Lesotho on dating show results that include Wap slut chat
The study encompassed three principle objectives: to design methods to measure budget reform progress in the health sector, to apply this framework to describe reform progress in Lesotho’s health sector and to explore factors affecting reform progress.
The main purpose of this article is to report the empirical findings on reform implementation progress.
MTEF is a central component of many public expenditure management reform programmes (World Bank 1998; Le Houerou and Taliercio 2002).
While the exact structure of an MTEF may vary, the framework generally includes three components: more realistic medium-term estimation of available resources, early identification and agreement on strategic priorities and performance-based estimation of resource needs.
This study designed and tested a methodology for measuring implementation progress for PBB reform in the hospital sector in Lesotho.
We found that despite some efforts on the national level to promote and support reform implementation, staff at the hospital level were largely unaware of the purpose of the reform and had made almost no progress in transforming institutions and systems to fully realize reform goals.
The success of public budgeting reforms also has implications for health systems strengthening (World Health Organization 2007).
If successful, budget reform could help improve health sector governance, strengthening the capacity of governments to implement health policies efficiently and fairly and achieve better outcomes (Veenstra and Lomas 1999; Siddiqi 2009).
For governance to work, public organizations must have sufficient institutional capacity to design and implement policies in ways that are ‘effective, transparent, impartial and accountable’ (World Bank 2001).
A main channel to accomplish this is through reform of the budgeting system.
Public financial management (PFM) institutions are integral to governance (Andrews 2010).
Therefore, the study of how public budget reforms actually work in the health sector is of critical importance.
This article presents evidence from a study in the hospital sector in Lesotho, a small, land-locked country in Southern Africa which has been implementing public finance and budgeting reforms since 2005 in an effort to create more realistic budgets and provide incentives for efficient and effective management of government services (Central Bank of Lesotho 2007).
Reforms to make budgeting more transparent and accountable try to relate expenditures to objectives, seeking to make budgeting more rational (Lewis 1952; Wildavsky 1978).