A New Social Contract for Peru: An Agenda for Improving Education, Health Care, and the Social Safety Net
World Bank, Jan 1, 2006 - Business & Economics - 303 pages
This book examines the issues of accountability in the delivery of public services. Each chapter of the book incorporates, in addition to technical, economic, and statistical analysis, an analysis of the institutional context for service delivery. A common theme that cuts across this book is the issue of accountability as developed by the World Bank in its 'World Development Report: Making Services Work for Poor People' (2004). The main conclusion of the book is that, while Peru has made significant progress in both education and health care, there remain significant challenges to achieving greater equity and better quality of services, particularly for the poor. The book finds that Peru has achieved high levels of coverage in all levels of education and in some programs of basic health care and of social assistance. Still, the average quality of most of these programs is low, and health and education outcomes are extremely inequitable. The book recommends three types of interventions: a. quality standards and quantitative goals need to be set, b. accountability chains need to be established so that providers take responsibility for their services; and c. investments are needed to create and sustain the capacity to reach these goals.
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Improving Education Health Care and Social Assistance for the Poor
in Peru as Percentage of GDP 19702004
Public Expenditure in the Social Sectors
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accountability achievement administrative allocation analysis average beneficiaries Callao citizens civil society CLAS Comedores costs coverage created Cusco decentralization delivery DISA doctors ENAHO ESSALUD established evaluation expenditure facilities factors financing fiscal fiscal neutrality FONCODES food programs framework funds goals groups health professionals health sector hiring hospitals households human resources implementation improve incentives income income quintiles increase INEI institutions investment Latin America Lima Lima Region mechanisms Mesas MIMDES Ministry MINSA monitoring municipalities official organizations parents participation Participatory Budgeting percent of GDP performance personnel Peru Peru's Peruvian Peruvian Literature Piura policymakers poor poorest population poverty primary priority pro-poor quintile reduced reform regional governments role salary schools social assistance social programs Source specific spending standards subnational Table targeting teachers tion Tungasuca UGELs urban users Vaso de Leche voice workfare World Bank