[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-108320-en":3,"doc-seo-108320-105":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},108320,1649267921044,"Ava Thompson","https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1782875107921204101",8,"Research & Report","Kosovo Public Expenditure Review - March 2023","Kosovo Public Expenditure Review (March 2023) examines Kosovo’s public finance performance and the policy options needed to strengthen resilience and improve service delivery. It reviews macro-fiscal conditions, prior recommendations, budget revenues and expenditures, public sector wages, energy financing, and health spending linked to universal health coverage goals. The analysis highlights how structural legacies, shocks, and human and physical capital gaps require fiscal space and reforms, emphasizing that higher spending must be paired with efficiency, structural, and institutional improvements to deliver value for money.","Public Disclosure Authorized Public Disclosure Authorized  \nWORLD BANK GROUP  \nKOSOVO Public  \nExpenditure Review  \nMarch, 2023  \nWORLD BANK GROUP  \nKosovo  \nPublic Expenditure Review  \nMarch 2023  \nContents  \nExecutive Summary 6  \nA New Public Expenditure Review for Kosovo 6  \nPublic sector wages – ensuring a stable foundation for service delivery 9  \nEnergy – financing the green transition 9  \nHealth – investing in human capital 10  \nFiscal Assessment 12  \nI.1. Introduction 13  \nI.2. Assessment of past PER recommendations implementation progress 16  \nI.3. Macro-fiscal landscape challenges 18  \nI.4. Government Budget 25  \nI.4.1. Budget revenues 25  \nI.4.2. Budget expenditures 29  \nI.4.3. Social Assistance Scheme (SAS) in need of pro-poor adjustment 43  \nI.4.4. Pensions 46  \nI.4.5. Policy recommendations 49  \nI.5. Spotlight: Public Wage Bill 51  \nI.5.1. Overview of trends 51  \nI.5.2. New law on public sector salaries 55  \nI.5.3. Policy Recommendations 57  \nI.6. Spotlight: Energy 58  \nI.6.1. Energy sector challenges 58  \nI.6.2. Energy subsidies intimes ofan energy crisis 59  \nI.6.3. Electricity subsidies to the most vulnerable are limited 62  \nI.6.4. The new Energy Strategy 63  \nI.6.5. Policy recommendations 65  \nHealth Policy Assessment 72  \nII.1. Advancing health financing reforms to contribute to universal health coverage goals 73  \nII.2. The link between health financing and UHC 74  \nII.3. Health and health financing in Kosovo 75  \nII.3.1. Overview 75  \nII.3.2. Resource mobilization and health spending 78  \nII.3.3. Risk pooling 82  \nII.3.4. Strategic purchasing 82  \nII.4. Shortcomings in UHC goals associated with health financing arrangements 86  \nII.4.1. Insufficient public spending causes input constraints, poor access, and low quality of care 86  \nII.4.2. Absence of strategic purchasing contributes to inefficiency 89  \nII.4.3. Lack of effective pooling and a guaranteed benefit package 90  \nII.5. Advancing health financing reforms toward UHC goals – overall directions and next steps: policy recommendations 91  \nAnnex 99  \nIII.1. Public wage bill simulation (all data are estimates only based on WB staff simulations) 99  \nIII.2. Energy 102  \nIII.3. Quantification of the alternative DSA scenario 106  \nIII.4. Health Spending across peers 114  \nIII.5. Global good practices in health financing 116  \n4   \nThis report was prepared under the guidance of Xiaoqing Yu (Country Director, Western Balkans), Lalita Moorty (Regional Director, Equitable Growth, Finance and Institutions), Massimiliano Paolucci (Country Manager, Kosovo), Jasmin Chakeri (Practice Manager, Macroeconomics, Trade and Investment), Tania Dmytraczenko (Practice Manager, Health, Nutrition, and Population) and led by Tihomir (Tish) Stucka (Senior Economist, Macroeconomics, Trade and Investment) and co-led by Besart Myderrizi (Economist, Macroeconomics, Trade and Investment), co-led by Ha Thi Hong Nguyen (Senior Economist, , Health, Nutrition, and Population) and including Isolina Rossi (Economist, Macroeconomics, Trade and Investment); Zoran Anusic, Senior Social Protection Specialist), Sarah Coll-Black (Senior Economist, Social Protection), Mrike Aliu (Human Development Specialist, HECHN), Daniel Prinz (Young Professional, Health, Nutrition, and Population), and Tihomir Strizirep (Consultant) .  \nThe team is grateful to Rhedon Begolli (Senior Energy Specialist, Energy) for his inputsand advice, Ivana Bojic and Mjellma Rrecaj (Senior Program Assistant) for administrative support. The team thanks peer reviewers Aghassi Mkrtchyan (Senior Economist), Ajay Tandon (Lead Economist) and Marvin Ploetz (Senior Economist) . The team would also like to thank the representatives of the Ministry of Finance, Labor, and Transfers, as well as the Ministry of Health and the Board of the Health Insurance Fund for comments on the draft health chapter, as well as participants to the Round Table on Advancing Health Reforms toward Universal Health Coverage on March 20, 2023 in Pristina, K","cbCaifF2G6pxBpcj","https://ap.wps.com/l/cbCaifF2G6pxBpcj","pdf",7738193,4,1,124,"English","en",105,"# Executive Summary\n## A New Public Expenditure Review for Kosovo\n## Public sector wages – ensuring a stable foundation for service delivery\n## Energy – financing the green transition\n## Health – investing in human capital\n# Fiscal Assessment\n## Introduction\n## Assessment of past PER recommendations implementation progress\n## Macro-fiscal landscape challenges\n## Government Budget\n## Spotlight: Public Wage Bill\n## Spotlight: Energy\n# Health Policy Assessment\n## Advancing health financing reforms to contribute to universal health coverage goals\n## The link between health financing and UHC\n## Health and health financing in Kosovo\n## Shortcomings in UHC goals associated with health financing arrangements\n## Advancing health financing reforms toward UHC goals – overall directions and next steps: policy recommendations\n# Annex","[{\"question\":\"What is the main purpose of the Kosovo Public Expenditure Review (March 2023)?\",\"answer\":\"It evaluates Kosovo’s public expenditure performance and assesses how reforms can strengthen resilience while improving service delivery across key sectors, including wages, energy, and health.\"},{\"question\":\"How does the report view Kosovo’s macro-fiscal situation and resilience to shocks?\",\"answer\":\"It credits Kosovo’s prudent macro-fiscal management but notes that overlapping external shocks exposed volatility linked to structural legacies, making stronger resilience measures necessary.\"},{\"question\":\"Why does the report emphasize efficiency reforms alongside increased spending?\",\"answer\":\"It argues that additional spending alone is insufficient; value for money depends on structural and institutional reforms that improve efficiency and service delivery, especially in health, education, energy, and social protection.\"}]",1784470405,312,{"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},"kosovo-public-expenditure-review-march-2023","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"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":50},"https://docshare.wps.com/document/research-report/",3,{"item":52,"name":13,"@type":43,"position":20},"https://docshare.wps.com/document/kosovo-public-expenditure-review-march-2023/108320/",{"url":52,"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","2026-07-30","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 main purpose of the Kosovo Public Expenditure Review (March 2023)?","Question",{"text":75,"@type":76},"It evaluates Kosovo’s public expenditure performance and assesses how reforms can strengthen resilience while improving service delivery across key sectors, including wages, energy, and health.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How does the report view Kosovo’s macro-fiscal situation and resilience to shocks?",{"text":80,"@type":76},"It credits Kosovo’s prudent macro-fiscal management but notes that overlapping external shocks exposed volatility linked to structural legacies, making stronger resilience measures necessary.",{"name":82,"@type":73,"acceptedAnswer":83},"Why does the report emphasize efficiency reforms alongside increased spending?",{"text":84,"@type":76},"It argues that additional spending alone is insufficient; 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