Country context

Key Elements of an NPER

This chapter presents key elements that are recommended to be covered in a nutrition public expenditure review (NPER). The headings of this chapter can be considered a skeleton outline of an NPER:

• (Introduction) • Country context • National nutrition strategy • Institutional framework and budget process • Identifying nutrition expenditures • Analysis � Expenditure levels and trends � Composition of expenditures � Service coverage and utilization � Effectiveness � Efficiency – Allocative efficiency – Technical efficiency – Administrative efficiency � Equity • (Conclusion, recommendations, moving forward)

COUNTRY CONTEXT

To understand the country context, the NPER team needs to present key economic and health indicators (and their links to nutrition outcomes) as well as nutrition indicators. It also needs to describe how these have changed over time and how they compare with those of peer countries. Relevant metrics to present include the following:

• Economic indicators. Poverty rate, per capita gross national income or gross domestic product, annual gross national income/gross domestic product growth rate, population, population growth rate, human capital index, shared prosperity indicators, size of government spending, government revenues, and debt