Provide information on: (i) Benefit of providing budget support/sector budget support on health system strengthening (or system strengthening in other sectors that is relevant), leadership/coordination, service delivery, health outcomes; (ii) benefit of provision of technical assistance to the health sector, particularly Ministry of Healths (MOHs) and/or executive arms of MOHs (Nepal has a Dept of Health that strengthens service delivery while MOH concentrates on policy, monitoring and evaluation, etc); (iii) focus on any cost effectiveness and/or value for money analysis of (i) and (ii) above; (iv) any other existing review of evidence you have that is relevant.
The 2005 Paris Declaration grew out of a consensus on the importance of 'country ownership' to the success of development efforts. In other words, it came to be recognised that the effectiveness of aid depends critically on whether or not a country's leadership is really committed to development. There have been many reviews showing the benefits of budget support and deeming it cost effective. It has been said to provide many benefits, including enabling partner governments to increase expenditure on priority areas, provide more services, particularly in health and education, increased the capacity of partner governments to plan and deliver services effectively and to develop better poverty-focused policies, strengthen their financial management systems and good economic management.
Key documents are listed under the headings:
- Nepal Health Sector
- Benefits of providing budget support
- Cost effectiveness of budget support
- Views on technical assistance
- Cost effectiveness of technical assistance
Holley, C. Helpdesk Report: Cost Effectiveness of Budget Support and Technical Assistance for the Health Sector. Human Development Resource Centre, UK (2012) 23 pp.