Central America Social Expenditures and Institutional Review El Salvador. [electronic resource] : - Washington, D.C. : The World Bank, 2015. - Public Expenditure Review . - Public Expenditure Review World Bank e-Library. .

El Salvador's development over the past decade has been dichotomous. On the one hand, economic growth has remained persistently low, employment and labor force participation have barely increased, and progress on poverty reduction has slowed. On the other hand, inequality has fallen, and shared prosperity improved together with advances in many social indicators, such as pre-primary enrollment rates, access to prenatal care, immunizations, and water and sanitation. The increase in the use of social spending, which now accounts for 12.4 percent of GDP, together with an improvement in the quality of social spending, explain at least part of this dichotomy of redistributive and social gains despite low growth, a tight fiscal situation and generally low government revenues and spending. Looking forward, the key challenges El Salvador faces are related to continuing improving the quality and efficiency in the social sectors, while maintaining the overall level of social spending within an increasingly constrained fiscal environment, where fiscal constraints, low revenues, and the need to cut the deficit by 3 percent of GDP are significant elements, as well. Priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. This document analyzes social spending for El Salvador for the education, health and social protection and labor sectors in depth and explores a series of policy options for El Salvador to reallocate social spending for more effective impacts, to enhance and reform social policies and social service delivery, and to improve the management of public spending and budget execution in the social sectors.

10.1596/22491


Access to Health Services
Adolescents
Child Development
Child Health
Child Mortality
Children
Communicable Diseases
Crime
Decision Making
Diabetes
Disadvantaged Groups
Discrimination
Drugs
Early Childhood
Education
Education For All
Educational Institutions & Facilities
Employment Opportunities
Food Security
Gross Domestic Product
Health
Health Outcomes
Health Policy
Health Policy and Management
Health, Nutrition and Population
Hospitals
Household Surveys
Human Capital
Human Development
Human Rights
Immunizations
Improving Labor Markets
Infant Mortality
International Comparisons
Knowledge
Maternal Mortality
Measles
Measurement
Migration
Mortality
Mortality Rate
Nutrition
Other Human Development
Population Density
Pregnancy
Prenatal Care
Prevention
Primary Education
Public Expenditure, Financial Management and Procurement
Public Health
Public Hospitals
Public Policy
Public Sector Governance
Purchasing Power
Purchasing Power Parity
Quality of Health Care
Reproductive Health
Rural Population
Sanitation
School Attendance
Secondary Education
Social Development
Social Protection and Risk Management
Social Protections & Assistance
Social Protections and Labor
Social Safety Nets
Teacher Salaries
Tertiary Education
Trauma
Unemployment
Universal Primary Education
Urban Areas
User Fees
Vaccines
Violence
Vulnerable Groups
Weight
Women
Workers

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