TY  - BOOK
ED  - World Bank.
ED  - World Bank.
TI  - Central America Social Expenditures and Institutional Review: El Salvador
T2  - Public Expenditure Review
PY  - 2015///
CY  - Washington, D.C.
PB  - The World Bank
KW  - Access to Health Services
KW  - Adolescents
KW  - Child Development
KW  - Child Health
KW  - Child Mortality
KW  - Children
KW  - Communicable Diseases
KW  - Crime
KW  - Decision Making
KW  - Diabetes
KW  - Disadvantaged Groups
KW  - Discrimination
KW  - Drugs
KW  - Early Childhood
KW  - Education
KW  - Education For All
KW  - Educational Institutions & Facilities
KW  - Employment Opportunities
KW  - Food Security
KW  - Gross Domestic Product
KW  - Health
KW  - Health Outcomes
KW  - Health Policy
KW  - Health Policy and Management
KW  - Health, Nutrition and Population
KW  - Hospitals
KW  - Household Surveys
KW  - Human Capital
KW  - Human Development
KW  - Human Rights
KW  - Immunizations
KW  - Improving Labor Markets
KW  - Infant Mortality
KW  - International Comparisons
KW  - Knowledge
KW  - Maternal Mortality
KW  - Measles
KW  - Measurement
KW  - Migration
KW  - Mortality
KW  - Mortality Rate
KW  - Nutrition
KW  - Other Human Development
KW  - Population Density
KW  - Pregnancy
KW  - Prenatal Care
KW  - Prevention
KW  - Primary Education
KW  - Public Expenditure, Financial Management and Procurement
KW  - Public Health
KW  - Public Hospitals
KW  - Public Policy
KW  - Public Sector Governance
KW  - Purchasing Power
KW  - Purchasing Power Parity
KW  - Quality of Health Care
KW  - Reproductive Health
KW  - Rural Population
KW  - Sanitation
KW  - School Attendance
KW  - Secondary Education
KW  - Social Development
KW  - Social Protection and Risk Management
KW  - Social Protections & Assistance
KW  - Social Protections and Labor
KW  - Social Safety Nets
KW  - Teacher Salaries
KW  - Tertiary Education
KW  - Trauma
KW  - Unemployment
KW  - Universal Primary Education
KW  - Urban Areas
KW  - User Fees
KW  - Vaccines
KW  - Violence
KW  - Vulnerable Groups
KW  - Weight
KW  - Women
KW  - Workers
N2  - 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
UR  - http://elibrary.worldbank.org/doi/book/10.1596/22491
ER  -