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Public Expenditure Review of the Palestinian Authority : Towards Enhanced Public Finance Management and Improved Fiscal Sustainability

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World Bank (WB)

Abstract: The difficulty of pursuing a conventional market-oriented development strategy in the Palestinian territories led in the early part of the 2000s to a second-best reliance on public sector employment and wage bill expansion to boost aggregate demand. The main objective of this Programmatic Public Expenditure Review (PER) is to inform policy and institution-building efforts of the Palestinian Authority (PA) and its donor partners about improving the sustainability of public expenditures and the efficacy and efficiency in the provision of essential public services.In particular, this PER aims to provide an assessment of public revenue and expenditure policies offering specific policy and institutional measures to reduce the size of the Palestinian territories fiscal deficit and make it more sustainable.The fiscal situation of the Palestinian Authority is not sustainable.The difficult fiscal situation facing the Palestinian Authority today results from a unique confluence of challenges.As this report will argue, there is considerable further scope for reforms that would raise additional tax revenues, and reduce expenditures without compromising the quality of public services or negatively impacting public welfare.However, the PER notes that there are limits to what can be achieved by PA fiscal policy alone.The PER is organized as follows: Chapter one provides an overview of recent macroeconomic and fiscal developments; it also contains a brief assessment of priority fiscal policy issues facing the PA, and serves as an introduction to the in-depth analysis of the issues that follow in subsequent chapters. Chapter two analyzes the factors driving the size of the PA’s wage bill, and shows how these can be tackled. Chapter three reviews expenditures in the public health sector. Chapter four analyzes the Palestinian public pension system, and looks into how its sustainability can be assured. Chapter five assesses the quality of intergovernmental fiscal transfers, including net lending transfers. Chapter six reviews the way in which public investment projects are planned and implemented, and identifies steps to improve investment quality. Further details on health and pensions are provided in the annexes.
Type: Report
Economic & Sector Work
Economic & Sector Work :: Public Expenditure Review
Link: http://hdl.handle.net/10986/25100
Subject: WASTE
RESIDENTIAL CARE
NONPROFIT INSTITUTIONS
DEFICIT
RISKS
REGULATORY FRAMEWORK
GOVERNMENT EXPENDITURES
ECONOMIC GROWTH
WAGE GAP
PEOPLE
PUBLIC PROCUREMENT
NET LENDING
STROKE
FINANCIAL MANAGEMENT
CIVIL SERVANTS
PHARMACISTS
PREVENTION
HEALTH EXPENDITURES
PUBLIC INVESTMENTS
PUBLIC SECTOR
PUBLIC PENSION SYSTEM
PENSION SYSTEMS
EXPENDITURE ASSIGNMENTS
SERVICES
CASH BASIS
FINANCIAL MANAGEMENT INFORMATION
HEALTH INSURANCE
PUBLIC SERVICES
CENTRAL BUDGET
HEALTH CARE
REVENUES
FISCAL POLICY
BUDGET SUPPORT
HEALTH
WAGE EXPENDITURES
PARAMEDICS
CRIME
BENEFICIARIES
RUBELLA
PUBLIC FINANCIAL MANAGEMENT
PUBLIC HEALTH
MUNICIPALITIES
LIFE EXPECTANCY
BUDGET
REVENUE ASSIGNMENT
HEALTH SECTOR
KNOWLEDGE
DIABETES
GROSS EXPENDITURES
TOTAL EXPENDITURE
STRATEGIC PRIORITIES
FEASIBILITY STUDIES
IMMUNIZATION
PATIENTS
PATIENT
RESOURCE CONSTRAINTS
SMOKING
INTERVENTION
REFORM EFFORTS
HEALTH INDICATORS
PUBLIC HOSPITALS
BUDGET EXECUTION
NURSES
PHYSICAL DISABILITY
HEALTH MANAGEMENT
VIOLENCE
REFORM STRATEGY
DEBT
PENSION REFORM
BUDGET DEPARTMENT
SERVICE PROVIDER
PUBLIC FINANCE
DEFICIT REDUCTION
FISCAL RELATIONS
SERVICE PROVISION
BUDGET DEFICIT
EXTENDED FAMILIES
DOMESTIC DEBT
CHILD DISEASES
TAX REVENUES
SCREENING
SERVICE DELIVERY
PUBLIC EXPENDITURE REVIEW
GROSS DOMESTIC PRODUCT
POLIOMYELITIS
MENTAL HEALTH
EXPENDITURE POLICIES
MORTALITY
RISK GROUPS
RABIES
PUBLIC INVESTMENT
FISCAL DEFICIT
HEALTH SPENDING
EXPENDITURE
UNEMPLOYMENT
DIPHTHERIA
NET REVENUE
ACCOUNTABILITY
WORKERS
BUDGET EXPENDITURE
GOVERNMENT EMPLOYMENT
SURGERY
AGED
INFLUENZA
PATIENT SATISFACTION
PUBLIC EXPENDITURE
BUDGET PROCESS
SURVEILLANCE
BUDGET BALANCE
HEALTH POLICY
MEDICAL SPECIALISTS
MEDICAL SERVICES
SOCIAL POLICY
MUNICIPAL REVENUES
HEALTH OUTCOMES
HEPATITIS C
HEPATITIS A
AGGREGATE DEMAND
HEPATITIS B
PUBLIC EXPENDITURES
EXPENDITURES
DECISION MAKING
PRIVATE SECTOR
MEASUREMENT
NUTRITION
PUBLIC WORKS
FINANCIAL MANAGEMENT INFORMATION SYSTEM
WORKSHOPS
QUALITY OF LIFE
PRIMARY HEALTH CARE
RISK FACTORS
FISCAL SUSTAINABILITY
GERIATRICS
PUBLIC SECTOR EMPLOYMENT
OUTPATIENT CARE
HEALTH CARE PROFESSIONALS
PHYSICIANS
COMMUNICABLE DISEASES
BUDGET LAW
CARDIOVASCULAR DISEASES
CHILDREN
PENSION SCHEME
GROWTH RATE
CLINICS
MINISTRY OF FINANCE
FISCAL MANAGEMENT
HEALTH EXPENDITURE
INTERNAL CONTROL
ALLOCATION
GENERAL PRACTITIONERS
BENCHMARK PRICES
DECENTRALIZATION
FINANCIAL ACCOUNTABILITY
ORGANIC BUDGET LAW
EXPENDITURE CATEGORIES
FISCAL OPERATIONS
STRATEGY
FAMILIES
CHILD HEALTH SERVICES
AGGREGATE FISCAL
HEALTH FINANCING
PUBLIC SPENDING
CAPITAL INVESTMENT
HOSPITALS
PRICE INDEX
PUBLIC PENSION
FISCAL DECENTRALIZATION
HEALTH SERVICES
IMPLEMENTATION
INTERNATIONAL COMPARISONS
PROCUREMENT POLICY
INTERGOVERNMENTAL FISCAL RELATIONS
VALUE OF EXPORTS
PUBLIC REVENUE
NURSING
BREASTFEEDING




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