Public Financial Management and Health Service Delivery: A Literature Review

The clinic lacks even the basics.It has no electricity, and clean drinking water must be fetched from the nearby well everyday.The Kroo Bay slum in Freetown has the world's worst infant and maternal mortalitly rates.One in four children die before they reach the age of five, and one in six mothers die during childbirth.Public financial management and health service delivery List of tablesTable 1.Summary of hypotheses and evidence reviewed Table 2. Summary of articles selected for review Public financial management and health service delivery 7service inputs.Nevertheless, it is promising to observe that the relationship between broader quality of governance measures that often include aspects of PFM and/or its various sub-dimensions and these population-level health outcomes was in fact found to be statistically significant in several studies, even though the degree of causal inference could not always be established.A related limitation in the reviewed evidence is that most studies estimated only simple associations, thus limiting their external validity.Nevertheless, a number of exceptions were found that used more advanced econometric designs, such as instrumental variable analysis and panel regression.One study in particular implemented the random assignment of participants to a monitoring intervention.