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International Monetary Fund. Strategy, Policy, & Review Department
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International Monetary Fund. Fiscal Affairs Dept.
This note provides general guidance on the operationalization of the strategy for IMF engagement on social spending. Social spending plays a critical role as a key lever for promoting inclusive growth, addressing inequality, protecting vulnerable groups during structural change and adjustment, smoothing consumption over the lifecycle, and stabilizing demand during economic shocks. Social spending policies have also been playing an important role in tackling the structural challenges associated with demographic shifts, gender inequality, technological advances, and climate change. This note builds on a series of notes on IMF engagement on specific social spending issues since the publication of the 2019 strategy paper and provides operational guidance on when and how to engage on social spending issues, in the context of surveillance, IMF-supported programs, and capacity development.
International Monetary Fund
This supplement provides country case studies on public health care expenditures and reform experiences in eight advanced and six emerging market economies. The case studies for the advanced economies seek to highlight specific episodes of success in containing public health spending during the past 30 years. For the emerging economies, the case studies take a broader approach and examine reform experiences and challenges during the past two decades rather than focusing exclusively on episodes of successful reform. The lessons from the case studies for other countries are integrated into the main Board paper.