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Budgeting and budgetary control in the Ghana health service

机译:加纳卫生服务部门的预算和预算控制

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The budget has been and continues to be a tool for effectuating fiscal policy goals of governments worldwide. The case of developing countries in sub-Saharan Africa, including Ghana is no exception. The arguments in support of systematised budgeting and budgetary control regimes in the public sector of economies, both developed and developing are overwhelmingly persuasive. The aforementioned arguments have been normalised in practice and application to the extent of being unfairly characterised as ritualistic in some cases. Interestingly however, inherent in the ritualistic nature of budgets are useful opportunities for leveraging on the strengths of budgeting and budgetary control for effective service delivery for value-for-money and value-for-many. Polemic evidence suggests that health service delivery remains a major challenge to many economies of the world, especially those of the developing world. This qualitative study relies on interviews and document reviews to analyse the practical challenges of budgeting and budgetary control from the perspective of a developing country, using the health service sector of Ghana as a case in point. The paper argues that harnessing the opportunities for improvement inherent in systematised budgeting and budgetary control could produce synergistic effects in the face of the apparent challenges.
机译:预算一直是并将继续成为实现世界各国政府财政政策目标的工具。包括加纳在内的撒哈拉以南非洲发展中国家也不例外。支持发达经济体和发展中经济体的公共部门的系统化预算和预算控制制度的论点具有说服力。在某些情况下,上述论点已经在实践和应用中进行了规范化,以至于被不公平地描述为仪式主义。然而,有趣的是,预算的礼仪性质固有的是利用预算和预算控制优势来有效交付物有所值和多值价值的有用机会。极有证据表明,卫生服务的提供仍然是世界许多经济体尤其是发展中国家的主要挑战。这项定性研究依靠访谈和文件审查,从发展中国家的角度分析预算和预算控制的实际挑战,以加纳的卫生服务部门为例。该论文认为,利用明显的挑战,利用系统化预算和预算控制中固有的改进机会可以产生协同效应。

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