12. Financing Health Systems in the 21st Century

Table 12.3: Major Constraints to Countries' Absorption of Additional External Resources

Major Constraints to Countries' Absorption of Additional External Resources
MacroeconomicInstitutionalPhysical and humanSocial, cultural, and political
National governmentDebt sustainabilityMonetary and fiscal policy instrumentsAdministrative, management, and planning skillsStable national political institutions
CompetitivenessPower-sharing mechanisms
Dutch diseaseExchange rate managementTraining technicians and sector specialistsSocial stability
Fiscal instruments and allocative mechanismsn.a.Public expenditure management:Sector management skillsCultural norms
  Budget preparation and executionConnectivity and communications networksWeak institutions
  Accounting and auditingPower-sharing mechanisms
Service delivery and local governmentsn.a.Local government institutionsAccessibilityCultural norms
Private sector capacitySanitation and waterSFTRETRoadsSFTRETGeographySFTRETLocal government skills and capacityEthnic, caste, and class relations

Source: World Bank 2004a.

n.a. = not applicable.