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Public Expenditure Review of the Palestinian Authority : Towards Enhanced Public Finance Management and Improved Fiscal Sustainability

WASTE RESIDENTIAL CARE NONPROFIT INSTITUTIONS DEFICIT RISKS REGULATORY FRAMEWORK GOVERNMENT EXPENDITURES ECONOMIC GROWTH WAGE GAP PEOPLE PUBLIC PROCUREMENT NET LENDING STROKE FINANCIAL MANAGEMENT CIVIL SERVANTS PHARMACISTS PREVENTION HEALTH EXPENDITURES PUBLIC INVESTMENTS PUBLIC SECTOR PUBLIC PENSION SYSTEM PENSION SYSTEMS EXPENDITURE ASSIGNMENTS SERVICES CASH BASIS FINANCIAL MANAGEMENT INFORMATION HEALTH INSURANCE PUBLIC SERVICES CENTRAL BUDGET HEALTH CARE REVENUES FISCAL POLICY BUDGET SUPPORT HEALTH WAGE EXPENDITURES PARAMEDICS CRIME BENEFICIARIES RUBELLA PUBLIC FINANCIAL MANAGEMENT PUBLIC HEALTH MUNICIPALITIES LIFE EXPECTANCY BUDGET REVENUE ASSIGNMENT HEALTH SECTOR KNOWLEDGE DIABETES GROSS EXPENDITURES TOTAL EXPENDITURE STRATEGIC PRIORITIES FEASIBILITY STUDIES IMMUNIZATION PATIENTS PATIENT RESOURCE CONSTRAINTS SMOKING INTERVENTION REFORM EFFORTS HEALTH INDICATORS PUBLIC HOSPITALS BUDGET EXECUTION NURSES PHYSICAL DISABILITY HEALTH MANAGEMENT VIOLENCE REFORM STRATEGY DEBT PENSION REFORM BUDGET DEPARTMENT SERVICE PROVIDER PUBLIC FINANCE DEFICIT REDUCTION FISCAL RELATIONS SERVICE PROVISION BUDGET DEFICIT EXTENDED FAMILIES DOMESTIC DEBT CHILD DISEASES TAX REVENUES SCREENING SERVICE DELIVERY PUBLIC EXPENDITURE REVIEW GROSS DOMESTIC PRODUCT POLIOMYELITIS MENTAL HEALTH EXPENDITURE POLICIES MORTALITY RISK GROUPS RABIES PUBLIC INVESTMENT FISCAL DEFICIT HEALTH SPENDING EXPENDITURE UNEMPLOYMENT DIPHTHERIA NET REVENUE ACCOUNTABILITY WORKERS BUDGET EXPENDITURE GOVERNMENT EMPLOYMENT SURGERY AGED INFLUENZA PATIENT SATISFACTION PUBLIC EXPENDITURE BUDGET PROCESS SURVEILLANCE BUDGET BALANCE HEALTH POLICY MEDICAL SPECIALISTS MEDICAL SERVICES SOCIAL POLICY MUNICIPAL REVENUES HEALTH OUTCOMES HEPATITIS C HEPATITIS A AGGREGATE DEMAND HEPATITIS B PUBLIC EXPENDITURES EXPENDITURES DECISION MAKING PRIVATE SECTOR MEASUREMENT NUTRITION PUBLIC WORKS FINANCIAL MANAGEMENT INFORMATION SYSTEM WORKSHOPS QUALITY OF LIFE PRIMARY HEALTH CARE RISK FACTORS FISCAL SUSTAINABILITY GERIATRICS PUBLIC SECTOR EMPLOYMENT OUTPATIENT CARE HEALTH CARE PROFESSIONALS PHYSICIANS COMMUNICABLE DISEASES BUDGET LAW CARDIOVASCULAR DISEASES CHILDREN PENSION SCHEME GROWTH RATE CLINICS MINISTRY OF FINANCE FISCAL MANAGEMENT HEALTH EXPENDITURE INTERNAL CONTROL ALLOCATION GENERAL PRACTITIONERS BENCHMARK PRICES DECENTRALIZATION FINANCIAL ACCOUNTABILITY ORGANIC BUDGET LAW EXPENDITURE CATEGORIES FISCAL OPERATIONS STRATEGY FAMILIES CHILD HEALTH SERVICES AGGREGATE FISCAL HEALTH FINANCING PUBLIC SPENDING CAPITAL INVESTMENT HOSPITALS PRICE INDEX PUBLIC PENSION FISCAL DECENTRALIZATION HEALTH SERVICES IMPLEMENTATION INTERNATIONAL COMPARISONS PROCUREMENT POLICY INTERGOVERNMENTAL FISCAL RELATIONS VALUE OF EXPORTS PUBLIC REVENUE NURSING BREASTFEEDING
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World Bank, Washington, DC
Middle East and North Africa | West Bank and Gaza
2016-09-29T19:48:39Z | 2016-09-29T19:48:39Z | 2016-09

The difficulty of pursuing a conventional market-oriented development strategy in the Palestinian territories led in the early part of the 2000s to a second-best reliance on public sector employment and wage bill expansion to boost aggregate demand. The main objective of this Programmatic Public Expenditure Review (PER) is to inform policy and institution-building efforts of the Palestinian Authority (PA) and its donor partners about improving the sustainability of public expenditures and the efficacy and efficiency in the provision of essential public services.In particular, this PER aims to provide an assessment of public revenue and expenditure policies offering specific policy and institutional measures to reduce the size of the Palestinian territories fiscal deficit and make it more sustainable.The fiscal situation of the Palestinian Authority is not sustainable.The difficult fiscal situation facing the Palestinian Authority today results from a unique confluence of challenges.As this report will argue, there is considerable further scope for reforms that would raise additional tax revenues, and reduce expenditures without compromising the quality of public services or negatively impacting public welfare.However, the PER notes that there are limits to what can be achieved by PA fiscal policy alone.The PER is organized as follows: Chapter one provides an overview of recent macroeconomic and fiscal developments; it also contains a brief assessment of priority fiscal policy issues facing the PA, and serves as an introduction to the in-depth analysis of the issues that follow in subsequent chapters. Chapter two analyzes the factors driving the size of the PA’s wage bill, and shows how these can be tackled. Chapter three reviews expenditures in the public health sector. Chapter four analyzes the Palestinian public pension system, and looks into how its sustainability can be assured. Chapter five assesses the quality of intergovernmental fiscal transfers, including net lending transfers. Chapter six reviews the way in which public investment projects are planned and implemented, and identifies steps to improve investment quality. Further details on health and pensions are provided in the annexes.

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