A lost decade? Service delivery and reforms in Papua New Guinea 2002-2012
Stephen Howes, Andrew Anton Mako, Anthony Swan, Grant Walton, Thomas Webster and Colin Wiltshire
October 2014
This report presents the results of a 2012 survey of 360 primary schools and health clinics across eight provinces in PNG, from the nation’s capital to its most far-flung and inaccessible regions. Many of the same facilities were surveyed at the start of the decade. By combining the two surveys, we can assess progress on health and education service delivery over time, and analyse the impact of important policy reforms.

» Full report PDF [PDF 5.8 MB]
» NRI Spotlight summary [PDF 1.3 MB]
» A3 flyer summary [PDF 4.1 MB]

Individual chapters
» Foreword, acknowledgements, map and summary [PDF 843 KB]
» Chapter 1: Introduction [PDF 498 KB]
» Chapter 2: Method [PDF 709 KB]
» Chapter 3: Primary schools: 2002 to 2012 [PDF 1.2 MB]
» Chapter 4: Health clinics: 2002 to 2012 [PDF 684 KB]
» Chapter 5: Education financing the the Tuition Fee-Free policy [PDF 559 KB]
» Chapter 6: Health financing and the free health policy [PDF 739 KB]
» Chapter 7: DSIP: are health and education benefitting? [PDF 516 KB]
» Chapter 8: Facility level explanations of performance [PDF 550 KB]
» Chapter 9: Conclusion [PDF 457 KB]
» References and acronyms [PDF 131 KB]

Financing PNG’s free primary health care policy: user fees, funding and performance
Colin Wiltshire and Andrew Mako, June 2014

This was the first major publication to be released from our Promoting Effective Public Expenditure project, with findings presented in June at the 2014 PNG National Health Conference in Port Moresby. The publication uses health financing results from PEPE expenditure tracking surveys to inform the implementation of PNG’s free primary health care policy.

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