialist in the use of PEFA methodology assisted in the later drafts and visited Nepal in August 17-20, 2014. Meetings were held with the PEFA Secretariat at the Financial Comptroller General Office (FCGO) and with the Ministry of Finance (MoF) Budget Division. This final draft of the report addresses all the comments received up to November 31...

Activating Social Audits in Orissa

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Procurement Study; Economic & Sector Work
ENGLISH; EN_US
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36.11%
With the passing of the National Rural Employment Act (NREGA) in 2005, the Government of India established a landmark provision that enables communities to act as watchdogs on local level implementation of the Government's flagship anti-poverty program. While the concept of 'social audits' builds on a great deal of experience in the country, the provisions in the Act have not been translated into clear guidelines. As a result, social audits of NREGA have tended to be driven through 'high impact' approaches led by civil society organizations and have been focused on exposing malpractice rather than improving implementation. This paper discusses an initiative by the centre for youth and social development which sought to explore options to activate the social audit process in Orissa. The design draws on the provisions of the Act with a view to developing a sustainable model for the state. The pilot was conducted in six gram panchayats where the various stages of preparation, committee formation, auditing and reporting were developed. The paper highlights the importance of social audits as an instrument to support implementation...

Zambia - Public Expenditure Review : Public Expenditure, Growth and Poverty - A Synthesis

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Public Expenditure Review; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
46.06%
At the heart of the growth problem, the persistence of poverty, and issues of policy reform in Zambia is the public sector reform program. The best practice in public sector reform identifies three areas in which governments can improve their performance and their impact on the economy and poor: 1) macroeconomic discipline (the satabilization problem); 2) strategic priority setting (the allocation problem); and 3) efficient public-service delivery (the execution problem). Zambia's problem appears to be in all three areas. In particular, the aggregate performance, allocation, and execution of the budget are vital to the success of Zambia's public sector reform program. All three areas, particularly the allocation and execution issues, as they apply to public expenditure are the subject matter of the present public expenditure review (PER).

Strengthening Public Revenue and Expenditure Management to Enhance Service Delivery

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Policy Note; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
55.98%
To achieve higher growth and reduce poverty and inequality, Mexico needs to improve public service delivery. Mexico is a middle-income country with continuing high levels of poverty (46.2 percent of the population). To improve public sector service delivery, Mexico needs to ensure sufficient financial and human resources relative to the needs of the population, and effective and efficient public management of spending programs to address those needs-two basic prerequisites for an effective public sector. Mexico's public service delivery is hindered by low tax collection and expenditure inefficiencies at all three levels of government: federal, state, and municipal. Mexico's tax collection is also low by Latin American standards. The problem of low tax collection is particularly acute at the local level, as many subnational governments lack incentives and administrative capacity. At the local level, improving tax collection faces additional challenges. Low subnational tax collection increases the volatility of subnational finances within Mexico's fiscal federalism framework. Subnational governments need incentives and assistance to improve their tax administration to increase own revenues. As part of an ambitious strategy to modernize public sector financial management...

Democratic Republic of the Congo Poverty and Social Impact Analysis : Mine Sector Reform

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Policy Note; Economic & Sector Work
ENGLISH; EN_US
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56.04%
Although the initial impetus for this poverty and social impact analysis (PSIA) was to inform the Gecamines retrenchment program, it quickly became evident during the scoping that the policy issues fell into two broad categories: a) Short term which involved the key issues of inquiry focusing on what the impact of this program might be, how to mitigate negative effects, and, according to the standard methodology for PSIA, whether the alternatives to restructuring were better or worse than the reform itself. Accordingly, a central question concerned the degree to which Gecamines' degradation had already caused adjustments in income and services and whether the alternative of not restructuring would have been preferable; and b) Medium term which stressed plans to restructure the sector included re-centering on the company's core activity and competency (ore extraction and production of copper and cobalt metal), and minimizing its role as a social service provider. The DRC Government had set a timetable of 2 years for this transfer...

United Republic of Tanzania - Public Expenditure and Financial Accountability Review 2009

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Public Expenditure Review
ENGLISH
Relevância na Pesquisa
46.15%
The budget analysis section constitutes the 'core analyses of the Public Expenditure and Financial Accountability Review (PEFAR) 2009 report. The rapid budget analysis 2009 and the budget execution analysis 2009 are two key inputs into the report's core analysis. The report presents an overview of the main findings and key messages of the various sector and thematic reports carried out as part of the rapid budget analysis and budget execution analysis of the 2008-09 cycle. The analysis in this part of the report utilizes both budget estimates and actual expenditure data. The budget estimate data used are as originally approved by the Parliament, while the actual expenditure data used are as generated from the Integrated Financial Management System (IFMS). The actual expenditure data are in some parts complemented by the data downloaded from the 'logintanzania' website, especially data for Local Government Authorities (LGAs). As much as possible, the analysis is cast from a medium term perspective, with both budget estimates and actual spending data giving a three year trend or more in order to make some meaningful comparison. The last stage of the analysis in this part addresses the question of whether actual expenditures in 2008-09 were consistent with the original approved budget. It also examines the question of whether the budget achieves its stated impact on the ground...

Practical Approaches for County Governments to Facilitate Public Participation in the Planning and Budget Process

Omolo, Annette
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Tipo: Working Paper; Economic & Sector Work; Economic & Sector Work :: Other Public Sector Study
ENGLISH; EN_US
Relevância na Pesquisa
45.98%
Kenya's new Constitution and supportive legal framework contain multiple provisions requiring both national government and counties to make information publicly available and consult with citizens in planning and budgeting. Citizen participation affords county governments an opportunity to empower citizens on their operations and to deliberate, debate, and influence the allocation of public resources. This working paper presents practical approaches for Kenyan counties to implement public participation in their systems that encourage meaningful public engagement.

Citizens and Service Delivery : Assessing the Use of Social Accountability Approaches in the Human Development Sectors

Ringold, Dena; Holla, Alaka; Koziol, Margaret; Srinivasan, Santhosh
Fonte: World Bank Publicador: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
46.09%
Efforts by governments, donors, and civil society alike to improve governance, accountability, and development results on the ground have heightened attention to the idea that citizens can contribute to better public services by holding their policy makers, providers, and program managers accountable. While the use of social accountability to improve services in low- and middle-income countries is not new, the topic has gained currency in recent years. This book looks at how this works in practice. It aims to learn from the experiences gained from the implementation of World Bank projects and from the small, but growing, set of impact evaluations. The review is a first step to identify lessons, knowledge gaps, and questions for further research that can improve the use of these tools in government policies and through programs supported by civil society and donors, including the World Bank. The book documents a diverse and exciting set of cases the rapid adoption of access-to-information laws, the use of public expenditure tracking surveys by civil society organizations to 'follow the money' from central government budgets to schools and health clinics...

Public Expenditure Management and Financial Accountability in Niger

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
36.12%
This study shows how difficult it is for Niger to significantly change its expenditure composition in a short time span. A narrow and volatile domestic resource base, heavy dependence on aid, and a large share of pre-determined expenditures such as external debt payments are important factors behind this lack of flexibility. There are ways, though, to create space in the budget for increasing public spending on priority sectors. The study identifies a number of measures in this regard, such as increasing domestic revenues, more realistic and conservative budgeting, strengthening cash management, controlling the wage bill, prudent borrowing and attracting higher external financing for recurrent costs in priority sectors. The study also shows that enhancing the efficiency and transparency of public spending is as important as increasing spending for PRS priority sectors. It thoroughly assesses public management systems in Niger and presents an action plan, jointly elaborated by the Government and its main external partners...