Russian federation : Social Expenditure and Fiscal Federalism in Russia

World Bank

Russian federation : Social Expenditure and Fiscal Federalism in Russia

2011

World Bank

The Russia Social Expenditure Review (SER) has been undertaken by the human development team in the Europe and Central Asia Region of the World Bank at the request of the Ministry of Finance of the Russian Federation. This Report presents the key findings of the Russia SER work. The key objectives of the SER are to: 1) benchmark Russia's social spending and some human development outcomes to those in Organization for Economic Co-operation and Development (OECD) countries; 2) present a topology of Russia's regions in terms of spending efficiency in health and education; 3) identify options for achieving higher levels of efficiency in public spending on health and education; and 4) analyze the system of inter-budgetary transfers in the framework of delivery of social services, and suggest options for improvements in this system. The findings presented in the report are not intended as normative statements on what should be the right levels of spending or the right composition of spending in Russia or its regions. The analysis of social sector spending is undertaken keeping in mind that efficiency and equity considerations are closely linked to institutional changes in the policy environment. The public spending efficiency reforms are indeed quite high on the policy agenda in Russia, but they are implemented unevenly across regions.

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cardiovascular diseases communicable diseases exchange rate families food prices gross domestic product health insurance health services hospitals household budget housing immunodeficiency laws mortality mountainous areas municipal governments patient physicians poverty reduction private sector public education public expenditure public health public sector public services regional development risk factors rural areas social insurance social protection social security social services social welfare workers

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World Bank

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Outcome indicator; Expenditure efficiency; Budgetary funds; Primary health care; General practitioners; Financial crisis; Fiscal federalism; Poor health; Perverse incentives; Reform project; Regional ranking; Municipalities; Budget legislation; Regional governments; Health expenditures; Reform agenda; Education system; Rich regions; Health insurance fund; Life expectancy; Regional budgets; Education policies; Regional analysis; Ministry of finance; Matching grants; Poorer regions; Capita allocation; Fiscal capacity; Regional variations; Capita across regions; Social protection expenditures; Service providers; Federal grants; Public sector spending; Public employment; Efficiency of public spending; Regional price; Performance measurement; Fiscal pressures; Budget code; Health outcomes; Public funding; Efficiency gains; Local budgets; Volume of inputs; Poor families; Regional diversity; Disabilities; Higher expenditure; Budget constraint; Decentralization process; Equity of public spending; Fiscal cost; Total spending; Regional disparities; Budget law; Health sector; Performance indicators; Delivery of health services; Regional inequality; Road traffic; Cost-benefit analysis; Midwifes; Government performance; Total expenditure; Regional administrations; Social expenditures; Expenditure levels; Financial resources; Regional price differences; Expenditures per capita; Fiscal decentralization; Administrative costs; Health spending; Budget deficits; Federal budget; Price index; Quality of education; Access to transportation; Intergovernmental transfers; Regional inequalities; Programs; Regional perspective; Budget efficiency; Sub-national; Human development; Intergovernmental fiscal relations; Public funds; Public service; Total expenditures; Revenue mobilization; Pension reform; Social protection spending; Health indicators; Government budget; Regional education; Injuries; Regional spending; Assignment of responsibilities; Government spending; Social expenditure; Maternal mortality; Public resources; Ability of regions; Fiscal policy; Production function; National priorities; Efficiency in public spending; Ministry of education; Food stamps; Policy environment; Expenditures on health; Fiscal transfers; Public spending levels; Service provision; Social benefits; Employment status; Social assistance; Regional product; Education spending; Access to household; Public service delivery; Education reform; Intergovernmental relations; Provision of services; Allocation of resources; Efficiency incentives; Budget expenditure; Health systems; Average wages; Equity considerations; Budget allocation; Efficiency improvements; Entitlements; Nurses; Regional authorities; Regional variation; Expenditure per capita; Expenditure per student; Fiscal envelope; Regional level; Public expenditures; Performance evaluation; Government expenditure; Provision of education services; Tax capacity; Government outlays; Regional system; Cost-effectiveness; Health expenditure; International comparisons; Education expenditures; Public expenditure review; Budget envelope; Levels of efficiency; Health policy; Regional differences; Budget amendments; Assignment of expenditure responsibilities; Fiscal savings; Pension fund

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http://hdl.handle.net/10986/2735http://creativecommons.org/licenses/by/3.0/World BankCreative Commons Attribution CC BY 3.0

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Russian federation : Social Expenditure and Fiscal Federalism in Russia

2011

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