[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-108715-en":3,"doc-seo-108715-105":31,"detail-sidebar-cat-0-en-105":93},{"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":28,"seo_description":14,"update_tm":29,"read_time":30},108715,1374391975076,"Riley","https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051",8,"Research & Report","Zimbabwe Health Sector Public Expenditure Review 2022 - March 2022","Zimbabwe Health Sector Public Expenditure Review 2022 assesses how health spending is allocated, executed, and used to deliver services. It reviews aggregate spending levels and government health expenditure, examines financing efficiency and equity, and analyzes how strategic planning, budgeting, and accountability affect budget execution. The review also considers fragmentation of health spending, pharmaceutical procurement, results-based financing, and the balance between development partner funding and Ministry of Health and Child Care spending.","Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized  \nZimbabwe  \nHealth Sector  \nPublic Expenditure  \n\n|  March 2022  |\n| --- |\n| HNP |\n\nZimbabwe  \nHealth Sector Public Expenditure Review 2022  \n\n| This interactive document has been optimised for use on computers and tablets in portrait orientation. To return to the table of contents at anytime please tap or click on the hand symbol (see right) located at the top of each page.\u003Cbr>\u003Cbr> |  |\n| --- | --- |\n\nSection  \nSubsection  \nn  \n© 2022 The World Bank  \n1818 H Street NW, Washington DC 20433  \n[Internet:](Internet: www.worldbank.org)[ www.worldbank.org](Internet: www.worldbank.org);  \nTelephone: 202-473-1000 Some rights reserved  \nThis work is a product of the staff of The World Bank.  \nThe 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 that they represent.  \nThe 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 territory or the endorsement or acceptance of such boundaries.  \nRights and Permissions  \nThe 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.  \nAttribution  \nPlease cite the work as follows: “World Bank. 2022. Zimbabwe Health Sector Public Expenditure Review 2022. © World Bank.”  \nAll queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: [pubrights@worldbank.org](pubrights@worldbank.org).  \nCover image: David Lloyd and Greative Design Studio  \nD  \nn  \nContents  \nList of Acronyms Acknowledgment Executive Summary  \nZimbabwe  \nHealth Sector Public Expenditure Review 2021  \nn  \niii  \nvi  \nviii  \nChapter 1. Introduction 01  \nChapter 2: Zimbabwe’s Health Sector Context 03  \nZimbabwe’s Demographic and Health Outcomes 04  \nChapter 3: Trends and Patterns in Aggregate Health Spending 13  \nTotal Health Expenditure 14  \nGovernment Health Expenditure 18  \nDP Health Expenditure 22  \nChapter 4: Efficiency and Equity of Health Spending Allocations 25  \nPublic Spending Priorities – how executed MoHCC spending is allocated 26  \nHuman Resources for Health Spending 31  \nNon-wage Government Health Spending 35  \nComplementarity of DP Spending with the MoHCC 36  \nSpending Allocations by Disease 38  \nGeographic Allocation of Spending 41  \nSocioeconomic Equity 43  \ni  \nn  \nContents  \nn  \nChapter 5: Efficiency and Effectiveness of Health Financing Systems 48  \nThe Link between Strategic Planning and Budget Execution 49  \nAccountability and Internal Controls 55  \nFragmentation of Health Spending 56  \nPharmaceuticals Procurement 58  \nResults Based Financing 59  \nPrivate Insurance Financing 59  \nChapter 6: Conclusions and Recommendations 63  \nKey Findings 64  \nProgress Towards Achieving the Recommendations of the Last PER 68  \nRecommendations 69  \nAnnexes 76  \nAnnex 1: Assessment of the Program-based Budgeting Reform in Health 77  \nAnnex 2: Harare City Case Study 86  \nAnnex 3: Institutional and Governance Arrangements 90  \nAnnex 4: Health Service Provision Structure 93  \nAnnex 5: Fund Flow Mechanisms 96  \nAnnex 6: Notes on data and methodology 100  \nNotes on THE data 100  \nNotes on GHE data 101  \nReferences 104  \nii  \nn  \nZimbabwe  \nHealth Sector Public Expenditure Review 2021  \nn  \nList of Acronyms  \nAHFoZ  \nAIDS  \nAMTO  \nANC  \nARI  \nART  \nCBD  \nCIMAS  \nDALY  \nD&D  \nDHE  \nDHMT  \nDHO  \nDMO  \nDP  \nDPT  \nEPI  \nEU  \nFCDO  \nGAVI  \nGGE  \nGDP  \nGHE  \nGHED  \nGNI  \nGoZ  \nHCHD  \nH","cbCairCc79yQ3O9j","https://ap.wps.com/l/cbCairCc79yQ3O9j","pdf",6115677,5,1,136,"English","en",105,"# Contents\n## List of Acronyms\n## Acknowledgment\n## Executive Summary\n## Chapter 1. Introduction\n## Chapter 2: Zimbabwe’s Health Sector Context\n## Zimbabwe’s Demographic and Health Outcomes\n## Chapter 3: Trends and Patterns in Aggregate Health Spending\n## Total Health Expenditure\n## Government Health Expenditure\n## DP Health Expenditure\n## Chapter 4: Efficiency and Equity of Health Spending Allocations\n## Public Spending Priorities – how executed MoHCC spending is allocated\n## Human Resources for Health Spending\n## Non-wage Government Health Spending\n## Complementarity of DP Spending with the MoHCC\n## Spending Allocations by Disease\n## Geographic Allocation of Spending\n## Socioeconomic Equity\n## Chapter 5: Efficiency and Effectiveness of Health Financing Systems\n## The Link between Strategic Planning and Budget Execution\n## Accountability and Internal Controls\n## Fragmentation of Health Spending\n## Pharmaceuticals Procurement\n## Results Based Financing\n## Private Insurance Financing\n## Chapter 6: Conclusions and Recommendations\n## Key Findings\n## Progress Towards Achieving the Recommendations of the Last PER\n## Recommendations\n## Annexes\n## References","[{\"question\":\"What topics does the Zimbabwe Health Sector Public Expenditure Review 2022 cover?\",\"answer\":\"The review covers spending levels and trends, the efficiency and equity of health spending allocations, and the effectiveness of health financing systems, including budgeting execution and accountability.\"},{\"question\":\"How does the review assess equity in health spending?\",\"answer\":\"It examines socioeconomic equity and geographic allocation of spending to understand how resources are distributed across groups and locations.\"},{\"question\":\"What recommendations are included in the report?\",\"answer\":\"The report presents key findings and recommendations, along with progress towards achieving recommendations from the previous PER, to guide improvements in health financing and expenditure execution.\"}]","Zimbabwe Health Sector Public Expenditure Review 2022 - March 2022 | PDF",1784473488,343,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":88,"head_meta":90,"extra_data":92,"updated_unix":29},"zimbabwe-health-sector-public-expenditure-review-2022-march-2022","",{"@graph":37,"@context":87},[38,55,70],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,49,52],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":48},"https://docshare.wps.com/document/","Document",2,{"item":50,"name":12,"@type":44,"position":51},"https://docshare.wps.com/document/research-report/",3,{"item":53,"name":13,"@type":44,"position":54},"https://docshare.wps.com/document/zimbabwe-health-sector-public-expenditure-review-2022-march-2022/108715/",4,{"url":53,"name":13,"@type":56,"author":57,"headline":13,"publisher":59,"fileFormat":62,"inLanguage":24,"description":14,"dateModified":63,"datePublished":64,"encodingFormat":62,"isAccessibleForFree":65,"interactionStatistic":66},"DigitalDocument",{"name":9,"@type":58},"Person",{"url":42,"name":60,"@type":61},"DocShare","Organization","application/pdf","2026-07-30","2026-07-19",true,{"@type":67,"interactionType":68,"userInteractionCount":20},"InteractionCounter",{"@type":69},"ViewAction",{"@type":71,"mainEntity":72},"FAQPage",[73,79,83],{"name":74,"@type":75,"acceptedAnswer":76},"What topics does the Zimbabwe Health Sector Public Expenditure Review 2022 cover?","Question",{"text":77,"@type":78},"The review covers spending levels and trends, the efficiency and equity of health spending allocations, and the effectiveness of health financing systems, including budgeting execution and accountability.","Answer",{"name":80,"@type":75,"acceptedAnswer":81},"How does the review assess equity in health spending?",{"text":82,"@type":78},"It examines socioeconomic equity and geographic allocation of spending to understand how resources are distributed across groups and locations.",{"name":84,"@type":75,"acceptedAnswer":85},"What recommendations are included in the report?",{"text":86,"@type":78},"The report presents key findings and recommendations, along with progress towards achieving recommendations from the previous PER, to guide improvements in health financing and expenditure execution.","https://schema.org",{"og:url":53,"og:type":89,"og:title":13,"og:site_name":60,"og:description":14},"article",{"robots":91,"canonical":53},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":94},[95,99,103,107,111,116,121,124,129,132,136],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":96,"show_sort_weight":97,"slug":98},"Story & Novel",90,"story-novel",{"id":48,"doc_module":4,"doc_module_name":47,"category_name":100,"show_sort_weight":101,"slug":102},"Literature",80,"literature",{"id":54,"doc_module":4,"doc_module_name":47,"category_name":104,"show_sort_weight":105,"slug":106},"Exam",70,"exam",{"id":20,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":47,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":117,"doc_module":4,"doc_module_name":47,"category_name":118,"show_sort_weight":119,"slug":120},7,"Healthcare",40,"healthcare",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":122,"slug":123},30,"research-report",{"id":125,"doc_module":4,"doc_module_name":47,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":47,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":133,"doc_module":4,"doc_module_name":47,"category_name":134,"show_sort_weight":133,"slug":135},10,"Lifestyle","lifestyle",{"id":137,"doc_module":4,"doc_module_name":47,"category_name":138,"show_sort_weight":20,"slug":139},19,"General","general"]