Public Spending on Health Care in Africa: Do the Poor Benefit?

by | Jan 24, 2001

This paper examines the distribution of health services in seven African countries – Cote d’Ivoire, Ghana, Guinea, Kenya, Madagascar, South Africa, and Tanzania. The authors find that public spending on curative health care mostly favors the better-off rather than the poor and observe that the constraints that prevent the poor from taking advantage of these services must be addressed if the public subsidies are to be effective in reaching the poor. Brief summaries in French and Spanish are included.

Are New PFM Reforms in the WAEMU and the CEMAC Working? Lessons from the Open Budget Survey

by | Apr 11, 2014

April 2014 | International Budget Partnership

The objective of this paper is to revisit the evolution of budget transparency, government accountability, and citizen engagement in the budgetary process in WAEMU and CEMAC countries. It uses the  Open Budget Survey to assess Member States’ compliance with new regional PFM Directives and therefore good governance and budget transparency.

Côte d’Ivoire

by | Jan 29, 2018

[vc_section][vc_row equal_height=”yes” content_placement=”top”][vc_column][vc_row_inner equal_height=”yes” content_placement=”top”][vc_column_inner width=”1/3″][vc_column_text el_class=”country-summary-score”]

Transparency

24

out of 100
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Public Participation

0

out of 100
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Budget Oversight

31

out of 100
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[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]IBP considers countries that score above 60 on the Open Budget Index as providing sufficient budget information to enable the public to engage in budget discussions in an informed manner. IBP considers countries scoring above 60 on participation and oversight as providing adequate opportunities for the public to participate in the budget process and providing adequate oversight practices, respectively.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator color=”white” border_width=”10″][/vc_column][/vc_row][/vc_section][vc_section el_id=”transparency”][vc_row equal_height=”yes” content_placement=”top”][vc_column][vc_column_text]

Transparency (Open Budget Index)

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24

out of 100

[/vc_column_text][/vc_column][vc_column width=”5/6″][vc_column_text]Côte d’Ivoire provides the public with minimal budget information.
[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/2″][rrj_bar_chart title=”How Does Côte d’Ivoire’s Open Budget Index Score Compare?” labels=”Côte d’Ivoire 2017; 2017 Average” datasets=”%5B%7B%22title%22%3A%22Score%20(out%20of%20100)%22%2C%22tooltips_format%22%3A%22%7By%7D%22%2C%22values%22%3A%2224%3B42%22%2C%22color%22%3A%22%23a1a14e%22%2C%22bar_bg%22%3A%22plain%22%7D%5D” cat_per=”50″ legend=”” tooltip_mode=”nearest” title_align=”left” title_tag=”h5″ axes_color=”#333333″ axis_zero=”yes” jsoptions=”e3NjYWxlczogewogICAgICAgIHlBeGVzOiBbewogICAgICAgICAgICB0aWNrczogewogICAgICAgICAgICAgICAgbWF4OiAxMDAsIAogICAgICAgICAgICAgICAgbWluOiAwLAogICAgICAgICAgICAgICAgc3RlcFNpemU6IDEwLAogICAgICAgICAgICB9CiAgICAgICAgfV0KICAgIH0KfQo=” jsdata=”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” css=”.vc_custom_1520359426440{margin-bottom: 20px !important;}”][vc_column_text]

In the Open Budget Survey 2017, this country is being assessed for the first time.

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Recommendations for Improving Transparency

Côte d’Ivoire should prioritize the following actions to improve budget transparency:

  • Publish a Mid-Year Review online.
  • Publish a Pre-Budget Statement online in a timely manner.
  • Produce and publish a Citizens Budget.
  • Increase the comprehensiveness of the Executive’s Budget Proposal by providing detailed information on revenues and expenditures.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator color=”white” border_width=”10″][/vc_column][/vc_row][/vc_section][vc_section el_id=”participation”][vc_row equal_height=”yes” content_placement=”middle”][vc_column][vc_column_text]

Public Participation

[/vc_column_text][/vc_column][/vc_row][vc_row equal_height=”yes” content_placement=”top”][vc_column width=”1/6″][vc_column_text el_class=”country-summary-score”]

0

out of 100

[/vc_column_text][/vc_column][vc_column width=”5/6″][vc_column_text]Côte d’Ivoire provides the public with no opportunities to engage in the budget process.[/vc_column_text][/vc_column][/vc_row][vc_row equal_height=”yes” content_placement=”top”][vc_column width=”1/2″ el_class=”country-summary”][vc_progress_bar values=”%5B%7B%22label%22%3A%22Global%20Average%22%2C%22value%22%3A%2212%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%23d2d2d2%22%7D%2C%7B%22label%22%3A%22Benin%22%2C%22value%22%3A%229%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Democratic%20Republic%20of%20Congo%22%2C%22value%22%3A%229%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Cameroon%22%2C%22value%22%3A%227%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Mali%22%2C%22value%22%3A%226%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Senegal%22%2C%22value%22%3A%222%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Chad%22%2C%22value%22%3A%220%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22C%C3%B4te%20d%E2%80%99Ivoire%22%2C%22value%22%3A%220%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%23ff7a22%22%7D%2C%7B%22label%22%3A%22Burkina%20Faso%22%2C%22value%22%3A%220%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%2C%7B%22label%22%3A%22Niger%22%2C%22value%22%3A%220%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%230087d1%22%7D%5D” bgcolor=”custom” title=”How Does Public Participation Compare to Other Countries in the Region?” units=”/100″ el_class=”country-summary” custombgcolor=”#ffffff” customtxtcolor=”#333333″][/vc_column][vc_column width=”1/2″][vc_column_text]

Recommendations for Improving Participation

Côte d’Ivoire should prioritize the following actions to improve public participation in its budget process:

  • Pilot mechanisms for members of the public and executive branch officials to exchange views on national budget matters during both the formulation of the national budget and the monitoring of its implementation. These mechanisms could build on innovations, such as participatory budgeting and social audits. For examples of such mechanisms, see fiscaltransparency.net/mechanisms.
  • Participation Hold legislative hearings on the formulation of the annual budget, during which members of the public or civil society organizations can testify.
  • Establish formal mechanisms for the public to assist the supreme audit institution in formulating its audit program and to participate in relevant audit investigations.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator color=”white” border_width=”10″][/vc_column][/vc_row][/vc_section][vc_section el_id=”oversight”][vc_row equal_height=”yes” content_placement=”top”][vc_column][vc_column_text]

Budget Oversight (by Legislature & Audit)

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31

out of 100

[/vc_column_text][/vc_column][vc_column width=”5/6″][vc_column_text]The legislature and supreme audit institution in Côte d’Ivoire provide weak oversight of the budget.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_progress_bar values=”%5B%7B%22label%22%3A%22Formulation%2FApproval%22%2C%22value%22%3A%2243%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%23d2d2d2%22%7D%2C%7B%22label%22%3A%22Execution%2FAudit%22%2C%22value%22%3A%2213%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%23d2d2d2%22%7D%5D” bgcolor=”custom” title=”To What Extent Does the Legislature Provide Budget Oversight?” units=”/100″ el_class=”country-summary” custombgcolor=”#ffffff” customtxtcolor=”#333333″][vc_column_text]The legislature provides weak oversight during the budget cycle. This score reflects that the legislature provides limited oversight during the planning stage of the budget cycle and weak oversight during the implementation stage of the budget cycle.
.[/vc_column_text][/vc_column][/vc_row][vc_row equal_height=”yes” content_placement=”top”][vc_column][vc_progress_bar values=”%5B%7B%22label%22%3A%22Weak%22%2C%22value%22%3A%2233%22%2C%22color%22%3A%22custom%22%2C%22customcolor%22%3A%22%23d2d2d2%22%7D%5D” bgcolor=”custom” title=”To What Extent Does the Supreme Audit Institution Provide Budget Oversight?” units=”/100″ el_class=”country-summary” custombgcolor=”#ffffff” customtxtcolor=”#333333″][vc_column_text]

The supreme audit institution provides weak budget oversight.

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Recommendations for Improving Oversight

Côte d’Ivoire should prioritize the following actions to make budget oversight more effective:

  • Ensure the legislature holds a debate on budget policy prior to the tabling of the Executive’s Budget Proposal and approves recommendations for the upcoming budget.
  • Ensure a legislative committee examines and publishes reports on in-year budget implementation online.
  • Ensure the supreme audit institution has adequate funding to perform its duties, as determined by an independent body (e.g., the legislature or judiciary).
  • Consider setting up an independent fiscal institution to further strengthen budget oversight.

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Learn More

The information on this page presents a partial country summary. For more detailed information, please download:

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