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Central America Social Expenditures and Institutional Review : Honduras
- Publication Year :
- 2015
- Publisher :
- Washington, DC, 2015.
-
Abstract
- Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, noncommunicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions. Sector-specific challenges aligned with these broad objectives are addressed below.
- Subjects :
- INFANT MORTALITY RATES
GENDER GAP
LEVELS OF EDUCATION
SCHOOL CHILDREN
CHILDREN
ECONOMIC GROWTH
EDUCATION SYSTEMS
GROSS DOMESTIC PRODUCT
HEALTH INSURANCE
PUBLIC HEALTH EXPENDITURE
TEACHER SALARIES
FAMILIES
MEASUREMENT
QUALITY OF EDUCATION
HEALTH SYSTEM
PHYSICIANS
POPULATION GROUPS
LEVEL OF DEVELOPMENT
IMPLEMENTATION
UNITED NATIONS POPULATION FUND
POPULATION GROWTH
POPULATION
SAFETY NETS
UNEMPLOYMENT
SOCIAL EXPENDITURES
IMMUNODEFICIENCY
MANDATES
RESOURCE ALLOCATION
WOMEN
WORKERS
URBANIZATION
HUMAN IMMUNODEFICIENCY VIRUS
CHRONIC MALNUTRITION
CRIME
FAMILY CARE
PUBLIC HOSPITALS
HIGH SCHOOL EDUCATION
MEDICINES
DISEASES
SOCIAL SECTOR
VACCINATION
POPULATIONS
HEALTH
INTERVENTION
BEHAVIOR
AGED
VIOLENCE
SECONDARY SCHOOLS
SERVICE DELIVERY
PENSIONS
PRIMARY EDUCATION
MINISTRY OF EDUCATION
AGGRESSIVE
STUDENTS
IMMUNIZATIONS
EDUCATIONAL SERVICES
BASIC EDUCATION
POLITICAL TURMOIL
MEASLES
HUMAN RESOURCE MANAGEMENT
INFORMATION SYSTEMS
PUBLIC SERVICES
SERVICE QUALITY
DROPOUT
POPULATION FUND
SANITATION
PUBLIC EDUCATION
RURAL AREAS
SECONDARY EDUCATION
PURCHASING POWER
HEALTH FACILITIES
PROGRESS
LABOR MARKET
VULNERABILITY
MILLENNIUM DEVELOPMENT GOAL
ELDERLY
MATERNAL MORTALITY RATES
INCOME INEQUALITY
MORTALITY
DISABILITY
INFORMATION SYSTEM
PREVENTION
RISKS
CLINICS
EDUCATIONAL ATTAINMENT
HEALTH PROVIDERS
HOSPITALS
JOB TRAINING
TERTIARY EDUCATION
MATERNAL MORTALITY
HEALTH SECTOR
SOCIAL SECURITY
LEVEL OF EDUCATION
LIVING CONDITIONS
SCHOOL YEAR
INFANT
VULNERABLE GROUPS
FINANCIAL CONSTRAINTS
HOUSEHOLD SURVEYS
SKILLS DEVELOPMENT
COMMUNICABLE DISEASES
HEALTH PROMOTION
HOSPITAL BEDS
POLITICAL INSTABILITY
PREGNANT WOMEN
NATIONAL PRIORITIES
GENDER GAP IN PRIMARY
INFANT MORTALITY
RURAL POPULATION
SOCIAL POLICY
MILLENNIUM DEVELOPMENT GOALS
COMMUNITY PARTICIPATION
SANITATION FACILITIES
PUBLIC PERCEPTIONS
WORLD HEALTH ORGANIZATION
SOCIAL WORK
GLOBAL HEALTH
OLD-AGE
UNFPA
DEVELOPMENT GOALS
DIABETES
DENTISTRY
HUMAN DEVELOPMENT
COST EFFECTIVENESS
MINISTRY OF HEALTH
ACCESS TO EDUCATION
BLUEPRINT
NATIONAL GOALS
ECONOMIC STATUS
NATIONAL PLAN
PURCHASING POWER PARITY
POLICIES
POOR FAMILIES
POLICY
IMMUNIZATION
CANCER
HEALTH INDICATORS
HEALTH WORKERS
TEACHER RATIO
TRAINING OPPORTUNITIES
FORMAL EDUCATION
HEALTH CARE
DISASTERS
REGISTRATION
CITIZEN
SOCIAL DEVELOPMENT
PRENATAL CARE
NUTRITION
RESPECT
PUBLIC HEALTH
SECONDARY SCHOOL
NURSING
MATERNAL MORTALITY RATE
INTERNATIONAL ORGANIZATIONS
TRAINING
SERVICE PROVISION
EXERCISES
TEACHER SHORTAGES
PSYCHOLOGY
DEVELOPING COUNTRIES
MORBIDITY
UNEMPLOYMENT RATES
PEOPLE
SOCIOECONOMIC STATUS
DRUGS
KNOWLEDGE
STRATEGY
UNIVERSAL PRIMARY EDUCATION
PRIMARY SCHOOL
ABUSE
UNIONS
MORTALITY RATE
NEEDS ASSESSMENT
ALCOHOL ABUSE
WORKSHOPS
PRIMARY HEALTH CARE
HIV
LABOR FORCE
LAWS
URBAN POPULATIONS
POLITICAL ACTION
HEALTH SERVICES
VOCATIONAL TRAINING
POPULATION DENSITY
SOCIAL SECTORS
SCHOOL ATTENDANCE
CHILD MORTALITY
URBAN AREAS
DISABILITIES
INJURIES
WEIGHT
HOSPITAL
RURAL POPULATIONS
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.od......2456..6613c058cbdca7721e977d0ad6f68ac7