The objective of this public expenditure review (PER) is to provide the government with options for fiscal consolidation and support macroeconomic stability in the medium-term. This PER addresses the broad topic of expenditure efficiency and examines options for expenditure rationalization to...

In 2016, the Government of Bulgaria (GoB) decided to initiate spending reviews to improve the efficiency and effectiveness of its spending in the context of a moderate fiscal consolidation process. Though Bulgaria has one of the lowest overall spending in the European Union (EU), spending...

The exit of the United Kingdom from the European Union (Brexit) may have a negative impact on trade and investment flows not just for the UK, but also for the countries with the largest exposure to the UK. The indirect impact of a Brexit-induced recession in the UK -may also be felt in the EU...

Decentralization and democratization in the Latin America and the Caribbean region have produced a wave of innovations on the local government level upgrading professional staffs, raising taxes and user fees, delivering better services, and mobilizing participation in public choice-making. This...

The report summarizes the findings of an allocative efficiency analysis to support Senegal's national HIV response. Senegal has recently developed a National HIV Strategic Plan (NSP) (2014-17) and a Global Fund concept note (2015-17). The Government of Senegal would like to mobilize additional...

This allocative efficiency analysis intended to assess Mozambique's progress towards TB strategic targets, and provide decision support for TB strategy using a combined TB epidemiological component and an economic and program analysis framework (Optima TB). Input data were collected from NTP...

This Public Expenditure Review is focused on the quality and sustainability of public spending. The key objective of this Public Expenditure Review (PER) is to assess the quality of public spending, by evaluating its efficiency and effectiveness, while also delving into sustainability...

The objective of this PEFA assessment is to provide the Government of Mongolia (GoM) and its development partners with an objective, up-to-date diagnostic of the national-level public financial management (PFM) performance based on the latest PEFA methodology. The 2021 PEFA assessment is...

Sierra Leone is a low-income, small West African country of approximately 7.65 million population. Over the past decade, the country has made gains on several health indicators, but it faces huge challenges. Infectious diseases remain the leading causes of morbidity and mortality, but...