[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-108309-en":3,"doc-seo-108309-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":13,"seo_description":14,"update_tm":28,"read_time":29},108309,1649267921044,"Ava Thompson","https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1782875107921204101",8,"Research & Report","Health Public Expenditure Review (PER) Republic of Congo - 2021","Health Public Expenditure Review (PER) for the Republic of Congo (2021) examines the efficiency of health spending and how information from the review can improve the delivery and quality of health services. The PER helps Ministries of Finance and Health assess whether health budgets are adequate and how funds are spent, producing evidence to strengthen allocation and the use of available resources. Findings support progress toward Universal Health Coverage by improving access for all citizens and by highlighting systemic operational capacity issues for development partners. The review emphasizes the need for robust, reliable central and local data on fund flows and spending processes.","Public Disclosure Authorized Public Disclosure Authorized  \nHealth Public Expenditure Review (PER) Republic of Congo  \n2021  \nContent  \nChapter I. Rationale  \nRationale for a Health Public Expenditure Review (PER) Methodology  \nInset 1. Primary and secondary data sources  \nChapter II. The RoC health landscape  \nStructure of the healthcare system  \nHealthcare delivery  \nInset 2. Concerns over spatial distribution of health facilities  \nChapter III. Distributional inequalities  \nNeed for reliable statistics  \nGeographical disparities  \nInset 3. RoC health statistics  \nPolicy recommendations  \nChapter IV. The RoC health budget  \nThe place of RoC amid peer countries  \nSize of the health budget  \nInset 4. Reading the national budget  \nUnderstanding the health budget  \nChapter V. Health budget execution  \nGeneral observations  \nInset 5. Multiple ordonnateurs (spending authorities) in health Inset 6. Availability of budget-execution data in health  \nThe serious matter of budget readability  \nInset 7. Readability of a CSI budget  \nInset 8. Limits of the functional budget model  \nBudget execution estimate  \nQuality and relevance of the spending  \nInset 9. Illicit practices  \nInset 10. Budget line analysis  \nPolicy recommendations  \nChapter VI. Major policy choices The challenge of managing local revenue  \nInset 11. Careful action when removing user fees  \nPolicy recommendations  \nPut in place a coherent HR policy  \nInset 12. List of staff allowances  \nPolicy recommendations  \nNeed for a coherent drug policy  \nInset 13. Key actions for improving access to essential drugs  \nInset 14. Conditions for a sustainable public pharmaceutical sector Policy recommendations  \nChapter VII. The way forward  \nUse universal but context-specific benchmarks  \nInset 15. Strategic plans and keynote presidential speeches  \nAllow independent budget monitoring and analysis  \nAcronyms and abbreviations  \nARV CAMEPS  \nCEMAC CFA CODIR  \nCOGES COSA CP CSI  \nCSI PMAS  \nCSI PMAE1  \nCSI PMAE2  \nCSO CNTSDDBDDSDEPDG DHNM DHM DPDS FY GDP HB HG HIV HRIGSINS LNSP MDGMoFB MPS  \nMUCODEC  \nNHA OOPS PETS PFMPHC PS RoC SDGSSATB THE UHC WHO  \nAnti-rétroviraux  \nCentrale d’achat des médicaments essentiels et produits de santé Communauté Économique des États de l'Afrique Centrale Franc CFA  \nComité de direction  \nComité de gestion  \nComité de santé Charges du personnel Centre de santé intégré  \nCSI à paquet minimum d’activités standards  \nCSI à paquet minimum d’activités élargi à l’accouchement  \nCSI à paquet minimum d’activités élargi aux actes chirurgicaux de base Civil society organisation  \nCentre national de transfusion sanguine Direction départementale du budget Direction départementale de la santé Direction d’études et de laplanification Directorate-General (Direction générale) Dépenses hospitalières non médicales  \nDépenses hospitalières médicales  \nDevelopment partner District sanitaire Fiscal Year  \nGross Domestic product Hôpital de base  \nHôpital général  \nHuman Immunodeficiency Virus Human Resources  \nInspection Générale de la Santé  \nInstitut national de la statistique Laboratoire national de transfusion sanguine Milennium Development Goals  \nMinistry of Finance and Budget  \nMinistère de la Santé et de la Population Mutuelles congolaises d’épargne et de crédit National Health Accounts  \nOut-of-pocket spending  \nPublic Expenditure Tracking Survey  \nPublic Financial Management Primary Health Care  \nPoste de santé  \nRepublic of Congo Sustainable Development Goal Sub-Saharan Africa Tuberculosis  \nTotal Health Expenditure Universal Health Coverage World Health Organisation  \nChapter I. Rationale  \nRationale for a Health Public Expenditure Review (PER)  \nA Health PER informs on the efficiency of health spending and how to use that information to improve quality healthcare delivery. The review seeks to help Ministries of Finance and Health to better understand the adequacy of their health budgets and the way they are spent. PER findings provide informed insight on how to i","cbCaiuuOtVZb8T5r","https://ap.wps.com/l/cbCaiuuOtVZb8T5r","pdf",1505805,3,1,71,"English","en",105,"# Chapter I. Rationale\n## Rationale for a Health Public Expenditure Review (PER) Methodology\n## Inset 1. Primary and secondary data sources\n# Chapter II. The RoC health landscape\n## Structure of the healthcare system\n## Healthcare delivery\n## Inset 2. Concerns over spatial distribution of health facilities\n# Chapter III. Distributional inequalities\n## Need for reliable statistics\n## Geographical disparities\n## Inset 3. RoC health statistics\n## Policy recommendations\n# Chapter IV. The RoC health budget\n## The place of RoC amid peer countries\n## Size of the health budget\n## Inset 4. Reading the national budget\n## Understanding the health budget\n# Chapter V. Health budget execution\n## General observations\n## The serious matter of budget readability\n## Policy recommendations\n# Chapter VI. Major policy choices\n## The challenge of managing local revenue\n## Put in place a coherent HR policy\n## Need for a coherent drug policy\n# Chapter VII. The way forward\n## Use universal but context-specific benchmarks\n## Allow independent budget monitoring and analysis","[{\"question\":\"What is the purpose of the Health Public Expenditure Review (PER)?\",\"answer\":\"The PER assesses the efficiency of health spending and shows how the information can be used to improve the quality of healthcare delivery. It also helps Finance and Health Ministries understand whether health budgets are adequate and how funds are used.\"},{\"question\":\"Who is the primary target audience for the PER?\",\"answer\":\"Government officials are the primary target audience, because they need to be convinced of the utility and relevance of the exercise. Development partners are also interested due to the systemic issues the PER reveals.\"},{\"question\":\"Why are robust data and fund-flow information important for the PER?\",\"answer\":\"The quality of the PER depends on availability of robust, reliable data collected at central and local levels. Fund flows are especially important because they indicate how resources move through the spending process and whether they reach end beneficiaries.\"}]",1784470315,179,{"code":4,"msg":31,"data":32},"ok",{"site_id":25,"language":24,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"health-public-expenditure-review-per-republic-of-congo-2021","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":20},"https://docshare.wps.com/document/research-report/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/health-public-expenditure-review-per-republic-of-congo-2021/108309/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":24,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-07-29","2026-07-19",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is the purpose of the Health Public Expenditure Review (PER)?","Question",{"text":75,"@type":76},"The PER assesses the efficiency of health spending and shows how the information can be used to improve the quality of healthcare delivery. It also helps Finance and Health Ministries understand whether health budgets are adequate and how funds are used.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"Who is the primary target audience for the PER?",{"text":80,"@type":76},"Government officials are the primary target audience, because they need to be convinced of the utility and relevance of the exercise. Development partners are also interested due to the systemic issues the PER reveals.",{"name":82,"@type":73,"acceptedAnswer":83},"Why are robust data and fund-flow information important for the PER?",{"text":84,"@type":76},"The quality of the PER depends on availability of robust, reliable data collected at central and local levels. 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