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PERU Towards a Results Based Budget: Strengthening Transparency and Accountability

PERU Towards a Results Based Budget: Strengthening Transparency and Accountability. Supported by The Transparency & Accountability Projec t of. The Research Center at the Universidad del Pacifico. Our institution is highly committed to improve public policy.

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PERU Towards a Results Based Budget: Strengthening Transparency and Accountability

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  1. PERU Towards a Results Based Budget: Strengthening Transparency and Accountability Supported by The Transparency & Accountability Project of

  2. The Research Center at the Universidad del Pacifico • Our institution is highly committed to improve public policy. • Several projects on fiscal issues: • Macro analysis of fiscal rules. • Budget transparency initiatives: Latin American Budget Transparency and Open Budget Index. • Are children first? Observatory for budgetary issues on infants and youths. • Measuring & Monitoring (MEMO) the Government. • National System of Public Investment.

  3. Objective Study To evaluate the feasibility to move towards an outcome based management through the future implementation of the Result Based Budget (RBB). To use the RBB methodology to visualize the pending agenda of State Reform in social sectors. Advocacy To empower Civil Society Organizations and Community Based Organizations in the understanding of the RBB and in the use of this tool to monitor public policy and the implementation of State reform.

  4. Context: Budget Bill for 2008

  5. Financing, pay mechanisms, incentives, RBB Information Systems, accountability Macro organization / Micro organization Political support and demand for RBB -little control- Management / Results Based Budget (RBB) Conceptual Framework Control Knobs Authors elaboration based on Roberts et.al., Making Health sector Reform Right, 2002.

  6. Methodology: use of logical framework O

  7. Relation of expenditure and intermediate outcomes in Health coverage and service expenditure

  8. Relation of expenditure and intermediate outcomes in Education: student performance and expenditure

  9. Example of the application in Health • Objective-Result: Maternal mortality actually correspondence to a high national priority, all stakeholders agree. But money does not go where it is needed, high inequality. RBB would help to identify what is failing in the system. • Causal model: main variables considered appropriate like “births attended by professionals” and “x number of pre natal controls”. It fails to consider the use of “oxitocina” as main pharmaceutical input to prevent hemorrhages. The analysis will be based on empirical evidence and previous research.

  10. Example of the application in Health • Indicators and sources of information: Will use indicators that come from national surveys, fails to use triangulation cross checking with administrative data at the level of first line-providers. • Assumptions and incentives: No discussion at all. The model still lacks the relation between outcomes and the level of responsibility.

  11. Recommendations Related to civil service and management model at the front line service provider. Head doctors should have more authority over Human Resources and be able to buy extra pharmaceutical inputs that is needed to respond to the expected results. Move from a “budget organization” to a “corporate or privatized organization” (Manning). (Experience in Peru about Local Council of Health Administration, CLAS) . Related to the financing of the strategy. Related to the whole procurement process and use of pharmaceutical inputs. Related to the information systems supporting the RBB. Related to whole set of incentives in the system: Bonuses, management agreement contracts, merit system.

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