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

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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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