卫生公共支出审查：改善卫生支出以收回和最大限度地提高博茨瓦纳的卫生收益2017201820202021财年（英）

© 2024 The World Bank 1818 H Street NW, Washington DC 20433Telephone: 202-473-1000; Internet: www.worldbank.org Some rights reservedThis work is a product of the staff of The World Bank. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of the Executive Directors of The World Bank or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors,denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territoryor the endorsement or acceptance of such boundaries. Rights and PermissionsThe material in this work is subject to copyright. Because The World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given. All queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC20433, USA; fax: 202-522-2625; e-mail: pubrights@worldbank.org TABLE OF CONTENTS Acronyms and Abbreviations..................................................................................................................................................................................................................................................fAcknowledgments.........................................................................................................................................................................................................................................................................iExecutive Summary.......................................................................................................................................................................................................................................................................iii 2.Uneven Health Performance with Slow Progress on non-HIV/AIDS Indicators.......................................................................................................23.Sources, Trends and Composition of Public Health Expenditure.................................................................................................................................64.Low Efficiency of Public Health Expenditure....................................................................................................................................................................... 125.Inequalities of Health Access and Outcomes...................................................................................................................................................................... 156.Sustainability of Key Programs a Concern............................................................................................................................................................................ 197.Causes of Underperformance................................................................................................................................................................................................... 228.Policy Recommendations........................................................................................................................................................................................................... 32 LIST OF FIGURES Figure 1:Percent of current health expenditure, by source, Botswana, regional, and structural peers, latest data available......................................6Figure 2:Relationship between public and private health expenditure, Botswana, regional and structural peers, latest data available............7Figure 3:Public health expenditure per capita, nominal and real BWP, 2017/18–2021/22..............................................................................................................8Figure 4:Public health expenditure, as a percentage of total government expenditure and in BWP (millions), 2017/18–2021/22.......................8Figure 5:MoH expenditure on development, by economic classification, FY 2017/18–FY 2021/22.........................................................................................8Figure 6:MoH public health expenditure, by GFSM 2014 classification, 2017/18–2019/20............................................................................................................9Figure 7:MoH expenditure composition, by department, 2017/18–2021/22.........................................................................................................................................9Figure 8:Health expenditures by program, in BWP, 2017/18–2021/22........................................................................................................................................................ 10Figure 9:H