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Nepal Country Report: An assessment of the political economy factors that shape the prioritisation and allocation of resources for essential health services for women and children
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How countries prioritise, plan, allocate, and use their own financial, human and natural resources has become increasingly important in international development. Moreover, the majority of the world’s poor now live in middle income countries that already have the means to promote growth and reduce poverty. As development funding decreases as a share of total public investment, development partners increasingly understand that effective, strategic and durable assistance should help developing countries use their own resources better. The ‘country-driven development’ vision of the Paris Declaration and Accra Agenda for Action points unmistakably to the importance of national planning and budgeting. However, decisions on the allocation of scarce resources are rarely made purely on the basis of technical criteria: political and other factors also shape decision- makers’ choices. It is therefore important for development partners to also understand how and why governments in developing countries prioritise and allocate their own resources (as well as those of development partners).
Since 2011, the Australian Government has been providing development assistance to improve reproductive, maternal, newborn and child health (RMNCH) outcomes in Bangladesh, Indonesia, the Philippines and Nepal. The approach focuses on improved use of local data in the prioritisation, planning and allocation of resources at district level. The main objective has been to develop, through district-level pilots, an ‘investment case’ to encourage sub-national governments to fund RMNCH as a key area of human development. Australian aid funding was channelled through UNICEF and other partners working with governments at national and district level in each country.
To deepen its understanding of the political economy of health and RMNCH in those four countries, UNICEF undertook a related analysis during July-September 2014. A mixed methodology was used, drawing on expert recommendations from academia and development experts. A questionnaire was developed based on a review of the relevant peer-reviewed and grey literature. Local data was gathered and interviews conducted in-country. This report provides the findings for Nepal.
UNICEF ,   (2014 )
Type / Script:
Progress Report in English
Thematic Group:
 UNICEF : Children Fund
02.04.00  -  Development
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