Monitoring programme budgets in health

Maarten de Jong, Linnea Mills

Research output: Chapter/Conference proceedingChapterProfessional

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When countries introduce programme budgets, they develop a performance framework to support performance monitoring. In theory, a performance framework establishes a chain of accountability for the budget and results all the way from Parliament to executive agents. For a performance framework to contribute effectively, performance information cannot only be generated
and reported. Performance needs to be assessed systematically. The results of this analysis need to be part of a performance dialogue that affects decision-making within ministries and agencies. Incorporating performance information into budgeting is a long-term endeavour that takes persistent effort and attention. Some monitoring challenges have to be overcome to realize the potential of programme budgeting especially in LMICs. OECD countries struggle to meet expectations with their programme budgeting and performance
frameworks. LMICs encounter other challenges in applying performance frameworks in the health sector. The aim of this chapter is to identify some common challenges, particularly in the health sector in LMICs, and to
offer some strategies to overcome these challenges.
Original languageEnglish
Title of host publicationHow to make budgets work for health?
Subtitle of host publicationA practical guide to designing, managing and monitoring programme budgets in the health sector
EditorsHélène Barroy, Mark Blecher, Jason Lakin
Place of PublicationGeneva
PublisherWorld Health Organization
Number of pages121
ISBN (Electronic)978-92-4-004966-6
ISBN (Print)978-92-4-004967-3
Publication statusPublished - 20 Jun 2022


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