By World Bank
Following the East Asian monetary concern, the Pacific Island Member international locations (PMC) seem to be headed towards recession. The governments are more and more conscious that state-led progress, established upon excessive degrees of public funding and fiscal relief, has no longer considerably elevated in step with capita source of revenue or the standard of lifestyles. development a extra resilient fiscal base has develop into an issue of political urgency. This file discusses how the PMC's improvement schedule might be carried out and emphasizes interlinking issues approximately bettering the function of presidency.
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Additional resources for Enhancing the Role of Government in the Pacific Island Economies
Thus, the challenge is to meaningfully include local leaders in publichealth campaigns. The budget allocation between wages, supplies, maintenance and investment should be guided by cost/benefit considerations which will achieve the objectiveat the lowestcost. For example, governmentmight reduce its direct involvement by regulating or permitting private management or even ownership of health care facilities by physicians,NGOs and church groups, even in core government activities. In the 1997 budget, Fiji reduced health sector costs by contracting out cleaning services, transportation,catering,and laundry,among other services.
Students who pursue tertiary education are likely to earn higher incomes later. But cost recovery mechanisms are virtually nonexistent in the PMCs and should be developed as is being done in Fiji. Instead of funding post-secondary training abroad, government and donor assistance should be channeled to the government's core activities in basic education. Government 30 and donors should also refrain from establishing or funding educational institutions outside these activities since such funding will preempt resources to core activities.
This is the case in the Solomon Islands' bednet program for malaria prevention. Meanwhile, national governments continue to concentrate their scarce resources on much highercost curativeservices. Despite heavy government expenditures, basic health care needs m all the PMC are largely unmet. But in this area, the social returns are the highest, and government involvement is crucial in public and preventivecare, especially in rural parts of the country. Governmentshould not provide or finance all health care.
Enhancing the Role of Government in the Pacific Island Economies by World Bank