The public sector in the Caribbean : issues and reform options

The public sector's performance in the Caribbean varies, in reducing poverty and in creating an enabling environment for growth. Barbados and the Bahamas have been the high performers, Guyana and the Dominican Republic have been sluggish, and the other Caribbean countries fall in between. In the Caribbean region, the public sector is now the predominant provider of tertiary education and health services (university education and hospital-based curative care), which mainly benefit the nonpoor. Attempts must be made to recover costs from high-income users and use that revenue to improve the quality and quantity (as appropriate) of basic services. Lessons from experience suggest that most Caribbean countries need to encourage the private sector to participate more in providing infrastructure and need to provide a better regulatory framework. The good news: this is already taking place in many countries.Health Monitoring&Evaluation,Public Health Promotion,Public Sector Economics&Finance,Decentralization,Environmental Economics&Policies,Public Sector Economics&Finance,Health Monitoring&Evaluation,Poverty Assessment,National Governance,Inequality

The public finance of infrastructure : issues and options

Using economic principles, the author provides criteria for financing infrastructure services where consumption-related user charges can be levied effectively. In light of the suggested criteria, the author examines the experience of developing countries in financing publicly provided infrastructure services in transport (road), water, telecommunications, and power. In developing countries, most infrastructure is provided by the public sector, although the private sector has become increasingly involved. Because it is difficult to raise funds through general taxes, self financing of these services remains a desirable second-best policy, one that almost all developing countries endorse. But experience suggests that, except in telecommunications, full cost recovery is more the exception than the rule. Financing remains inadequate. The political economy of tariff setting is an important element in low improperly designed user charges, infrequent adjustments for inflation, and poor enforcement. Such sectors as water, power, and transportation drains funds from the treasury, although their impact varies from sector to sector. When it is difficult to get budget transfers to materialize - especially during a fiscal crisis - there is often a reduction in nonwage operations and maintenance expenditures. As a result, services deteriorate. The private provision of infrastructure services is often suggested as an alternative. The private provision of services can certainly reduce the public sector's financing requirement. For infrastructure services for which technological advances have made competition possible, the market system could ensure efficient private provision of services, which could be a relief to the public sector. But for services that require a single provider to achieve economies of scale and similar benefits, the private provision of services will work only if an appropriate rate of return is assured - and only if user charges cover costs.Urban Economics,Public Sector Economics&Finance,Environmental Economics&Policies,Town Water Supply and Sanitation,Banks&Banking Reform

The implications of foreign aid fungibility for development assistance

A foreign aid or foreign lending policy that focuses exclusively on project financing may have unintended consequences, report the authors. New research shows that aid intended for crucial social and economic sectors often merely substitutes for spending that recipient governments would have undertaken anyway and the funds that are thereby freed up are spent for other purposes. If the aid funds something that would have been done anyway, traditional ways of evaluating the aid's effectiveness are not really accurate. Ifaid funds are fungible and the recipient's public spending program is unsatisfactory, project lending may not be cost-effective. If the recipient's public spending program is satisfactory, perhaps the donor should finance a portion of it instead of financing individual projects. One solution to the problem of fungibility, then, is that donors could tie assistance to an overall public spending program (in the recipient country) that provides adequate resources to crucial sectors. To make this kind of reform operational, the authors propose a new lending instrument: a public expenditure reform loan (PERL). A PERL would tie an institution's lending strategy to the recipient country's achievement of mutually agreed-upon development goals. Everyone agrees that better donor coordination is needed, but it has been difficult to achieve because some donors tend to prefer projects (usually with the national flag flying over them). By agreeing on a public expenditure program and financing a portion of it, the World Bank credibly ask other donors to do the same.Payment Systems&Infrastructure,Development Economics&Aid Effectiveness,Gender and Development,Decentralization,Economic Adjustment and Lending,Development Economics&Aid Effectiveness,Poverty Assessment,National Governance,Economic Adjustment and Lending,Public Sector Economics&Finance

Discovery and Testimony of Unretained Experts: Creating a Clear and Equitable Standard to Govern Compliance With Subpoenas

Hearing impairment is known to be one of the most frequent sensory impairments. This condition is known to be a hidden disorder which is under recognised and under treated all around the world. The World Health Organisation (WHO) estimates suggest that there are over 275 million people with hearing impairment and 80% of them living in low and middle income countries. Moreover, the estimates suggest that incidence and prevalence of hearing loss and also the number of people with hearing loss accessing services varies considerably across countries. This rises the need for health promotion (or public awareness campaigns) directed to increase awareness and education of hearing loss and hearing healthcare. This paper provides brief discussion on ‘Stories and storytelling’, ‘Cross-culture and cross-cultural communication’ and ‘Health promotion and cultural sensitivity’. The central focus of this paper is to highlight the applications of storytelling in different cultural context in health promotion, particularly to hearing loss public awareness campaigns

Public spending and outcomes : does governance matter?

The authors examine the role of governance-measured by level of corruption and quality of bureaucracy-and ask how it affects the relationship between public spending and outcomes. Their main innovation is to see if differences in efficacy of public spending can be explained by quality of governance. The authors find that public health spending lowers child and infantmortality rates in countries with good governance. The results also indicate that as countries improve their governance, public spending on primary education becomes effective in increasing primary education attainment. These findings have important implications for enhancing the development effectiveness of public spending. The lessons are particularly relevant for developing countries, where public spending on education and health is relatively low, and the state of governance is often poor.Health Systems Development&Reform,Public Health Promotion,Public Sector Economics&Finance,Decentralization,Health Monitoring&Evaluation,Health Economics&Finance,National Governance,Governance Indicators,Health Monitoring&Evaluation,Public Sector Economics&Finance

PENERAPAN MODEL TEACHING GAMES FOR UNDERSTANDING DALAM PERMAINAN BOLA BESAR DI SDN MUNDAKJAYA 1 (Studi Penelitian Tindakan Kelas Pada Siswa kelas V SDN MUNDAKJAYA 1)

The purpose of this study was to find out the results of the application of the Teaching Games For Understanding model specifically in improving students' understanding of playing in big ball games. This research was conducted because there were several problems in the elementary school environment where students were still focused on the teacher when the learning process and a teacher in applying game learning were fixed to the technique. This study uses a classroom action research method (PTK) which uses 2 cycles of 4 actions at Mundakjaya 1 Elementary School SDN. , 56 volleyball games, and 59 for the overall knowledge value. From the first cycle of action I students get 60 points for soccer games, 56 basketball games, 56 volleyball games, 62 overall knowledge. In the first cycle, action II obtained a score with an average of 64 for football games, 63 basketball, 62 volleyball games, the overall value of knowledge 66. From cycle II action I got a score on soccer games with an average of 68, 64 basketball game, 67 volleyball games, overall knowledge 68. In cycle II action II got 78 football games, 78 basketball games, 78 volleyball games, 82 overall knowledge scores. From these results it can be concluded that the application of teaching games for understanding models can improve students' understanding of play

Foreign aid's impact on public spending

Using a model of aid fungibility, the authors examine the relationship between foreign aid and public spending. Based on a panel of cross-country and time-series data, their results show that roughly 75 cents of every dollar given in net development assistance goes to current spending and 25 cents to capital spending in the recipient countries. But concessionary loans - a component of development assistance - stimulate far more government spending. Their results also show that aid increases both public and private investment. To test aid fungibility across both public spending categories, they use a newly constructed data series on the net disbursement of concessionary loans. They find that concessionary loans given to the transport and communication sector are fully nonfungible. But loans to the energy sector are converted into fungible monies and part of the funds leak into transport and communications. Loans to agriculture and education are also fungible. There is no evidence of concessionary funds being diverted for military purposes. Their results show that total public spending in the health sector has no impact on reducing infant mortality, but concessionary loans to the health sector do. This finding leads the authors to conclude that linking foreign aid to an agreed-upon public spending program in areas critical to development might be an effective way to transfer resources to developing countries.Decentralization,Gender and Development,Development Economics&Aid Effectiveness,Public Sector Economics&Finance,Economic Theory&Research,Inequality,Development Economics&Aid Effectiveness,Public Sector Economics&Finance,National Governance,Economic Stabilization

What does aid to Africa finance?

If a donor gives aid for a project that the recipient government would have undertaken anyway, the aid finances expenditures other than the intended project. The notion that aid in this sense may be"fungible"has recently received empirical support. The authors look at why aid isfungible or nonfungible, and the extent to which it is fungible in Sub-Saharan Africa. Their results suggest that aid may be partially fungible in Africa and suggests some reasons. They find relatively little evidence that aid leads to greater tax relief in Africa. Every dollar of aid leads to a 90-cent increase in government spending. The implications of this result are by no means clear. If the marginal cost of taxation is exceptionally high - which it might be in African countries - using aid for tax relief may be the best use of foreign resources. Aid's effect on the composition of current and capital spending? They increase equally. Even if all aid were intended to finance capital spending, the reallocation to current spending might not necessarily be harmful. The fungible of loans to specific sectors generally mirrors patterns found in a broader sample of countries. Aid to energy, transport, and communication sectors increase public spending in those sectors somewhat but by no means one for one. (By contrast, in the worldwide sample, aid to transport and communications was almost fully nonfungible). Aid to the education sector - which had no discernible effect on education spending in the global sample - had an almost one-for-one effect on education spending in Africa. Even in these partially fungible sectors, governments spend more out of aid resources than they do out of their own resources, at the margin. Governments do not spend all sectoral aid in that sector - nor do they treat such aid as merely budgetary support. The more donors to a country, the more likely aids is to be fungible. If the number of donors represents a proxy for monitoring costs, it is not surprising that most aid is partly fungible.Economic Adjustment and Lending,Development Economics&Aid Effectiveness,Gender and Development,Payment Systems&Infrastructure,School Health,School Health,Public Sector Economics&Finance,Economic Adjustment and Lending,Urban Economics,Development Economics&Aid Effectiveness

What do governments buy? The composition of public spending and economic performance

The authors develop a simple analytical framework that shows how the composition of public spending affects economic growth. Distinguishing between productive and unproductive government spending (that which complements private sector productivity and that which does not), they show that increasing the share of productive spending leads to a higher steady-state economic growth rate. They use data from 69 developing countries over 20 years to determine which components of public spending are productive. They find that an increase in the share of current spending has positive and statistically significant effects on growth. Otherwise, the news is mainly negative. The relationship between the capital component of public spending and per capita growth is negative. The same is true of the share of spending on transport and communications. The shares spent on health and education have no significant impact, although parts of those shares - the parts spent on preventative care and"other education"- do. The results raise the question whether public spending actually leads to a flow of public goods and services.National Governance,Achieving Shared Growth,Inequality,Economic Growth,Public Sector Economics&Finance