Andrew Lawson 2012 : 7 Evaluation of Public Financial Management Reform
نویسنده
چکیده
Where and why do Public Financial Management (PFM) reforms succeed? Where and how does donor support to PFM reform contribute most effectively to results? This report summarises the findings and conclusions of an evaluation based on studies of the PFM reforms in Burkina Faso, Ghana and Malawi. The evaluation also draws on a global quantitative review. It is found that results tend to be good when there is a strong commitment at both political and technical levels, when reform designs and implementation models are well tailored to the context and when strong, government-led coordination arrangements are in place to monitor and guide reforms. Donor funding for PFM reform has been effective in countries where the context and mechanisms were right for success, and where external funding was focused on the Government’s own reform programme. The willingness of some Governments to fund PFM reforms directly shows that external funding may not be the deciding factor, however. Donor pressure to develop comprehensive PFM reform plans and monitoring frameworks can be a positive influence but attempts to overtly influence either the pace or the content of PFM reforms were found to be ineffective and often counter-productive. Key lessons for donor agencies are thus to focus on countries where the right preconditions exist, to align to government programmes and, under all circumstances, to ensure that aid works in favour of the PFM system and not against it. The evaluation has been commissioned jointly by the African Development Bank (AfDB), the Swedish International Development Cooperation Agency (Sida) and the Danish International Development Assistance (DANIDA). Evuation of P ublic Fincial M aagem nt R eorm
منابع مشابه
Health Reform Requires Policy Capacity
Among the many reasons that may limit the adoption of promising reform ideas, policy capacity is the least recognized. The concept itself is not widely understood. Although policy capacity is concerned with the gathering of information and the formulation of options for public action in the initial phases of policy consultation and development, it also touches on all stages of the policy proces...
متن کاملFraming Bias in the Interpretation of Quality Improvement Data: Evidence From an Experiment
Background A growing body of public management literature sheds light on potential shortcomings to quality improvement (QI) and performance management efforts. These challenges stem from heuristics individuals use when interpreting data. Evidence from studies of citizens suggests that individuals’ evaluation of data is influenced by the linguistic framing or context of that information an...
متن کاملEvaluation of Direct Medical Costs in Hospitalized Diabetic Patients After Health Reform Plan
Background and Objectives: Diabetes is one of the most expensive chronic diseases and a global public health problem. One of the objectives of implementing the Health Reform Plan (HRP) was to reduce the out-of-pocket payments for hospitalized patients. The present study was carried out with the aim of determining the direct medical costs in hospitalized diabetic patients after implementation of...
متن کاملFinancial Management Reforms in the Health Sector: A Comparative Study Between Cash-based and Accrual-based Accounting Systems
BACKGROUND Financial management and accounting reform in the public sectors was started in 2000. Moving from cash-based to accrual-based is considered as the key component of these reforms and adjustments in the public sector. Performing this reform in the health system is a part of a bigger reform under the new public management. OBJECTIVES The current study aimed to analyze the movement fro...
متن کاملEvaluating the Health Reform Plan in Ayatollah Taleghani Hospital, Tehran in 2010- 2017 Using the Balanced Scorecard
Evaluating the Health Reform Plan in Ayatollah Taleghani Hospital, Tehran in 2010- 2017 Using the Balanced Scorecard Azar Ebrahimpour1, Khalil Alimohammadzadeh2, 3, *, Ali Maher4,5 1MSc, School of Management and Social Sciences, North Tehran Branch, Islamic Azad University, Tehran, Iran 2Associate Professor, Department of Health Services Management, School of Management and Social Sciences, N...
متن کامل