Budget execution program
Transcription
Budget execution program
Public Disclosure Authorized Report No. 32856-SV Report No. 32856-SV El Salvador Public Expenditure Review Central America Department Latin America and the Caribbean Region Public Disclosure Authorized Public Expenditure Review Public Disclosure Authorized El Salvador Public Disclosure Authorized December 31, 2004 Document of the World Bank DIGESTYC Direcci6n General de Estadisticas y Censos OMS Organizaci6n Mundial de la Salud ECLAC Economic Commission for Latin America and the Caribbean OPS Pan American Health Organization EDUCO Community Based School Program PAE Annual School Plan EHPM Encuestas de Hogares Prop6sitos Multiples PAES Secondary Education Aptitude Test FATEL ANTEL's Privatization Fund PAHO Pan American Health Organization PEI Institutional Education Project UNDP United Nations Development Program PEIP Presupeusto Extraordinariode Inversi6n Publica USAID United States Agency for Intemational Development PEP Budget Execution Project VAT Value Added Tax PLANSABAR Plan Nacional de Saneamiento BBsico Rural WDI World Development Indicators SAFI Integrated Financial Management System WHO World Health Organization SIBASIS Basic Systems of Integral Health Attention WTO World Trade Organization Vice President LCR: Director LCC2C: Director LCSPR: Sector Manager: Lead Economist: Task Manager: Research Analyst: David de Ferranti Jane Armitage Ernest0 M a y Mauricio Carrizosa C. Felipe Jaramillo Ana Lucia Armijos Ricardo Tejada ... 111 Table of Contents: EXECUTIVE SUMMARY ....................................................................................................... x CHAPTER I:Macroeconomic Environment and Fiscal Sustainability ..................................... 1 . Macroeconomic Trends ................................................................................................. 2 I I1. Fiscal Revenues and Expenditures ................................................................................ 4 Fiscal Cost of Pension Reform ................................................................................ 23 I11. Fiscal and Debt Sustainability ................................................................................. 26 I V. V . Conclusions ................................................................................................................. 33 ANNEX I: Sensitivity Analysis T o Changes In M a i n Macroeconomic Assumptions ............ 35 ANNEX 11: The Fiscal Costs o f Pensions ............................................................................... 39 CHAPTER 11: Public Expenditure Management .................................................................... 49 Institutional Framework .......................................................................................... 49 I11. Budget Formulation and Reliability ........................................................................ 56 I V. V . Budget Execution and Controls ................................................................................... 63 Financial Reporting and External Oversight ........................................................... 7 1 V I. 76 VI1. Conclusions and Recommendations ....................................................................... ANNEX I:El Salvador CPAR ................................................................................................. 82 M a i n Weaknesses and Recommendations........................................................................... 82 CHAPTER 111: Education........................................................................................................ 84 . . of the Sector ........................................................................................... 84 I . Organization 85 I1. Strategic Objectives and Resource Allocation Processes ........................................... Expenditure Trends ................................................................................................. 87 I11. Expenditure Outcomes ............................................................................................ 93 I V. 107 V . Conclusions and Recommendations.......................................................................... CHAPTER IV: Health ........................................................................................................... 111 . . I. Organization of the Sector ......................................................................................... 111 I1. Strategic Objectives and Resource Allocation Process ............................................. 112 Expenditure Trends and Structure ......................................................................... 115 I11. 124 Expenditure Outcomes .......................................................................................... I V. V . Conclusions and Recommendations.......................................................................... 132 CHAPTER V: Water Supply and Sanitation ......................................................................... 136 . Sector Organization ................................................................................................... 136 I I1. Strategic Objectives and Resource Allocation Process ............................................. 137 Expenditure Trends and Structure ......................................................................... 140 I11. Expenditure Outcomes .......................................................................................... 144 I V. 154 V . Conclusions and Recommendations.......................................................................... 158 CHAPTER VI: Rural Roads .................................................................................................. 158 I . Sector Organization ................................................................................................... 159 I1. Strategic Objectives and Resource Allocation Process ............................................. Expenditures Structure and Trends ....................................................................... 161 I11. Expenditure Outcomes .......................................................................................... 165 I V. 171 V . Conclusions and Recommendations.......................................................................... CHAPTER VII: Rural Electrification................................................................................... 174 I . Sector Organization ................................................................................................... 174 I1. Strategic Objectives and Resource Allocation Process ............................................. 176 Expenditure Outcomes .......................................................................................... 184 I11. Conclusions and Recommendations ..................................................................... 193 I V. iv Boxes: B o x 1.1: Chile’s Fiscal Rule .............................................................................................. 32 Box 2.1: Public Sector Modernization Program ................................................................ 50 B o x 2 . 2: M a i n Laws and Regulations Governing Public Financial Management ...........54 B o x 2.3: Expenditure Budget Classifications .................................................................... 59 B o x 2.4: Expenditure Budget Execution Process .............................................................. 64 Box 2.5: Court o f Accounts - Selected Indicators ............................................................ 73 139 B o x 5.1: Water and Sanitation Sector Reform Efforts .................................................... Box 6.1 : Fund for Road Conservation ............................................................................. 164 B o x 7.1: Principal Measures Implemented to Modernize the Electricity Sector ............177 Box 7.2: Evolution o f Electricity Subsidies .................................................................... 181 Box 7.3: Wholesale Electricity Market ........................................................................... 187 188 Box 7.4: Quality Norms for the Distribution o f Electricity ............................................. Tables: 1.1: Non-Financial Public Sector and C G ($million) ................................................ 5 1.2: Non-Financial Public Sector as Percent o f GDP ................................................ 6 1.3: Non-Financial Public Sector. as % o f Total Revenues and Expenditures ..........7 1.4: Non-Financial Public Sector (US$ m.) ............................................................... 8 1.5: Government Allocations for FODES and FISDL (US$ m.) ............................. 10 1.6: Distribution o f Expenditure b y selected Countries. average 1996 - 2003 .......11 1.7: C G revenues. expenditures and overall deficit (% o f GDP) ............................ 12 1.8: CG Approved and Executed Budget b y Management Area (% o f total budget) ................................................................................................................................... 13 Table 1.9: C G Budget . Approved and Executed by Management Area (% o f GDP) ....... 13 Table 1.10: CG Budget: Executed as Percent o f Approved by Management Area ...........17 Table 1.1 1: Estimated Increase in Public Spending to Implement a National Social Policy 19 for Poverty Reduction................................................................................................ Table 1.12: CG revenues as percent of total revenues....................................................... 20 Table 1.13: C G Tax Revenues as % o f Current Revenues and GDP ............................... 21 Table 1.14: C G Actual Revenues in US$ m. and as percent o f Project Revenues ............22 Table 1.15: Central America Value Added Revenue Productivities ................................. 23 Table 1.16: Structure & Features o f Pension Reforms in Latin America .......................... 25 Table 1.17: N o n Financial Public Sector Debt in U S $ m. and as percent o f GDP............27 Table 1.18: M a i n Macroeconomic Assumptions ............................................................... 28 Table 1.19: NFPS Primary Balance ** and Selected Macroeconomic Variables .............36 Table 1.20: NFPS Primary Balance ** and Selected Macroeconomic Variables .............36 Annex l.A: Fiscal Performance Under the Passive Scenario ........................................... 37 Annex l.B: Fiscal Performance Under the Fiscal Target Scenario .................................. 38 Table A.l: Basic Statistics o f the O l d Pension System ..................................................... 39 Table A.2: Population Affiliated and Pensioners. by Social Security Institute .................41 Table A.2: Pension Debt. December 2003 ........................................................................ 43 45 Table A.3: Options to Reduce Pension Debt ..................................................................... Table A.4: Detailed Estimates o f the Options to Reduce Pension Debt ............................ 47 Table 2.1: Budget Transparency Perception Survey .Variables 2003 .............................. 53 57 Table 2.2: Budget Formulation Process............................................................................ Table Table Table Table Table Table Table Table V Table 2.3: Aggregate Revenue Budget Execution . CG ................................................... 60 Table 2.4: Aggregate Expenditure Budget Execution . CG.............................................. 60 Table 2.5: Average Deviation of Expenditure Budget Execution ..................................... 61 Table 2.6: Budget Execution Volatility Over Time - CG ................................................. 61 Table 2.7: Short-term payables.......................................................................................... 65 Table 3.1 : Student Population, by sector 2002 .................................................................. 84 Table 3.2 Education Vouchers, 1996-2003 ....................................................................... 87 Table 3.3: Public Education Expenditure per Student 1999 .2002 .................................. 88 Table 3.4: MINED Budget by Function 96-03 .................................................................. 90 Table 3.5: Trends in Monthly and Hourly Public and Private Teachers Real Wages .......91 Table 3.6: Pupil-Teacher Ratio in Primary, 1996. 2000/0 1............................................... 91 Table 3.7 MINED’SFinancing Sources. 1997-2003 ......................................................... 93 Table 3.8 Education Vouchers. by Source of Financing ................................................... 93 Table 3 . 9 Trends i n Gross Enrollments. 1996.2002. by Area Gross Enrollment Rate ....94 95 Table 3.10 Gross and N e t Enrollment Rates. 2002 ........................................................... Table 3.11 Indicators of Educational Efficiency. by Area and Sector. 2002 .................... 98 Table 3.12: Voucher Programs Under Execution............................................................ 100 Table 3.13: Achievement Tests for Basic Education. Average Scores (1994-98) .......... 101 Table 3.14: PAES’s Average Scores by Discipline. 1997 - 2001 a/ ............................... 102 Table 3.15: Reasons for not attending school. by area. 2002 .......................................... 104 Table 4.1 : Total Health Expenditure Per capita. 1996 - 2000......................................... 116 Table 4.2: Public and Private Health Spending and Sources of Financing .................... 116 Table 4.3: MSPASE Expenditures. by Major Economic Category. 1996 - 2003 ........... 119 Table 4.4: Hospital Budgets by Type of Attention and Major Category. 2003 ............... 119 Table 4.5: MSPAS and Public Hospitals Budget. by Category 1996 - 2003 ..................120 Table 4.6: MSPAS’ Staff. 1999 .2002............................................................................ 121 Table 4.7: MSPAS Spending. by Financing Source. 1997 .2003 .................................. 123 123 Table 4.8: External Financing for the Health Sector. 1994 .2002 .................................. Table 4.9: Key Health Indicators. 1990 - 2002 ............................................................... 124 Table 4.10: MSPAS Selected Indicators. 1996 - 2002 ................................................... 125 Table 4.1 1: Population Covered by Medical Insurance. 2002......................................... 128 Table 4.12: Establishment that Visited When Ill.2002 ................................................... 128 129 Table 4.13: Motives for not visiting MSPAS establishments. 2002................................ Table 4.14: Distribution of Persons Visiting Central Government MSPAS Facilities by Income Group 2002 ................................................................................................. 130 Table 5.1: Water and Sanitation Coverage. by Institution. 2002..................................... 136 Table 5.2: Public expenditures on water supply and sanitation. 1990 - 2003 ................. 140 Table 5.3: ANDA Expenditures. by Major Economic Category. 1997 - 2003 ............... 142 Table 5.4: Public Investment Programs in Water and Sanitation. 1990 - 2003 .............. 142 Table 5.5: ANDA - Source of investment financing. 1990 .2002 ................................. 144 Table 5.6: El Salvador Water Supply and Sanitation Coverage. 1990 - 2002 ...............145 Table 5.7: Central America - Water Supply and Sanitation Coverage. 1999 .................146 Table 5.8: Central America Water Supply and Sanitation Coverage, 1999 .................... 146 Table 5.9: ANDA’s Water Losses. 1993 - 2002 ............................................................. 147 Table 5.10: Average Water Price in Greater San Salvador. 2002 ................................... 148 Table 5.11: Causes of Morbidity Related to Water Quality and Sanitation. 2002 ..........151 vi Table 5.12: Distribution of Water Sanitation Services. by department 1990 - 2002 ......153 Table 5.13: FISDL’s Distribution Water Sanitation Projects by Department 1991-2003 ................................................................................................................................. 154 Table 6.1: El Salvador - Road Network, 2000 ................................................................ 158 Table 6.2: Damage Caused by the 2001 Earthquakes to the Road Network (US$ m.) ...160 Table 6.3: FOVIAL’s Expected Benefits ........................................................................ 161 Table 6.4: Public Expenditure i n Road Network. 1990 - 2003 ....................................... 162 Table 6.5: Ministry o f Public Works. Budget Execution. 1997 - 2002 .......................... 162 Table 6.6; FOVIAL’s Expenditures. 2002 - 2004 .......................................................... 163 Table 6.7: Financing of MOP-FOVIAL Investment i n Road Network. 1998 - 2003 ..... 164 Table 6.8: Participation of Rural Roads on Road Network. 1990 .2002........................ 166 Table 6.9: Rural Household Access Indicators................................................................ 166 Table 6.10: Situation of the priority Road Network. 2002 .............................................. 168 Table 6.1 1: Situation of the Priority Road Network by Department. 2002 ..................... 168 Table 6.12: Departmental Distributions of the Sustainable Rural Roads. 1999 - 2003 ..169 Table 6.13: FISDL Investment in Rural Road Improvement. by Department ................170 Table 6.14: Evolution of the Access to Markets. by Poverty Level. 1995 - 2001 .......... 171 179 Table 7.1: CEL - Principal Projects Executed. 1990 - 2004 .......................................... Table 7.2: CEL’s Electricity Consumption Subsidies. January 1998 - March 2001 ......180 Table 7.3: FINET -Electricity Subsidies Granted. April 2001 - December 2003 ......... 182 Table 7.4: Implicit Subsidy on Rural Electricity Consumption. 1994 ............................ 182 Table 7.5: Public Resource Assigned for Rural Electrification and Subsidies................ 183 Table 7.6; Capital Investment by the Distribution Companies. 1998 - 2003 (US$ m.) ..183 Table 7.7: Electricity Coverage in Central American Countries. 1990 - 2002 ............... 184 Table 7.8: El Salvador - Electricity Coverage. 1991 - 2002 .......................................... 185 Table 7.9: El Salvador - Transmission & Distribution Electricity Losses (1990 - 2002) ................................................................................................................................. 185 Table 7.10: Central America - Transmission & Distribution Electricity Losses (1990 2002) ........................................................................................................................ 186 186 Table 7.11: El Salvador - Electricity Prices. 1998 - 2003 .............................................. Table 7.12: Central America - Average Prices Residential Customers. 1998 - 2002 (US cents/KWh) .............................................................................................................. 187 Table 7.13: El Salvador Energy Interruption and Not Delivered (EIND). 1990 - 2002.189 Table 7.14: Frequency of Deficit in Reserves. 2003 ....................................................... 190 Table 7.15: Power Supply and Demand. 1990 - 2003 .................................................... 190 Table 7.16: Electricity Companies - Indicators of Quality Services to Clients. 2003 ....190 Table 7.17: FISDL’s Distribution Rural Electrification Projects. 1994 - 2003 .............. 192 Table 7.18: FINET - Geographic Distribution of Subsidy to Residential Consumption (2001-2002) ............................................................................................................. 192 Charts and Figures: Chart Chart Chart Chart Chart Chart 1.1: Real GDP Growth Rates ..................................................................................... 3 1.2: Non-Financial Public Sector Expenditure (9% of GDP) ...................................... 9 1.3: CG Revenues. Expenditures and Overall Deficit ............................................. 12 1.4: Executed as % of Approved CG Budget. by Management Area ...................... 17 1.5 CG Current Revenues and Total Expenditures as percent of GDP ................... 20 1.6: Executed as $4 of Approved CG Budget by Management Area ....................... 21 Chart 1.7: Non Financial Public Sector Debt as percent o f GDP ...................................... 26 31 Chart 1.8 Overall NFPS Deficit ......................................................................................... Chart 1.9: NFPS Primary Balance ..................................................................................... 31 Chart 1.10: NFPS Total Public Debt ................................................................................. 31 Chart 1.11: NFPS Interest Payments ................................................................................. 31 Chart 2.1 : Governance Indicators. 2002/2000/1998 and regional comparison 2002 ........ 52 Chart 3.1 : Public Spending on Education.......................................................................... 88 Chart 3.2: Education Budget. 1996/03 .............................................................................. 88 Chart 3.3: Dist . o f MINED’SRecurrent Exp. b y Level o f Education 1996-2003 .............89 Chart 3.4: Gross Enrolments in Basic Education .............................................................. 95 Chart 3.5: Gross Enrolment Secondary Education National Level ................................... 95 Chart 3.6: Repetition Rates in Basic by Grades. 1996 - 2001 ........................................... 96 Chart 3.7 Dropout rates in primary urban areas. b y grade 1996 -01 ................................. 96 Chart 3.8: Dropout rates in primary rural areas. by grade 1996 - 01................................. 96 Chart 3.9: Relationship Education Exp. and Net Enrollment on Primary Education........98 Chart 3.10: Relationship Public Spending and Net Enrolment on Secondary Education .98 Chart 3.1 1: Share o f Public Education Expenditure b y Quintile and Level. 2002 ..........105 Chart 3.12; Net Enrolment in Basic Education Quintile ................................................. 106 Chart 3.13: Average Years o f Schooling for 15 Year Olds ............................................ 106 Chart 3.14: Pop. Income and MINED Spending in Basic Education by Department (2000) ................................................................................................................................. 107 Chart 4.1: Total Health\ Expenditures as percent o f GDP. 2000 ...................................... 115 Chart 4.2: MSPAS Budget as percent o f Total Budget and GDP 1996 - 2004 ............... 117 Chart 4.3: MSPAS Expenditures b y Level o f Attention & Administration (1996 - 2003) ................................................................................................................................. 118 Chart 4.4: Infant Mortality per Socio-Economic Group .................................................. 126 Chart 4.5: Total health expenditure per Capita and life expectancy at birth...................127 Chart 4.6: Total health exp . Per capita and infant ........................................................... 127 Chart 4.7: MSPAS Hospital and Primary Health Care Spending b y Quintile, 2002 .......131 Figure 4.8: Per capita income and M O H spending b y Department (2000) ..................... 132 Figure 4.9: Per capita income and primary health care spending b y Department (2000) ................................................................................................................................. 132 Chart 5.1: ANDA Expenditures by Function, 1997 - 2003 ............................................ 141 Chart 5.2: ANDA Investment b y Financing Source. 1990 - 2002 ................................... 143 Chart 5.3: Nominal and Real Price o f Water Service as Measured in C P I ..................... 147 Chart 5.4: Per Capita Residential Consumption. 1990 - 2002 ........................................ 149 Chart 5.5 Water Qualtiy in ANDA’s Distribution Network. 2002 .................................. 151 Chart 5.6: Availability o f Piped Water per Quintile. 1991 - 2002 .................................. 152 Chart 5.7: Availability o f Sanitation per Quintile. 1991 - 2002 ..................................... 152 Chart 6.1 : Priority Road Network .................................................................................... 165 175 Chart 7.1; Areas o f Influence o f the Electricity Distribution Companies ....................... Chart 7.2: Access to Electricity b y Quintile .................................................................... 191 ... Vlll ACKNOWLEDGMENTS: This report was prepared b y a team lead b y Ana Lucia Armijos (LCSPE) and comprising Ricardo Tejada (LSCPE), Manuel Vargas (LCOAA), Jorge Camacho (LCC2C) and Jose S. Marques (Consultant). Document Processing Assistance was provided b y Elizabeth Percesepe-Wallace (LCC2C). The team benefited from comments provided b y W o r l d Bank staff and Government officials. W e would like to especially thank our Peer Reviewers J. Humberto Lopez (PRMPR) and Jose R. Lopez Calix (LCSPE) who provided detailed inputs. The report also received comments from Jesus Maria Fernandez (LCSHH), Wladimir T. Jadrijev (LCOPR), Andrew D. Mason (LCSHD), Mario Sangines (LCSPR) and Manuel Sevilla (LCSFP). The report was written under the guidance and support o f Jane Armitage (LCC2C Director), Felipe Jaramillo (LCC2C Lead Economist), Mauricio Carrizosa (LCSPE Sector Manager), and Helena Ribe (LCSHD Sector Manager). The team would like to express i t s gratitude for the cooperation received from Authorities throughout i t s elaboration, and particularly during the two missions to San Salvador. In particular, the team would l i k e to thank Eduardo Zablah-Touche, Technical Secretary of the Presidency, Roberto F. Siman, Advisor-Technical Secretary o f the Presidency, Guillermo Lopez Suarez, Minister of Finance, Carmen Regina de Arevalo, Viceminister o f Finance, Anabella de Palomo, Undersecretary-Technical Secretary, and Manuel Rosales, Advisor Ministry of Finance, for their support. M a n y thanks also go to Mauricio Sosa de l a Cruz, Guadalupe A. de Pacas, Jose A. Rivas, Dinora M. Cubias, Francisco Jose Rovira, Jorge A. Aguilar and Rene S. Garcia who provided timely inputs and responded to numerous requests. ix EXECUTIVE SUMMARY 1. El Salvador faces today two fiscal challenges that w i l l greatly influence i t s economic performance over the coming years. The first i s to regain a solid fiscal footing, by reversing partly some o f the recent rapid growth in public debt. The second i s the need to finance certain priority investments required to accelerate growth and meet pressing social needs. 2. This public expenditure review (PER) focuses on these fiscal challenges. I t reviews overall trends in expenditures and revenues and lays out options for reducing debt gradually to levels that would grant greater flexibility to fiscal policy in the future, which i s likely to be needed to respond to future shocks and contingencies and to aid in countercyclical economic management. In addition, the report provides in-depth attention to critical social expenditures, particularly those in health, education, water and sanitation, rural roads and electrification, which in aggregate represent over forty percent o f the Central Government’s budget. I t also reviews the public expenditure management framework and offers some recommendations to ensure that public funds are used productively and efficiently. I. Recent Economic Trends 3. With a strong record o f structural reforms in the 1990s, El Salvador has posted significant gains in economic growth and poverty reduction since the end o f the c i v i l war in 1992. However, starting in the late 1990s, growth levels have been disappointing, partly as a result o f terms o f trade shocks (esp., price o f coffee), the international recession and disruptions caused b y the earthquakes o f 2001. The fiscal situation has deteriorated, as fiscal receipts have been affected b y l o w economic growth, and expenditures have increased due to substantial reconstruction investments and the transition costs associated with pension reform. Due to El Salvador’s strong macro policies and i t s good standing as a sovereign debtor in international markets, much o f the fiscal imbalance has been financed at moderate costs, although at the expense o f a rapid increase in public debt since 2000. 4. The country has also made impressive progress in advancing in social areas since 1991, including basic education enrollments, infant and maternal mortality, access to reproductive health services and to safe water. Overall poverty declined significantly (over 27 percentage points) between 1991 and 2002, while extreme poverty was halved in the same period. While progress in poverty reduction has slowed in the 2000s, social indicators have not deteriorated, even in the face o f the 2001 earthquakes, the regional coffee crisis, and slowdowns in domestic growth and the global economy. Broad gains in social indicators reflect not only the fruits o f economic growth but increasing public sector attention in these areas since the mid-1990s which have been translated into some important reforms and greater budgetary allocations. X I1 Fiscal Revenues and Expenditures 5. W h i l e fiscal performance has been broadly prudent since the 1990s, El Salvador’s non-financial public sector deficits rose during 2000-2003. The causes o f this deterioration were the earthquakes o f 2001, which called for a significant boost in expenditures for reconstruction, and the increasing transition cost o f the 1996 pension reform. Recent deficits have been mainly financed by a growing public debt burden. 6. A successful public sector modernization effort, under implementation since 1994, i s responsible for the streamlining and improved efficiency o f key areas o f the state, including a wage bill reduction o f about one percentage point o f GDP since 2000. In the same period, tax revenues increased b y about 1 percentage point o f GDP, in response to the introduction in 2002 o f a new fuel tax to fund spending in road maintenance (FOVIAL), and to measures that broadened the tax base and improved tax administration and enforcement. Composition of Expenditures 7. Since 2001, expenditure increases have been associated principally with a rise in: pension outlays following the pension reform that made the public pension system debt explicit, interest payments, and transfers to the municipalities. Capital expenditures o f the central Government have been squeezed in this process, partly as a result o f expenditure inflexibilities in about two thirds o f the budget and difficulties in boosting revenues. Three types o f expenditures -- which account for nearly 65 percent o f non-financial public sector expenditures -- are particularly rigid: the public sector payroll, interest payments and transfers. 8. The level o f total expenditures o f the Central Government i s s t i l l l o w in relation to other L A C countries. In the 1996-2003 period, current expenditures averaged 12.4 percent o f GDP and capital expenditures 3.2 percent o f GDP. The latter seems particularly l o w given the need to boost growth and meet a pressing social agenda. Expenditure Priorities 9. Trends in public investment reveal a noteworthy increase in budget allocations in social sectors, a result o f increased attention to the social development agenda in El Salvador. During the period 1996-2003, the budget allocation to Social Development increased from 4.7 percent o f GDP to 7.3 percent o f GDP. Within this allocation, education increased from 2.2 to 3.1 percent o f GDP, and health f r o m 1.4 to 1.5 percent o f GDP; while transfers explain most o f the increase as both, increasing from 0.1 to 2.4 percent o f GDP. Other areas that feature prominently in the budget were Support for Economic Development (2.1 percent o f GDP, on average) and Justice and Security (2.5 percent o f GDP, on average). Past Performance and Prospects in Revenue Policies 10. Government revenues in El Salvador have increased very gradually in the past 8 years, with tax revenues explaining the bulk o f the increase. Non-tax revenues decreased from 6.3 percent o f GDP in 1996 to 4.2 percent o f GDP in 2003. The tax structure relies fundamentally on revenues f r o m the VAT and the income tax. Other revenues are derived f r o m import duties and excise taxes on specific products. The former has been steadily declining as a source o f government revenue since the early 1990s, as El Salvador has reduced sharply i t s average tariff levels. 11. According to a number o f recent studies, there i s ample room for El Salvador to continue improving tax revenues over the coming years. The area with most promise i s the excise tax on specific products, in which El Salvador ranks l o w in international comparisons. Greater taxes on beverages and tobacco are a potential source o f future revenues, particularly as El Salvador has lower rates than most Central American neighbors. Since El Salvador has developed a well structured VAT, with a broad base, a single rate and relatively high productivity, further revenues from this source would need to come f r o m higher rates and the incorporation o f a greater share o f economic activity currently in the informal sector. 111. Fiscal Cost of Pension Reform 12. El Salvador adopted a pension reform in 1996 that replaced the existing pay-as-yougo system with a system o f individual capitalization. The reform was aimed at improving long-term fiscal sustainability b y replacing a system that was projected to yield large and growing deficits in the future by a sustainable one, implying transitional costs as younger Salvadorans move to the private account system while the state keeps the obligation to pay out pensions to older generations. In addition the reform made the conditions for access to benefits more homogeneous among workers from the private, and public sectors, and aimed to gradually increase coverage and develop a private savings pool that could f o r m the basis for long term investments. 13. As o f December 2003, the size o f the actuarial deficit was estimated at 72 percent o f GDP. This includes the commitments to pay current and future pensioners, obligations to those who transferred to the private capitalization system, and payments o f the complement for mandatory minimum pensions. Costs o f the pension reform have been growing due to the increasing mismatch between contributing and beneficiary populations, the failure to raise further the retirement age, generous benefits compared to other social security systems, and the growth o f administrative costs. Given recent fiscal trends, curbing the transition costs o f the pension reform i s an important challenge in El Salvador . IV. Fiscal and Debt Sustainability 14. N o n financial public sector debt has accelerated rapidly in the last five years, to just above 40 percent o f GDP. If l e f t unaddressed, further growth in debt and associated interest payments could be eventually reflected in market spreads and potentially cause difficulties when tapping domestic and international capital markets. 15. Adjustments are clearly needed to address some o f the underlying trends that have led to the rapid increase in the non-financial public sector debt. M u c h o f this increase can be attributed to emergency earthquake reconstruction expenses and the growing transition costs o f pension reform on the face o f slow growing revenues. While reconstruction costs w i l l wind down b y 2005, the country w i l l need to ramp up social and growth related xii expenditures. Hence, El Salvador’s greatest challenge over the coming years i s how to regain a solid fiscal footing, while simultaneously financing the expenditures required to meet social and growth challenges. 16. If recent expenditure and income trends are l e f t unchecked, the debt sustainability o f El Salvador would be compromised. A passive scenario would lead to increasing overall deficits, greater interest payments and a gradually rising public debt. These trends indicate that serious attention i s required in order to preserve the country’s credit rating and the cost of external borrowing. The investment-grade rating that El Salvador enjoys, which i s responsible for i t s l o w interest rate spreads, i s based on a solid track record o f sound debt and fiscal management. 17. Returning to a non-financial public debt level that allows for fiscal flexibility -- to respond to shocks, contingencies or for cyclical economic management -- should be a priority in El Salvador. As an illustration o f the type o f adjustment, this report lays out a path to return to a debt level o f about 35 percent o f GDP over 5 years. This would require gradual increases in annual revenues o f about 4.0 percent b y 2009. About one and a half (1.5) percent o f the total increase in revenues could be the result o f greater efforts at revenue collection through administrative measures. The rest would likely require greater tax efforts. Additionally, some pension provisions should be amended to address overly generous benefits in the international context. V. Public Expenditure Management 18. The task o f putting the economy on a sustainable and poverty reducing growth path has to be carried out with the support o f a modern public expenditure management. Good budget institutions allow governments to balance the three interrelated objectives o f budgetary performance: aggregate fiscal discipline, efficient allocation o f resources according to the Government’s policy priorities, and operational efficiency in the use o f resources. The financial management reform process, initiated in El Salvador in the 1990s under the umbrella o f the public sector modernization program, has produced significant improvements in the performance o f budget management institutions. The financial management law (Ley AFI) and other regulations provide a modern and functional framework o f formal rules pertaining to each relevant area o f budget management. While the basic foundations o f a well-functioning public expenditure management system have been built, s t i l l important obstacles to operational efficiency remain. 19. Drawing from the Country Financial Accountability Assessment (CFAA) report, recommendations and priority actions are presented w i t h respect to improving internal controls, comprehensiveness and quality o f financial data, financial management reform, monitoring o f public investment, cash management, c i v i l service legal framework, and delineation o f areas o f intervention between central and local governments. Most significantly, the available aggregate targets and projections that guide fiscal policy should be the starting point to develop and formalize a medium-term budget framework that includes the projections, over a three-to-five year horizon, o f fiscal indicators, ... Xlll expenditure estimates and forecasts of forward costs o f the most significant investment projects. This could better inform the annual budget formulation and approval process, b y increasing accuracy of the future fiscal impact o f current policies and the prioritization o f expenditures. Accomplishments and Future Challenges in the Social Areas VI. 20. Education. There has been a substantial increase in the amount o f public resources allocated to education during the 1990s. Nevertheless, spending allocations in this area s t i l l falls short of regional averages. The allocation of resources has supported the implementation of the Education Development Plan 1995-2005, which contributed to major improvements in the sector. I t i s likely that the country w i l l meet the 2015 Millennium Development Goals (MDG) on net primary education enrollment, share o f students that complete the fifth grade, and the universal literacy target for youth. The targets related to gender in primary and secondary education as well as literacy rates have already been met. However, to reach the necessary coverage rates in the primary, basic and secondary cycles, i t has been estimated that the education budget would need to increase in the next ten years b y about 1.8 percent o f GDP, with respect to 2003 levels. In addition, although there has been progress in recent years, there i s s t i l l ample room to increase the efficiency o f the education system. Overage, repetition, and drop out rates remain high, and programs directed at addressing these problems should continue to be supported, while an appropriate balance needs to be established between expenditures on wages and salaries, teacher training, didactic materials and other goods and services, and infrastructure. 21. Health. El Salvador’s health indicators have improved during the last several years but significant challenges remain. For instance, in relation t o the MDGs i t i s highly likely that the country w i l l be able to meet the 2015 targets on infant mortality rate, mortality rate in children under five, measles immunization, and tuberculosis incidence, but i t i s unlikely that i t w i l l meet the targets on maternal mortality, deliveries b y trained staff, and HIV/AIDs. Since 2001, part o f the resources allocated to the sector have financed the reconstruction o f damaged infrastructure b y the earthquakes. El Salvador’s overall budgetary allocation for health services as a share o f GDP i s l o w by regional standards as are total public outlays (including health programs o f the Social Security Institute) on a per capita basis. The bulk o f budgetary resources are currently allocated to hospital care and the primary healthcare. Going forward, efforts should focus on increasing the efficiency and equity o f resource use, including increasing cost recovery from those that can afford it. There i s a need to increase further primary health care through cost-effective, outreach programs since the coverage o f the health system i s s t i l l inadequate as less than 20 percent (6 percent o f the poor) have access to medical insurance, and as much as 24 percent o f the population s t i l l does not have access to health services or only has limited access. Providing access to a minimum package of healthcarehutrition services to those who s t i l l lack regular health services would demand an additional 0.2-0.3 percent o f GDP with respect to current levels. . 22. Water and Sanitation. Water supply and sanitation coverage has increased since the early 1990s, mainly in rural areas. The MDG in this area establishes the target o f xiv reducing the proportion o f population not having sustained access to safe water and basic drainage to half b y 2015. Recent data indicates that El Salvador has already surpassed the MDG target for urban water and sanitation and rural sanitation coverage and i t i s likely that by year 2015 the target for rural access to water w i l l be met. Nevertheless, there are s t i l l significant challenges in the sector. To achieve universal coverage o f water supply and sanitation b y 2015, i t would be necessary to increase annual investments in the sector b y 0.1-0.3 percent. In addition, the quality o f services needs to improve substantially and a new tariff policy should allow for recuperating operation and maintenance costs, financing expansion o f water and sanitation systems, and promoting rational use o f water. 23. Roads. Improved coverage and quality o f rural roads during the 1990s has contributed to poverty reduction in rural areas, and has given household members access to markets, educational and health centers, water and security. Nevertheless, renewed efforts are required to obtain an adequate level o f connection o f districts and settlements in the country. One set o f objectives consistent with the country’s goals to strengthen poverty reduction through infrastructure development would be: (i) to pave or rehabilitate an additional 1,000 kilometers o f rural roads; and, (ii) to ensure annual maintenance o f 3,000 kilometers o f rural (secondary and tertiary) roads. Using recent average unit costs o f road paving, rehabilitation, and maintenance as benchmarks, i t i s estimated that a 5year program to pave and/or rehabilitate an additional 1,000 kilometers o f rural roads implies additional investments o f approximately 0.1 to 0.2 percent o f GDP, above those dedicated in 2003. 24. Rural Electrification. Significant improvements have also been made in coverage and quality of electricity service since 1990, mainly in rural areas. The main sector challenge i s to lower the cost o f service through more efficient generation and distribution. In view o f the importance o f rural electrification for income generation, the study on the situation o f El Salvador in relation to the MDGs, incorporates the goal o f reaching a rural electrification rate o f 85 percent by 2015, f r o m 71 percent in 2002. Hence, raising by about one percentage point per year the rural electricity coverage would cost an estimated o f about U S $ 3 million a year. However, the sector’s resource allocation priorities need to be reviewed in order to allocate more resources for the benefit o f low-income populations and rural areas lacking service. Less resources should be used for subsidies to those that already enjoy the service. Critical social and growth expenditures for the future 25. Given that some o f the poorest segments o f Salvadoran society have been unable to take advantage o f recent economic growth, i t i s critical to put in place a coherent set o f policies and investments to ensure that the poor can benefit from future economic progress. To build effectively on past achievements, i t w i l l thus be important to implement a social policy aimed at giving the poor better access to quality education and health care, and greater access to basic services, such as safe water and electricity. Given that the fiscal space for increased spending i s limited, strategic choices among priority areas must be carefully made. This report puts forth a strategic package o f investments oriented to ensure that the poorest have access to social services and to strengthen their xv position to benefit from future income earning opportunities. This package overlaps in some key areas (Le., education and rural infrastructure) with the agenda o f investments also required to promote overall growth. 26. Implementing the proposed package would imply increase in expenditures o f 3.2 to 3.6 percent of GDP over current levels, that would need to be gradually phased in over ten years, due to the tight fiscal situation. The largest commitments o f additional resources are associated with education and the social safety net. Improving education through achieving universal primary and basic education and increasing net enrollments in secondary schooling to 70 percent would require an additional 1.8 percent o f GDP. Developing an adequate safety net would require spending o f an additional 1 percentage point o f GDP. 27. While this package o f investments covers significant components o f the growth agenda that El Salvador requires to boost economic performance over the coming years, i t admittedly excludes some important investments that need to be included in such an agenda. Additional investments to promote growth w i l l require commensurate additional fiscal efforts and creative methods to attract financing from the private sector. 28. In sum, El Salvador faces the difficult dual challenge o f addressing recent fiscal trends while financing key investments required to accelerate growth and meet pressing social needs. Meeting both o f these challenges simultaneously w i l l require great s k i l l , as there can be tradeoffs between them, especially in the short run. However, as the analysis in this report demonstrates, the level o f new spending required should be manageable and can be reconciled with the goal o f strengthening fiscal accounts. Ultimately, the expenditures recommended to ensure that the poor benefit from further economic progress are not only feasible but necessary to promote growth and poverty alleviation over the coming years. xvi CHAPTER I:Macroeconomic Environment and Fiscal Sustainabilitv Background 1.1 W i t h a strong record o f structural reforms in the 1990s, El Salvador has posted significant gains in economic growth and poverty reduction since the end o f the civil war in 1992. However, starting in the late 1990s, growth levels have been disappointing, partly as a result o f terms o f trade shocks (esp., price o f coffee), the international recession and disruptions caused by the earthquakes of 2001. The fiscal situation has deteriorated, as fiscal receipts have been affected b y l o w economic growth, and expenditures have increased due to substantial reconstruction investments and the transition costs associated with pension reform. Due to El Salvador's strong macro policies and i t s good standing as a sovereign debtor in international markets, much o f the fiscal deficit has been financed at moderate costs, although the flip side has been a rapid increase in public debt since 2000. 1.2 A s a new administration comes into office, El Salvador faces two fiscal challenges that will greatly influence i t s economic performance over the coming years. The first i s to regain a solid fiscal footing, by reversing partly some o f the recent growth in debt. The second i s the need to finance certain priority investments required to accelerate growth and meet pressing social needs. Meeting both o f these challenges simultaneously w i l l require great skill, as there can be tradeoffs between them, especially in the short run. However, as the analysis in this report demonstrates, given improvements in the efficiency o f public expenditures in recent years, the level o f new spending required should be manageable and can be reconciled with the goal o f strengthening fiscal accounts in a country where the tax burden i s s t i l l relatively l o w by international standards. Ultimately, the selective expenditures recommended are not only feasible but necessary to promote growth and poverty alleviation over the coming years. This public expenditure review (PER) focuses on the fiscal challenges described. 1.3 I t reviews overall trends in expenditures and revenues, with special emphasis on the key social expenditures that require the most attention, as well as on the public expenditure management framework required to ensure that public funds are used productively and efficiently. I t also evaluates future trends in fiscal accounts and lays out options for reducing debt gradually to levels that would grant greater flexibility to fiscal policy in the future, which i s likely to be needed to respond to future shocks and contingencies and to aid in countercyclical economic management. 1.4 This report focuses i t s in-depth analysis o f expenditures on social investments, broadly understood, including rural infrastructure. O f these, social sector expenditure areas represented in 2003 approximately 43 percent o f the Central Government budget. Areas that are not explicitly evaluated represented about a third o f the 2003 budget.' ' Areas that are not subject o f in depth analysis in the report include general administration and defense (1 1 percent o f the budget) and justice and security (13 percent), support for agriculture (1.3 percent), the urban 1.5 This chapter focuses on overall fiscal trends. I t reviews recent macroeconomic developments, recent fiscal trends in both expenditures and revenues, summarizes key accomplishments and future challenges in each o f the key social expenditure areas reviewed in more detail in Chapters 111, IV, V, V I and VII. Moreover, it also evaluates the transition fiscal costs o f the pension reform and presents recommendations on overall fiscal policies to 2009, based o n a debt sustainability analysis. I. Macroeconomic Trends 1.6 Over the past decade, El Salvador has distinguished itself b y i t s record o f sound macro management and consistent modernization efforts. Structural reforms undertaken in the 1990s included trade liberalization, financial sector strengthening, re-privatization o f the financial sector and other state enterprises, comprehensive tax reform, pension reform and improvements in the competitiveness environment for private investment. As a result o f these efforts, in 2000 the Heritage Foundation ranked El Salvador at the top o f the Latin American free-market reforming countries and one o f the freest in the world. In the social areas, reforms in the education sector have proven very successful in improving primary coverage, while achievements in health have been somewhat less impressive. 1.7 Structural reforms and sound macro management explain El Salvador’s solid economic performance since 1990, as illustrated by the achievement o f the second highest growth rate in the 1990-2003 period in Central America, behind Costa Rica. However, this apparently stellar showing masks two contrasting phases o f economic performance of the Salvadoran economy.2 Growth was high (6 percent, annually) over the 1990-95 period, and has been disappointing since (2.7 percent in the 1996-2003 period). The first phase clearly reflects the strong post war reactivation o f public investment (reconstruction activities), private investment (especially real state), and consumption (especially o f durable goods). The consumption boom was to some extent facilitated and reinforced b y the massive inflow o f workers remittances, which have been associated with an excessive expansion o f the money supply, higher domestic credit and high inflation until 1995. The lower growth cycle started in 1996, as a result o f a tightening o f monetary policy to correct the growing macroeconomic imbalances. However, i t has been extended by a number o f negative exogenous shocks. A strong deterioration in the terms o f trade occurred in the 1996-2000 period (about 4 percent per year on average), U.S. demand for Salvadoran exports declined in 2000-2001 (particularly those coming from the large maquila sector) and the real effects o f the 2001 earthquakes rippled through the economy in 2001 and 2002. What i s remarkable in this period i s that despite continued l o w growth mainly for reasons beyond i t s control, El Salvador has been able to maintain sound macro management. (Chart 1.1) component o f the public works budget (6 percent) and the expenditures of the Ministry o f the Economy (2.3 percent). A detailed review of these growth phases i s presented i n Chapter 1 o f the El Salvador CEM (2004). * 2 Chart 1.1: Real GDP Growth Rates I 1996 1997 1998 1999 2000 2001 2002 2003 Source: Central Bank o f El Salvador 1.8 The country has also made impressive progress in advancing in social areas since the end o f the c i v i l war. In the 1990s, basic education enrollment rate increased from 74 percent to 85 percent, infant mortality was reduced from 46 per 1,000 live births to 31 per 1,000 live births; the maternal mortality rate was reduced from 148 per 100,000 to 120 per 100,000 live births. Access to reproductive health services increased from 40 percent to 60 percent; and population without access to safe water was reduced from 34 percent to 23 p e r ~ e n t .Recent ~ findings from the Bank’s Poverty Assessment reveal that poverty declined f r o m 64.4 percent in 1991 to 37.2 in 2002. In the same period, extreme poverty declined from 31.2 percent to 15.4 percent. While progress in poverty reduction has slowed in the 2000s, what i s truly remarkable i s that i t has not reversed, even in the face o f the 2001 earthquakes, the regional coffee crisis, and slowdowns in domestic growth and the global economy. As w i l l be explained in this report, broad gains in social indicators reflect not only the fruits o f economic growth but increasing public sector attention in these areas since the mid-1990s which have been translated into some important reforms and greater budgetary allocations. An important economic decision o f recent years which has consequences for 1.9 fiscal policy i s the formal dollarization o f the economy in January 2001 with the Monetary Integration Law.4 The decision was taken after several years o f keeping an essentially fixed exchange rate, w i t h a steady increase in net international reserves thanks in great part to the sustained inflow o f worker’s remittances, which b y 2000 was equivalent to more than 10 percent o f GDP. The decision was taken in great part to diminish financing costs for the economy b y eliminating country risk, as well as to reduce transaction costs and attract foreign investment. Since i t s implementation, El Salvador has enjoyed a substantial decline in interest rates (beyond what would be justified b y international trends), as well as sustained l o w inflation rates. With this decision, El Salvador has effectively abandoned monetary policy and placed the burden o f stabilization policies squarely o n the fiscal side, for which i t i s critical to maintain sufficient flexibility to respond to negative shocks. Progress of El Salvador towards achieving the MDGs i s based on the WB Policy Notes for Poverty Reduction Report, May 2002 and W B Poverty Assessment report, June 2004. Under the Monetary Integration Law o f January 2001, the exchange rate was fixed at c 8.75:$1 and the US dollar became legal currency. 3 1.10 Projecting future growth in El Salvador i s particularly challenging at the time o f this writing. On the plus side, the pickup in the world economy and particularly in the U.S. have brightened considerably the outlook for exports, as well as the signing of the Central American Free Trade Agreement (CAFTA) between the US. and five countries o f Central America, expected to be approved b y the legislatures b y 2005, which seems to be already having an effect on FDI levels. On the negative side, high and uncertain future o i l prices i s a large cost for an o i l importing country l i k e El Salvador. In addition, the end of the world quota scheme for apparel and textiles, scheduled b y the WTO at the end o f 2004 poses significant challenges to the large “maquila” sector. With these uncertainties in mind, real growth in the range o f 3 to 4 percent over the next 4 years would be a reasonable expectation, consistent with the 3.5 percent rate that has been recently quoted in government and IMF projections. Moreover, this range i s consistent with calculations presented in the Bank’s own recent C E M (World Bank, 2004) about the average underlying growth rate for the 1996-2001 period o f between 3.4 and 4.2 percent, using alternative filtering technique^.^ 11. 1. Fiscal Revenues and Expenditures Policy Challenges 1.11 The central challenge for El Salvador i s to restore fiscal discipline b y bringing fiscal balances back to a sustainable path, while allowing for some additional public expenditures. As w i l l be explained in detail in the following sections, to achieve mediumterm public debt sustainability while accommodating additional expenditures for a social and growth agenda would require a gradual adjustment between 2005 and 2009 with a structural primary deficit starting at -1.0 percent o f GDP in 2004 and turning into a surplus o f 2.4 percent o f GDP in i t s peak year (2009). This outcome would bring deficits down from 3.2 percent o f GDP expected for 2004 to an average o f only 1.4 percent o f GDP over the 2005-09 period and would reduce the debt ratio to around 35 percent b y the end o f the period. 2. Fiscal Performance 1.12 El Salvador’s fiscal stance i s under stress since 2001 due to a combination o f adverse external shocks and growing cost o f pensions. L e d b y an increasing primary deficit that reached 3 percent o f GDP in 2001, the overall fiscal deficit significantly increased from 1.8 percent o f GDP in 1997 to 4.4 percent o f GDP in 2002, only to be reduced to 3.0 percent o f GDP in 2003. The Nonfinancial Public Sector (NFPS) deficit averaged a l o w o f 1.6 percent o f GDP between 1990 and 1995. Such an outcome coincided with the important increase in growth o f about 6 percent of GDP per year. However, the NFPS deficit increased to an average o f 3 percent o f GDP during 19962003 resulting basically from fiscal expansion. The main component o f such deficit was the Central Government (CG) imbalance, which represented about 90 percent o f the average NFPS deficit. CG fiscal deficits were the result of l o w tax revenue, volatile nonAdmittedly, the same report also presents projections using an international cross country framework that would forecast annual average growth o f 5.6 percent for El Salvador under a “realistic” scenario, although it questions the reliability of such an optimistic estimate. 4 tax revenue and the highly volatile behavior o f current and capital expenditure (Table 1.1). Table 1.1: Non-Financial Public Sector and CG ($million) Source: Ministry o f Finance 1.13 While fiscal performance has been broadly prudent since the 1990s El Salvador's non-financial public sector6 deficits rose during 2000-2003, peaking at 4.4 percent o f GDP in 2002. The causes o f this deterioration were: (i) the earthquakes o f 2001 which called for reconstruction expenditures totaling 1.5 percent, 2.2 percent and 1.6 percent o f GDP in 2001, 2002 and 2003, respectively; (ii) the increasing transition cost o f the 1996 pension reform, which rose from 0.7 percent in 2001 to 1.1 percent and 1.7 percent in 2002 and 2003, respectively; and (iii)the decrease o f the surplus coming from public enterprises, that after reaching 2.2 percent o f GDP in 1996, declined substantially in 1998 and 1999, reaching only 0.6 percent o f GDP in 2003. Recent deficits have been mainly financed b y public debt which climbed by 10 percentage points in the period 2000-2003, reaching 40.6 percent of GDP at end 2003. 1.14 The public sector modernization reform that started w i t h the Government's development plan of 1994-1999, and was further extended b y the economic plan o f 19992004, created room for the wage bill to decline, from 8.4 percent o f GDP in year 2000 to 7.4 percent in 2003. In the same period, tax revenues increased f r o m 11.1 percent to 12.1 percent o f GDP in response to the introduction in 2002 o f a new fuel tax to fund spending in road maintenance (FOVIAL), measures that broadened the tax base and improved tax administration and enforcement. Notwithstanding this fact, the fiscal deficit increased from 2.8 percent o f GDP in 1999 to 4.4 percent of GDP in 2002 and fell t o 3.0 percent of GDP in 2003 due to cuts in the reconstruction program and some increases in tax revenues (See Table 1.2). For fiscal reporting purposes, the non-financial public sector (NFPS) consists o f 21 central government entities, including 12 ministries, 34 hospitals and other health entities, 47 decentralized institutions, including four state enterprises, and 262 local governments. Decentralized institutions have functional autonomy and Municipalities have financial, technical and administrative autonomy. The 262 municipalities account for around 5 percent of overall NFPS expenditures 5 Table 1.2: Non-Financial Public Sector as Percent of GDP Pensions Expenditure 0.0 0.0 0.0 0.0 0.0 0.7 1.1 1.7 Primary Deficit -0.7 -0.2 -1.1 -1.4 -1.5 -3.0 -2.7 -1.0 Overall deficit with pensions -2.4 -1.8 -2.6 -2.8 -3.0 -4.4 -4.4 -3.0 Overall deficit without Pensions -2.4 -1.8 -2.6 -2.8 -3.0 -3.7 -3.3 -1.3 GDP 1.7 4.2 3.7 3.4 2.2 1.8 2.3 2.0 1.15 While i t i s too early to t e l l if the formal dollarization o f 2001 has changed significantly the cyclical behavior o f fiscal policy, the overall behavior o f fiscal balances indicates broadly counter cyclical variations since at least 1996. The NFPS primary balance, which i s a commonly used counter-cyclical indicator o f fiscal policy, has been negative throughout the period 1996-2003 but has been positively related to the rate o f growth. That is, lower deficits have tended to occur during years o f higher growth, and in periods o f lower growth (2001-2003) the reconstruction investments helped to stimulate the economy and generate employment, suggesting that fiscal policy has behaved counter cyclically. Moreover, recent fiscal performance shows a decline in public sector current savings. NFPS savings were substantial, nearly 2 percent o f GDP in 1996-97, began to fall on a sustained basis in 1998, were negative in year 2000, and recuperated thereafter, giving signs o f future higher economic growth. However, the higher infrastructure spending made b y the government without an increase in public savings has given way to growing fiscal deficits, as Table 1.2 clearly shows. Public savings and public investment averaged 0.9 percent and 4.3 percent, respectively, in 2001-2003 and the overall deficit averaged 4 percent o f GDP in the same period. 6 3. Composition and Evolution of Expenditures a. Nonfinancial Public Sector 1.16 In terms o f the economic classification o f spending, the largest components o f total expenditures in the period 1996-2003 were: current expenditures (80 percent), o f which wages and salaries (40 percent o f total expenditures), transfers to specific sectors, including pensions (15.2 percent o f total) external and domestic interest payments (8.4 percent o f total) and goods and services (16.3 percent o f total expenditures). In the last three years (2001-2003) the expenditure increases have been associated principally with a rise in: pension outlays - following the pension reform that made the public pension system debt explicit- interest payments, and transfers to the municipalities. In 2003 current expenditures reached 83.5 percent o f total expenditures in response to increases in consumption expenses, interest and pension payments, while capital expenditures were reduced to 16.6 percent o f total expenditures, thus, reducing the overall deficit to 3 percent o f GDP. The adjustments relied mostly on capital expenditure due to the rigidity in almost two thirds o f the expenditure budget and the difficulty to increase revenue. Three types o f expenditures are rigid: public sector payroll, representing 37 percent o f total expenditures, interest payments, amounting to 10 percent o f expenditures, and transfers to the municipalities, pensions and others, which represented 18 percent o f total spending in 2003. These items amount to nearly 65 percent o f NFPS expenditure, and over 100 percent o f the tax revenues in 2003. (Table 1.3) Source: Ministry o f Finance 1.17 NFPS current expenditure in El Salvador went from $1,616 m in 1996 to $2,474 m in 2003. As a percentage o f GDP, current expenditures in the period 1996-1999 averaged 14.7 percent o f GDP, and for the last four years i t averaged 16.0 percent o f GDP, displaying a growing trend despite the fact that wages and salaries in the period 1996-2000 amounted to an average o f 7.8 percent o f GDP, decreasing their share to 7.5 percent o f GDP during the period 2001-2003, in response to c i v i l service changes that 7 make El Salvador’s public sector small b y international standards. One o f the main reasons for the change in current expenditure i s the increase in transfers that besides pensions include transfers to the municipalities, which by legal mandate must receive 6 percent o f total current revenue annually. During the period 1996-2003, NFPS transfers reached an average o f 2.5 percent o f GDP and in 2003 they accounted for 3.7 percent of GDP, of which 1.7 percent goes to pensions and 0.8 percent to the municipalities, respectively. (Table 1.4). Table 1.4: Non-FinancialPublic Sector (US$ m.) Of which reconstruction1 Source: M i n i s t r y of Finance 0 I 194.5 I 282.0 1 209.6 1 1.18 In contrast to the growing current expenditure, non-financial public sector capital expenditure during the period 1996-2000 was pretty stable, fluctuating between $403 and $470m. However, after the earthquakes o f 2001, capital investment increased considerably reaching $620 and $706m, in 2001 and 2002. As a percentage o f GDP capital expenditures in the period 1996-2000 averaged 3.7 percent o f GDP, and in the last three years i t increased to 4.3 percent o f GDP, o f which reconstruction expenditures accounted for 1.6 percent o f GDP, on average. 1.19 In the consolidated non-financial public sector statistics, expenditures are classified functionally into current and capital expenditures. Current expenditures include consumption (basically wages and good & services), interests, and transfers (pensions, judiciary and municipalities). During the last three years (200 1-2003) consumption, interests and transfers accounted for 68, 12 and 20 percent o f total current expenditures. Capital expenditures include gross investment, o f which reconstruction investment has accounted for 40 percent o f total investment between 2001 to 2003. 8 Chart 1.2: Non-FinancialPublic Sector Expenditure (% of GDP) 25.0% 20.0% Q F 15.0% c 8 $ 10.0% n 5.0% 0.0% 1996 1997 1998 1999 2000 2001 2002 2003 Period [Ed Current Expenditures UCapital Expenditures UTotal Expenditures 1 Source: Table 1.2 Interest Payments. As a percentage o f GDP, interests increased together with the public debt and since inflation declined, the burden o f interest increased more than what the table shows, which do not capture the effect o f declining inflation on real interest rates. Wages. Following the Public Sector Modernization, wages as a percentage o f GDP decreased f r o m 8.4 percent in 2000 to 7.4 percent in 2003. A reduction o f public employment has been one o f the instruments through which El Salvador has sought to achieve fiscal balance and increase public sector efficiency. I t has been a difficult instrument to apply due to institutional constraints. I t i s estimated that there are about 110,000 public sector employees that in 2003 received a total wage bill o f $1 103 million and accounted for about 20 percent o f the economic population.. As a percentage o f GDP, the public sector wage bill i s about the same as other Central American countries. In Costa Rica, for instance, the wage bill reached 7.9 percent o f GDP in 2003, while the average for Latin America in 2000 was 5-5.5 percent o f GDP. ' Pensions. Together w i t h interest payments, NFPS transfers, which include pensions, explain most o f the recent increase in public sector expenditures, particularly since 2001. Transfers and interest payments alone account for 44 percent o f the increase that total public expenditure experienced between 1996 and 2003. O f this increase, pensions more than doubled the rise in interests. The rapid growth o f this item i s explained by the transition costs o f the pension reform approved in 1996 which created individual capitalization accounts and provides for the gradual phase out o f the pay-as-you-go system. The fiscal costs o f this reform are spelled out in more detail in Annex 11o f this report. Reconstruction. Capital expenditures increased importantly mainly in 200 1 and 2002 due to the reconstruction after the earthquakes. Capital expenditures increased from 3.3 9 o f year 2000 to 4.5 and to 5 percent o f GDP, in 2001 and 2002 respectively. O f this increase, reconstruction accounts for more than 90 percent. Transfers to Local Governments. The Ministry o f Finance (MH) includes in the NFPS statements data on the municipalities, on a sampling basis, due to the incomplete coverage available. Central government transfers to the municipalities are mandated b y the L a w o f the Municipal Economic and Social Development Fund (FODES), which earmarks 6 percent o f the current (net)’ central government revenues for this purpose. FODES funds are distributed among municipalities on the basis o f a pre-established formula and i t s regulations stipulate that 80 percent must be used for investment and 20 percent for current expenditure by each municipality. In 2003, transfer flows amounted to $104.7 m, or 0.7 percent o f GDP. Flows to the FODES w i l l increase in 2005, since the National Assembly voted mid-June to raise the transfers to the municipalities to 7 percent o f current government income. In 2003, a sample o f about 50 municipalities was included in the NFPS statements. These municipalities reported revenues o f $180 m o f which 42 percent were obtained from local revenues and 58 percent f r o m central government transfers. 1.19 The municipalities are also financed b y transfers from the central government to the Investment Fund for Local Development (FISDL), which has traditionally been financed by external loans. While municipalities derive revenues from a number o f fees and taxes there i s no comprehensive data on them. Table 1.5 show the amount o f total transfers to the municipalities through both funds (FODES and FISDL), which accounted for around 4.4 percent o f total government expenditures. Pressures to increase transfers to municipalities are likely to continue in the future. To avoid repeating some o f the problems seen in other decentralization experiences elsewhere in L A C , responsibilities should be matched with any further transfer. Moreover, municipalities need to strengthen the capacity to raise their own revenues to avoid relying excessively on transfers. Table 1.5: Government Allocations for FODES and F I S D L (US$ m.) e/ estimate Source: Ministry o f Finance ’Net central government revenues = current revenues - income tax devolutions and VAT tax drawbacks. 10 b. Central Government 1.20 Between 1996 and 2003, El Salvador’s Central Government total expenditures averaged 15.6 percent o f GDP. Current expenditure totaled 12.4 percent of GDP and capital expenditures averaged 3.2 percent of GDP. Total expenditure i s b y and large the lowest in relation to other countries o f the Central America Region, with the exception o f Guatemala (12 percent). In the same period, current expenditure as a percentage o f total expenditure, reached 80 percent, one o f the highest in the region together with Costa Rica (83.4 percent); while capital expenditure shows a l o w participation in total expenditures with 20 percent. Even though cross-country comparisons can be misleading, El Salvador level o f total spending and l o w tax revenue suggest that new sources o f income are necessary or the level of public debt w i l l raise over the 40 percent o f GDP limit that the authorities have themselves established. Countries in the region sharing El Salvador high level o f current expenditures as a share o f total expenditures either spend less in capital expenditures (Costa Rica) or both, spend less and collect more revenue (Honduras). This highlights the need for El Salvador to reduce current expenditures while strengthening efforts to increase revenue (Table 1.6). Current Expenditure 79.4 83.4 64.5 75.1 66.2 73.1 Capital Expenditure 20.6 16.6 35.5 24.9 33.8 26.9 1.21 The overall deficit o f the Central Government was in a worrisome ascending trend between 1997 and 2002 (Chart 1.3). In 1997 current revenues were 12.5 percent o f GDP, current expenditures 11.3 percent o f GDP, and capital expenditures 2.4 percent o f GDP; b y 2002 they were 13.2 percent o f GDP, 13.1 percent o f GDP, and 4.3 percent o f GDP, respectively. The Central Government overall deficit increased f r o m 1.1 percent o f GDP in 1997 to 4.3 percent o f GDP in 2002, mostly as a result o f the reconstruction investment following the earthquakes and pension related payments. However, in 2003 the overall deficit decreased to 3.8 percent o f GDP resulting f r o m President Flores’ Decree formalizing the austerity program, the government efforts to contain non-essential current expenditures and the improvement in tax collections which in effect rose to 12.1 percent o f GDP in 2003 from an average o f 11 percent o f the period 1996-2001. Current expenditures (excluding pension payments) have not increased due to cuts in wages and salaries and restricted capital expenditure. (Table 1.7) 11 Chart 1.3: CG Revenues, Expenditures and Overall Deficit I ; 8 mL. v) Q 3 f 3 .- 4 $W 1 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% I ~ , I , T 0.0% -0.5% -1.0% , -1.5% I -2.0% , -2.5% -3.0% -3.5% -4.0% -4.5% 0 e pr 1996 1997 1998 1999 2000 2001 2002 2003 e- Current Expenditures t Revenues & grants +Cap +Overall Expend & net lending -8- Overall deficit (right side) deficit with pensions (right side) Table 1.7: CG revenues, expenditures and overall deficit (% of GDP) Source: Ministry o f Finance 4. Expenditure Priorities and allocation 1.22 Between the 1999-2003 period, the broad allocation o f resources was initially guided b y the Government’s Development Plan, which comprised the areas o f Macroeconomic stability; support to sector policies (agriculture, micro enterprise, exports); public security and judicial security, and environment. The Government’s Plan contemplated detailed objectives and measures in each o f these areas. The disruption caused b y the 2001 earthquakes and consequent change in priorities put the Plan on hold, but since earthquake reconstruction progressed quite rapidly, the Government focused again on i t s original Plan in 2003 and 2004. The budget priorities were established by management areas, which are: social development, support to economic development, administration o f justice and citizen security. 12 Table 1.8: CG Approved and Executed Budget by Management Area ( % of total budget) - W i c Detd StateCUigbiaS W i c Werpises 21.2 5.8 0 a.1 6.6 0 Total la, la, ~ ~ ~~~ 16.4 7.4 0 18 8 0 la, la, ~ 15.4 15.6 155 16.1 14.7 6 0.9 la, 6.5 1 6.6 0.3 6.8 0.3 7.5 0.9 8 0.2 la, la, la, la, la, ~ 14.6- ~~~~~ 129 13.9 5.1 1.8 103 5.6 1.9 5.3 0 5.5 0 5 1.4 5.2 1.5 la, la, la, la, la, ~ 31.1 -326 ~ 159 ~ Table 1.8 shows the approved and executed budget allocation b y management area. The executed budget for the social development area o f management was lower than the approved during 2001-2003 mainly due to management issues in education and health, as discussed in detail in Chapters I11 and IV. Executed public debt service (18 percent o f total budget) i s higher every year than the amount originally approved, consistent with the persistent increase in public debt. Source: Ministry of Finance 1.23 In recent years, El Salvador has made significant progress in social indicators due in part to increased attention to the social development agenda. During the period 19962003, the budget allocation to the Social Development area was the largest. In fact, the amount o f resources allocated to this area increased from 4.7 percent o f GDP to 7.3 percent o f GDP. Within this allocation, education increased from 2.2 to 3.1 percent o f GDP, and health from 1.4 to 1.5 percent of GDP; while transfers explain most o f the increase as both, increasing from 0.1 to 2.4 percent o f GDP. Other areas that feature prominently in the budget were Support for Economic Development (2.1 percent o f GDP, 13 165 on average) and Justice and Security (2.5 percent of GDP, on average), both of which also contributed to the social and growth agenda. (Table 1.9). What follows i s a brief summary o f accomplishments and future challenges in each o f the key social expenditure areas: education, health, water and sanitation, rural roads and rural electricity, which are reviewed in more detail in later chapters. a. Education Sector 1.24 There has been a substantial increase in the amount o f public resources allocated to education during the 1990s. Although spending has increased significantly to 3.3 percent o f GDP in 2002, in the last two years i t has declined to 3.1 percent in 2003 and in the proposed budget for 2004 i t i s at 3 percent o f GDP, well below the 4.4 percent o f GDP average for L A C . The allocation o f resources were aimed at supporting the implementation of the Education Development Plan 1995-2005, which contributed to major improvements in the sector. The recent study on the situation o f El Salvador in relation to the Millennium Development Goals (MDGs) concludes that i t i s likely that the country w i l l meet the 2015 targets on net primary education enrollment, share o f students that complete the fifth grade, and the universal literacy target for youth. The targets related to gender in primary and secondary education as well as literacy rates have already been met.* However, to reach the necessary coverage rates in the basic cycle and secondary, i t has been estimated that the education budget would need to increased by about two percentage points o f GDP, or to 5 percent o f GDP. And to increase the quality o f education, an appropriate balance needs to be established between expenditures on wages and salaries, teacher training, didactic materials and other goods and services, and infrastructure. Resource use in El Salvador’s basic education sector has been broadly efficient but challenges remain in secondary education. b. Health Sector 1.25 El Salvador’s health indicators have improved during the last several years but significant challenges remain. For instance, in relation to the MDGs i t i s highly likely that the country meets the 2015 targets on infant mortality rate, mortality rate in children under five, measles immunization, and tuberculosis incidence, but i t i s unlikely that i t meets the MDGs targets on maternal mortality, deliveries by trained staff, and H l V / A I D S Since 2001, part of the resources allocated to the sector have financed the reconstruction o f the damaged infrastructure, and in the near future the health authorities should focus on increasing the efficiency and equity o f resource use given the fiscal constraints. El Salvador i s among the countries in Latin America that spends less (as a percentage o f GDP) in health services. The allocation o f budget resources to the sector reached 1.5 percent o f GDP in 2002 and 2003, and the execution o f the allocated budget has been deficient in the last three years. The bulk o f resources has been allocated to hospital care and the primary healthcare share has tended to increase. Nonetheless, there i s a need to increase further primary health care through cost-effective, outreach programs since the “El Salvador: lnfortne de Pais Sobre el Avance de 10s Objetivos de Desarrollo del Milenio”, final draft, Presidential Commissioner for the Social Affairs, April, 2004 14 coverage o f the health system i s still inadequate as less than 20 percent (6 percent o f the poor) have access to medical insurance, and as much as 24 percent o f the population s t i l l does not have access to health services or only has limited access. C. Water and Sanitation 1.26 Water supply and sanitation indicators for 1996-2003 reveal an increase in coverage, mainly in rural areas. The MDG in this area establishes the target o f reducing the proportion o f population not having sustained access to safe water and basic drainage to half b y 2015. Recent data indicates that El Salvador has already surpassed the MDG target for urban water and sanitation and rural sanitation coverage and i t i s likely that b y year 2015 the target for rural access to water w i l l be met. Nevertheless, there are s t i l l great challenges in the sector. Public spending during 1996-2003 has been equal to an annual average o f 0.3 percent o f GDP, o f which 70 percent was destined to water systems and 30 percent to sanitation To achieve universal coverage o f water supply and sanitation b y 2015, i t would be necessary to increase annual investments in the sector. However, given the uncertainty about the nature and timing o f water and sanitation sector reforms and about the most cost-effective and appropriate service delivery models, estimating with precision the necessary increases in investments i s difficult. Nonetheless, recent estimates suggest a possible range o f costs using international calculations o f efficiency prices and differentiating between the costs o f investments in rural and urban areas, that would need an average annual investment o f US$ 21 million between now and 2015, or about 0.14 percent o f GDP per year'. Because these calculations use estimates o f efficiency costs, rather than actual costs, they may be interpreted as lower-bound estimates. Following an analysis presented in the recent Human Development Report (2004), and using unit cost estimates that do not differentiate between the unit costs o f rural and urban areas, i t i s estimated that the additional investment costs would range from US$45 to US$ 50 million or about 0.3 percent o f GDP. per year" between now and 2015. d. Rural Roads 1.27 Improving rural roads during the 1990s has contributed to poverty reduction in rural areas, and has given household members access to markets, educational and health centers, water and security. However, great deal o f effort i s s t i l l required to obtain an adequate level o f connection o f districts and settlements in the country. One set o f objectives consistent with the country's goals to strengthen poverty reduction through infrastructure development would be: (i) t o pave or rehabilitate an additional 1,000 kilometers o f rural roads; and, (ii) to ensure annual maintenance o f 3,000 kilometers o f rural (secondary and tertiary) roads. The costs associated with a program to continue expansion and improvement o f the rural road network, as well as to develop a Yepes, Tito, 2004, "Infrastructure and Poverty Reduction in Rural El Salvador," draft, Poverty Reduction and Economic Management and Human Development Departments, Latin America and the Caribbean Region, World Bank. lo In the absence o f sector reforms and the identification o f a cost-effective service delivery model for rural areas, the costs are likely to be closer to the upper- than the lower-bound estimate. 15 maintenance capacity for rural roads depends on the specific goals and the timeframe set for achieving them. Analysis o f El Salvador’s road investments suggest that the unit costs o f the road’s development i s in line with international norms. Using recent average unit costs o f road paving, rehabilitation, and maintenance as benchmarks, i t i s estimated that a 5-year program to pave and/or rehabilitate an additional 1,000 kilometers of rural roads would cost approximately an additional US $25 million per year over 2003 spending levels. This implies investments o f approximately 1.4-1.5 percent o f GDP per year, up from 1.3 percent o f GDP in 2003. Hence the allocation o f resources to the sector needs to be increased b y about 0.1 to 0.2 percent of GDP. e. Rural Electrification 1.28 El Salvador’s electricity indicators for the period 1990-2003 reveal improvement in coverage and quality o f service, mainly in rural areas, however the main sector challenge i s to lower the cost o f service through more efficient generation and distribution. In view o f the importance o f rural electrification for income generation, the study on the situation o f El Salvador in relation to the MDGs,” incorporates the goal o f reaching a rural electrification rate o f 85 percent b y 2015 (from 7 1 percent in 2002. During 1991-2002, rural electricity coverage increased from 44 percent to 71 percent with an investment in rural electrification b y public entities equivalent to 0.5 percent o f GDP. Hence, raising b y about one percentage point per year the rural electricity coverage would cost an estimated o f about $ 3 million a year, but i t i s important that the sector’s resource allocation priorities be reviewed in order to allocate more resources to low-income population and rural areas lacking service; and less resources for subsidies to those that already enjoy the service. Budget execution 1.29 Although there has been consistency between the Government’s priorities and the allocation o f resources, the implementation record o f different institutions within each management area has been mixed. Table 1.10 shows that total expenditures have had an execution o f 92 percent o f the approved budget during the 1996-2003 period. The management area with higher execution on average i s Public Debt ( 95.2 percent); followed b y Justice and Security (94.4 percent); General Administration (93.8 percent ) in the middle of the rank; Social Development (92.7 percent); and Support to Economic Development (80.7 percent) lagging behind. Chart 1.4 also illustrates that the execution o f the total budget in the different areas o f management has not been very efficient until 1999, but has since improved. l1El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer Informe de Pais, 2004. 16 Table 1.10: CG Budget: Executed as Percent of Approved by Management Area General Obligation of the State Public Enterprises 94.3 97.5 97.6 100.0 100 99.9 0.0 98.9 100.0 99.7 0.0 21.5 98.3 0.0 99.9 Total 82.0 90.4 92.3 94.4 93.7 92.3 95.5 96.2 100.0 Chart 1.4: Executed as % of Approved CG Budget, by Management Area 1996 1997 1998 moo 1999 2001 2002 2cO3 Period aSocial Development .&stice and Secunty i-Support to Economic Development UAdministration UTotal Source: Table 1.9 5. Critical social and growth expenditures for the future 1.30 The Country Economic Memorandum of El Salvador (2003) states that the experience o f the 1990s suggests that economic growth has been a key feature of El Salvador’s accomplishments in reducing poverty and points t o four broad areas to reinvigorate economic growth in the 2000s: (i) increase education levels of the 17 population, (ii)develop the country’s economic infrastructure, (iii)foster greater technology adoption and local innovation, and (iv) improve the investment climate, including efforts to reduce violence and increase the rule o f law. Expansions in some needed infrastructure (Le. ports or large trunk roads) need to be financed mainly through partnerships with the private sector, as El Salvador has simply too few public resources to dedicate t o these tasks. While in recent years El Salvador has made important advances in this area, there remains considerable potential through such partnerships to enhance national development as a whole and poverty reduction in particular. 1.31 The recent Poverty Assessment concludes that the poorest segments o f the most vulnerable Salvadorans have been unable to take advantage o f recent economic growth and therefore i t w i l l be important for the incoming government to put in place a coherent set o f policies and investments to ensure that the poor can benefit f r o m future economic progress. To build effectively on past achievements, i t w i l l thus be important for El Salvador to implement a social policy aimed at giving the poor better access to quality education and health care, and greater access to basic services, such as safe water and electricity. The implementation of a social policy has potentially important gains in poverty reduction and increased economic participation o f the poor. 1.32 Given that the fiscal space for increased spending i s limited in El Salvador, i t i s necessary to be selective and make strategic choices among priority areas. Table 1.11 presents a strategic package of investments to meet key social targets in education, health, water and sanitation, rural roads and social protection. While this package i s oriented to ensure that the poorest have access to social services and to strengthen their position to benefit from future income earning opportunities, i t also overlaps in some areas (education and rural infrastructure) with the agenda o f key investments spelled out in the Bank’s C E M to promote broad based growth. The total cost o f implementing the proposed package implies an increase in annual expenditures between 3.2 and 3.6 percent o f GDP that would need to be gradually phased in, due to the tight fiscal situation. The largest commitments o f additional resources are associated with education and the social safety net. I t i s estimated that improving education through achieving universal primary and basic education and increasing to 70 percent net enrollments in secondary schooling would require an additional 1.8 percent o f GDP until year 2015; developing an adequate safety net would require spending o f an additional 1 percentage point o f GDP over the next five years; ensuring access to safe water and sanitation among the poor who currently lack access would require an additional 0.1-0.3 percent o f GDP until year 2015; providing access to a minimum package o f healthcare/ nutrition services to those who s t i l l lack regular health services would demand additional 0.2-0.3 percent o f GDP in the next ten years; and finally to rehabilitate an additional 1,000 kilometers o f rural roads and give annual maintenance to 3,000 kilometers o f rural, secondary and tertiary roads over the next five years, would require a minimum increase in spending. 18 Sector Current Public spending as percent of GDP Objective Target Public spending as percent of GDP 100 percent completion of primary education (basic cycles 1 & 2) by 2015 (MDG2) Education Proposed increase as percent of GDP 0.5 100 percent completion of basic education (3'd cycle): 70 percent net secondary school enrollments by 2015 1.8 Total Health Provide access to a minimum package of healthcare/nutritionservices to those who still lack regular health services 3.8 4.0-4.1 0.2-0.3 Water Ensure access to safe water and sanitation among the poor who currently lack access 0.8 0.9-1.l 0.1-0.3 Roads Rehabilitating an additional 1,000 kilometers of rural roads over 5 years; annual maintenance of 3,000 kilometers of rural (secondary and tertiary) roads Ensure access to basic service by the poorest, most vulnerable Salvadorans 1.3 1.4-1.5 0.1-0.2 0.5 1.5 1.o Totals 9.6 12.8-13.2 Safety Net 6. Revenue policies a. Past Performance 3.2-3.6 1.33 Government revenues in El Salvador have increased very gradually in the past 10 years, with tax revenues explaining the bulk o f the increase. Tax revenue in 2003 accounted for 88 percent o f total revenue, while non-tax revenues have fallen f r o m 16 percent o f government revenues in the mid 1990s to 6 percent in 2003, mostly as a result o f privatizations and the corresponding decrease in transfers from public enterprises to the central government. Revenue from tax sources in El Salvador has increased very gradually, from 10.9 percent in the mid 1990s to 12.1 percent in 2003. 19 Source: Ministry o f Finance This proportion i s s t i l l one o f the lowest in all o f L A C and in the Central American region as shown in the chart 1.5. Chart 1.5 CG Current Revenues and Total Expenditures as percent of GDP Total Expenditure .Current Revenue 17 7% 25 8% 21 9% 13 3% 21 7% 20 0% 1.34 The tax structure depends basically o n revenues f r o m the VAT and the income tax, which generated jointly over 82 percent o f the total in 2003. With a current rate o f 13 percent, the VAT has been the most significant o f the two, contributing with a little over half o f tax revenues. The remainder i s collected through import duties (9.8 percent in 2003) and excise taxes on specific products (3.4 percent). The former has been steadily declining as a source o f government revenue since the 1990s, as El Salvador has reduced sharply i t s average tariff levels to around 5 percent, one o f the lowest in L A C (Table 1.13) 20 Table 1.13: CG Tax Revenues as % of Current Revenues and GDP Source: M i n i s t r y o f Finance 1.35 The record for projecting annual revenues for the purposes o f fiscal policy in El Salvador has had mixed results. Actual current revenues and tax revenues have fallen short of projected values over the 1996-2000 period b y about 10 percent. This resulted from consistently overestimating revenues f r o m income taxes, value added taxes and specific taxes, while import duties were severely underestimated (Table 1.14). According to the Ministry o f Finance, the underestimations o f 1996 and 1999 resulted from delays in approving the tariff reform. In 2000 the overestimation resulted from the fact that the planned crackdown on contraband did not yield the revenues anticipated that year. In addition, 2001 projections were affected by the economy wide effects o f the earthquakes. Chart 1.6: Executed as % of Approved CG Budget by Management Area BSocial Development OSuppo rt to Economic Development ' OTotal Source: Table 1.14 21 .Justice and Security OAdministration Table 1.14: CG Actual Revenues in US$ m. and as percent of Project Revenues Source: Ministry of Finance b. Prospects 1.36 According to a number o f recent studies, there i s ample room for El Salvador to continue to improve tax revenues over the coming years.I2 The area with most promise i s the excise tax on specific products, in which El Salvador ranks l o w in international comparisons. Greater taxes on fuels, beverages and tobacco are a potential source o f future revenues, particularly as El Salvador has lower rates than most Central American neighbors. VAT i s an area in which the greatest challenge lies in continuing to incorporate the informal sector into the network. Moreover, El Salvador exhibits already a high yield from the 13 percent VAT rate (Table 1.15) 13. Since El Salvador has a well structured VAT, with a broad base and a single rate, further revenues from this source would likely require higher rates. l2 These studies include Stotsky and WoldeMariam (2002), Acevedo (2003), Acevedo and Gonzalez Orellana (2003) and Velasco and Rodriguez (2003). l3The ratio for Latin America corresponds to the latest year for which the data i s available. In effect, in 2003 VAT revenue productivity, defined as VAT revenue as a share of domestic consumption divided by the standard VAT rate, averaged 0.46 in Central America, higher than the ratio o f 0.43 in Latin America. 22 Table 1.15: Central America Value Added Revenue Productivities (CG data for 2003) Source: Ministry o f Finance o f each country (using IMF methodology) 1.37 A number o f technical proposals have been made in recent years to improve collection and eliminate distortions in the personal and corporate income tax regimes. Some o f these include eliminating the accelerated depreciation for investment, eliminating some deductions to personal and corporate income, and taxing interest income. Such changes could yield 0.4 percent o f GDP from personal taxes and 0.6 percent in corporate taxes.I4 B y contrast, import duties are likely to deepen their secular decline in coming years, particularly as El Salvador implements the trade agreements with the United States and other Central American Countries. Recent estimates o f the accumulated loss from CAFTA, once all tariff elimination commitments are phased in over a 10 to 20 year period, indicate that this i s likely to reduce revenues b y about 0.5 percent o f GDP. 111. Fiscal Cost of Pension Reform 1.38 El Salvador adopted a pension reform in 1996 that replaced the existing pay-asThe reform was you-go system with a system o f complete individual capita1i~ation.l~ aimed at homogenizing the conditions for access to benefits by workers from the private, public, and municipal sectors, increasing coverage o f the system and laying out the groundwork for a deeper capital market. As was clear from the beginning, the adoption o f such a reform would entail transition costs for a substantial period o f time, stemming from the decline in government revenues f r o m the shift o f the younger population to the private account system, while preserving the obligation to pay pension benefits to retirees and the older cohorts who remained in the old defined benefit system. l4ES Fiscal Performance, Prospects and Policy Options. Velasco & Rodriguez. Decree 926 of December 19, 1996 also created the Superintendence o f Pensions. 23 1.39 As of December 2003, the size o f the actuarial deficit, estimated b y the Superintendence o f Pensions as equivalent to 72 percent o f GDP, has several components: (i)the payment o f pensions for the current pensioners; (ii) payments for future pensioners; (iii) the redemption of the transfer certificates and the complementary transfer certificates; and, (iv) payment o f the complement for mandatory minimum pensions.'6 In effect, the costs o f the pension reform have been higher than first expected due to: unrealistic financial projections when the reform began, generous benefits compared to other social security systems, the growth o f administrative spending and the negative yield of the technical reserves. In December 2001 legal provisions were approved to allow the government to amortize the transfers certificates over a period o f 15 years instead o f paying them in full when due, generating some fiscal relief. However, this was offset b y the creation o f a complementary transfer certificate aimed at equalizing benefits between the private account system and the public one. Given recent fiscal trends, curbing the transition costs o f the pension reform represents an important challenge in El Salvador. 1.40 Most Latin American countries went through pension reforms since the 1980s. This process was lead b y Chile in 1981 and followed in the 1990s by several other countries like Peru in 1993, Argentina and Colombia in 1994, Uruguay in 1996, Bolivia and Mexico in 1997 and most recently Costa Rica in 2001. El Salvador reformed i t s pension system in 1998 although some retirement benefits remained comparatively generous, both in terms o f age and contribution limits. Retirement ages in countries such as Argentina, Chile, Mexico and Peru ranges between 60 to 65, differentiating b y genders in some cases. The Salvadoran regime grants retirement benefits at age 55 for women and 60 for men, while countries like Costa Rica set the retirement age at 65 years for both men and women. Regarding early retirement, El Salvador pension system allows i t after 30 years o f contribution or with accounts that can finance pensions o f at least 60 percent o f the Basic Regulatory Salary. B y contrast, in Chile, to be eligible for early retirement a person must have saved enough to finance a pension equal to 110 percent o f guaranteed minimum pension, almost twice as much as in El Salvador. In Bolivia contributors must work until they are 65, both men and women, or account sufficient to finance a pension equal to 70 percent o f the Basic Regulatory Salary. (Table 1.16). l6 The transfer certificate corresponds to the present value of the payment o f the rights of acquisition for those persons who transferred to the system administered by Private Funds Administrators (AFPs in Spanish). The complementary transfer certificate i s the actuarial value that it sufficient for a person to obtain a pension in the private Savings System for Pensions (SAP) equal to what the pensioner would obtain in the System of Public Pensions (SPP). 24 Table 1.16: Structure & Features of Pension Reforms in Latin America sufficient to finance a pension Mixed M & F:60 years, or 70 years with 15 contributed terms. M & F:65 years, and at least 240 contributions. Uruguay, Apr 1996 Costa Rica, May 2001 Source: ES Fiscal Performance, Prospects and Policy Options. Velasco & Rodn'guez. 1.41 Even though the benefits that El Salvador's pension system offer are more generous than in most countries o f the region, the total payroll tax rate i s 13.5 percent, one o f the lowest in L A C . In fact, the payroll tax rates in other countries o f the region are 20 percent in Chile, 22 percent in Peru, 21.5 percent in Nicaragua, 24 percent in Bolivia, 26 percent in Costa Rica and Mexico, 34 percent in Colombia, 40 percent in Uruguay and 46 percent in Argentina. In El Salvador as well as in Costa Rica, Nicaragua, Mexico and Chile, the participation o f new workers i s mandatory, while in Peru, Colombia, Argentina and Uruguay the participation o f new workers i s voluntary. Finally, another important dimension along which reforms in Latin America vary i s the degree o f choice afforded to workers. In Chile, Mexico, Bolivia, and El Salvador, PAYG (pay-as-you-go) systems were closed and workers were forced to take up individual retirement accounts. In contrast, in Peru, Colombia and Argentina, workers that j o i n the labor force are allowed to choose between the pay-as-you-go system and individual retirement accounts. 1.42 In El Salvador, options to deal with growing fiscal pressures include (i) raising the retirement age to 65 for men and 60 for women; (ii) increasing t o 35 the number o f years paid in order to obtain an o l d age pension, regardless o f age; and (iii) eliminating the right to have an o l d age pension, regardless o f age, after contributing 30 years. The fiscal 25 impact o f these options are analyzed in detail in Annex II. The third alternative i s the one that would yield most savings in relation to the base case, equivalent to almost 10 percent o f the actuarial value. In this case, the maximum annual fiscal cost would be reduced from 2.3 percent o f GDP to 1.8 percent o f GDP. IV. 1. Fiscal and Debt Sustainability Public Sector Debt Trends 1.43 Public sector debt has accelerated rapidly in the last five years. In 1999, total public debt was close to $3.5 billion and b y the end o f 2003 i t had reached $6.1 billion. As a percentage of GDP, public debt increased between 1999 and 2003 from 28.1 percent o f GDP to 40.6 percent of GDP (Table 1.17). This rapid accumulation o f debt comes after a decade o f decline. El Salvador started the 1990s with a debt level at around 60 percent o f GDP, which began to decline substantially after 1993, reaching a l o w o f 28 percent in 1999. Between 1999 and 2003 the increase in debt led to higher interests payments, which went from 1.4 percent to 2.0 percent o f GDP. This i s a warning signal, as further growth in this indicator could be reflected in market spreads and could potentially cause difficulties when tapping domestic and international capital markets. As can be seen in Chart 1.7 the bulk of the increase o f debt accumulated since 1999 has been contracted externally through Eurobond issues. This has been possible thanks to El Salvador’s investment grade rating, record of sound fiscal management and l o w initial debt levels. . Chart 1.7: Non Financial Public Sector Debt as percent of GDP n 3 000 % . 0 ~ ~ ~ 25.0% 250% 6 200% 20.0% 8 150% 15.0% 10 0% 5 0% 0 0% 1999 2000 2001 2002 Period @Total NFPS D e l External Demlnternal DemShort term De 26 2003 2. Long Term Internal Debt 6.3 6.6 8.8 11.9 11.4 Central Government 6.2 6.5 8.7 11.4 11.1 Non Financial Public Companies 0.0 0.1 0.1 0.5 0.3 Other Central Government (municipalities) 0.1 0.1 0.1 0.1 0.1 1.8 3.7 5.0 0.0 0.6 3. Short Term Central Government Debt 2. Debt Sustainability 1.44 This section develops fiscal scenarios for El Salvador during the next 10 years in an attempt to quantify the adjustment needed to ensure fiscal sustainability. Adjustments are clearly needed to address some o f the underlying trends that have led to the rapid increase in El Salvador’s total public debt. As explained in this chapter, much of this increase in public debt can be attributed to emergency earthquake reconstruction expenses (5.3 percent of GDP in the period) and the growing transition costs o f pension reform (3.5 percent o f GDP). While reconstruction costs will wind down by 2005, the country w i l l need to ramp up social and growth related expenditures. Clearly, El Salvador’s greatest challenge over the coming years i s how to lay out a path for debt sustainability while simultaneously financing the expenditures required to meet social and growth challenges. Furthermore, given the absence o f monetary policy tools, all of the required adjustment w i l l need to be addressed explicitly through fiscal policy levers. 1.45 The sustainability analysis has been prepared on the basis o f expenditure and revenue patterns observed during the past five years, using conservative macroeconomic assumptions as a baseline and an accounting consistency framework that allows for timevarying GDP growth and interest rates (see Table 1.18 below). GDP i s expected to grow by 2.5 percent in 2004 and then by an average 3.5 percent for the rest o f the projected 27 scenario, consistent with growth prospects presented earlier in this chapter. As a dollarized economy, El Salvador i s expected to enjoy low inflation (3 percent on average) and interest rates that closely follow US trends and current market rates for Salvadoran bonds. - 1.46 Passive Scenario No significant changes to current fiscal policy and tax structure. In this macroeconomic context, a path for NFPS revenues i s estimated, assuming some increases in government revenues at the beginning o f the period due to ongoing administrative measures to improve tax collection.” The scenario also takes into account the expected reduction in tariff revenue (about 0.5 percent o f GDP) that w i l l gradually take place between 2005 and 2013 due to the implementation o f CAFTA, while other revenue items are projected to continue growing at nominal GDP growth rates. 1.47 O n the expenditure side, this scenario includes the fiscal impact o f current pension liabilities as presented in the Base Scenario o f Annex I-A. Also, public investment levels reflect the elimination of earthquake reconstruction expenditures by 2005, while other investments are projected at 3 percent o f GDP f r o m 2006 to 2013, consistent with recent historical trends. Wages and salaries o f public servants grow at a rate equal to nominal GDP growth, as no significant further downsizing o f government personnel i s expected. I Table 1.18: M a i n Macroeconomic Assumptions I Average interest rate that applies to NFPS debt. New financing is obtained at current market rates for El Salvador (app. 8percent). The interest rate on old debt increases gradually following US LIBOR projections from the Global Development Finance 2004 report. 1.48 The results o f the Passive Scenario are shown in charts 1.7 to 1.10 for four main fiscal indicators: the overall fiscal deficit, i t s underlying primary balance, total public debt and total interest payments (for details see Annex l . A o f this chapter). As can be seen from the charts, the Passive Scenario yields an unsustainable path for public debt as all major variables shift towards increasing levels o f public deficits and indebtedness. The overall NFPS deficit increases from 3.2 percent o f GDP in 2004 to 4.3 percent in 2013, as a result o f a steady increase in total interest payments from 2.3 percent to 3.7 percent o f GDP and an average primary deficit o f 0.7 percent o f GDP during the same period. Public sector debt increases from 40 percent o f GDP in 2003 to 50 percent o f GDP in 2013 (roughly equivalent to an annual increase o f 1 percent o f GDP), an admittedly much lower pace o f debt accumulation than that observed between 2000 and ” These measures include (i) strengthening of tax administration and enforcement; (ii) the implementation of electronic audits and (ii) the continued use of an electronic tax payment system. 28 2003. However, this pattern i s unsustainable as debt indicators further deteriorate after 2013 at a m u c h faster pace given the resulting debt dynamics. For example, total public debt could increase to 58 percent o f GDP b y 2018, only five years later. 1.49 W h i l e the Passive Scenario does not show a rapidly explosive debt situation, i t should be noted that this i s partly the result o f some simplifying assumptions adopted for the projections. Perhaps the most salient i s the assumption that all new financing w i l l be obtained at a constant average nominal interest rate o f 8 percent. More realistically, given the usual reaction of international financial markets to deteriorating fiscal and debt indicators, El Salvador could eventually loose i t s investment rating from Moody’s and the cost o f i t s sovereign financing could increase to levels observed in other dollarized, but more indebted, economies. The scenario also assumes that there are no negative shocks (additional terms o f trade declines, natural disasters or financial sector contingencies) in the 10 year period that may require additional significant expenditures. In addition, i t does not include any o f the additional expenditures included in the package presented o n section I1 of this chapter to meet key social targets and improve growth prospects. 1.50 Fiscal Target Scenario - Lowering public debt to 35 percent of GDP and addressing critical social and growth expenditures. The Passive Scenario develops into further fiscal deterioration if no fiscal reforms are taken to turn the NFPS primary balance into a neutral, debt sustainable path. But how much fiscal adjustment i s needed to achieve this? Which public sector debt level could be considered as sustainable and desirable over the long run? El Salvador’s current debt level i s probably inconsistent with the fiscal flexibility that the country requires for the future. El Salvador’s fiscal policy needs to retain the capacity to respond rapidly to important contingencies in the future for several good reasons. One i s the possibility o f further natural disasters (e.g., earthquakes, hurricanes), which require emergency attendance and reconstruction, and which occur with some regularity in Central America. The second i s the growing need to use fiscal policy in a counter cyclical manner, as i t i s the only significant policy tool left for this purpose since dollarization was implemented. The third reason i s the need to respond to sudden, costly contingencies, such as those that can arise f r o m the financial sector. These reasons, coupled with recent research,’* suggest that debt levels above 40 percent o f GDP increase the likelihood o f a debt crisis and can be harmful for growth. Therefore a reasonable goal for El Salvador would be to keep debt levels at no more than 35 percent o f GDP. In addition, El Salvador should adopt a package o f new investments as the one suggested in this report in order to meet social and growth needs. Such a package would require additional expenditures that would eventually reach a minimum 3.2 percent o f GDP b y 2012 - 2013. 1.5 1 Using the same baseline macroeconomic assumptions o f the Passive Scenario, this report estimates the fiscal adjustment necessary to achieve a debt to GDP ratio o f 35 percent within the next 5 years (2005 to 2009) and the phasing in o f the additional expenditures. The level o f the primary balance i s derived from the requirement that the For further details, see IMF (2002), Detragiache & Spilimbergo (2001) and Pattillo, Poirson, and Ricci (2002). 29 debt to GDP ratio needs to remain roughly stable for the rest o f the projection period (until 2013). The results obtained for the same four variables discussed before are shown in charts 1.8 to 1.11. Further details are included in Annex 1.B. 1.52 A gradual primary adjustment path i s projected between 2005-2009, with the primary deficit starting at -1.0 percent o f GDP in 2004 and turning into a surplus of 2.4 percent by its peak year in 2009, when the debt ratio reaches 35.7 percent o f GDP (Chart 1.10). The paths o f the primary balance and public debt are also consistent with lower interest payments. Starting with interest payments equivalent to 2.3 percent o f GDP in 2004, public debt interest payments would stabilize at around 2.6 percent of GDP by 2013 (Chart 1.11). Ifcompared to the Passive Scenario, fiscal savings equivalent to 4.5 percent o f GDP would accrue between 2005 and 2013 only due to the difference in interest payments between both scenarios. This would yield an average primary surplus o f 1.2 percent of GDP between 2005 and 2009. Annex Ipresents the sensitivity analysis to changes in key assumptions. For instance, if growth were to be only 2.5 percent in the 2005-09 period, the total primary savings required would be 1.6 percent on average. Moreover, if the nominal interest rate turned out to be 9.5 percent, El Salvador would need to generate total primary savings o f 1.8 percent on average. 30 Chart 1.8 Overall NFPS Deficit (as % of GDP) T- -5.0 "." I -4.3 -4.2 1 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Chart 1.9 NFPS Primary Balance (as % of GDP) 2.0 - 1.0 - 0.0 - -+- Passive -Target 1.7 A 1.7 A -1.0 - 7 7 -0.6 -06 -0.7 -0.7 -0.8 -0.8 -0.8 -0.7 -0.6 2005 2006 2007 2008 2009 2010 2011 2012 2013 -2.0 -3.0 7 2002 2003 2004 Chart 1.10 NFPS Total Public Debt (as % of GDP) 5501 &Passive 50.0 - Target n7 48.9 33.6 33.5 50.2 I 45.0 40.0 35.0 35.7 \ 30.0 34.2 33.6 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Chart 1.11NFPS Interest Payments (as % of GDP) 4.0 -. ....... ....I ................ -C- Passive - ..._....I ...... . Target 3.2 1 7 3.0 .............. 2.8 2.6 2.5 2.6 2012 2013 ~ 11.7 1.0 1 t 2002 2003 2004 2005 2006 2007 31 2008 2009 2010 2011 1.53 In order to achieve the required primary balance while at the same time increasing social and growth expenditures, there are several potential actions on the expenditure and revenue sides. Nevertheless, based on the analysis presented in this chapter, there i s l i t t l e room for action on expenditure cuts or substitution in El Salvador today, given the relatively small size o f the state and the improved efficiency levels. The only potential area o f expenditures in which some savings could be envisioned i s in pensions. A s pointed out earlier, despite the reform in 1996, pension benefits in El Salvador s t i l l remain overly generous b y international comparison. While several potential changes are possible, eliminating the provision that allows Salvadorans to retire after 30 years o f work, regardless o f age would yield 2.3 percent o f GDP in savings between 2005-2009 with respect to the Passive Scenario (Scenario 4 o f Annex I-A). 1.54 Due t o the limited space that El Salvador has on the expenditure side, i t appears that the bulk o f the adjustment would have to be made on revenue. There are two clear options in this regard. The first i s improving revenues via administrative and operational improvements for which there s t i l l seems to be substantial room according to recent studies. Given recent trends and plans being implemented with the help o f external cooperation, a reasonable assumption i s to expect revenue gains o f 0.3 percent o f GDP annually for a total of 1.5 percent between 2005 and 2009. 1.55 The second options deals with changes in the tax code to widen the tax base, reduce exemptions or increase tax rates. Several studies have been recently conducted on the key areas that El Salvador needs to address. . Such research suggest that i t i s technically feasible to make changes that would yield the required increase o f 2.5 percent o f GDP in a reasonable time horizon to meet the 35 percent o f GDP debt target before the end o f the decade. However, i t i s difficult from the political point o f view, as witnessed b y the relatively small increase in tax revenues over the past eight years (from 10.9 in 1996 to 12.1 percent o f GDP in 2003) and the bitter debate that any adjustment in the tax base, exemptions has generated in the past. For this to be feasible, i t needs a consensus building process in which Salvadorans agree on the importance o f financing a minimum social and growth agenda while maintaining sound public finances. 1.56 I t should be noted that while the fiscal target scenario outlined above seems to be technically feasible, i t assumes that there are no negative shocks (Le., further terms o f trade declines, natural disasters or financial sector contingencies) during the period covered in the projection. According to the IMF (2003), the most important contingent fiscal liabilities in El Salvador would come f r o m private and public financial institutions, and would include non-performing loans, loans to coffee sector, repossessed collateral, and real estate exposure.'' Given the likelihood o f these contingencies some leeway should be built into these plans. l 9 The estimated fiscal implications o f these contingent liabilities that could, under adverse circumstances, become an explicit part of public debt range from about 3 percent o f GDP to 9 percent, with a middle scenario of 5.3 percent. 32 V. Conclusions 1.57 This chapter has delineated the major fiscal challenge that confronts El Salvador today: addressing the recent deterioration in the debt sustainability outlook while at the same time creating the fiscal space for certain priority investments required to meet pressing social needs and accelerate growth. As the analysis in the chapter indicates, the level o f new spending required should be manageable and can be reconciled with the goal o f strengthening fiscal accounts in a country where the tax burden i s s t i l l relatively l o w b y international standards. 1.58 El Salvador should consider funding a strategic package o f investments to meet key social targets in education, health, water and sanitation, rural roads and social protection. This package i s oriented to ensure that the poorest have access to social services and to strengthen their position to benefit from future income earning opportunities. The total cost o f implementing this proposal implies an increase in annual expenditures o f about 4.0 percent o f GDP that would need to be gradually phased in over several years, due to the tight fiscal situation. While this package covers significant components of the growth agenda that El Salvador requires to boost economic performance over the coming years (Le., education and rural infrastructure) as described in the recent Country Economic Memorandum (World Bank, 2004), i t admittedly excludes some important investments that such an agenda requires (i.e., larger infrastructure investments, and competitiveness-type expenditures such as funds for R&D and labor training to complement private sector-led efforts). An in depth analysis o f infrastructure investments, including public and private sources, will be conducted for El Salvador during Fiscal Year 2005, using a new diagnostic tool called "REDI" that would cover the energy (electricity and gas), telecommunications, transport (roads, rail, ports and airports), water and housing sectors. The REDI diagnostic will produce an integral assessment o f El Salvador's infrastructure sectors, explore the relationship between infrastructure and El Salvador's development strategy, include benchmarks against regional and competitor economies; analyze the challenges o f financing infrastructure requirements; and look at institutional and regulatory issues. The additional investments to promote growth not included in the proposed package, w i l l require commensurate additional fiscal efforts and creative methods to attract financing f r o m the private sector. 1.59 If recent expenditure and income trends are left unchecked, the debt sustainability of El Salvador would be compromised. A passive scenario would lead to: (a) increasing overall deficit to an average o f 4.3 percent o f GDP b y 2013; (b) interest payments of nearly 3.7 percent o f GDP in 2013 (one percentage point o f GDP higher than in the Fiscal Target scenario); and (c) total public debt close to 50 percent o f GDP by 2013, increasing at an even faster rate afterwards. These trends indicate that serious attention i s required in order to preserve the country's credit rating and the cost o f external borrowing. The investment-grade rating that El Salvador has built and which i s responsible for i t s low interest rate spreads i s based o n a solid track record o f debt and fiscal management. 33 1.60 Returning to a public debt level that allows for fiscal flexibility to respond to shocks, contingencies or cyclical economic management should be a priority in El Salvador. The chapter lays out a path to return to a debt level o f 35 percent o f GDP over 5 years which would require gradual increases in revenues which reach about 4.0 percent by 2009, o f which 1.5 percent should be collected b y administrative measures and the rest will require additional tax efforts. In addition, some pension provisions should be amended t o remove benefits that are too generous in the international context and that can increase the degrees o f freedom o f fiscal policy. 1.61 El Salvador may benefit in the future from adopting more formally fiscal rules s i m i l a r to those in force in other Latin American countries, in which a fiscal balance needs to be achieved on an annual basis, with some flexibility to allow for counter cyclical fiscal policy. The latter i s important in the Salvadoran context, as formal dollarization leaves only fiscal instruments to stabilize the economic cycle. 1.62 The remainder o f this report concentrates on two key aspects o f the fiscal agenda facing El Salvador today. Chapter I1 presents an evaluation o f the public expenditure management framework required to ensure that scarce public funds are used productively and efficiently. The remainder of the report presents detailed reviews and analyses o f recent trends in expenditures in the most important areas for social advancement and to promote broad-based growth. Education, health, water and sanitation, rural roads, and electrification are the subjects o f Chapters 111, lV, V, V I and VII. 34 ANNEX I:Sensitivity Analysis To Changes In Main Macroeconomic AssumDtions Both fiscal scenarios presented in Chapter 1 are based on strong assumptions about economic growth, interest rates and inflation that follow the corresponding paths summarized in Table 1.18. Changing any o f these factors would have an important effect on the fiscal tightening needed to achieve a sustainable fiscal position. T o determine how critical these assumptions are, sensitivity analysis was carried out on the average primary balance that, if maintained between 2005 and 2009, would allow the government to comply with the Fiscal Target o f achieving a stable debt to GDP ratio o f 35 percent o f GDP b y 2009 and maintained i t thereafter. Table 1.19 can be interpreted as follows. The Fiscal Target scenario assumes that annual real GDP growth w i l l stabilize at around 3.5 percent in the long-run (2005-2013). With this long-run growth rate, an average primary balance of 1.2 percent of GDP between 2005 and 2009 would result in a total public debt ratio close to 35 percent o f GDP by 2009. If, however, growth turned out to be 2.5 percent annually, the average primary balance that would support a debt ratio o f 35 percent b y 2009 would be 1.6 percent of GDP. Note that the only assumption that changes i s the GDP growth rate-everything else remains unchanged. As would be expected, higher growth would allow a more modest adjustment or the achievement of the 35 percent debt ratio in less than the proposed five years. Economic growth will depend on factors such as local infrastructure, stable export markets and terms o f trade, and a competitive investment climate. A public sector debt perceived as unsustainable deters external financing and discourages private investment, thus hindering economic growth. A similar interpretation can be given to the sensitivity analysis around the interest rate. Under the Fiscal Target scenario, the nominal interest rate approaches 7.5 percent in the long-run, in which case the average primary balance that results in a debt ratio o f 35 percent by 2009 i s equivalent to 1.2 percent o f GDP. If the nominal interest rate turned out to be closer to 9.5 percent, however, El Salvador would need to keep an average primary surplus equivalent to almost 2.0 percent of GDP between 2005-2009 to achieve a debt ratio o f 35 percent o f GDP by 2009. 35 Real GDP Growth (2005-2013) NFPS Primary Balance** 1.5 2.5 3.5' 4.5 5.5 2.0 1.6 1.2 0.8 0.5 5.5 6.5 7.5* 8.5 9.5 0.6 0.9 1.2 1.5 1.a Nominal Interest Rate (2005-2013) NFPS Primary Balance** As illustrated in Table 1.19, an increase in the interest rate would require higher savings to reach the desired debt target o f 35 percent o f GDP. Given that approximately 45 percent o f El Salvador public debt i s at variable interest rates, the authorities can hedge to some degree b y issuing long-term debt in exchange for short-term debt, as they done recently in 2002. O f course, this would raise the average interest rate on the debt, but i t would provide a safety cushion and reduce volatility. Using the same methodology, we could estimate the average primary surplus that w i l l be necessary to stabilize the debt/GDP ratio at current levels (40 percent at end 2003). The results for different levels o f GDP growth and nominal interest rates are shown in Table 1.20 below. In this case, under the base macroeconomic assumptions (3.5 percent growth and 7.5 percent nominal interest rate), the average primary surplus w i l l have to be 0.5 percent of GDP between 2005 and 2009, for total savings o f 2.4 percent during the period. Table 1.20: NFPS Primary Balance ** and Selected Macroeconomic Variables *Assumption use in the Passive and Fiscal Target scenarios. ** Average Primary balance that stabilizes the public debt-GDP ratio at 40% by 2009, i f maintained between 2005-2009. 36 Annex l.A: Fiscal Performance Under the Passive Scenario (NFPS as % of GDP) Memo Items: Overall Deficit w/o Reconstruction Exp. -1.4 -2.3 -2.8 -3.0 -3.1 -3.3 -3.5 -3.7 -3.9 -3.9 -4.0 Primary Balance w/o Reconstruction Exp. 0.6 -0.1 -0.3 -0.3 -0.4 -0.4 -0.5 -0.5 -0.5 -0.4 -0.3 * Preliminary figures. “Includes Public Enterprises operating surplus 37 Annex l.B: Fiscal Performance Under the Fiscal Target Scenario (Nonfinancial Public Sector, as percent o f GDP) *Preliminary Figures. **Includes Public Enterprises Operating Surplus 38 ANNEX 11: The Fiscal Costs of Pensions Background Prior to the 1996 reform, the problems o f the existing system were: major disconnection between contribution and benefits, crossed subsidies between programs, heterogeneity o f contributions, perverse incentives inside the benefit structure, l o w profitability o f reserves. Ultimately, the problems lead to a lack o f financial viability o f the systems because o f the increasing mismatch between contributing and beneficiary population (Table A. 1). In this context, the following objectives for the reforms were put forward: 0 0 0 0 Improve the benefits for workers by granting adequate and timely pensions. Homogenize the conditions for workers’ access to the system. Have the workers’ pension funds be administered securely and efficiently. Create incentives for including new population groups in the system. Source: Synthesis Consultores Intemacionales “Opciones para enfrentar l a deuda previsional” 1999. With the objectives defined, the next step was to select the model appropriate for the economic and social conditions o f El Salvador. After a thorough evaluation, i t was decided to replace the existing pay-as-you-go system, the financing o f which was based on the mechanism o f the scaled average premium, with a system o f complete individual capitalization. In 1996, the National Assembly approved the legislation that created the new system: the L a w o f the Savings System for Pensions and the law that create the Superintendence o f Pensions. 39 Organization of the Reform Pension Sector Legislative Decree 927 “Law for the Savings System for Pensions” o f December 20, 1996 created the Savings System for Pensions (SAP) and the System for Public Pensions (SPP). The reform excluded the Social Insurance Institute of the Armed Forces. The Savings System for Pensions (SAP) i s private in nature, administered b y private firms given faculties b y the State and called Pension Fund Administrators (AFPs). The AFP system began with five administrators, but with the merging o f three o f them in 2000, the market was left with only three. One o f these AFP i s under liquidation, therefore two AFPs remain. Those affiliated to this system are covered for the contingencies o f disability and death b y common risks, as well as old age. The SAP i s based on complete capitalization from contributions to social insurance, from both employers and employees, in individual accounts owned b y each worker affiliated. With the creation o f this system, i t was possible to homogenize the conditions for access to benefits b y workers from the private, public, and municipal sectors. The legislation required that persons who on April 15, 1998 were less than 36 years old and were affiliated to the ISSS or the INPEP should j o i n an AFP. It also established that persons on that same date who were between 36 and 50 for women and between 36 and 55 for men had the option o f transferring to an AFP or staying with the old system. They had a year to make that decision and if they did not exercise the option during this period, the law obliged them to j o i n an AFP. Lastly, any worker who started their first labor relation after April 15, ,1990 was obliged to j o i n an AFP, regardless o f their age. The System o f Public Pensions (SPP) comprises the programs for disability, old age, and death that are administered b y the ISSS and INPEP. The Law gives the faculty to all those affiliated to the ISSS and INPEP who on April 15, 1998 were women 50 years or older or men 55 or older to remain in the SPP. With the reform, the conditions for access to benefits, the contributions, and the beneficiaries themselves were made homogenous in both Institutes. Further, in the ISSS, the health and pension programs were separated in terms o f their administration and financing, with the Pensions Unit being created specifically for the organization, development, and execution o f the program o f coverage for disability, old age, and death. The SPP w i l l continue being administered under the pay-as-you-go model o f defined benefits until i t disappears. Decree 926 o f December 19, 1996 also created the Superintendence o f Pensions as the institution responsible for overseeing, supervising, and controlling compliance with the legal dispositions applicable to the specific operation o f the AFPs, the ISSS, and the INPEP. The highest authority in the institution i s the Superintendent, who i s appointed by the Council o f Ministers from a proposal by the President o f the Republic. Coverage of the System There were 547,470 people in 1997, or 24.6 percent o f the Economically Active Population (labor force), affiliated to some program to protect them from the old age, 40 disability, and death. As o f 1998, the new system o f AFPs began operations and the coverage o f the integrated system rose to 39.8 percent o f the labor force b y 2001 and to 42.3 percent b y 2003. If pensioners are added to the affiliates the coverage increases to 47.3 percent (Table A.2). There i s low density of contributions, or the existing relation between effective contributors and the total number o f affiliates. According to data from the Superintendence o f Pensions this relation was 56.9 percent in 2001. In general in other countries, this relation i s between 45 percent and 70 percent. Behind this relation are a number o f difficulties that stem from the lack o f stable employment and the existence o f temporary jobs, the double accounting for the effects o f transfers between AFPs, the arrears in paying into the system, and evasion o f payment into the system. But the l o w density o f contribution stems especially from a process o f indiscriminate affiliation to the AFPs o f people who are simply unemployed. The reason for this irrational affiliation was that the AFPs paid their recruiting agents a commission for each person enrolled. At present, the criteria have changed so that a commission i s paid per person once the contributions for the following month o f affiliation are received. Consolidated 1997 - 415,843 192,658 32,780 641,281 2,227,409 28.8 percent 2001 881,989 65,031 76,483 55,450 1,078,953 2,444,959 44.1 percent 2003 1,086,267 65,658 73,609 59,401 1,284,935 2,715,516 47.3 percent Source: Synthesis Consultores Intemacionales “Opciones para enfrentar l a deuda previsional” 1999. Contributions and benefits Article 16 o f the SAP L a w stipulates that employers and workers w i l l pay the contributions. The rate w i l l be a maximum o f 13 percent o f the respective base income 10 percent o f the IBC w i l l go to for contribution (IBC) and i s distributed as follows: (i) the individual account; o f this total, 6.75 percent w i l l be paid b y the employer and 3.25 percent b y the worker; (ii) a maximum commission o f 3 percent o f the IBC, charged to the worker, goes to contracting insurance for o l d age and survival and the payment o f the administration o f the individual accounts by the AFP. T o reach these contribution ceilings for both the individual account and the commission, the L a w foresaw a transition that would begin the year the new system started operations until the end o f 2001. Starting in 2002, all affiliates t o the new system, regardless o f what sector they are from, w i l l pay a maximum o f 6.25 percent and the employer 6.75 percent, for a maximum total o f 13 percent. If a person decides to increase their level o f benefits, the system allows them to make voluntary contributions to be accumulated in the individual account. On the other hand, though i t i s true the commission has been fixed at a maximum of 3 percent o f the base income, this was also affected by a transition, going 41 f r o m a maximum o f 3.5 percent in 1998, to 3.25 percent in 1999 and 2000, and to 3 percent in 2001. In setting this commission, there i s a certain flexibility s o that the AFPs can compete through commissions, being able to set them under that percentage and in that way, reducing the total contribution o f the worker. For those who stayed in the SPP, the total contribution rate was set at 14 percent o f the I B C in equal portions from the employer and the worker. However, given the structure for contributions that there was before the reform, i t was also necessary to have a transition so that i t w i l l reach 14 percent in 2003 for workers in the public administration sector and in 2002 for private sector workers. The workers in the public teaching sector contribute 14 percent since 2000. The criteria that gave rise to the difference in contributions between the new and old systems appear to have their roots in the incentive for transfer. Each affiliate or beneficiary with the right to a pension in the SAP i s free to choose under some conditions between three modalities for pensions: scheduled income, lifetime income, and scheduled income with deferred lifetime income.2o Also in the SAP, unlike the SPP, the pensions have different sources o f financing like the balance accumulated in the savings account for pensions, the Certificate o f Transfer, the State Guarantee when i t corresponds, and the Insurance for Disability and Survival contracted b y the AFP with an insurance company.2' In the SAP, the amount o f the old age pension may vary depending on the modality o f pension chosen b y the affiliate. O n the other hand, in the SPP, the amount o f the pension w i l l depend on the average o f the salaries deducted f r o m in the last 10 years, that is, the basic regulator salary (SBR), and the total time over which contributions were made. In the SPP, the estimate for the pension starts with 30 percent o f the SBR for the last three years of contributions plus 1.5 percent of the SBR for each additional year.22 Besides the benefits o f disability and survival, the State grants a minimum pensions for old age, common disability, and survival. The amount o f the minimum old age and total disability pensions i s established annually by the Ministry o f Finance in the Budget Law. The minimum survival pension i s determined as a percentage o f the minimum old age percentage in conformity with the percentages established for each beneficiary. On the other hand, the minimum pension for partial disability i s equivalent to 70 percent o f the minimum old age pension. The pension by Scheduled Income consists in having the affiliate, at the moment o f accessing a pension, maintain the balance o f their account in an AFP so that i t can give them a pension each month. Lifetime Income will be an insurance contract for persons with which the affiliate can sign a contract with a Personal Insurance Company o f their choice, obliging i t to pay the affiliate a monthly income as well as survival pensions in the event the affiliate passes away from the moment o f signing the contract until i t expires. The modality o f Scheduled Income with Deferred Lifetime Income i s a combination o f the two previous ones. 21 For an affiliate of the SAP to enjoy insurance coverage for disability and survival, they must meet the following requirements: a) they are paying in and have contributed for at least six months during the twelve prior to the date o f death or disability; or, b) they have been paying in during the period o f twelve months prior to their date of death or the occurrence o f the their disability according to the first ruling, having recorded six months of contributions in the year prior to the date when they stopped paying in. 22 I t should be noted that the SAP law also sets rules that persons that were obliged to stay in the reformed public system will have the right to a calculation o f a different pension, receiving 30 percent o f the SBR for the first three years paid in, plus 1.75 percent for each additional year. Further, these persons have the option to choose the percentage benefit scales o f the schemes o f the old system, if they feel i t suitable. 2o 42 With the SPP, pensions that are calculated based on the SBR and are less than the minimum pension in force are readjusted to the amount o f this, subject to verification o f the requirements. O n the other hand, the minimum SAP pension operates when the balance o f the individual account i s exhausted in the event that the affiliate has opted for the pension by scheduled income or i s in the phase o f temporary scheduled income, as long as the requirements are met. At present, the amount o f the minimum old age pension i s $100, which i s below the urban extreme poverty line o f $127 and only slightly above the rural line of $93. A pensioner with a minimum pension would have to have an additional source o f income in order not to fall into extreme poverty. Finally i t should be noted that the Law allows one to obtain an old age pension after paying in for 30 years, regardless of age. Also, in the SAP, once the account balance i s able to finance a pension o f 60 percent o f the SBR, which in turn i s equal to or more than 160 percent o f the minimum pension one may retire. Early retirement has a negative effect on savings since requiring resources before reaching the legal ages means putting an end to putting resources to other alternative uses, with the consequent impact on reduced savings. Actuarial Financial Deficit According to the Superintendence o f Pensions, the size o f the actuarial deficit o f the SPP in December 2003 was $10,800.8 million, equivalent to 72 percent o f GDP. The actuarial financial deficit i s the result o f the updating o f the annual income flows from contributions minus the total expenditures for pensions and administration. In the case o f El Salvador, this accumulated deficit has i t s roots in different problems that come from the initial design of the system. The old system had a heterogeneous structure for contributions and benefits; the contributions and the benefits were disconnected, creating the incentive to inflate the incomes for paying in from the last years in order to obtain a bigger pension; i t had different institutions for attention to different population groups with heterogeneity in the retirement ages. Table A.2: Pension Debt, December 2003 I$ Millions I percent Total (1+2) 10,800.80 100 1. Cost attributed to the Old Public System 9,912.40 90.8 i) Payment to Current & Future Pensioners 5,499.20 50.9 ii) Transfer Certificates (TC&CTC) a/ b/ 4,236.90 39.2 iii) Operational Deficit of Public System 69 0.6 995.7 9.2 2. Cost Attributed to the New System The above difficulties, together w i t h the l o w coverage o f the system, the fall o f the relation between assets and liabilities, the growth o f administrative spending, and the negative yield o f the technical reserves were determinant in having that system accumulate a high social security debt. The components o f this deficit are: (i) the payment of pensions for the current pensioners; (ii) payments for future pensioners; (iii) 43 the redemption o f the transfer certificates and the complementary transfer certificates; and, (iv) payment o f the complement for minimum pensions. Regardless o f the reform, the first three components would have always had to be dealt with since they pertain to the implicit debt o f the public system. The payment to current and future pensioners on the SPP i s equivalent to $5,499.2 million. This represents 50.9 percent o f the social security debt and corresponds to the commitment acquired b y the State with about 105,192 affiliates who are currently pensioned with the ISSS and the INPEP.23 The redemption o f the transfer certificates (regular and complementary) represents 39.2 percent of the social security debt ($4,236.9 million). The “regular” transfer certificate corresponds to the present value o f the payment o f the rights o f acquisition for those persons who transferred to the private system administered b y the AFPs. This right has the basic condition o f having paid in for at least 12 months to the ISSS or the INPEP and i s materialized in a value title that w i l l earn annual interest equal to the inflation o f the preceding year. I t s redemption w i l l be the responsibility o f the State on the date the affiliate meets the requirements for accessing a pension. The complementary transfer certificate i s the actuarial value that i t sufficient for a retiring person to obtain a pension in the SAP (AFP) equal to what the pensioner would obtain in the SPP. This i s just for those that had the option o f staying in the old system (between 36 and 50 for women and between 36 and 55 for men) but decide to joint the new system and now find out that their pension would be lower than in the old system. In December 2001, the Assembly o f the Republic passed some modifications to the law that makes i t possible for he government to amortize the transfers certificates over a period o f 15 years instead o f paying them in full when due as originally contemplated in the law. The operational deficit o f public system i s equivalent to $690 or 0.6 percent o f the social security debt. This corresponds to the present value o f the administration costs for the ISSS and the INPEP until i t s extinction and the payment o f old age, disability, or survival pensions that these affiliates would generate minus the present value o f the contributions that w i l l be made b y approximately 34,075 persons who opted to remain in the old system or who, because o f age, were obliged to remain in it.24 The payment o f complements in order to grant a minimum old age, common disability, and survival pension, which corresponds to 9.2 percent o f the social security debt, i s equivalent to $995.7 million. This component i s the only one attributable, in part, to the reform. B y law, the minimum pension w i l l be established each year b y the Ministry o f Treasury based on the resources available to the Central Government. The actuarial pension deficit would be equivalent to 2 percent o f the GDP for the period from 2003 to To June 30, 1999. O f which, 36,987 voluntarily opted to remain i n the public pension system because of dispositions of Article 184 o f the SAP Law, while 37,364 were obliged to remain i n the public pension system because of their age because o f dispositions o f Article 186. 23 24 44 2014, reaching a maximum o f 2.3 percent o f the GDP in 2009, and declining gradually to 1 percent until 2024, and then dropping to zero b y 2067.25 Options to Reduce the Fiscal Cost of the Pension System There are a number of options for dealing with the social security debt. Three scenarios have been considered:26 1. Raise the retirement age in the SPP and SAP to 65 for men and 60 for women; 2. Increase to 35 the number of years paid in order to obtain an old age pension, regardless of age; 3. Eliminate the right to have an old age pension, regardless o f age, after contributing 30 years in the SPP and SAP. Scenario 3 i s the alternative that yields the largest savings in relation to the base case, equivalent o f 9.9 percent less o f the actuarial value. In this case, the fiscal cost would be reduced f r o m 2.3 percent of GDP to 1.8 percent of GDP (see Table A.4, Figure A.l, and details o f estimates at the end of the Annex). Pension Debt percent Reduction ($ millions) Respect Base Scenario ( percent GDP) a/ Maximum Fiscal Cost Base Scenario 10,800.80 2.3 b/ Scenario 1 10,694.70 -1 2.2 c/ Scenario 2 10,750.80 -0.5 2.2 b/ Scenario 3 9,918.90 -8.2 1.9d/ Scenario 4 9,732.40 -9.9 1.8 e/ a/ Assuming average growth of 4 percent and inflation of 3 percent during 2003-2089. b/ 2009; c/ 2009-2011; d/ 2014; e/ 2009-2014 Source: Staff estimates on the base of Superintendence of Pension data 25 26 Assuming 4 percent GDP annual growth and 3 percent annual inflation rate during the 2003-2067 period. Scenarios 1,2, and 3 would imply reforms to Articles 104 and 200 of the SAP Law. 45 Figure A.l: Profiles of Pension D e b t Reduction Scenarios I ___ ........... 2.5 "" __l__l_. 1 2.0 0.5 I 0.0 $o 2o , 2 0 , 2o , 2o , 20 '20 ' 2 0 '20 ' 2 0 ' 2 0 ' 2 0 ' 2 0 ' 2 0 ' 2 0 ' 2 r 03 06 09 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 -Base Scenario -Scenario 111 -Scenario -Scenario I IV Scenario II Conclusions The main causes that explain the enormous accumulated social security debt in the old system are the constant decline o f the relation between active and passive affiliates and the disconnection between the contributions received and the pensions granted by the SPP. Also influencing: l o w coverage, increased administrative costs, and investment o f the technical reserve in operations that offered real negative profits in the 1980s (mainly Central Government bonds at a fixed rate in the most inflationary period in the economic history o f El Salvador). The pension deficit would be equivalent to 2.0 percent o f GDP for the period from 2003 to 2014, reaching a maximum of 2.3 percent of the GDP in 2009, and declining gradually to 1 percent until 2024, and then dropping to zero by 2076. A number of options to reduce the fiscal deficit have been explored , being the elimination o f the right to pension regardless o f age after 30 years o f contributions, the option that yields most savings in relation to the base scenario (9.9 percent). 46 Table A.4: Detailed Estimates of the Options to Reduce Pension Debt (percent of GDP) Year lominal iDP i mm scenario 2003 1.78 1.73 1.72 1.64 1.61 4,996 2004 1.91 1.87 1.93 1.63 1.61 6,064 2005 2.02 1.98 2.05 1.62 1.61 7,207 2006 2.12 2.08 2.12 1.66 1.66 8,433 2007 2.15 2.1 1 2.10 1.71 1.72 9,745 2008 2.18 2.14 2.09 1.74 1.74 !I ,151 2009 2.25 2.22 2.16 1.78 1.78 12,657 2010 2.24 2.21 2.14 1.79 1.78 14,270 2011 2.21 2.18 2.13 1.84 1.79 15,998 2012 2.09 2.07 2.06 1.82 1.76 !7,849 2013 2.05 2.03 2.03 1.83 1.76 !9,832 2014 2.00 1.98 1.98 1.86 1.76 11,956 2015 1.89 1.87 1.89 1.83 1.73 14,231 2016 1.82 1.80 1.83 1.79 1.70 16,668 2017 1.79 1.78 1.80 1.72 1.69 19,279 2018 1.69 1.68 1.70 1.65 1.62 12,076 2019 1.55 1.53 1.55 1.55 1.53 15,072 2020 1.41 1.40 1.42 1.43 1.44 18,281 2021 1.29 1.28 1.29 1.33 1.33 jl,718 2022 1.19 1.18 1.20 1.24 1.23 5,401 2023 1.09 1.08 1.10 1.15 1.14 59,345 2024 0.97 0.97 0.98 1.04 1.04 j3,571 2025 0.90 0.89 0.91 0.97 0.95 j8,097 2026 0.82 0.81 0.83 0.87 0.86 72,945 2027 0.75 0.75 0.77 0.81 0.80 78,139 2028 0.66 0.65 0.67 0.73 0.72 33,703 2029 0.58 0.58 0.59 0.62 0.62 39,662 2030 0.52 0.52 0.53 0.55 0.55 36,046 2031 0.46 0.45 0.46 0.47 0.47 102,885 2032 0.38 0.38 0.39 0.41 0.40 110,210 2033 0.33 0.33 0.34 0.36 0.35 I 18,057 2034 0.29 0.29 0.29 0.32 0.30 126,463 2035 0.25 0.25 0.25 0.28 0.26 135,467 2036 0.22 0.22 0.22 0.24 0.23 145,112 47 Year base icenario Nominal Scenario IV GDP $" Scenario I Scenario 11 I 0.18 I 2038 0.17 0.17 0.16 0.17 0.17 2039 0.14 0.14 0.14 0.15 0.14 178,368 2040 0.12 0.12 0.12 0.12 0.12 191,067 2041 0.12 0.12 0.12 0.10 0.10 204,671 2042 0.1 1 0.1 1 0.11 0.08 0.08 219,244 2043 0.10 0.10 0.10 0.07 0.07 234,854 2044 0.1 1 0.1 1 0.1 1 0.06 0.06 251,576 2045 0.10 0.10 0.10 0.05 0.05 269,488 2046 0.09 0.09 0.09 0.05 0.05 288,675 2047 0.08 0.08 0.08 0.04 0.04 309,229 2048 0.08 0.08 0.08 0.03 0.03 331,246 2049 0.07 0.07 0.07 0.03 0.03 354,831 2050 0.06 0.06 0.06 0.03 0.03 380,095 2051 0.05 0.05 0.05 0.02 0.02 407,158 2052 0.05 0.05 0.05 0.02 0.02 436,147 2053 0.04 0.04 0.04 0.02 0.02 467,201 2054 0.04 0.04 0.04 0.02 0.01 500,466 2055 0.03 0.03 0.03 0.01 0.01 2056 0.03 0.03 0.03 0.01 0.01 574,269 2057 0.03 0.03 0.03 0.01 0.01 615,157 2058 0.02 0.02 0.02 0.01 0.01 2059 0.02 0.02 0.02 0.01 0.01 705,874 2060 0.02 0.02 0.02 0.01 0.01 756,132 2061 0.01 0.01 0.01 0.01 0.01 809,969 2062 0.01 0.01 0.01 0.00 0.01 867,638 2063 0.01 0.01 0.01 0.00 0.00 929,414 2064 0.01 0.01 0.01 0.00 0.00 995,588 2065 0.01 0.01 0.01 0.00 0.00 1,066,474 2066 0.01 0.01 0.01 0.00 0.00 1,142,407 0.01 0.00 0.00 1.223.747 48 0.20 I 0.18 2067 0.18 I 2037 0.20 (155,444 I 166,512 536,099 658,956 CHAPTER 11: Public ExDenditure Management 2.1 Good budget institutions allow governments to balance the three interrelated objectives o f budgetary performance: aggregate fiscal discipline, efficient allocation of resources according to the Government’s policy priorities, and operational efficiency in the use o f resources (Schick, 1998). Institutions, understood as sets o f formal and informal rules, influence behavior o f public officials involved in the process o f planning, allocating and spending public money aimed at implementing government policies and programs. 2.2 This chapter i s drawn from the Country Financial Accountability Assessment (CFAA) report.*’ I t analyzes the performance and transparency o f Salvadoran public expenditure management institutions and systems, with a focus on the central government, and provides recommendations that would in due course help to strengthen fiscal discipline and increase operational efficiency.28 Given the relatively small size o f public expenditures in El Salvador, i t i s critical to strive for a framework that assures that public priorities are efficiently transformed into programs and projects that yield high social payoffs, while maintaining sound systems for financial and overall expenditure controls. The chapter i s organized as follows: Part Idescribes the institutional framework for public expenditure; Part II looks into the process o f budget formulation and i t s reliability; Part I11 examines the process o f budget execution and related controls; and Part I V evaluates the arrangements for financial reporting and external oversight. Finally, the chapter draws some conclusions and suggests priorities for action. 111. Institutional F r a m e w o r k T h e Public Sector 2.3 Composition and size. Title V I o f the Constitution regulates the attributions and competencies o f the Government, which i s defined broadly as the legislature, the executive, the judiciary, the Public Prosecutor, the Court o f Accounts, and local governments. The non-financial public sector (NFPS) consists o f 2 1 central government entities (including 12 ministries), 34 hospitals and other health entities, 47 decentralized institutions (including four state enterprises), and 262 local government^.^^ Decentralized ’’World Bank and IDB, Draft o f June, 2004. Other processes that have a significant impact on the three levels o f budgetary performance are analyzed in other Chapters of this PER (fiscal sustainability, quality o f public expenditure planning and allocation) and in the CPAR (effect of contracting and procurement practices in operational efficiency). While this Chapter discusses some evident issues regarding availability (or lack) o f information on municipal finances, the subject of local government expenditure management i s not covered in this PER. 29 The Central Bank (BCR) consolidates data on municipal finances, on a sampling basis, into the NFPS statistics. The Ministry of Finance (MH) does not include municipal data in the state financial statements, which i n turn do contain six entities from the financial public sector. 28 49 institutions have legal status, their own regulations, and functional autonomy. Municipalities have financial, technical and administrative autonomy. Box 2.1: Public Sector Modernization Program The ongoing public sector modernization reforms started with the Government’s 1994- 1999 plan for economic and social development, followed by the 1999-2004 alliance for an effective government. In the early 1990s, El Salvador’s public sector was suffering from major structural weaknesses and deficiencies: (i)high functional inefficiencies caused by overextension and centralization o f the State; (ii) low economy and efficiency caused b y i t s organizational structure, i t s extremely weak financial and human resources management, and the low level o f professionalization o f its civil service; (iii) poor service delivery; and (iv) outdated and inadequate administrative infrastructure and equipment. The Public Sector Modernization Program has targeted these weaknesses under five major components Institutional Restructuring and De-bureaucratization. A major accomplishment has been the successful restructuring o f the Ministry o f Public Works (MOP), which has reduced that ministry’s expenses by approximately 40 percent. Although less comprehensive, progress has also been made in the modernization of other ministries, showing a notable 12 percent reduction in the number o f public employees. The main challenge ahead i s to implement a strategy to consolidate and maintain the reform process and to replicate the successful experience o f the M O P in other ministries. Human Resources Management. Major accomplishments include the development o f an HR management system (SIRH), and the design o f tools for selection, evaluation, classification, remuneration and promotion o f government employes. The challenge ahead will be to update, pass and implement modern civil service legislation, and put the tools that have been developed into practice. Financial Management. The major accomplishments have been the issuance and implementation o f modern financial management, procurement, tax, and customs legislation, and the introduction o f integrated financial management and tax information systems (SAFI and SIIT, respectively). The main challenges ahead w i l l be to increase coverage o f SAFI, introduce performance monitoring, develop procurement information systems, and enhance judicial performance on tax and customs issues. Privatization and Private Sector Participation in the Provision o f Public Services. Major accomplishments include the privatization o f telecommunications, electricity distribution and thermal generation, the enactment and implementation o f General Ports and Civil Aviation Laws, and the development o f regulatory frameworks. Other important initiatives include the reform o f the postal agency, railroad system concession, and the reform o f the pensions system. The main challenge ahead w i l l be the strengthening o f regulatory agencies. Decentralization. Major accomplishments are the development o f projects for decentralization of public services in water (13 systems) and health (28 basic health units “SIBASIS”). The main challenge ahead will be to clarify the functions o f local governments. 2.4 B y international standards, El Salvador’s public sector i s small. According to the World Economic Forum’s Global Competitiveness Report 2002, El Salvador i s 14th among 120 nations ranked according to government expenditure as percent o f GDP. Moreover, after a decade o f reforms, El Salvador’s public sector has made considerable progress in modernizing and refocusing i t s role. The modernization program (see B o x 1) has lead to significant advances in reforms related to privatization, pensions, and deregulation. Relevant improvements have been made in financial management and decentralization, and some steps have been taken towards creating a professional civil 50 service. As noted in Chapter I,a significant outcome o f the modernization program has been the decline o f the wage bill, from 8.4 percent o f GDP in 2000 to 7.4 percent in 2003. 2.5 C i v i l service. The C i v i l Service Law o f 1961 lays out the rules for a civil service career, both in the central and local governments; however, the law was never regulated despite various efforts to do so over the years. The outdated nature o f the law and the lack o f regulations have given way to multiple norms, creating ambiguity and contradictions in their application. There i s no j o b classification system in the public sector; consequently, remunerations on s i m i l a r posts differ from one entity to another; similarly, there i s not an overreaching merit-based employment and promotion system. 2.6 Since 2002, as part o f the public sector modernization program, the Technical Secretariat o f the Presidency (SETEC) prepared a comprehensive program to modernize c i v i l service. The program i s based on the development o f technical instruments for classification o f positions, entering employment and promotion, remuneration, evaluation, and development. Executive training for senior staff and technical training to institutional human resources units (URHIs) have been provided to help introduce the techniques while legislation i s being prepared. Governance Environment 2.7 Efforts to modernize the public sector have not led to changes in public perceptions o f governance. In fact, the Worldwide Governance Research Indicators Dataset3' portrays a worrisome decline in all but one o f the six indicators when compared with the 1998 results (Figure 1). When compared to the Latin America and the Caribbean average, El Salvador does well in preserving political stability, slightly less than average in terms o f i t s regulatory framework and promotion o f voice and accountability, but shows disappointing performance in rule o f law, government effectiveness and control o f corruption. 2.8 Public expenditure management performance can affect the perception o f government effectiveness, which focuses on the inputs required for the Government to be able to produce and implement good policies and deliver public goods. Similarly, the perception o f corruption, conventionally defined as the exercise o f public power for private gain, can be affected b y public expenditure transparency. In this case, the picture i s not better. 30 The Governance Indicators, compiled by the World Bank Institute, reflect the statistical compilation o f responses on the quality o f governance given by a large number o f enterprise, citizen and expert survey respondents in industrial and developing countries, as reported by a number of survey institutes, think tanks, non-governmental organizations, and international organizations. 51 EL SFlLVADOR (2002) Voice and Accountability Political Stability Governnent Effectiveness Regulatory Quality Rule o f Lau Control o f Corruption EL SALVADOR (2002) Voice and Accountability Political Stability Governnent Effectiveness Regulatory Quality Rule o f Lau Control o f Corruption I e 1 I 25 58 ~~ I Comparison u i t h r e g i o n a l average ( L a t i n America & Caribbean) (louer bar) Country's P e r c e n t i l e Rank (8-188) Source: D. Kaufmrnnr R . K r a a r and H. M a s t r u z z z r 2003: Governance M a t t e r s 111: Gouwnance I n d i c a t o r s C e r 1996-2002 (http://WIW.~lrldbank.ors/r.bi/9~upmanc.~~b+/g~umrtters?.htnl) Vote: Percentile rank indicates the percentage o f countries worldwide that rate below El Salvador (subject to margin o f error). The statistically likely range o f the governance indicator i s shown as a thin black line. El Salvador ranked 9th among ten participating countries in the 2003 Latin 2.9 American Index of Budget T r a n ~ p a r e n c y . ~As ~ shown in Table 1, for none of the 14 variables surveyed did positive responses exceed 50 percent o f total responses, with the most negatively qualified areas being the level o f citizen participation in various stages o f the budget process, the effectiveness and reliability o f external controls, the timeliness o f The Index of Budget Transparency, part o f the International Budget Project, was based on a perceptions survey on 14 variables o f budget transparency, applied among experts and users o f budget information (Probidad, 2003). 31 52 publication o f budget formulation, execution and audit information, the clarity o f budget responsibilities between central and local governments, and the availability o f indicators to evaluate budget implementation. Table 2.1: Budget Transparency Perception Survey Variables 2003 Citizen participation in the budget Capacities o f the institutions o f external oversight Timeliness o f budget information Responsibilities among government levels Accountability Control over public officials Changes i n the budget Budget allocation Information on national debt Quality o f information and statistics in general Budget oversight Information on macroeconomic criteria o f the budget Authority and participation o f the legislature in the budget Source: Probidad, 2003. I 5 8 8 13 19 21 23 23 31 32 33 33 1 45 - I Formal Rules for Public Expenditure Management 2.10 The legal instruments for public expenditure management are contained in various laws and regulations listed in B o x 2. The Financial Management L a w o f 1995 (Ley AFI) governs the formulation, approval, execution and monitoring o f the national budget, the single treasury account, the government accounting system, and the investment and public credit functions. 2.1 1 Budgetary Attributes of Different Branches of Government. El Salvador's Executive has powers o f proposing and executing the budget that are similar to those in other Latin American countries, with the same tendency towards a strong executive role vis-&vis the legislature, for the purpose of strengthening the Executive's capacity to control the overall fiscal balance. Still, the Legislative Assembly retains the power to authorize public debt, approve tax legislation and, o f course, pass the annual Budget Law. The Assembly can reduce or reject budget credits requested b y the Executive, but never increase them; in practice, it makes only marginal modifications to the The President holds the right o f veto o n laws passed b y the Assembly, which can be overturned b y a two-thirds majority. 32 However, the 2004 Budget Law was approved only on -, 2004 following a stand-off between the Executive and the majority opposition party in the Assembly over various issues, mainly the amount o f transfers to local governments. 53 Box 2.2: M a i n Laws and Regulations Governing Public Financial Management Articles 223-234 o f the 1983 Constitution regulate public finances, particularly the General State Budget. Articles 195-199 regulate the fiscal control function o f the Court o f Accounts o f the Republic. The Financial Management Law (Decree 516 o f 1995, as modified by Decree 716 o f 1996 and Decree 172 o f 1997) and i t s Regulations (Decree 82 of 1996) establish the integrated financial management system (composed o f the budget, treasury, investment, public credit, and accounting functions) o f the NFPS (excluding municipalities). The annual Law o f the General Budget o f the State and Special Budgets lays out the revenue and expenditure budgets and how the deficit i s to be financed. I t contains two main sections, one on central government and another on decentralized institutions. The Ministry o f Finance (MH) has issued various manuals: Budget Formulation, Budget Execution Processes, Organization o f Institutional Financial Units (UFIs), Classification o f Public Sector Financial Transactions, Chart of Accounts, and Technical Aspects o f the Integrated Financial Management System (SAFI). The Public Administration Procurement and Contracting Law (Decree 868 o f 2000 and i t s amendments) regulates for public procurement. The regime for external audit i s established in the Organic Law o f the Court o f Accounts (Decree 438 o f 1995, as modified by Decree 998 o f 2002 and Decree 1147 o f 2003). That same law governs the “national system o f control and audit in public management.” The Court of Accounts has issued Internal Control Technical Norms (Decree 15 o f 2000). The Internal Regulations o f the Executive Body (Decree 24 o f 1999) dictates the organizational framework o f the Executive Branch. The Municipal Code (Decree 247 o f 1986) regulates municipal finances. 2.12 I f by the start o f the fiscal year the Budget Law has not been approved, the approved budget allocations from the previous year are put into effect; once the new Budget L a w i s approved, adjustments are made in accordance with actual execution. The authority to modify the budget during the fiscal year can be summarized as follows: 0 0 0 Budget modifications resulting from an increase or reduction in the overall budget totals, as well as transfers o f allocations between different sectors or administrative units, must be approved b y the Assembly; however, certain transfer authorizations may be given upfront to the Ministry o f Finance (MH) via the annual Budget Law. The MH can authorize transfers between allocations within a central government sector or administrative unit, except those considered nontransferable; i.e., allocations for investments cannot be transferred to current expenses (excepting counterpart funds and taxes generated b y investments, in which case authorization from the Council o f Ministers i s required), and allocations for debt service. Decentralized institutions (including non-financial public enterprises) can authorize transfers between allocations within their budgets, unless these affect their current balance or investments, in which case authorization from the Council o f Ministers i s required. 54 0 Central government entities can only make transfers between lines o f expenditure within the same object group. Transfers between different object groups require MH’s prior approval. 2.13 The MH i s responsible for the direction and coordination o f public finance. Each budget-executing entity maintains an institutional financial unit (UFI) responsible for budget, treasury and accounting functions. UFIs serve as the link with the Ministry o f Finance’s central normative directorates for these functions. 2.14 The Constitution grants the Court o f Accounts o f the Republic the power to exercise fiscal oversight (fiscalizacih) of public finances and budget execution. I t s Organic L a w establishes, inter alia, the Court o f Accounts’ responsibility for the external audit o f all entities that manage state resources and i t s authority to set governmental policies and procedures on internal control, internal audits and external audits. The same law stipulates that every public sector entity must have an internal audit unit, which though reporting directly to the head o f each entity, must submit i t s annual work plans and copies o f each report to the Court o f Accounts. 2. I 5 Non-financial public enterprises. The privatization reforms have reduced significantly the size o f enterprises in the public sector (around 10 percent o f the 2003 budget). Moreover, the four remaining enterprises, National Water and Sewerage Administration (ANDA), Hydroelectric Power Commission o f the Lempa River (CEL), Autonomous Port Commission (CEPA) and the National Lottery, are subject to the provisions o f the Ley AFI and the annual Budget Laws. 2.16 Local Governments. The 262 municipalities, which have financial and administrative autonomy as stipulated in the Constitution, account for around 5 percent o f overall NFPS expenditures. A sample o f 92 local governments showed that, in 2003, their expenditures were financed b y local revenue (59 percent), debt and donations (5 percent), and central government transfers (36 percent). However, a separate study from the Corporation o f Municipalities places at up to 68 percent the share o f municipal expenses financed through central government transfers (COMURES, 2003). There are no legal limits on municipal borrowing; authorization i s required only for the use o f a central government guarantee. 2.17 Most central government transfers are funded under the L a w o f the Municipal Economic and Social Development Fund (FODES), which earmarks 6 percent o f the current central government revenues for this purpose. The FODES i s distributed among municipalities on the basis o f a pre-established formula and i t s regulations stipulate that 80 percent must be used for investment expenditures b y each municipality. Municipalities are only required to report budget execution o f the use o f transfers from central government. The Local Development Social Investment Fund (FISDL) implements certain investment projects (financed through external loans and grants) at the municipal level. 55 Analysis 2.18 There i s a comprehensive set o f laws and regulations that cover each relevant area o f budget management. The distribution of fiscal functions within the central government i s clearly defined and functional, but as reflected in the Budget Transparency survey and a recent study from COMURES, the demarcation o f functions o f central and local governments i s not clearly defined in practice.33This, together with the lack o f limitations on local government borrowing, can affect the quality o f budget management. 2.19 B y developing and promoting awareness o f modern human resource management techniques, the Government i s moving in the right direction. The effective implementation and sustainability o f those techniques w i l l depend, however, on a renovated and consolidated legal and regulatory framework. IV. Budget Formulation and Reliability The Process of Budget Formulation 2.20 Revenues. An inter-institutional effort underlies the preparation o f the revenue budget. A committee chaired by the Budget Directorate (DGP) o f the MH and composed o f representatives from the Directorates o f Internal Revenue and Customs (DGII and DGRA), Treasury (DGT), the Macroeconomic and Fiscal Analysis Unit (UAMF), all o f the MH, plus the Central Reserve Bank (BCR), i s responsible for the analysis and monitoring o f fiscal revenues. 2.21 The committee relies principally on a methodology combining statistical analysis o f annual series for each revenue collection coefficient with simulation models built around macroeconomic projections and fiscal targets. Daily monitoring o f collections i s performed b y the DGT, and monthly detailed reports on compliance with revenue targets are prepared b y the DGII. The quarterly “economic conjucture” prepared b y the UAMF summarizes quarterly revenue performance, and an annual “memoire o f tax information” by the DGII documents annual performance. 2.22 Expenditures. In the absence o f a formal medium-term budget framework, the budget formulation exercise focuses on the upcoming fiscal year. L e y AFI requires that an approved Budget Policy document (laying out the overall availability of resources and expenditure ceilings, priorities and variables for allocation, and norms for budget formulation) precede the preparation o f the Budget Project, which in turn has to be presented to the Legislative Assembly no later than three months before the beginning o f the fiscal year. The stages in the process, which are well documented, are summarized in Table 2. 33 The reports from COMURES and Probidad claim that 44% o f central government transfers are invested i n projects whose competency areas correspond to the central government or are not clearly delimited. 56 Dates Feb. - March March - April April June June - July July - Aug. Aug. Aug. - Sep. Sep. I I Process Estimates of tax and other revenues Estimates o f loan and grant receipts Debt service and estimated public investment program Estimates o f expenditure ceilings Approval o f estimates Preparation o f Budget Policy proposal Approval o f Budget Policy Distribution o f the guides for the annual budget formulation and communication o f ceilings Formulation of draft institutional budgets Analysis o f draft institutional budgets Preparation o f Budget Project proposal Approval o f Budget Project Presentation of Budget Project to Assembly I - I - Participants Inter-institutionalcommittee Executing entities, DGICP, DGP DGICP DGP Minister o f Finance DGP, Minister o f Finance Council o f Ministers DGP Executing entities DGP DGP, Minister of Finance Council o f Ministers President 2.23 Based on the Budget Policy and specific directives from the MH’s Budget Directorate, each executing entity formulates i t s draft institutional budget, which are discussed with the MH before their incorporation in the Budget Project. There i s more room for discussion o f options for capital than for recurrent spending, but the MH ultimately commands the decision-making process. Exceptions granted by Ley AFI are those related to the budgets o f the legislature, judiciary, and Court o f Accounts, which are incorporated into the Budget Project as proposed by the respective institutions. 2.24 The most prominent rigidities that affect flexibility in budget formulation, expressed as the share of allocations in the total budget for 2003, are: remunerations (29.7 percent), debt service (17.9 percent), pensions (9.2 percent), transfers to the judicial branch (4.5 percent), transfers to municipalities (4.3 percent), and the road-maintenance fund F O V I A L (2.9 percent). The constitutionally mandated transfers to the judiciary amount to 6 percent of current revenues.34 The tax on gasoline and diesel i s earmarked to finance the F O V I A L . 2.25 Public investment program. L e y AFI requires that the public investment program be consistent with the Public Investment and Credit Policies, both approved b y the National Commission o f Public Investment Investment requests from the executing entities are reviewed b y MH’s Investment and Public Credit Directorate. These requests are based on pre-investment studies, for which detailed guidelines have been prepared, and five-year investment programs. The quality o f these documents i s s t i l l perceived as limited and guided b y a “wish list” approach. 2.26 Each executing entity i s responsible for incorporating i t s approved institutional investment program into i t s draft institutional capital budget. A single project code in the FUSADES has noted repeatedly that, as a percentage o f GDP, transfers to the judiciary in El Salvador are large by international standards, e.g. larger than those in the U. S., Argentine and Spain. (FUSADES, 2001). 35 The CONIP consists o f the Minister and Vice-Minister of Finance, the Ministers of Economy and Education, and the President of the Central Bank. N o formal meetings o f the CONIP were held in 2003. 34 57 institutional public investment system (SIIP) and the integrated financial management software (SAFI) permits cross-checking o f aggregates. However, SIIP does not have the same institutional coverage as SAFI. Coverage and Content of the Budget 2.27 Coverage. In accordance with Ley AFI, the NFPS budget comprises the general budget o f the State, which includes 21 entities o f the central g o ~ e r n m e n t ;the ~ ~ special budgets o f decentralized institutions, which contain 63 entities (including 34 hospitals) and 4 public enterprises; and the extraordinary budgets. 2.28 The extraordinary budgets are envisaged in the Constitution for legislative authorizations to commit funds for special projects (“works o f public or administrative interest”, or consolidation or conversion o f public debt) that span multiple budgetary periods. These funds, which are not part o f the annual budget law, in 2003 were composed of: the extraordinary public investment budget PEP 2001-2003 (originally financed from privatization proceeds but later, after the earthquakes, incorporating local and external resources for specific investments); the extraordinary institutional resources (e.g., electricity infrastructure projects b y CEL); the extraordinary economic recovery budget (PEE); and the extraordinary budgets for organization o f elections. 2.29 Other major extra-budgetary activities are those financed b y special activity funds. These funds are generated b y the sale o f goods and services b y central government institutions and may be used b y these entities for specific purposes with MH’s authorization. Finally, there are around 14 autonomous entities whose organic laws provide for their budgets to be approved b y executive decrees or governing board accords. Together, extra-budgetary funds represent around 15 percent o f NFPS expenditures. While excluded from the annual budget law, their operation i s captured b y the fiscal reports (see Part D). A marginal portion o f donor funds may s t i l l escape the budgetary system. Aggregated information on municipal budgets i s not systematically compiled. 2.30 Content. L e y AFI requires that the Budget Project approved b y the Council o f Ministers before submittal to the Assembly be composed o f an introduction (mensaje presupuestario) containing the macroeconomic and financial analysis upon which the budget i s based; the Budget Project L a w containing the general and special budgets; the Salaries Project Law; a summarized consolidation o f the NFPS budget; norms for budget execution; and other annexes and summaries. 2.31 The introduction to the Budget Project contains summarized information on the macroeconomic environment (including growth and inflation projections for the year), the fiscal policy objectives (including targets for five aggregate variables over a threeyear period), the overall budget policy, and aggregate data from the general and special budgets. Central government includes the legislature, the judiciary, the national judicial council, 12 ministries, 3 entities of public prosecution (Ministerio Pdblico), the Court of Accounts, and the electoral and c i v i l service tribunals. 36 58 2.32 B o x 2.3 lists the five expenditure classifications used in the 2003 Budget Law. The summaries provide aggregate data by management areas (Areas de gestibn), major economic groups (rubros de agrupa~ibn)~’,and sources of funds. The same information i s provided for each executing entity’s budget, which additionally disaggregates expenditures in accordance with “purposes” at two levels (“budgetary units” and “lines of work”), and provides summarized information on: (unquantified) policies, priorities, and objectives; a l i s t of public investment projects; and remunerations classified b y salary types and ranges. 2.33 The Budget Law and introduction to the Budget Project for recent years are posted on MH’s webpage (http://www.mh.gob.sv/mh~2003/presupuesto.htm). In addition, the MH prepares (ex-post) a Citizen’s Guide to the Budget, posted on the same page, that contains a summary o f the budget introduction and major plans b y sector. Budget Outcomes as Indicators of Budget Reliability Box 2.3: Expenditure Budget Classifications Administrative classification 21 central government entities 63 decentralized entities (including 34 hospitals and health sector institutions) 4 public enterprises Functional classification (management areas - areas de gesti6n) 1. Administrative conduct Justice administration and citizen security 2. 3. Social development 4. Support to economic development 5. Public debt General obligations o f the State 6. 7. Public entrepreneurial production Economic classification The detailed budget line items (cuentas and objetos especificos), which are not part o f the budget law, are classified under these groups (rubros de agrupaci6n): 5 1. Remunerations 54. Goods and services 55. Financial and other expenses 56. Current transfers 61. Investment in fixed assets 62. Capital transfers 63. Financial investments 7 1. Debt service 81. Transfers o f special contributions Outstanding allocations (asignaciones por aplicar) 99. Sources o f funds 1. General Fund 3. External loans 5. Donations Programmatic classification (prop6sitos) Budgetary unit (unidad presupuestaria) Line o f work (linea de trabajo) 37 The MH’s Manual for Classification o f Public Sector Financial Transactions further breaks down the economic groups into “accounts” and “specific objects”, and also provides for a geographical classification. 59 2.34 A comparison o f budgeted and actual revenue can provide an overall indication o f the quality o f revenue forecasting, a critical factor since budgeted expenditure allocations are based upon it. Since 1999, tax revenue outturn has been generally close to (though always below) the initial budget, reaching a 99 percent rate o f execution in 2003 (Table 3). The l o w level o f execution in 2001 can be explained b y the effect o f earthquakes, decrease in coffee prices, and other events that slowed down taxable economic activity. I t i s notable that in 2002, despite increased performance o f the revenue administration agencies, the level o f execution reached only 95 percent, a reflection o f over-optimistic growth forecasts. (% of Budgeted) 2002 2003 1999 2000 2001 Modified Budget as percent of Initial Tax 100 100 100 100 102 Non Tax 104 157 153 161 157 Total 100 104 104 104 107 Source: WB database (based on budget laws and MH execution documents) Source: WB database (based on budget laws and MH execution documents). 2.35 The ratio o f expenditure execution can shed light on the degree o f realism in the budget document. The close execution shown in 1999 and 2000 went off-track in 2001 due to the extraordinary increase in capital spending for reconstruction efforts. Part o f the over-execution in current expenditures during 2002 and 2003 shows unplanned spending 60 in some entities, an effect partially off-set b y sharp cuts in capital spending during 2003(Table 2.4). In all cases, actual spending was within the modified budget ceilings. 2.36 The credibility o f the budget can be roughly indicated b y the extent to which budget entities receive the resources initially indicated: where the composition o f expenditure varies regularly from the original budget, the latter w i l l not be a useful exante statement o f intent. After 1999, the inter-institutional variation o f execution against the initial budget has deteriorated, but 2003 showed a significant improvement over the preceding year, with a 12 percent average variation across 22 budget entities (see Table 5). The rates o f execution o f the capital budget remained markedly more variable than those o f the current budget. Table 2.5: Average Deviation of Expenditure Budget Execution Central Government I 1 Source: W B database (based on budget laws and MH execution documents) Coverage: 22 entities from 2002-2003 and 25 entities from 1999-2001, including in each case a line covering “other obligations and transfers” from the central government. Interest on debt i s excl~ded.’~ 2.37 A measure o f budget execution volatility may be calculated using a simple which methodology developed in Dorotinsky, Knack, Manning and Kugler (200 l), defines volatility as the median o f year-to-year changes in percentage share o f the budget, in each administrative and functional classification, over the preceding four years. The 0.13 median value o f variability in expenditure execution for the period 2000-2003 for El Salvador (see Table 2.6) indicates that on average, entities executed 13 percent more or less in total expenditures than they did in the previous year. While volatility in execution has persisted in recent years, i t s level has been stable and not particularly high. Table 2.6: Budget Execution Volatility Over Time - CG ~ ~ Administrative Functional 1996-1999 0.40 0.07 1997-2000 0.14 0.07 1998-2001 1999-2002 2000-2003 0.15 0.14 0.13 0.09 0.23 0.1 1 Source: W B database (based on budget laws and MH execution documents). Coverage: Administrative classification, 21 entities. Functional classification, six areas. Inboth cases, interest on debt i s excluded. 39 The table reflects, for any given year, the average absolute percentage change in allocations at the administrative level. For instance, while the total execution for 2003 was 3% higher than the initial budget , the average absolute deviation of the 22 entities from the initial budget was 12%. The entities with annual capital budget allocations o f less than U S $ 100,000 were excluded from the calculation o f capital expenditure deviation. 38 61 Analysis 2.38 The sound methodologies used b y the inter-institutional committee for analysis and monitoring o f revenues and the coordinated application o f these methodologies have increased the credibility o f the budget document. Still, tax revenue budgets have been under-executed as a result o f over-estimation o f GDP growth (FUSADES, 2002). 2.39 As in many Latin American countries, the expenditure budget formulation process i s dominated b y concern for aggregate fiscal discipline, with the MH exercising a strong role, While the process follows a comprehensive legal and procedural framework in an orderly and timely manner, over-execution in current spending and inter-institutional variations during 2002 and 2003 show that there i s s t i l l room to increase the credibility o f the initial expenditure budget. 2.40 Funds for current spending are allocated on a largely incremental basis, i.e. the previous budget i s taken as the base for discussion, with some room for expenditure savings plans. The PIP allows more room for prioritization, and i t i s well integrated into the budget cycle. However, there i s no systematic effort to calculate or take into account the current spending portion o f investment projects or their implications in future current expenditures. Moreover, there i s generally limited capacity in executing entities to produce quality medium-term investment programs and pre-investment studies, and i t i s uncertain how useful they are. 2.41 Most government spending i s subject to annual legislative approval and extrabudgetary funds are included in the consolidated government financial statements (but not disclosed as attachments to the annual budget documentation). There i s no consolidation o f the general government budget, nor any aggregated information on municipal budgets. 2.42 The budget law documentation provides a large set o f data on the planned uses of budgetary funds, but i s s t i l l short o f international standards. Good practices from the I M F ’ s Fiscal Transparency Code are not yet implemented, specifically the disclosure o f 0 0 0 clearer identification o f the overall balance supplemented by other fiscal indicators; comparable information for the outturns o f the two preceding fiscal years and aggregate forecasts for the two following years; statements describing the nature and fiscal significance o f contingent liabilities, tax expenditures and quasi-fiscal activities; Budget execution volatility over time i s calculated as the median o f the year-to-year changes in each of the 21 entities (and 6 management areas) over the preceding 4 years, where budget execution changes are defined as the absolute values o f the difference in shares in total expenditure (for each entity and for each management area) from year n to year n+l, calculated as a proportion of the year n figure. 39 62 0 0 improved and more comprehensive information on the quantitative macroeconomic framework and fiscal policy, sustainability and rule; identification o f major fiscal risks, including variations in economic assumptions. 2.43 There i s a robust classification system in terms o f administrative and economic items, but there i s s t i l l room to improve the functional (broad “management areas”) and programmatic (“budgetary units” and “lines o f work”) classifications, which are in large part aggregations and dissections, respectively, o f the administrative classification. There i s no specific identification o f poverty related expenditures in the budget. Further levels o f functional detail (e.g., the second- and third- level groups and classes contemplated in the United Nation’s Classification o f Functions o f Government) could provide a better framework for program (and, in due course, performance) budgeting and monitoring, analysis o f inter-functional interventions o f administrative units, and historical and policy analyses. 2.44 The Government took a significant leap towards enhanced public sector accountability with the introduction o f a management-by-results system (SGPR)40. However, i t s roll-out was not supported by a clear conceptual and procedural framework linked to the budget formulation process. A set o f public investment indicators has been developed, but these are either not reflected in budget documentation, too broad, or not particularly relevant for efficiency and effectiveness measurement. Interesting initial efforts for public service costing (e.g., at the Ministry o f Health) have not yet had any impact on budget formulation. 2.45 Although the MH prepares aggregate fiscal targets and projections to orient fiscal policy, there i s no formal medium-term budget framework that informs the annual budget formulation and approval process. V. Budget Execution and Controls The process of Budget Execution 2.46 The Constitution establishes that public funds cannot be committed or paid in absence o f a budgetary credit. L e y AFI and i t s Regulations delineate three overall stages of budget execution: (1) the credit (authorized allocation per the voted budget and subsequent modifications), (2) the commitment, and (3) the accrual, and establish the requirement for a DGP-approved execution program (PEP). MH’s Manual o f Budget Execution Processes further details the execution procedures, summarized in B o x 4. 2.47 Integrated financial management system (SAFI). The S A F I system, born in the mid-nineties as part o f the public sector modernization program (see B o x 2 above), has a clear legal base in L e y AFI. I t integrates the budget, treasury, public investment and credit, and accounting systems through a common set o f rules and procedures applicable ~ ~~ 40 With the earthquakes o f 2001, the SGPR was focused on the reconstructionefforts. 63 to the NFPS (excluding municipalities). As such, S A F I i s at the center o f the budget execution process, under the premise o f normative centralization (by MH) and operational decentralization (by executing entities, via legally mandated institutional financial units UFIs). But, as i s clear in B o x 5, the MH does maintain a critical operational role in the budget execution cycle, a reflection o f concern for aggregate spending controls. 2.48 The system’s software for budget formulation and execution has been deconcentrated to the 21 central government entities, 34 hospitals and two public enterprises. In most (not all) o f these entities, payrolls are prepared via the Integrated Human Resources System (SJRH, which combines nominal and payroll information), and downloaded to SAFI. Decentralized institutions, while not yet using SAFI for internal budget execution, do report to i t using formats that allow incorporation by the MH into the government accounting records. . Box 2.4. Expenditure Budget Execution Process Budget execution program (PEP). This annual document, prepared by the institutional financial units (UFIs) at each budget entity and approved by the Budget Directorate (DGP) o f the Ministry o f Finance (MH), distributes the approved budget over the twelve months o f the fiscal year, thereby setting the monthly ceilings for commitments and the parameters for monthly execution reports. Public enterprises are exempt from the PEP. Budget commitment. Commitments, provided there i s availability of resources in the PEP, are triggered b y the issuance o f purchase orders (goods or services), monthly payrolls (salaries), fund requirements (transfers to decentralized institutions), or bills (utilities). Expenses committed but not accrued by the end o f the fiscal year are automatically transferred (credited) to the following year’s budget. Commitments can be reversed if they are legally rescinded. Expense accrual (devengado). Provided there i s an open commitment, accruals are recorded against the legal documentation (invoices, payrolls) that sets the financial obligation to pay for goods and services received. Accruals are accumulated in the Accounts Payable Register. Funds requirement. The U F I s use this instrument to request transfers from MH’s Treasury Directorate (DGT) against accruals recorded in the Accounts Payable Register, in accordance with the Treasury’s payment schedules. Transfer receipt. The purpose o f this document i s to record the deposit o f funds transferred from the DGT’S Account to the Subsidiary Institutional Account, which i s managed by the UFI. Expense payment. Accrued expenses are paid from the Subsidiary Institutional Account via check or deposit issued b y the UFI. Record keeping. All steps in the budget execution cycle are made through the integrated financial management system (SAFI). Supporting documentation o f all expenses and payments i s maintained b y each UFI. Closing of accounts. The monthly and annual closings o f accounts represent the UFI Accountant’s validation o f accounting records for the respective financial reports. Bank reconciliations. These are prepared within eight working days after the end o f each month. Source: Manual of Budget Execution Processes (2003) 2.49 Treasury operations. L e y AFI explicitly mandates the centralization o f public revenues in a single fund, administered b y MH’s Treasury Directorate (DGT), and the decentralization o f payments to each budget executing entity. In line with this, the 64 Treasury Single Account i s composed o f DGT’s principal accounts in the Central Bank (BCR)4’ and a number o f subsidiary accounts managed b y executing entities. The latter are held in commercial banks (if authorized by the DGT and the BCR) that in theory work as zero-balance accounts, with monies being transferred to them only to cover approved accrued expenses.42 While the DGT has the power to recall idle funds in the subsidiary accounts, the same L e y AFI allows decentralized institutions to carryover endof-year balances that are deducted from the next year’s transfers). 2.50 A treasury accounting unit within the DGT i s in charge of bank reconciliations o f the principal accounts i t manages. These are performed and documented on a timely basis but do require a significant level of manual efforts. The executing entities are responsible for reconciliations o f subsidiary accounts. 2.51 Overall control o f the cash position i s based on payment schedules and annual, monthly and daily cash flow programs that consider the PEP. The DGT can use two major legal instruments in case o f temporary cash shortfalls: access o f up to 90 percent o f the funds in custody balance (composed o f outstanding deposits, mostly judicial, from third parties); and issuance o f short-term debt (LETES) under annual ceilings approved b y the legislature in the annual budget law.43 In general, DGT’s cash management strategies have resulted in high predictability o f flow o f funds to executing entities. 2.52 Accumulation of arrears. The accounting system records expenditures on an accrual basis, but does not accumulate the share o f total accounts payable that i s in arrears. Arrears are not perceived as a problem in El Salvador because o f the instruments available to the DGT to cover cash shortages. As shown in Table 7, the ratio of shortterm payables at the end o f the year to total annual expenditures has decreased since 2001. Table 2.7: Short-term payables ISource: WB database (based on MH execution documents). I 30 I 43 I 52 I 18 I 13 J 2.53 Donor funds. L e y AFI allows the existence of bank accounts separate f r o m the single treasury account when required b y international agreements, but the same law assigns to the DGT the responsibility for managing those accounts. While executing entities maintain separate subsidiary accounts for loan and grant funds, the transfers from The regulations grant exceptions in the cases o f accounts linked to international agreements, revenues from state enterprises, and special activity funds. 42 I n practice, though, there i s the possibility o f accumulation o f idle funds when executing entities do not deliver the checks or these are not cashed. I n light o f this, the DGT i s developing a system linked to the banks for control of subsidiary account balances. 43 The 2003 Budget Law placed the limit for issuance o f LETES at 40 percent o f current revenues. 41 65 the DGT follow the same mechanism used for local funds; i.e., transfers against recorded accrued expenses. These procedures have allowed donor funding to be effectively In terms of financial administration, the captured b y the budget management arrangements differ from entities where the UFI plays a major role (e.g, Education) to those where project administration units are set up (e.g., Health). Overall, donor funding i s characterized b y traditional individually negotiated investment projects, as opposed to sectoral aid. 2.54 Monitoring of budget execution. In accordance with Ley AFI, there are three levels o f responsibility for monitoring and evaluation o f execution: the UFI at operational level, the head of each budget entity at institutional level, and the DGP at the overall level. Moreover, i t assigns the Directorate o f Public Investment and Credit (DGICP) the responsibility to inform the DGP o f the public investment program (PIP) execution. 2.55 Executing entities and the DGICP are required to report monthly to the DGP, which should consolidate that information and present periodic physical and financial execution reports to the MH. This i s done b y the DGP on monthly budget execution and PIP progress reports, and an annual report on central government budget outturns (of these, only very aggregated monthly financial execution data i s published). In practice, the Presidential Commission for Monitoring o f Public Investment (CPSIP) and the Technical Secretariat o f the Presidency, which administers the management-by-results system (SGPR), also play a role in monitoring the PIP. 2.56 MH’s Financial Management Directorate (DINAFI) has developed a plan to create a data warehouse for managerial information (SIG), that would permit access to several databases (SAFI, treasury-SITEP, investment-SIIP, tax-SIIT, customsSIDUNEA, and debt-SIGADE) for the production o f customized data in friendly formats. In i t s initial phase, the SIG w i l l be limited to budget execution data and be accessible through MH’s Intranet. D e b t Records 2.57 Ley AFI stipulates that the MH i s responsible for the formulation o f public debt policy and the authorization o f all NFPS debt and guarantees, which procedures are documented in the regulations. Debt management responsibilities, including maintenance o f public debt records and debt service administration, are assigned to MH’s DGICP.45 The internal and external debt databases are maintained b y the DGICP on UNCTAD’s Debt Management and Financial Analysis System (DMFASBIGADE). In practice, the B C R also registers public external debt, including that o f the financial public sector. 2.58 Debt databases are the basis for debt service program data incorporated into the annual budget law, execution o f debt service payments through the treasury single account, and incorporation o f balances into government accounting records. In absence o f automatic links between SIGADE and the S A F I software, however, debt-related 44 45 Small donations may s t i l l escape the system, but the effect i s perceived as marginal. This Chapter does not cover matters of debt management or sustainability. 66 transactions are manually uploaded to SAFI. The DGICP prepares internal monthly reports on domestic and external debt service budgetary execution, and the B C R publishes monthly reports on the level and composition o f public debt. Internal Control Framework 2.59 The Organic Law o f the Court o f Accounts establishes the “national system o f control and audit in public management” and provides the Court with the power to issue Technical Internal Control Norms applicable to public sector entities. The current set o f norms (2000) i s divided into general, human resources, goods and services, financial, IT systems, and public investment norms. There are no quantified data to estimate the extent o f their application, and in any case the various internal control systems in use b y executing entities do not seem to be a product o f specific plans to put the norms into practice. The norms are being restructured b y the Court to conform to the C O S 0 framework and introduce the concept o f risk assessments and risk-based controls. 2.60 Internal audit. As part o f the national system o f control and audit, the internal audit function has i t s legal basis in the Organic L a w o f the Court o f Accounts o f the Republic, and this entity has the power to set policy and technical norms. Moreover, the Court receives internal audit plans and reports, and has the responsibility to evaluate internal auditors. In absence o f internal audit standards, the Court’s (external auditrelated) manuals are the technical point of reference for internal audit work. 2.61 Every public entity with an operational budget exceeding US$570,000 i s obliged to have an internal audit unit, which i s named by, and reports to, the head o f the entity. Internal auditors are prevented from undertaking any administrative or prior control task. Most internal audit work i s related to certain financial reviews (not financial statement audits) and unplanned special reviews. The Ministry o f Education also has an audit committee - a rare occurrence among public entities. Analysis 2.62 Expenditure execution systems. The modern normative framework for expenditure execution, the standardization o f procedures (with the exception o f payroll controls), and the introduction o f the S A F I software, have all contributed to the production of timely, reliable, and fairly complete information on government spending supported b y audit trails. At the same time, the formal norms are progressively generating a healthy accountability and fiscal prudence culture in officials responsible for public expenditure. At the end o f the day, S A F I has made a significant contribution to the MH’s capacity to control aggregate spending. Behind these achievements i s the dedicated work o f qualified professionals, particularly in M H ’ s central directorates (Financial Administration, Budget, Treasury, Accounting, and Public Investment and Credit). 2.63 While the basics are covered, there i s room t o enhance expenditure management performance. The streamlining o f flows between executing entities and the MH has not been effectively replicated within the entities. There i s s t i l l a certain degree o f fragmentation, complication and duplication in internal administrative systems and 67 procedures that ultimately affect efficiency in the use o f public funds-the multiple operational manuals, action plans and software applications within institutions are probably a reflection o f a more structural issue.46 There i s room to upgrade the institutional SAFI software from i t s current budget accounting form towards the incorporation of certain administrative functions (most notably, procurement and management o f fixed assets and inventories). 2.64 The payroll system (SIRH) i s not used consistently among different entities and there are no standards for information to be captured; hence, there i s no comprehensive public sector payroll database. In any case, SIRH’s platform i s already obsolete and lacks security safeguards embedded in more modern applications. Finally, there are no provisions for the execution o f routine payroll audits. 2.65 The lack o f I T policies has encouraged the proliferation o f different - and sometimes incompatible applications and databases, not only across different executing entities, but even within the MH.47On the other hand, the sustainability o f the current database management application for SAFI i s uncertain and the provision o f equipment i s uneven and varies greatly f r o m one entity to the next.48 2.66 Treasury. The DGT exercises good management and control o f the Government’s cash position. This achievement flows from the operation o f single treasury account system that captures, with documented exceptions, all government revenues; a financial programming function that has resulted in reliable cash flows; and from the use o f effective legal instruments to deal with temporary cash shortages. The legally instituted- deconcentration o f payments, however, may be generating unquantified transaction costs and idle balances. 2.67 While the DGT transfers funds to executing entities only in accordance with recorded accruals, once funds reach the entities, these may exercise discretion in delivery o f checks; such a system can produce arrears and idle funds at the executing entity level. The situation i s aggravated in decentralized institutions that receive global transfers not linked to accruals. Furthermore, the disaggregation o f government accounts makes it more difficult to enter cost-effective arrangements to substitute the current payment-bycheck system to electronic deposits into accounts. 2.68 Donor funds. Through the provisions of Ley AFI and the implementation o f SAFI, external financing has been effectively incorporated into, and makes good use of, the budget management system. Still, there has been limited use o f potential economies For example, within the Ministry o f Education there are various systems, on top o f SAFI and SIRH, that bear an effect on financial management: S M A E L (transfers to schools); SAP+ (investment projects); SIGAP (management information); “patrimonial accounting” (institutional accounting records); “fixed assets inventories”; and “budget formulation”. A similar situation can be found in the Ministry o f Health. 47 In fact, different directorates within the MH have their own I T units. Just within the DGT, on top of SAFI there are systems for treasury (SITEP), programming, collection targets, tax information (SIIT), and the (new) control o f bank accounts. 48 For example, i n the largest public hospital, one computer was shared among various UFI officers. 46 68 o f scale in enhanced donor coordination and sectoral assistance, for which donors are partly responsible. 2.69 Execution monitoring systems. The SAFI software allows timely tracking o f budget execution figures in each entity and at the MH, but the evaluation reports are not made public. The SGPR captures physical data on execution o f the PIP, but the context and quality o f indicators are subject to improvement. As regards the SIIP, there seems to be overlapping with both SAFI and SGPR. While s t i l l in the works and accessible initially only to the MH, the SIG can become a powerful tool to foster use o f information for decision making. 2.70 Debt records. MH’s NFPS debt databases are rather complete and well used to introduce data into the budget formulation, execution and accounting systems, even though the information transfers are currently “manual”. Although debt management capacity was not covered by this PER, anecdotal evidence points to the need to introduce continuing programs for skills development in this highly specialized area, and to turn the DGICP into an active debt manager that undertakes systematic debt sustainability and risk analyses to minimize borrowing risks and 2.71 Internal controls and internal audit. There are no quantified aggregate data to estimate the extent o f application o f internal control norms, but the fact that roughly half o f the individual financial audit reports issued b y the Court o f Accounts contain opinions other than “clean”, may point to the existence o f serious problems in the effectiveness o f the internal control framework (which i s not risk-based). The new draft internal control norms based on the C O S 0 framework are sound and modern, but their introduction in the absence o f an evaluation o f the practicality and application o f current norms, and without a credible plan of implementation, would make little difference in the quality o f government controls. A similar plan would be necessary for the release o f the draft government audit norms that would introduce internal audit standards. 2.72 The legal mandate o f the internal audit function provides a sound foundation to build i t s legitimacy and empowerment. However, internal audit units have in general been constituted on an ad hoc basis without technical studies or objective criteria to justify their size or budget.” They usually lack sufficient numbers o f professional and experienced staff, and do not have directly relevant training programs. There i s general absence o f risk-based approaches, and i t seems that coordination with the Court o f Accounts to prevent duplication o f efforts i s weak. Internal auditors do not produce statements on their overall assessment o f the entities’ internal control system, and the In the medium term, the DGICP could be organized into front, middle and back office organizational functions. The front office i s responsible for executing transactions in financial markets and funding operations such as the management o f auctions and negotiations for other types o f borrowing; the middle office i s responsible for analysis and advice on the debt management strategy as well as for the operational role o f implementing risk controls, and the back office handles the settlement o f transactions, the financial records and the debt database. 50 The proportional size o f staff can vary significantly from one entity to another. For example, the Ministry of Education, with more than 42,000 employees and a budget o f $485 million, has 16 auditors. The Supreme Court, with 8,500 employees and $1 12 million in budget, has 29 auditors. 49 69 effectiveness o f their work seems limited.5' Finally, there i s no effective quality control system: while the Court i s responsible for internal audit evaluations, these evaluations are not formally and systematically reported back to the internal auditors. 51 Adequate performance indicators are lacking, but i t should be noted that in 2002 only 18 percent of presumed administrative liability (responsabilidad administrativa) resolutions, based on internal audit reports, have been ratified by the Court o f Accounts. 70 VI. Financial Reporting and External Oversight Financial Statements of the Government 2.73 The Ministry o f Finance (MH) i s required b y the Constitution to submit to the Legislative Assembly, within three months after the end o f the fiscal year (which coincides with the calendar year), the “general account o f the latest budget, and the statement on the situation o f public treasury and fiscal patrimony.” L e y AFI further institutes the figure o f government accounting, applicable to the NFPS and the central government transfers to municipalities, as a unique model for budgetary and accounting transactions in accordance with “generally accepted accounting principles applicable to public sector.” The only requirement set by Ley AFI and its regulations to publish financial information i s with regards to a summary o f this annual document, within ten days after i t s submittal to the Assembly. 2.74 L e y AFI assigns to MH’s Government Accounting Directorate (DGCG) the responsibility to set accounting norms and consolidate financial information for the public sector. In line with this, each executing entity, while maintaining responsibility over i t s own accounting records, must also submit i t s monthly financial statements to the D G C G within ten days after the end o f the month. Anecdotal evidence points to the fact that this requirement i s not completely and regularly complied with, particularly in certain entities lacking the S A F I software. 2.75 Monthly reporting. A timely (though not always complete for the reasons noted above) monthly report on budget execution by the NFPS i s distributed internally in the MH, and externally to the Office o f the President, the Ministry o f Economy, and the Legislative Assembly. A summary containing aggregate data i s made public through MH’s website. Similar quarterly reports are also prepared. 2.76 Annual reporting. In order to fulfill i t s constitutional mandate, the MH prepares an annual State Financial Management Report within the timeframe stipulated in legislation. After submittal to the Assembly and the Court o f Accounts, the report i s made available on MH’s web-site (http://www.mh.,oob.sv/mh 2003/informefinanciero.htm). The report consolidates budget execution, financial statements, and state o f public debt o f the central government, decentralized institutions and state enterprises (including six entities from the financial public sector), and special funds and extraordinary resources. Some aggregate data i s presented on a comparative basis over a five-year period. N o information on contingent liabilities i s reported. 2.77 The financial statements are prepared on an accrual basis. The reasonableness o f i t s application, however, has never been certified b y the Court o f Accounts, though “clean” audit opinions have been issued on the consolidation process. 71 2.78 Municipalities. The government accounting software has been installed in 152 of the 262 municipalities. O f those, 92 municipalities reported their budget execution (3 1 more reported solely the use o f FODES) to the D G C G in 2003. Due to the incomplete coverage, the D G C G has not included the municipal data in i t s financial reports. 2.79 Central Bank (BCR). The B C R has subscribed to the IMF’s Special Data Dissemination Standard (SDDS), and as such it makes monthly and annual public aggregate fiscal sector data available on a timely basis. The annual figures contain municipal data on a sample basis. 2.80 Public views. In terms of public perception, the Index of Budget Transparency (Probidad, 2003) noted the lack o f performance and geographical indicators to complement financial data, and that these are too aggregated for in-depth reviews. The External Audit Function 2.81 The Constitution grants the Court o f Accounts o f the Republic the power to exercise fiscal oversight (fiscalizacibn), in administrative and jurisdictional matters, of public finances in general, budget execution, and economic performance o f public entities. Its Organic L a w (1995) establishes i t s functional, administrative and budgetary independence from the Executive. 2.82 The Legislative Assembly elects the Court’s President and two Magistrates for a three-year period, may re-elect them and remove them, approves the Court’s annual budget and may audit i t (but has never done so). The Court’s President must present an annual report o f activities (informe de labores) and a report on the annual government accounts to the Assembly, but the Court i s not in practice a branch o f the Assembly. 2.83 In line with i t s constitutional mandates, the Court i s organized into audit and jurisdictional functions. The audit divisions are organized b y sectors: economic development and administration; justice and economy; social development and environment; municipalities; and external cooperation. B o x 5 in the next page contains selected statistical data on the audit function. The jurisdictional tasks are in charge o f the Chamber o f First Instance, integrated b y chamber judges, and Chamber o f Second Instance, integrated b y the President and t w o Magistrates. The Court bears authority to determine and sanction administrative and patrimonial responsibilities via account trials. 2.84 Annual reporting. The Court’s Organic L a w makes reference to operational and financial audits, and establishes that the Court must issue an audit report on the government financial statements within four months after the Executive presents them to the Assembly. The audit report for 2002, however, contains an opinion solely on the reasonableness o f the DGCG’s consolidation process, rather than on the financial statements themselves. 2.85 The Court can legally delegate audit functions to private sector external auditors whom it would supervise, but this option has not been operationalized. In practice, each 72 decentralized public institution and the majority o f external funds are currently subject to separate audits from audit firms and the Court. I t should be noted, however, that U S A I D has authorized the Court’s External Cooperation Department to undertake audits, under USAID supervision, o f i t s grants to the Government. Box 2.5: C o u r t of Accounts - Selected Indicators During 2002 and 2003, the following audit work was performed: The data show that, i n 2003 36% (54% i n 2002) o f the activities corresponded to “special exams”, o f which 46% (48%) were not programmed. The 31% (24%) o f total audit activities were operational, 30% (21%) were financial and the remaining 3% (1 %) responded to other (incipient) types o f audits. I t should be noted that the nature o f “operational audits” (mostly related to municipalities) i s more o f a special exam, given the lack o f parameters to measure efficiency and effectiveness. O f the 114 financial audits concluded i n 2002, 44% contained qualified audit opinions, 3% were adverse and there was one disclaimer. The presumed irregularities identified in audits and special exams amounted to US$197 million. These cases are subject to evaluation o f administrative liability (responsabilidad administrativa), which could lead to fines, patrimonial liability, and criminal prosecution (if transferred to the public prosecutor). I n 2002, o f 2,753 reports in process o f resolution o f liability, 61% were processed and the remaining 39% were pending. O f resolutions issued, 62% were absolutions, 13% were subject to follow-up, and liability was found in 25% o f the cases, for sentences amounting to US$3 million. The 106 financial audits performed in 2003 correspond to 89 entities. N o other statistics were yet available for 2003. Source: Based on documents from, and interviews held in, the Court o f Accounts o f the Republic. 2.86 Public view. The Index o f Budget Transparency (Probidad, 2003) points to two major challenges to the Court’s credibility: i t s perceived politization and lack o f transparency. Apparently, over the last t w o decades the Court’s presidency has been granted to persons associated with one specific party, and public access to audit reports i s 73 generally restricted. There has been no known official response from the Court to the cited Probidad document. Legislative Oversight 2.87 While the Constitution mandates the MH to report on the annual government financial statements and the Court o f Accounts to report on i t s audit, both to the Legislative Assembly, the Assembly’s process o f scrutiny i s neither regulated nor operationalized. There are no formal examinations o f the documents it receives, nor hearings held about them. In fact, anecdotal evidence points to somewhat restricted access to audit reporting (other than the annual report). 2.88 I t should be noted, however, that the Assembly’s Finance and Budget Commission has established a Unit o f Analysis and Monitoring o f the Budget (UASP), which staffed with only two professionals produces regular studies as requested b y the Commission. The UASP, created as part o f an U S A I D grant, i s not sustained b y legal basis. Analysis 2.89 Financial reporting. The accounting function has been effectively institutionalized and shows some sophisticated advances, most notably the accrual base o f recording and the timely consolidation o f monthly and annual financial statements for the public sector. While this information excludes municipal finances, commendable efforts are underway to provide the municipalities with accounting systems and to gradually approach full aggregation o f local government data. The existent strong accounting foundations provide a good basis for enhancements in financial reporting standards and analysis; specific enhancements that could be made to the State Financial Management Report include: . . Budget execution statements could be presented in the same format as the budget document. For example, the aggregation o f entities could be c o n ~ i s t e n t ; ~the ~ detailed statements could measure execution not only against the modified budget, but also against the initial voted budget; individual execution o f entities could be presented as an annex to the same level o f detail in the annual budget law (e.g., execution b y budget units, lines o f work, public investment programs, and classification o f personnel expenditures). A distinction could be made between notes to the financial statements that include narrative descriptions or more detailed schedules o f figures from the financial The annual budget law i s organized in three parts covering the central government, NFPS decentralized institutions, and state enterprises. The budget execution information i s shown in the annual financial management report i n two parts, covering the central government, and an aggregation of decentralized institutions and state enterprises that includes some entities (e.g., from the financial public sector) not covered in the budget law. While these entities should be reported on, a better classification would allow comparisons o f actual execution against initial budget allocations. 52 74 . statements, and additional information to assist users in assessing the Government’s performance, i t s stewardship o f assets, and the allocation of resources. In both cases, there i s considerable room for improvement. The arrears portion, if any, o f the liabilities could be clearly identified. An effort could be made to disclose contingent liabilities. Financial statements congruent with those published b y the BCR on the fiscal sector could be incorporated as an annex, complemented with a reconciliation o f figures between the two sets o f data. The aggregated data on special funds and extraordinary resources could be made more transparent b y adding an annex with detailed information by fund. 2.90 In terms of transparency, the MH has taken a good first step with the publication o f the full contents o f the State Financial Management Report, but there i s s t i l l room for improvement. Specifically, the MH could disclose the detailed monthly reports on budget execution (not just the aggregate data) and execution o f the public investment program. Following the precedent set with publication o f the citizen guide to the budget, a similar document could be prepared with regards to budget execution and government financial statements. 2.91 C o u r t of Accounts. The Court has taken two important steps toward i t s modernization: the preparation o f a five-year strategic institutional plan and new sound government audit norms (currently in draft form). Moreover, i t has recently introduced a citizen claims facility, i t s auditors are subject to a code o f ethics (unique in the public sector), and i t has been certified b y U S A I D to carry out audits o f grants. Current legislation provides the Court with adequate independence and room to exercise its external audit function, but there are two potential sources of conflict: the national internal control and internal audit system i s regulated by the Court, which at the same time i s responsible for the audit o f internal controls; and the Court administers justice on the basis o f audits i t itself performs. 2.92 T w o achievements o f the Court o f Accounts are that i t s 475 auditors have university degrees (although only 22 percent from the audit field), and that it has a continuing training plan (although only 12 percent o f the training hours delivered in 2003 were directly related to audit techniques). The quality o f current performance, however, i s irregular: the fact that in 2002 only 25 percent o f resolutions resulted in declaration of liability (responsabilidad) may reflect insufficient quality in the collection and analysis o f audit evidence; moreover, for a sample o f six entities, it took the Court an average of 14 months to issue the audit reports. 2.93 While an effort i s underway to bring financial audits to date, the Court’s inability to opine on the state financial statements as a whole i s related to the persistent backlog o f individual entity financial audits. Important components, such as revenues, debt and pension costs have never been audited. While this partly reflects a lack o f specific 75 technical and technological capacity, the situation can be linked to the priority given to special exams and operational audits (which, in lack o f methodology and parameters to measure efficiency and effectiveness, are far from international standards), and the limited use o f i t s legal power to use work o f private auditors (e.g., in decentralized public institutions). 2.94 Legislative oversight. As opposed to i t s clearly established role in the budget approval process, the Legislative Assembly’s ability to scrutinize budget execution, public finances, and audit reports i s very constrained. A significant step t o help reverse that situation has been the creation o f a specialized unit for analysis and monitoring o f the budget (UASP), which has made considerable efforts to undertake studies and produce regular reports. However, having only two professional staff and lacking a legal basis, i t s effectiveness i s limited and its sustainability uncertain. VII. Conclusions and Recommendations 2.95 The financial management reform process, initiated in the 1990s under the umbrella of the public sector modernization program, has produced significant improvements in the performance o f budget management institutions. The L e y AFI and other regulations provide a generally modern, clear, complete, and functional framework o f formal rules pertaining to each relevant area o f budget management. The methodologies and processes o f budget formulation and execution are well documented and normally followed. The Government i s able to track spending under budgetary provisions, effective controls o f i t s cash position are in place, and complete debt records are maintained. Both the annual budgets and financial reports provide considerable data on government finances. 2.96 There i s an internal control framework, the internal audit function has a legal basis, and the external auditors are granted with independence and room to exercise their functions. In summary, the basic foundations o f a well-functioning public expenditure management system have been built, the result o f competent work f r o m groups o f committed public sector professionals. Still, important obstacles to operational efficiency and transparency remain. 2.97 First o f all, the lack o f an independent financial audit opinion on budget execution, let alone the state financial statements, prevents a basic external assurance on reasonableness o f financial data and conformity with budgetary laws and regulations. The problem i s compounded b y the internal audit general lack o f capacity to provide assurance that internal controls are effective. And while the implementation o f a financial management system has introduced good budgetary controls, there i s a significant portion o f public resources managed out o f the system. Finally, the information available for public scrutiny of use o f funds, both budgetary and extra-budgetary, i s subject to enhancements in i t s clarity, completeness, analysis, and dissemination. 76 2.98 Given that some crucial financial controls are not yet in place, the capacity to measure and increase efficiency and cost-effectiveness cannot be better. The fact that the same systems that should be used to facilitate and monitor performance are inconsistently and uncoordinatedly used from one entity to the other - even within a single entity - i s not a good sign. Other possible source o f inefficient financial management i s the proliferation o f government bank accounts. Priorities for action 2.99 The analyses in the preceding parts o f this Chapter lead to the conclusion that, building on the impressive achievements o f the last decade, the budget management institutions can envision further enhancement o f their performance to increase efficiency and effectiveness in the administration o f public funds, and to positively influence the governance environment through improvements in transparency. This i s o f particular importance in light o f country circumstances. As explained in the previous chapter, the earthquake reconstruction investments and the transitional costs derived from the pension reform have put strong pressure on public finances in recent years, while looking forward, there i s a need to expand key investments in the social area that are also important for the growth agenda. All o f this raises the need to increase revenues and efficiency in public spending. At the same time, perception surveys suggest that governance indicators have deteriorated and transparency i s low. Should that trend continue, the Government’s capacity to enhance the country’s investment climate could deteriorate. 2.100 T o contribute to the enhancement o f performance and transparency o f budget management institutions, the CFAA report presents a set o f recommendations that various government entities could incorporate into their modernization plans. The following paragraphs, in turn, suggest the critical areas o f action. 2.101 External oversight. The current lack o f external audit reports on the content o f government financial statements, and of legislative examination o f financial and audit information, i s a serious obstacle to transparency in public finances. 2.102 While capacity to perform operational audits i s gradually being built, the Court o f Accounts should concentrate i t s efforts on getting the basics right; Le., producing a comprehensive financial audit on the reliability o f government financial statements, regularity o f transactions, and functioning o f internal control systems. In the short term, this would require a policy shift, some technical assistance to help build risk-based approaches (including making wider, informed use o f the work o f private auditors and internal auditors), and training (to be followed in the medium term with a program o f certification of government financial auditors). The Court could also take a policy stand to actively promote the legislature’s (and others’) prompt access to audit findings. 2.103 In the medium term, the Court’s credibility could be increased b y a revision o f the current form o f appointment o f the Court’s authorities; for instance, a transparent, 77 independent, and technically based process for selection o f short l i s t s put forward for the Assembly’s vote could be introduced. 2.104 The Legislative Assembly should provide more appropriate resources (e.g., through available grants) and sustainability (issuance o f regulation) to i t s own unit for analysis and monitoring o f the budget (UASP). In the short to medium term, the function o f legislative scrutiny o f public finances and audits should be gradually institutionalized. 2.105 Internal controls. The low rate o f “clean” reports from the Court o f Accounts, together w i t h the internal auditors’ inability to produce assessment statements on internal controls, may be symptoms o f ineffectiveness o f the current internal control system. 2.106 The Court’s planned introduction o f the C O S 0 framework for internal controls, and o f government audit standards for the internal audit function (both o f which should be closely interrelated, so that internal auditors can focus their scope o f work on assessments o f the internal control systems), should be preceded b y evaluations o f the current framework and by a comprehensive plan o f training and gradual implementation to develop understanding and ownership. At the same time, objective criteria for the provision o f internal audit resources (under a risk-based approach and connected to sound quality controls) should be developed. While indicative in the beginning, such criteria could be subject to certain enforcement measures in the medium term. 2.107 Comprehensiveness and quality of financial data. Incomplete information on municipal finances prevents the formation o f an overall view and assessment o f general government finances. Incomplete information on extra-budgetary funds at the time o f preparation and approval o f the annual budget prevents comprehensive analyses to support the budgetary fiscal and allocation decisions. Some financial documents could be publicly disclosed, and the information content o f those currently available to the public could be further improved. 2.108 COMURES has shown i t s interest in increasing municipal transparency; a first natural policy step would be to make information on municipal budgets and their execution public. In the short term, I S D E M could help with the collection o f information; in the short to medium term, the MH and COMURES should continue to expand the municipal coverage o f the government accounting system. In the medium term, regulation on provision o f information could be introduced. 2.109 The Executive could take short term decisions to disclose better extra-budgetary funds (extraordinary budgets, special activity funds and budgets o f autonomous entities), as the subject o f annexes to the annual budget documentation and o f disaggregated schedules (e.g., b y institution) to the consolidated government financial statements. In due course, the current exemption o f certain NFPS funds and entities from inclusion in the annual budget law could be reexamined. 2.110 T o further increase transparency, in the short term the MH could broaden the dissemination of interim reporting on detailed budget and investment program execution, 78 and in the medium term it could make better use o f information technology to enable customized queries from citizens (building upon the ongoing development o f SIG). Finally, the content o f information in both the annual budget law documentation and the annual state financial management report could be enhanced with relative ease in the short term b y incorporating certain elements from international practice, under a plan to reach convergence in the medium to long term. 2.1 11 Financial management reform. While conceived under the overall public sector reform program, financial management interventions seem to run parallel to that reform program. The segmentation o f organizational responsibilities-with the Technical Secretariat o f the Presidency leading public sector reform and MH leading financial management efforts-may have fostered the perceived disconnect that i s reflected, for example, in the proliferation o f unconnected systems and procedures across and within entities, in SAFI’s lack o f administrative (other than financial) tools, and the presence o f separate skills development programs. 53 2.112 While the MH should continue to take the lead in financial management modernization, a greater awareness o f financial management elements should be brought back into the public sector modernization program, and financial management efforts should be clearly coordinated with reforms on the c i v i l service, procurement, and institutional restructuring fronts (in time, operational coordination measures ought to be developed, but they necessarily have to be preceded b y a high level directive within the Executive). This framework should serve as basis for MH’s planned (and needed) technological upgrade o f the financial management (SAFI) and human resources (SIRH) systems, their coverage extension to decentralized institutions and extra-budgetary funds, and the incorporation o f certain administrative functions (most notably, procurement and management o f fixed assets and inventories). 2.1 13 Public investment. Various entities and systems are involved in the monitoring o f public investments, but the effect o f these on the budget formulation process and the efficiency o f expenditures i s unclear, mostly because o f the lack o f quality indicators to measure performance. Moreover, there i s generally limited capacity in executing entities to produce quality medium-term investment programs and pre-investment studies. 2.114 In the short term, administrative actions could be taken within the Executive to carefully revise, and simplify, the multiplicity o f systems and responsibilities for public investment monitoring. Similarly, the criteria and decision process followed for selection (and rejection) o f projects into the public investment plan, including related cost-benefit analyses, could be made transparent. As a step to integrate better capital and current budgeting, the MH could develop a methodology to calculate the recurrent cost implications o f the public investment program and identify investment and current costs in capital projects. The successful experiences in practical SAFI-related training could be replicated for the development o f a training program on planning and costing capital budgets under tight fiscal envelopes. 53 Development agencies may also bear some responsibility on the apparent disconnect. 79 2.115 W h i l e performance-based budgeting54 i s not advisable in the short term, the current framework and procedures for public investment programming and monitoring could benefit from the incorporation of certain measurement principles and techniques associated with performance budgeting (this would require technical assistance). Another area where international experience could be adopted in the short to medium term, i s in the development o f sectoral approaches to external development assistance. These could help reduce the transaction costs related to the administration o f several investment projects.55 2.1 16 Cash management. The basic concept o f normative centralization and operational decentralization applied to treasury operations has resulted in a proliferation o f accounts (and possibly idle funds in the case o f decentralized institutions funded b y transfers) throughout the public sector. On a related issue, the lack o f an objective system for sequencing release o f payments in executing entities could encourage opacity in dealings with government providers. 2.1 17 With advances in technology, particularly in light o f the need to upgrade the SAFI and S I R H software systems, the Government could consider in the medium term the introduction of payment centralization (while maintaining authorization to accrue expenses in the executing entities), and o f a release-of-funds mechanism to nonentrepreneurial decentralized institutions based on accruals (as opposed to global transfers). Such actions would need to be preceded b y further study and a change in legislation. In the meantime, better control mechanisms for subsidiary account balances and reconciliations could be implemented, and objective procedures for delivery o f payments (e.g., adapted first-in first-out) could be issued. 2.118 Medium-term budget framework. The available aggregate fiscal targets and projections to orientate fiscal policy could be the starting point to develop and formalize a medium-term budget framework that includes the projection, over a three-to-five year horizon, o f fiscal indicators, expenditure estimates b y main aggregate classifications, and forecasts o f forward costs of the most significant investment projects. This could better inform the annual budget formulation and approval process, b y increasing transparency o f the future fiscal impact o f current policies and the prioritization of expenditures. 2.119 Human resources. A n y effort to modernize budget management must be built upon a strong base o f public sector financial management and audit professionals. Hence, there i s a clear need for the Government to: prioritize the carrying out o f SETEC’s plans to reform the c i v i l service legal framework, create an administrative career based on merit-based employment, and upgrade related information systems; and ensure strong links between c i v i l service and financial management reforms. In the meantime, the 54 As a result o f the development o f I T systems, instruments such as performance and cost measurement are regaining attention i n OECD countries. In a few countries, “resource agreements” between the center (e.g. ministry o f finance) and spending agencies may subject a certain portion o f expenditures to performance agreements. (OECD, 2001) 55 Sector-wide approaches (SWAPS) are emerging internationally as a means to strengthen government ownership and coordination o f development assistance, and reduce transaction costs associated with multiple project, each with its own individual procedural requirements. 80 ongoing program to help introduce modern human resource management techniques could continue under implementation with expanded coverage of government entities. 2.120 Municipal finances. W h i l e the scope o f this PER does not encompass local government expenditure management, and granted that this i s a politically sensitive issue, budget management policies for decentralization and related fiscal strategies would benefit enormously from a clear delineation of areas o f intervention between central and local governments, and from regulation o f municipal debt. 81 ANNEX I: El Salvador CPAR Current Situation ,Trends and Progress The adoption in M a y 2002 o f the Law on Public Sector Procurement and Contracting (LACAP) represented a significant improvement over the previous procurement legal framework as it promoted open and transparent competition and included many sound international procurement principles and practices. The L A C A P established a comprehensive Public Administration Procurement and Contracting System (SIAC) to manage the public sector procurement function, and included the Procurement Regulatory Entity (UNAC), as a dependency o f the Ministry o f Finance, and the institutional procurement implementing units (UACI’s) in each government agency, including municipalities. The control and independent oversight of the procurement activities i s performed b y the Corte de Cuentas o f the Republic and the office o f the Attorney General. Since the adoption o f the procurement law, the government demonstrated i t s commitment to the procurement reform, the Technical Secretariat o f the Presidency (STP) undertook various training and capacity building initiatives to disseminate the new law amongst the UACI’s and the private sector and to strengthen the overall new procurement system, and the Procurement Regulatory Entity (UNAC), provided technical assistance to government agencies on technical matters related to the application o f the L A C A P . However, despite all these efforts, the procurement processes established b y the new law have not been fully implemented in all public agencies, the U N A C has not been able to efficiently discharge i t s functions mandated b y law, many UACI’s s t i l l have difficulties in performing i t s procurement functions in an efficient manner, and the procurement public information system i s s t i l l limited. Main Weaknesses and Recommendations The main reasons for the delays to fully implement the new procurement system are the lack of: (i) the regulations o f the law; (ii)a strong and effective regulatory entity; (iii)technical and institutional capacity at most o f the procurement implementing agencies; and (iv) the availability o f an electronic information system to increase efficiency and transparency. The recommendations o f the CPAR to tackle above weaknesses are included in a action plan to be discussed with the Government. The main recommendations can be summarized as follows: (i) preparation and issuance o f the regulations o f the law as soon as possible; (ii) strengthening o f the UNAC and the UACI’s through a comprehensive training and institutional strengthening program funded b y the IDB and the World Bank (IDF grant and public sector modernization project); (iii) developing, installing and maintaining and e-procurement system, as part o f the e-Government strategy, starting with an e-disclosure module and gradually moving to a comprehensive electronic bidding 82 system. Implementation o f these actions w i l l require a strong leadership at the most highest level o f Government and a well coordinated integral implementation plan, and be supplemented b y other actions to increase efficiency through the usage o f harmonized standard bidding documents, better structure and regulate in the civil service law the career o f procurement professionals, to combat corruption in a more effective manner; and to further improve the procurement law to better meet international standards and procurement requirements of the Central American Free Trade Agreement. 83 CHAPTER 111: Education 3.1. The evaluation o f education expenditures that follows focuses mostly on those incurred b y the Ministry o f Education (MINED). MINED has the responsibility for sector policy and for providing pre-primary, basic and secondary education to the Salvadorans that attend public schools. The Constitution o f the Republic mandates that the first t w o levels o f education are provided free o f charge in public institutions. MINED also provides support to the tertiary level o f education, including the autonomous University of El Salvador and several technical institutions. After reviewing the organization of the sector, the government’s sector objectives, and the process o f allocation o f public resources, public expenditures trends and sector outcomes are discussed. The chapter concludes with the identification o f the sector’s key expenditure issues and recommendations. I. Organization of the Sector 3.2. The public education system in El Salvador i s organized in four levels: three years o f pre-primary education usually for children age 4-6; nine years o f basic education for children 7-15, which in turn i s divided in three cycles of three years each; two or three years o f secondary education depending o f the modality: general studies two years and technical -vocational education three years; and the higher level o f education which includes university and technological education. Most students attend public institutions up to and including the secondary level; the private sector has a preponderant presence in university education. In terms of enrollment, the public sector covers el 81 percent o f pre-primary, 89 percent o f basic, and 68 percent o f secondary (Table 3.1). The National University o f El Salvador, UES, enrolls 30 percent o f a total university population o f 100.000. Establishments Pre-primary Basic Secondary Total 183,691 44,373 228,064 1,148,044 144,175 1,292.219 106,651 5 1,308 157,959 1,438,386 239,856 1,678,242 81 19 89 11 68 32 86 14 Public Private Total Public % Private % Source: Ministry of Education 84 3.3. During the 1990s, the administration o f the public education system was substantially d e ~ e n t r a l i z e d . ~ In ~ the early 1990s, MINED established EDUCO, a community-based school program managed through community associations, ACEs, which has been the instrument to expand pre-primary and basic education in rural areas.57 The ACEs have the responsibility for managing the school resources including the hiring and firing of teachers. In mid-1990s the authorities began transferring the positive experience with the ACEs to the traditional system where School Councils were created, CDE, with the responsibility for: i)planning and implementing the school activities; ii) manage the resources transferred to schools; and iii)raising additional funds to support school activities. Other instruments were developed at school level to empower the schools such as the Institutional Education Project (PEI) that sets forth the school medium term objectives and the associated Annual School Plan (PAE). 11. Strategic Objectives and Resource Allocation Processes 3.4 MINED’Sstrategic objectives and targets are set forth in the Government’s Ten Year Education Plan (1995-2005), which has received broad based support from the various sectors o f the Salvadoran society. The Plan calls for: i)increasing coverage at all levels but with emphasis on the third cycle o f basic education and secondary education, particularly in the rural and peri-urban areas; ii)creating and strengthening the different programs that facilitate the access to education and permanence in school o f the poor; iii) improving the curriculum content and teaching-learning methods; iv) establishing learning evaluation systems as an instrument to improve continuously the quality o f education; v) establishing monitoring, evaluation and incentive systems for teacher performance; and vi) strengthening school autonomy over resource management. In 2000, the new MINED authorities revised the progress made with the 3.5 implementation o f the Plan and prepared their strategic program -- Education Challenges in the New Millennium, which details the challenges faced b y education in each key area, the objectives to be accomplished, and the strategic guidelines. The program’s principal objectives are to increase education quality, strengthen community participation, facilitate access to education, and promote values and personal development. I t details the programs, targets and financial requirements to achieve these objectives. Until 1996, MINED resources were managed in a centralized manner. 3.6 Departmental offices and traditional schools had virtually no decision-making capacity over any o f the budgeted resources. Staffing and procurement decisions were taken at the center. For the EDUCO schools, resources were administered in a decentralized manner. For a review of the sector reform effort during the 1990s see Marques, JosC SilvCrio and Ian Bannon. 2003. “Central America: Education Reform in a Post-Conflict Setting, Opportunities and Challeges”, World Bank, Conflict Prevention and Reconstruction Unit, Working Paper 4, April. 57 The number of EDUCO students i n pre-primary and basic education increased from 10,721 and 42,851 in 1993 to 47,551 and 202,719 i n 2002. Currently, EDUCO students represent about 16 percent of preprimary and 18 percent o f basic education students in public schools. 56 85 ACES received transfers to pay for the teachers (who are hired under an annual contract) and for school materials. 3.7 In 1996 and consistent with i t s strategy o f giving autonomy to the schools, MINED established a Education Quality voucher (or bono) that transfers resources to the schools (pre-primary, basic and secondary) to buy key goods and services to improve education quality. The voucher systems was accompanied b y a series of other reforms that were gradually implemented, including: i)a teacher training/development program that i s administered in a decentralized manner with strong school participation and the support o f the Pedagogic Advisors, who replaced the previous school supervisors; ii)a decentralized system o f administrative support to the schools; iii)incentives for teachers in rural areas; and iv) a performance-based incentive system for all teachers. At the same time MINED strengthened the capacity o f i t s Departmental Offices to support the schools. 3.8 In 1999, the voucher system was used to transfers resources to repair the damage caused b y Hurricane M i t c h to the schools. In 2000, MINED established another seven types o f vouchers as can be seen in Table 3.2. W i t h the 2001earthquakes, MINED again used the voucher system to help finance the reconstruction of damaged infrastructure in a decentralized manner. In addition it created two other vouchers: to finance administrative assistance to the schools and to support the program Quality Models o f Education. In 2002, i t created a voucher to finance preventive maintenance in schools that had been reconstructed with IDB support. Table 3.2 shows the evolution o f the vouchers and their increasing importance; in 2003 they represented 6.4 percent o f MINED’Sbudget. 86 11For 1996-2000, executed budget; for 2002-3, approved budget. Source: Marques, Jose SilvCrio, “Cosro E j c i e n a u de los Bonos Educutivos”, Background paper prepared for the World Bank, processed, December 2002 and MINED, 111. Expenditure Trends 3.9 The public education budget has increased significantly in the last several years. As a share of GDP, i t increased from 1.9 percent in 1992 to 3.2 percent in 2003 (Chart 3.1); as a share o f the overall Central Government budget from 12.4 percent in 1996 to 19.5 percent in 2003 (Chart 3.2). Public education spending in El Salvador is, however, s t i l l below the average for Latin American and Caribbean (LAC) as well as below i t s neighbor Costa Rica. Moreover, in the last two years the education budget has declined as a share o f GDP; the proposed 2004 MINED budget would drop to 3 percent o f GDP and to 16.6 percent of the overall Central Government budget, certainly a worrisome development. 87 I Chart 3.1: Public Spending on Education Chart 3.2: Education Budget, 1996/03 i 1.o 00 01992 ~~ ~ El Salvador 19 I costaiiia 33 ~ ~ L A C 1 +I 31 % of Total J Note: MRD-most recent data: El Salvador (2003); Costa Rica (2000); Latin America and Caribbean, L A C (2000). Includes total public spending on education including subsides to private education entities Source: World Bank, W D I Source: Ministry of Finance (1996/01executed budget; 2002/03 approved budget 2004 proposed budget). 3.10 El Salvador also spends relatively too little on per student basis. Table 3.3 shows the World Bank latest comparable estimates o f education expenditures per student as percentage o f GDP per capita for El Salvador, Costa Rica and L A C . I t can be observed, El Salvador spends 23 percent less than LAC on primary education students and 39 percent less than Costa Rica on secondary education students. Spending by Level and Function 3.11 Basic education absorbs the greatest share o f MINED’Srecurrent budget (Chart 3.3). During1996-2003, i t s share averaged 63 percent o f the recurrent education budget; pre-primary and secondary education absorbed 8.2 percent and 6.9 percent, respectively (Chart 3.3). Allocations for higher education, which include the transfers to the University o f El Salvador (UES), averaged 6.7 percent. Resources assigned to basic education increased during the period while for the other levels had an erratic trend. The item “other” includes administrative expenditure or overhead that cannot be assigned to any individual level. These other expenditures declined substantially during the period, from 19 percent o f the overall recurrent budget in 1996 to 12.5 percent in 2003. 88 Chart 3.3: Dist. of MINED’SRecurrent Exp. by Level of Education 1996-2003 Chart 3.3 Distribution of MiNEDs Recurrent Expenditures by Level of Education, 1996-2003 60 n 70 -- 60 0 50 - 40 0 D c P -0 L 30 20 10 I-0 ,-“ 1996 QPre-Primary Basic OSecondary OHigher Bother I 85 588 1997 1 1996 8 4 -~ 60 602 592 7.0 6.2 1 7 . 1 F 7 1 6 . 6 ~~ 18.6 19.8 6.5 __ 16.4 10 Pre-Primary i 1999 77 624 1 2000 79 674 1 2001 66 663 I 2002 82 645 1 2003 83 646 6.6 7.2 7.2 7.3 6.6 6.3 6.3 7.1 7.4 16.7 11.2 11.6 12.9 12.5 Basic OSecondary OHigher Bother 7.2 1 Source: MINED (Executed recurrent budget 1996-2001; approved recurrent budget 2002-23) 3.12 MINED’Sexpenditure on wages and salaries constitutes over one-half of i t s total budget but has been generally declining in importance, from 71 percent o f the budget in 1996 to 57 percent in 2003 (Table 3.4). This relative decline has been continuously since 2000. In contrast, expenditures on goods and services, which include textbooks and other materials, have had an increasing trend form 12.4 percent in 1998 to 15.8 percent in 2003. Current transfers that includes the transfers to the UES (60 percent o f current transfers in 2003) and to other educational and cultural institutions, have average 12 percent o f total expenditures during the period. 3.13 Despite the decline in the share o f wages and salaries in total expenditures, teachers’ salaries have been increasing. The relative reduction in wages and salaries results from an early retirement program implemented b y MINED in 2001/02. A number o f teachers elected to retire under that program and a new generation o f teachers has entered the system, at lower average wages. 89 Table 3.4: MINED Budget by Function 96-03 % of total executed bud a/ Includes purchase of goods and services financed by loans from the World Bank and IDB (including vouchers) b/ Includes transfers for the University of El Salvador and vouchers for EDUCO and other schools c/ Includes vouchers and other transfers for the purchase of capital goods financed by loans from the World Bank and IDB Source: Ministry of Finance, Executed budgets 3.14 The 1996 law that regulates public teachers pay (Ley de Carrera Docente) introduced a new salary scale and made teachers salaries a function o f education background and experience rather than the level o f teaching. Public teachers real hourly wage has increased b y 37 percent between 1995 and 2002 and i s very similar to the private teachers wage level (Table 3.5). Also, public teachers pay compares well with other professions. In 2002, the hourly wage o f a public teachers w i t h a non-university degree was US$ 3.83 compared to the hourly wage of US$ 3.2, US$ 2.48 and US$ 2.73 for public technicians, nurses and accountant with similar academic background, respectively. The latest public teachers wage increase was negotiated in early 2003 for about 5 percent. 3.15 In addition to the salary, teachers receive monetary incentives if they serve in rural areas (incentivo de ruralidad) or i f they perform well (Reconocimiento a la Labor Educativa Znstitucional). In 2002, the former incentive was US$480 a year; i t was given to 15,249 teachers (of a total o f about 31,000 teachers) at a total cost o f US$ 7.3 million for MINED. The incentive for working in rural areas has since been added to the teacher salary (sobresueldo). The performance incentive i s equivalent to US$ 228 a year and i s attributed to the school on the basis o f an independent and standardized evaluation conducted by UES; i t reviews the quality o f the school’s institutional plan, school administration, quality o f education, and teacher’s classroom management. For comparison, the minimum and maximum current monthly salaries for level 2 teachers (with three years o f university education) are US$ 372.00 and US$ 537.15; for level 1 teacher (with a complete university degree), US$409.15 and US$ 592.00. Level 1 and 2 are both divided in six categories (escalafon). 90 Table 3.5: Trends in Monthly and Hourly Public and Private Teachers Real Wages (1995 = 100) Real Monthly Hours Worked per Hourly Real Wage Wage Week Private I Public Private I Public Private I Public 100 100 100 100 100 100 1995 207 152 105 197 137 111 2002 Memorandum 21 14 2267 24.6 20.6 2002 Values a/ 27.5 21.5 I I 1 3.16 The pupil-teacher ratio i s o f acceptable size. For primary education, i t has declined f r o m 33 to 26 between 1996 and 2000/01, below the average for L A C and close to that o f Costa Rica. Pupil/teachers ratios in the departments o f Sonsonate, Cuscatlan, Ahuachapan, L a Libertad, Cabaiias y L a Paz are above the national average.58 Table 3.6: Pupil-Teacher Ratio in Primary, 1996, 3.17 El Salvador does not have a 2000/01 teacher supply problem as there I 1996 1 2000/01 are 15,000 teachers not working in the sector and, as discussed, El Salvador 32.8 25.6 salaries are quite attractive Costa Rica 29.5 24.9 compared to other professions. LAC 25.2 26.5 Teacher distribution b y department I I demand for schooling, approximated b y the distribution o f school age children (4-1 8 years) b y department. Rural areas have the bulk o f public teachers while private teachers can be found mostly in urban areas. The department o f San Salvador concentrates the larger share of teachers, though there i s a relatively undersupply o f public teachers that i s more than compensated b y the private ~ e c t o r . ' ~ 3.18 MINED'Scapital expenditures have fluctuate widely in recent years. Since 2001, a large share of MINED capital budget was to reconstruct the infrastructure damaged b y the 2001 earthquakes. O f the 2,647 existing educational centers, the earthquakes destroyed about 8 percent (232) and another 56 percent (1,530) was damaged. According to MINED, most o f the damaged infrastructure had been reconstructed at a cost of about U S $ 50 million. Notwithstanding, school infrastructure continues to be a challenge. A diagnostic o f the state of school infrastructure conducted in late 1990s revealed that 50 percent o f the buildings presented some physical deterioration. M a n y schools do not have basic facilities such as water or sanitation. 3.19 School infrastructure (classrooms) distribution in the country i s closely related to the potential demand for schooling (Le., distribution o f school age children b y deparment). Rural areas have the bulk o f public school infrastructure. The department 58 See Marques, Jose SilvCrio "Policy Options to Increase Coverage in Upper Basic (3rd Cycle) and Secondary Education ", Backgroundreport prepared for the World Bank, August 2003 j9Ibid 91 1 o f San Salvador concentrates the larger share o f the infrastructure, though there i s a relatively undersupply o f public infrastructure that i s more than compensated b y the private sector. The departments with highest pupilklassrooms ratios are: Sonsonate, L a Libertad, San Salvador and Ahuachapan. ' O 3.20 MINED does not have a permanent program to finance school maintenance. MINED has prepared a school maintenance manual which has been distributed to the schools. It has also authorized the schools to use part o f the Education Quality voucher for infrastructure repairs. In 2002, with financing from the IDB, MINED established a new voucher to finance the maintenance o f schools that had been reconstructed after the earthquakes with IDB support." The World Bank i s also supporting school maintenance. Funding Sources 3.21 External resources have financed an important share o f MINED'Sspending in the last several years (Table 3.7). External loans and grants have increased from an average o f 7 percent o f the overall budget in 1996-99 to more than 17 percent in the last four years. The large increase in external finance in 2000 resulted from a large grant received from USAID to support basic education. The continued relatively high percentage o f external finance since then i s mostly related to the 2001 earthquakes. Comparing Table 3.7 and 3.4, i t can be seen that in the last several years, external loans and grants have financed not only capital expenditures and capital transfers but also recurrent expenditures. 3.22 The vouchers are partly financed b y external loans. They do not have a line item in the budget and are classified according to the destination o f funds. I f they are for the purchase o f goods and services, they are included in current transfers; if they are to purchase capital goods they appear as capital transfers. The vouchers for Education Quality and school lunches are financed b y local funds; all other vouchers are financed either b y World Bank or IDB loans (Table 3.8). In 2003, o f a total o f U S $ 31 million spent on the vouchers, the Government financed U S $ 18 million (58 percent) and the W o r l d Bank and the IDB the remaining U S $ 13 million (42 percent). Ibid. To determine the cost of maintenance, MINED did a pilot project and devise a formula that takes into account the type of construction, i t s age, and the number o f students attended. The cost o f an average classroom of 51.8 m2 (7.20mX7.20m) i s US$ 15,000. The average cost o f annual maintenance i s U S $ 200 or 1.3 percent o f the cost of construction. 6' 92 Table 3.7 MINED’SFinancing Sources, 1997-2003 Source: Ministry of Finance Table 3.8 Education Vouchers, by Source of Financing a/ FANTEL i s the fund that administers the proceeds o f the privatization o f the telecommunication Company FANTEL Source: Marques, JosC SilvCrio, “Costo Eficiencia de 10s Bonos Educativos”, Background paper prepared for the World Bank, processed, December 2002 IV. Expenditure Outcomes 3.23 Did the increase in MINED’Sbudget during the last several years resulted in higher enrolments? H o w has the decentralization o f resources to the schools impact the efficiency o f resource use? And how have the education systems perform in terms o f quality? H o w have education expenditures impacted the different income groups? These and other related questions are discussed in the following paragraphs. Enrollments 3.24 Table 3.9 shows the evolution o f gross enrollments for the 1996-2002 period. Gross enrollments compare the number o f children enrolled in a specific level or grade with the school age population that correspond to it. Gross enrollments at national level have increased rapidly in the last several years. Enrollment in pre-primary education increased from 38 percent in 1996 and to 48 percent in 2002; for basic education, they increased from 95 percent in 1996 to 99.5 percent in 2002. Enrollments in rural areas have increased much more rapidly that in urban areas. This resulted from EDUCO, which focused on the most isolated, rural communities as well as f r o m other MINED programs that gave priority to the rural areas where poverty was more pervasive and 93 education enrollments were lower. almost exclusively on rural areas. For instance, the school lunch program focuses 3.25 Basic education gross enrollments in urban areas have declined continuously in recent years, from 96 percent in 1996 to 87 percent in 2001, though the absolute number o f children in school has been increasing (Chart 3.4). This drop in the urban enrollment rate may result from a lack o f supply o f education facilities in fast growing peri-urban areas. For secondary education, gross enrollments at national level have increased from 34 percent t o 40 percent between 1996 and 2002 (Table 3.9 and Chart 3.5). Most o f the increase has been taking place in urban areas, as the supply o f secondary education in rural areas i s quite limited. Already in the 3rd cycle of basic education, gross enrollments in rural areas (59 percent) are much lower than in urban areas (about 90 percent), as many schools s t i l l do no offer this cycle. In recent years MINED has made a strong effort to extend the 3rd cycle to EDUCO schools, which i s reflected in the significant increase in 3rd cycle coverage in rural areas (from 34 percent in 1996 to 59 percent in 2002), though enrollments s t i l l remains low by any standards. I and11 Cycle 121.0 127.9 127.6 130.9 132.0 137.6 N/a Ill Cycle 34.0 39.3 41.0 41.5 45.9 51.4 59 Secondary 3.2 3.8 3.9 3.1 4.1 5.4 7.0 3.26 Increasing the enrollment in the 3rd cycle and secondary education i s a major challenge facing the authorities. A recent study has estimated that to increase enrollment from 75 percent to 100 percent in the 3rd cycle and from 40 percent to 70 percent in secondary education, there was a need to increase the education budget b y the equivalent o f about two percentage points of GDP, or to 5 percent o f GDP.62 62 See di Groppello, E. “El Salvador: Education Strategy Paper”, processed, World Bank, 2004. 94 , Chart 3.4: Gross Enrolments in Basic Education Chart 3.5: Gross Enrolment Secondary Education National Level 80 70 60 50 5 g2 I 40 30 20 10 1996 1997 I+National I I 1998 1999 +Urban 2000 2001 Rural 0 2002 1996 1997 1998 1999 2000 2001 2002 I Source: Table 3.9 Table 3.10 Gross and Net Enrollment Rates. 2002 Source: Enrollment Census (MINED) Efficiency 3.27 The increase in retention o f students in the system (or decline in dropout rates) indicate that the efficiency o f the systems has improved in the last several years, though overage, repetition rates, and drop out rates remain high. Overage, that i s children enrolled in grade for which the official age i s lower, i s a serious problem in El Salvador. I t can be approximated b y the difference between gross and net enrollment rates. As mentioned, gross enrollment rates are calculated b y dividing the number o f all students attending a particular level/grade b y the number o f children of the official age to attend that level/grade. Net enrollment rates consider in the numerator only the number o f students with the official age to attend that particular level/grade. Thus, the difference between gross and net enrollment rates gives an estimate o f the share o f students in a particular level/grade that are under- or overaged. Table 3.10 shows that in the 1st cycle o f basic education, 42 percent o f the students have ages outside the official established range (7-9 years). I t i s reasonable to presume that most o f these children are overaged and that the problem originates mainly in the rural areas given the registered high gross rates (176 percent). Overage may result from repetition or late entry in school. Children that are overaged in a particular grade take space and demand teacher time away from other children that could enter the system. 95 Chart 3.6: Repetition Rates in Basic by Grades, 1996 - 2001 ------ 3.28 Repetition rates remain high in the first grade (about 16 percent) but decline rapidly for higher grades. For the 1996-2001 period, after a drop in 1999, repetition rates have increased for all grades o f basic education (Chart 3.6). 3.29 Dropout rates remain a problem, particularly in the rural areas. Chart 3.7 and 3.8 shows dropout rates for I 1 2 3 4 5 6 primary education in urban and Grades rural areas. I t can be observed a1996 H I 9 9 7 0 1 9 9 9 02000 H2001 that these rates are s t i l l quite high for the first grade (about 17 percent and 9 percent in Source: Annual Census o f Registration, MINED rural and urban areas, respectively) and decline rapidly for grades 2 through 5. In rural areas, drop out rates increase again sharply for the 6th grade. Difficulties to pursue studies because o f lack o f facilities and/or demand constraints may explain this behavior. On the other hand, dropout rates have been declined since 1997 and at an accelerated pace for the 6th grade in rural areas. This may be a result o f MINED effort to add the 3rd cycle to E D U C O schools and therefore giving rural students an opportunity to continue t o pursue their studies near home. Chart 3.7 Dropout rates in primary urban areas, by grade 1996 -01 i I , Chart 3.8: Dropout rates in primary rural areas, by grade 1996 01 - ~ 1 2 3 4 5 Grades 1 I Source: Annual Census o f Registration, MINED 96 2 3 4 5 Grad6 ( 1 1 9 9 6 0 1 9 9 7 0 1 9 9 9 0 2 0 0 0 02001 6 3.30 Table 3.11 presents the result of an exercise to estimate the internal efficiency o f the education system. I t i s based on the reconstructed analysis.63 I t reveals that survival rates are only 65 percent at the end o f primary education, 52 at the end o f the third cycle, and 39 percent at the end o f the second year o f secondary. That i s only about one-half o f children that enter primary education completes the nine years of basic education. The estimates also indicate that the efficiency o f the public and private sector are similar. The table shows that for completing primary, the public sector requires 7.6 and the private sector 7.7 years; for completing the 3rd cycle, the public sector requires 12.8 years and the private 12.2 years. I t also indicates that on this measure, urban are more efficient than rural schools both in the case o f public and private schools. 3.31 Several programs seek to reduce dropout, repetition and overage rates. Among these are the Healthy SchooZ program which provides healthcare in schools, a school lunch, and improved physical environmental in schools, with the objective o f increasing student learning and retention rates and promote community participation in schools; Accelerated Education which seeks to reduce overage in basic schools b y helping children w i t h more than 2 years over the official age for the grade in which they are enrolled, t o recuperate losses and get at par with the peers; and Alternative Classrooms which offers more than one grade in the same classroom in rural schools with l o w student population density; and scholarships for secondary and higher education, which encourages students to progress to higher levels o f education (see paragraph 3.51). The W o r l d Bank supports the latter three programs. 3.32 H o w efficient i s public education spending in general? As a first approximation, the expenditures and outcomes for similar education levels in El Salvador can be compared to other countries. Charts 3.9 and 3.10 relate per student spending on primary and secondary education (as percent o f GDP per capita) and the net enrollment at these levels.64 The values are plotted for the most recent data available for a large sample o f developing countries from the World Bank’s WDI database. Each Chart i s divided in four segments determined b y the average value o f the sample. The segments identify countries with low spending and l o w outcomes (southwest); high spending and l o w outcomes (southeast); high spending and high outcomes (northeast); and low spending and high outcomes (northwest). The most cost efficient countries are those in the northeast segment; the worse cost efficient in the southwest segment. I n the other two segments there i s either l o w or high outcomes and spending. In terms o f primary education, El Salvador i s situated in northwest segment 3.33 which implies that with relatively l o w spending per student i t gets a reasonable rate o f net primary enrollment (more value for money). A s for secondary education, El Salvador i s in the southwest segment, which means that it spends too little per student but also has A “school cohort” i s defined as a group o f pupils who j o i n the first grade o f a given cycle in the same school year, and subsequently experience the events o f promotion, repetition, dropout or successful completion o f the final grade. The reconstructed cohort method i s used to analyze the internal efficiency of an education system. T o apply this method, data on enrollment by grade for two consecutive years and on repeaters by grade from the f i r s t to second year are sufficient to enable the estimation o f three main flowrates: promotion, repetition and drop-out. 64 Notice that for El Salvador the data refers to basic education. 63 97 l o w net enrollment. Therefore, El Salvador appears to be relatively efficient in terms of primary education while in secondary education, i t s situation does not reflect inefficiency but that this level has received l o w priority. 2001 and 2002 Source: Marques, Jose Silvbrio “Policy Options to lncrease Coverage in Upper Basic (3rd Cycle) and Secondaly Education”, Background report prepared for the World Bank, August 2003 Chart 3.10 Relationshipbetwen Public Spending on SecondaryEducationand Net Enrollment on Secondary Education Chart 3.9 Relationshlp between Education Expenditures on Primary Education and Net Enrollments on Primary Education 0 0 18 36 Expenditureson secondaryeducationper GDP per 12 24 Expenditure on primary educatrion per student as % GDP percapita Note: Most recent estimate circa 2000; Public expenditure p Student (primary) is the public current spending on educi divided by the total number of students by level, as percen of GDP per capita; for El Salvador data corresponds to 1: education. El Salvador coordinates: (9.9,84); Sample aver (12,SO). WDI sample of 44 LDC countries. Source: Marques, Jose Silverio, El Salvador: Evaluation of Public Expenditure on Education and Health, processed, report prepared for the World Bank, June 2003. based on WDI Note: Most recent estimate circa 2000; Public expenditure student (secondary) is the public current spending on educi divided by the total number of students by level, as percentage of GDP per capita. El Salvador coordinates: (11.9,26); Sample aver; (18, 60). WDI Sample of 37 LDC countries. Source: Marques, Jose S. ES: Evaluation of Public Expenditure on Education and Health, processed, report prepared for the WB, June 2003, based on WDI 98 3.34 H o w cost-effective are the vouchers? Some vouchers seem to be cost-effective, though there are already too many vouchers. Currently, there are ten types of voucher being transferred to the schools. Nine are shown in Table 3.12. A new voucher created in 2004 (Grutuidud) w i l l compensate the schools for the lost money given the decision o f the National Assembly in late 2003 to prohibit the so-called “voluntary payments” or cuotas in public schools. All schools are eligible to receive the Professional Development (training) and Administrative Assistance vouchers. Basic education schools receive also the Fundu Alegriu voucher and the secondary schools the Youth Fund voucher. These vouchers are to promote and finance extra curricular activities. In addition, rural schools receive a school lunch voucher. The C R A voucher i s for secondary education to finance the purchase o f technological-based teaching equipment. Finally the preventive maintenance voucher established in 2002 was only for a group o f schools that were reconstructed rehabilitated with the support o f IDB but in 2003 another group o f schools also benefited from this voucher financed with funds from a World Bank loan. 3.35 An initial analysis o f the cost-efficiency o f the voucher system indicates that the voucher for Administrative Assistance to the schools and the voucher for Professional Development (teacher training) may be cost-efficient appro ache^.^^ For several vouchers, i t i s not possible to determine their cost-efficiency because each voucher finances several activities, some o f which are new activities. This applies for instance to the Quality o f Education, CRA, Excellence, Youth and Alegriu vouchers. The voucher for preventive maintenance could not be compared to previous expenditures made, since MINED did not allocate resources for this purpose and the little maintenance that took place was done by the school community for which records are not available. Nevertheless, the voucher for preventive maintenance i s considered a sound investment, as i t w i l l prevent i t s premature reconstruction or replacement.66 3.36 The Professional Development (teacher training) voucher appears to be costefficient compared to the previous system o f centralized teacher training. The cost per teacher i s about one-third compared to the previous system and the number o f teachers with access to training increased from one-half to the full teacher corp. While the quality under the two systems could not be evaluated, under the new system, schools and teachers with the support o f a Pedagogic Advisor, decide what teacher training and therefore may be a better match between needs and the procurement o f training. See Marques, JosC SilvCrio “Costo Eficiencia de 10s Bonos Educativos”, processed, December 2002. According to the World Bank (Western Java Education Project, Indonesia, Best Practices in Cost Benefit Analyses, World Bank, web page on Education) the expenditure on school maintenance should be equivalent to about 2 percent o f the original cost o f the facility. The existing maintenance voucher corresponds to about 1.2 percent o f the cost o f the facility. 65 66 99 Table 3.12: Voucher Programs Under Execution I Basic Education Rural Education Quality Administrative Assistance Teacher PDfessional Development Plans “Fondo Alegria ” School lunches Preventive Maintenance of Furniture and Infrastructure Excellence (selected Gratuidad (2004) Urban Education Quality Administrative Assistance Teacher Professional Development Plans ”FondoAlegria” Preventive Maintenance of Furniture and Infrastructure Excellence (selected Gratuidad (2004) I I Secondarv Education I I Education Quality Administrative Assistance Teacher Professional Development Plans Preventive Maintenance of Furniture and Infrastructure Excellence (selected Gratuidad (2004) Youth Fund Development d Center for Education ResourcesCRA 3.37 The Administrative Assistance voucher i s also having a positive impact on the quality o f school administration. Since the introduction o f the voucher in 2001, the number o f citations made b y MINED’SInternal Auditor to the schools have declined significantly. 3.38 The administrative process o f passing the voucher funds to the schools i s cumbersome because of the large number o f vouchers and the procedure to disburse the funds. Schools at the basic level receive at least 5 vouchers; if they are in rural areas, 6 vouchers. For each voucher each A C E K D E director and treasurer must sign o f f a receipt before the funds are requested b y the Departmental Office to the MINED-center; MINED-center in turn requests the Ministry o f Finance the funds; when the funds are received, they are transferred to the Department Office and then to the school. I t may take as much as three months for the schools to get the funds. Quality 3.39 The quality o f the education system remains a major challenge. I t can be assessed b y the results of standard evaluation MINED has conducted two types o f tests: the achievement test for the 3rd, 4th, 6th and 9th graders o f basic education, which was realized during 1994-1998 and the PAES that has been conducted to the secondary education leavers since 1997. The achievement test i s conducted for a sample of schools and i t s results refer to the number o f objectives met in each discipline o f a total o f 10 predetermined objectives per discipline. In contrast the PAES test i s applied to the universe o f students and i t s results are determined b y reference to the group evaluated or 67 MINED does not realize any education tests that are comparable with other countries. This year, MINED plans to participate in a UNESCO’s regional education test-- the Latin American Education Evaluation Laboratory Program. The test w i l l likely be conducted for the 6‘h graders. 100 the so-called norm or curve (the highest score being 10 and the lowest 0). The results of both tests for the years they were conducted are shown in Tables 3.12 and 3.13. Table 3.13: Achievement Tests for Basic Education, Average Scores (1994-98) Social Studies Note: For each discipline 10 objectives were defined; scored indicate the number of objectives achieved--: Not evaluated; *: only nine objectives explored Source: MINED 3.40 Basic education test scores for the1994-98 period show a m i x picture (Table 3.13). For 3rd graders there has been generally improvement in performance in all disciplines but for 6th graders, w i t h exception o f language, there has been deterioration. For the 4th and 9th graders, tests were conducted only in 1996 and 1998, respectively, so no trend can be derived from the data. 3.41 Secondary education test scores also show mixed results (Table 3.14). I t can be observed that there i s a marked break in the trend in 1999. There i s an improvement in scores between 1997 and 1998 and some improvement in 2000 and 2001 relatively to 1999. There i s no solid explanation for the break in 1999. Education authorities indicate that a drop o f over one point in one year in average scores i s not reasonable and that most likely the standards used in 1999 were different from those used in previous years and feel more confident in the consistency of the scores o f the last three years. In terms o f disciplines, social sciences had the highest score in 2001 with mathematics registering the greatest improvement since 1999. 101 I Table 3.14: PAES’s Average Scores by Discipline, 1997 - 2001 a/ Overall National Average Language Mathematics Science, Health and Environment 199 199 6.2 6.4 61 5.d 6.11 6.d 5.d 6.d 1 199 5 200 5.1 700 5.2 4.4 5 5 5A 4.d 51 52 52 57 3.42 MINED changed the student evaluation system in 2001. The Basic Achievement tests for the 3rd, 6th, 9th graders and the PAES were integrated in a consistent system. Both tests are now based on minimum standards o f achievement with pre-established criteria. Scores are based on a continuous scale, ranging from 300 points for the bottom o f the third grade test to 1900 for the top secondary test. Tests for each grade are divided in three levels. For instance, for the 3rd grader, scores from 300 to 450 are considered “basic achievement”; from 45 1 to 600 “intermediate achievement”; and f r o m 6001 to 700 “superior achievement”. The tests scores for 6th, 9th, and secondary school leavers are divided in a similar manner. 3.43 In 2001, MINED conducted the new test for the 3rd, 6th and 9th graders; in 2002 the PAES for the secondary school leavers. The results o f the tests are not comparable to previous tests but convey similar messages. For basic education, the average score in all disciplines was within the “intermediate achievement” range; mathematics had the lowest score in the 6th and 9th grades; private schools performed better than public schools, and urban schools better than rural schools. As for the PAES, the results o f the 2002 test shows also overall scores at the “intermediate achievement” level, with language rating the highest score. Private schools did better than public in all disciplines with mathematics ranking lower than other disciplines in both sectors. Boys ranked better than girls but not b y much 3.44 To improve the quality o f the education system a recent study suggests the need to: i) increase the investment in didactic material, labs, libraries; ii)improve school management; iii)improve teacher performance and teaching methods; iv) institutionalize and disseminate in a more effective wage the education achievement scores; v) give more emphasis to reading and writing in the curriculum o f the first three grades; and v) reorient EDUCO model towards high quality learning.@ Expenditure Incidence 3.45 H o w are public education expenditure distributed among income groups? D o public expenditures benefit the poor or the better off? H o w accessible and affordable i s the public education system? Are there gender issues in the education system? These are some o f the questions discussed below. See di Gropello, E., “El Salvador: Education Strategy Paper”, processed, World Bank, 2004, 102 Access and aflordability 3.46 Education coverage i s s t i l l low at the pre-primary and secondary levels. Even in basic education, a significant number of children do not attend school. Despite the rapid increase in enrollment, 52 percent o f children o f o pre-primary education age (4-6 years), 8 percent o f children o f primary education age (7-12), 20 percent o f children o f 3rd cycle education age ( 13-15 years), and 44 percent o f young adults o f secondary education age (16- 18 years) are out o f schools. Most of these children are from poor households. 69 3.47 A large share o f Salvadoran youth does not attend school because they cannot afford. Basic education in public schools i s in principle free o f charge. In practice, students have not only implicit costs such as time that i s not dedicate to work, but also direct costs with transportation, materials and contributions to the different school activities. Until recently, school directors frequently asked parents to contribute with a payment (cuotas) to help finance school spending. In some cases, parents even paid the salary o f the teachers until MINED could assign teachers to the school. In other cases, parents would contribute to school maintenance, purchase o f equipment or materials, or to finance extra-curricular activities. As mentioned, in late 2003, the National Assembly prohibited schools to ask parents for cuotas and MINED i s transferring additional resources to schools (bono de gratuidad ) to compensate partly for this loss o f financing. 3.48 As for public secondary schools, students are charged a monthly tuition that varies between US$1 to US$15. The amount of the tuition i s determined by the School Councils. Low-income students may be totally or partially exempt. Students in the technicalhocational education track usually pay higher fees than those in the academic track. 3.49 When asked in the 2002 Household Survey why they did not attend school, 40 percent o f the youth give as reasons either because i t i s too expensive, need to work, need to work at home, o f family reasons which are directly or indirectly associated w i t h affordability (Table 3.15). The percentage o f youth giving these money-related reasons for not attending school increases very rapidly with the age o f the cohorts: for those in upper basic and secondary education age group, they reach 48percent and 64percent, respectively. The magnitudes and pattern i s similar between urban and rural areas. 69 See Marques, JOSCSilvCrio, El Salvador: Evaluation of Public Expenditure on Education and Health, processed, report prepared for the World Bank, June 2003 103 Table 3.15: Reasons for not attending school, by area, 2002 (% of school age children, 4-18 years) Source: Household survey data. 3.50 School availability i s not a major reason for not attending school: only 3 percent o f the youth give as reason for not attending school that there i s “no school nearby or no space available”, with the percentage being somewhat higher in rural areas compared to urban areas, as expected (3.8 percent versus 1.8 percent). The percentage o f youth in the 3rd cycle and secondary education age giving this latter justification i s lower than for primary age group. This i s surprising in view o f the apparent lack o f public infrastructure at these levels, though it may be that other reasons such as cost overshadow the school availability factor. The unavailability o f schools owing to the 2001 earthquakes i s not anymore a significant reason for not attending school, which i s consistent with the successful reconstruction effort mentioned earlier. 3.51 About one-third o f children age 13-15 years (3rd cycle age group) give “lack o f interest” as the reason for not attending school. W h y so many youth have such little interest in studying? A recent study b y the World Bank shed some light on this issue.” I t has estimated the private rate o f return to one year o f additional education for different levels. The estimates indicate the value o f one additional year o f schooling depends crucially upon the level o f schooling. For primary education, the return i s close to 7 percent while for the 3rd cycle i s only 4.2 percent. In contrast, for secondary education the return increases to 11 percent and i s even higher for higher education. The study concludes that without public intervention, progress i s unlikely to be forthcoming rapidly in increasing coverage o f 3rd cycle and secondary education. ’ O World Bank, El Salvador Countly Economic Memorandum, Report No.26238, 2003, Chapter VI, Volume 11. 104 3.52 Existing public programs to reduce the demand constraints facing the poor have a limited impact. There are three scholarships program: 1) the FATEL scholarships for higher education studies in El Salvador or abroad which are financed with resources from the privatization of the telecommunication company ANTEL; it awards about 200 scholarships a year; 2) the Rodriguez Porth scholarships for low income/ high achievers secondary graduates that finances about 80 scholarships a year;7' and 3) the secondary education scholarships financed with the support o f a World Bank loan that awarded about 500 scholarships in 2003. Gender 3.53 Equity o f gender does not seem to be a major issue anymore in the education sector. Household survey data indicate that though 22 percent o f women had no schooling compared to 20 percent of men in 2001, for girls age 6-14 years, 31 percent had no schooling compared to 32 percent o f boys of the same age. Also, the same proportion o f man and women, 21.4 percent, had completed the first 6 grades of schooling in 2001. Distribution of Resources by Income Group 3.54 Public education spending i s progressive for pre-primary and basic education. At these levels, MINED spends more on the poorest income groups (lower income quintiles) than on the richest income groups (Chart 3.1 1). At secondary and tertiary levels, spending favors the richest groups (upper income quintiles), given the l o w enrollment rates o f the poor at these levels. Chart 3.11: Share o f Public Education Expenditure by Quintile and Level, 2002 60 0, 50 F 40 c) 30 20 n 10 0 k Pre-Primary Basic Secondary Tertiary Total H l s t Q W2nd Q 0 3 t h Q 0 4 t h Q W5th Q Source: Household Survey and MINED The Presidency of the Republic also gives Excellence Awards (US$ 114 per student) to the 500 most outstanding basic education students 7' I05 3.55 The progressively of spending at the basic level i s reflected on education outcomes, both in enrollment and years o f schooling. Household survey data shows that during the last several years, net basic education enrollments o f the poorest quintiles has increased faster than for the richest quintiles, albeit from a lower based. Net enrollment in basic education for the first and second quintiles increased by 14 percentage points between 1991 and 2002, while for the 5th quintile it increase b y 6 percentage points (Chart 3.12). Also, the average number of years of schooling increased significantly since 1995. For children 15 years in 2002 in the lowest quintiles the increase was over one year; for children in the highest quintiles the increase was visibly smaller (Chart 3.13). Chart 3.12; Net Enrolment in Basic Education Quintile 1st Q 5th Q 2nd Q / E l 1991 1995 02000 02002 I Source: World Bank Staff estimates based on household surveys Chart 3.13: Average Years of Schooling for 15 Year Olds Income Source: Household survey 106 Geographic distribution of resources 3.56 The analysis o f the distribution of MINED resources b y department indicate that there i s not a bias towards the departments with higher per capita income. Chart 3.14 shows no relationship between public education spending per student enrolled in basic education and the per capita income o f the departments. For secondary education, there seems to be a negative tendency, that i s poorest department receive relatively higher allocations from MINED.'* Chart 3.14: Pop. Income and MINED Spending in Basic Education by Department (2000) 260 240 220 200 180 160 140 70 20 120 170 Percapita Departamental Income (US$/month) j- Education Spending per student Loaaritmica (Education SDendina Der student) ~ Note: Includes only recurrent spending. Coeficient of Correlation= -0.006; R2= 0.00004. Source: Marques, JosC SilvCrio, El Salvador: Evaluation o f Public Expenditure on Education and Health, processed, report prepared for the World Bank, June 2003, MINED and Household Survey V. Conclusions and Recommendations 3.57 As a result of a broad-based consensus, there has been a substantial increase in the amount o f public resources allocated to education during the 1990s, in support of the implementation o f the Education Development Plan 1995-2005, which contributed to major improvements in the sector. The recent study on the situation of El Salvador in relation to the MDGs prepared under the direction o f the Presidential Commissioner for Social Affairs with the participation o f several sectors, concludes that i t i s likely that the country meets the MDGs 2015 targets on net primary education enrollment (100 percent) and the share of students that complete the firth grade (100 percent), and i t is very likely that i t meets the universal literacy target for youth (15-24 years). The targets related to Marques, Jose SilvCrio, El Salvador: Evaluation of Public Expenditure on Education and Health, processed, report prepared for the World Bank, June 2003 l2 See 107 gender in education (equal share o f girls and boys in primary and secondary education and the male and female youth literacy rates) have already been met.73 3.58 The new President’s Government Plan -Safe Country, 2004-2009, calls for the development and implementation o f a new National Education Plan for 2006-2021, which can also command a broad-based consensus and that w i l l serve “as a renewed vision for sector development”. This plan may take into consideration the challenges identified in the previous analysis: low coverage at pre-primary, 3rd cycle o f basic and secondary education; declining but s t i l l high rates o f dropout, repetition, and overage in basic education; and general l o w academic achievement. Allocation o f resources to the sector 3.59 The sector w i l l need more resources to be able to increase enrollments and improve the quality o f education. Public education spending has increased significantly during the 1990s to 3.3 percent o f GDP in 2002. However, in the last two years i t has declined, w i t h the proposed budget for 2004 at only 3 percent o f GDP, well below the 4.4 percent o f GDP average for L A C . Spending per student i s also much lower in El Salvador than in L A C or Costa Rica. 3.60 Enrollment in 3rd cycle and secondary education are s t i l l quite l o w and should increase. M a n y low-income students do not attend school at these levels. T o reach coverage rates of 100 percent in the 3rd cycle and 70 percent in secondary, it has been estimated that the education budget would need to increase b y about two percentage points o f GDP, or to 5 percent o f GDP. On the other hand, to achieve the required quality improvements at all levels, it w i l l necessitate a comprehensive approach that includes increased investment in education resources and improved school management and teacher performance. Intra-sectoral allocation of resources 3.61 As suggested, incremental resources allocated to the sector should favor the 3rd cycle and secondary education. Primary education absorbs the bulk o f the education budget and very little resources are assigned to secondary education. Additional resources assigned to the sector may preferably be allocated to increase enrollments at those levels but without disregarding the objectives o f ensuring universal enrollment at primary level and gradually strengthening pre-primary education, as well as increasing the quality o f education. Increasing coverage at cost o f quality o f education w i l l be a disservice to all students. 3.62 The increase in the quality o f education requires that an appropriate balance i s established between expenditures on wages and salaries, teacher training, didactic materials and other goods and services, and infrastructure. The functional composition o f the expenditures has improved in recent years: wages and salaries’ share o f the education budget has declined as a result o f a teacher early retirement plan, while expenditure o f 73 “El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer Informe de Pais ”, 2004. 108 goods and services has tended to increase. Teacher salaries are quite competitive, and there are incentives for teachers to move to rural areas and to improve performance. However, school infrastructure construction and maintenance continues to be a challenge. There i s a need to strengthen the programs o f school construction and rehabilitation, particularly where there appears to be undersupply (peri-urban areas) and develop publidprivate partnership to exploit private sector excess capacity in urban areas. Efficiency and equity of resource use 3.63 Although there has been progress in recent years, there i s s t i l l ample room to increase the efficiency o f the education system. Overage, repetition rates, and drop out rates remain high, and programs directed at addressing these problems should continue to be supported. Efficiency o f spending appears to be adequate compared with other developing countries. El Salvador appears to be getting the value for the money in basic education but i t spends too little in secondary education. 3.64 The decentralization o f spending has empowered the schools and it should continue, though a more streamlined process of transferring resources to schools i s needed. An initial analysis o f the cost-efficiency o f the voucher system indicates that the voucher for Administrative Assistance to the schools and the voucher for Professional Development (teacher training) may be cost-efficient approaches. Nevertheless, administrative process to transfer these resources to schools i s cumbersome, in part because of the sheer number o f vouchers involved and the controls established on them. In 2003 MINED introduced some simplification to the procedure to transfer the vouchers, but a more bold approach may be warranted, such as unifying the vouchers in a school budget that would support the implementation o f the Proyecto Educational Znstituciunul, including school performance indicators. 3.65 Programs to remove demand side constrains need to be strengthened. In general, public education spending i s progressive and the average number o f years o f schooling has increase significantly more for the lowest income groups since the mid-1990s. Nevertheless, many low-income children do not attend school because they cannot afford i t and existing programs including scholarship programs have very limited impact. Recommendations: 3.66 0 0 The above conclusions suggests that there i s a need to consider the following: Increase the budget resources assigned to the sector gradually to 5 percent o f GDP over the next several years to finance the expansion o f 3rd cycle and secondary education for lowest income students. Continue to pursue a composition o f spending that favors the purchase o f goods and services for the schools while ensuring the teacher salaries remain competitive and performance based. 109 Strengthen the programs o f school construction and rehabilitation, particularly where there appears to be undersupply (peri-urban areas) and develop public/private partnership to exploit private sector excess capacity in urban areas. Consider unifying the vouchers in a school budget that would support the implementation of the Proyecto Educacional Institucional including school performance indicators. Invest in scholarships and other programs to reduce the demand constraints facing poor children and young adults. Improve the efficiency o f spending by strengthening the programs to reduce overage, repetition and dropouts rates. 110 CHAPTER IV: Health 4.1 The evaluation o f health spending that follows focuses mostly on the Ministry o f Public Health and Social Assistance (MSPAS). MSPAS has the responsibility for sector policy and f o r providing primary healthcare and hospital care in i t s network o f health facilities, t o those Salvadorans that are not covered b y medical insurance, who are the majority o f poor. After reviewing the organization o f the sector, the government’s sector objectives, and the process o f allocation o f public resources, recent trends in public expenditures and sector outcomes are discussed. The chapter concludes with the identification o f the sector’s key expenditure issues and recommendations. I. Organization of the Sector 4.2 The health sector in El Salvador comprises the MSPAS, the Salvadoran Social Security Institute (ISSS), the military health facilities, the private sector and over 30 ONGs that provide mostly primary healthcare services. Total health spending has been distributed as follows: 22.1 percent MSPAS; 18.4 percent ISSS; 56 percent household out o f pocket expenditures; 2.4 percent private insurance; and 0.2 percent O N G S . ~ISSS ~ is financed b y payroll taxes and caters to formal sector employees and their families covering about one million people (17 percent o f total population); MSPAS i s financed from government revenue and external loans and grants. 4.3 MSPAS has 30 hospitals (27 general hospitals and 3 specialized hospitals), 365 health centers, 168 health clinics (casus de salud), and 47 rural health and nutrition centers; the ISSS 16 hospitals, 70 health centers and 170 enterprise clinics; the military three hospitals; and the private sector, 36 hospitals. ISSS rents several MSPAS facilities including a full hospital (Hospital de Especialidades) in San S a l ~ a d o r . ’ ~ 4.4 The public health infrastructure was severely damaged b y the 2001 earthquakes. The first earthquake on January 13, left two MSPAS hospitals severely damaged and another six hospitals partially damaged, requiring full or partial evacuation. The most badly damaged hospitals continued to operate under provisional structures, while the rest reduced their operations. Altogether, about one-thirds o f MSPAS health facilities were Institutional Development Strategic Plan, MSPAS, October 200 1 The Hospital de Especialidades (or Specialty Hospital) was built after the 1986 earthquakes with a grant from France. I t was to replace the Rosales Hospital that was severely damaged b y the earthquake. The authorities decided not to close the Rosales and since M S P A S had n o resources t o operate both hospitals, it decided to rent the Hospital de Especialidades to ISSS. The proceeds from the rent (US$ 2 million a year) go to the Treasury. Since the 2001 earthquakes, there has been reportedly negotiations t o terminated this arrangement and return the hospital to the MSPAS. 74 75 111 affected. The second quake on February 13, left more than 2,00076hospital beds out o f service, which compares to the 4,843 MSPAS hospital beds in 2000. The Government’s ongoing earthquake reconstruction program i s supported b y the IDB, the Central American Bank for Economic Integration (CABEI), Japan and the World Bank.77 11. Strategic Objectives and Resource Allocation Process 4.5 In contrast to the education sector, there has been no broad based consensus on the direction o f the health sector reform, though in recent months there have been some positive development in this respect. During the 1990s, there were several proposals to reform the sector that did not prosper. In 2000, a Presidential Commission for the Health Sector Reform produce a diagnostic of the sector and some guidelines for sector reform7’ but fail to reach agreement on key issues such as those related to sector financing. In September 2003, the President o f the Republic appointed a Commission to Follow Up the Reform o f the Health Sector, which has organized five “di~cussion’~groups (financing, human resources, organization, social participation, and legal issues) that are currently working to reach a consensus on the direction o f the reform. Reportedly some progress has been made in these discussions, which the new government i s actively supporting. 4.6 Historically, hospitals in the major urban centers and particularly in the capital city o f San Salvador absorbed the bulk o f public health resources in detriment o f primary healthcare and the rural areas, where most o f the poor live. During the 1990s, MSPAS sought to improve healthcare services in rural areas b y expanding infrastructure, hiring health promoters, and training midwives. While progress was made, especially in terms o f infant mortality rates, problems remain: many families s t i l l do not have access to health services; the presence o f a MSPAS promoters in the communities had l i t t l e o no impact and the demand for health care b y the poor; and MSPAS providers were considered o f l o w quality, in part because o f the l o w and irregular availability of and long waits for medi~ation.~’ 4.7 MSPAS’ Institutional Development Strategic Plan o f October 2001 seeks to address these problems b y changing the organization and delivery o f health services through: i)a community-based approach to primary care provision; ii)a functional planning approach that specifies the functions (such as the projected volume o f For estimates o f the damage, Earthquake Emergency Reconstruction and Health Services Extension, Project Appraisal Report, World Bank, page 3; for number o f existing hospital beds, Institutional Development Strategic Plan, MSPAS, October 2001. 77 On June 3, 2003 the National Assembly approved the World Bank loan to finance the “Earthquake Emergency Reconstruction and Health Services Extension Project” for US$ 142.6 million. 78 The agree principles are: Consolidate a National Health System; consolidate a attention model based on the promotion, prevention and primary health care; consolidate a mixed provision model (public and private); consolidate a model under the direction o f the MSPAS; institutionalize social participation and decentralization as transversal systems; invest in human resources for health; strengthen intersectoral coordination; and guarantee basic services to all Salvadorans. 79 See Earthquake Emergency Reconstruction and Health Service Extension Project, Project Appraisal Document (Report NO. 22626-ES), October 31,2001. 76 112 procedures, equipment requirements, patient flows, service definition, numbers and categories o f staff, and inter-hospital referrals) that w i l l take place in the health facilities; and iii) closer ties between hospitals and primary care providers b y decentralizing a subset o f management functions, improving the referral system, and raising quality o f care.8o 4.8 The cornerstone o f the Plan i s the establishment o f Basic Systems o f Integral Health Attention (SIBASI) or health district units, which would replaced the Departmental management units, and the introduction o f a new model o f health service management in which the financing and the provision o f services may be performed b y different institutions. The SIBASI would be the basic operative structure o f the reformed public health service. MSPAS w i l l continue to have the responsibility for the financing but the provision of services may be done by NGO, the private sector, etc. In addition, the Strategic Plan calls for developing and implementing performance agreements and contracts and an incentive scheme to make health providers accountable to both the MSPAS and service users and introducing community participation in basic health and nutrition service delivery.81 4.9 MSPAS has established 28 SIBASI and has prepared the operational protocols. The purpose i s to provide integral services to the population through the coordination o f primary healthcare and general hospital care in the delimited geographic areas under the responsibility of each SIBASI. Within the SIBASI area, a network o f health providers and a general hospital w i l l work in a coordinated manner, avoiding duplicity o f efforts, and referring cases to the three specialized hospitals in San Salvador, through a National Reference Center. The impact o f the health providers’ work on the health status o f the population under their responsibility w i l l be monitored. The management functions related to planning o f activities, provision o f services and decisions concerning human, technological, and financial matters are being transferred to the SIBASI. Each SIBASI has a Managing Committee, which i s advised by a Social Consultation Committee. The Managing Committee comprises representatives o f the SIBASI’s health providers and the SIBASI manager. Technical, financial and administrative teams support the manager. The SIBASI health providers include ONGs, the ISSS, the MSPAS, the private sector and others. The organizational development o f the 28 SIBASI varies. In some SIBASI there i s already a strong NGO presence, in others the organization i s s t i l l incipient. 4.10 USAID has been supporting the organization o f seven SIBASI since 2002 covering about 20 percent o f the total population o f El Salvador and comprising 27 percent o f all the health facilities in the country. These S I B A S I are located in L a Paz, Suchitoto, Cojutepeque, Usuluth, San Miguel, San Vicente and Jiquilisco. According to USAID, the assistance provided i s helping strengthen the decentralization process and reinforce the new managerial systems. 4.1 1 The World Bank’s Earthquake Emergency Reconstruction and Health Service Extension Project plans also to support ten SIBASI, seven covering 73 municipalities in 81 Ibid “SIBASI: Marco Conceptual y Operacional”, version revisada, MSPAS, 200 1. 113 the northern part of the country where M A S P A reach i s limited and three other SIBASI in the central part o f the country most affected b y the 2001 earthquakes, where MASPS primary healthcare infrastructure w i l l be strengthened. For the former seven SIBASI, the project w i l l finance the contracting o f NGOs by the SIBASI to delivery a basic healthcare package to between 8,000-10,000 people per NGOs; in the latter three SIBASI, the project will negotiate a performance agreement with each SIBASI which w i l l receive financing t o strengthen its primary health care activities. I t i s expected that after three years, M S P A S w i l l gradually begin absorbing the costs o f these operations. 4.12 Traditionally, the budgets o f MSPAS and i t s hospitals have been prepared on the basis o f historical (incremental) allocations. MSPAS’ hospitals have administrative and financial autonomy and manage their own budgets. MSPAS managed primary healthcare and other public health programs in a highly centralized manner. Departmental offices or health centers had virtually no decision-making capacity over any o f the budgeted resources. Staffing and procurement decisions were taken at the center. The establishment o f the SIB AS1 system involves profound changes in the resource allocation process. In 2003, the MSPAS began transferring the management o f resources o f primary healthcare to the SIBASI. T w o major problems arose. First, the criteria to allocated resources to the SIBASI for the first level o f attention (primary healthcare) were not clearly defined and the distribution o f resources was made again on the basis o f historical allocations. The allocation o f resources based on an agreed performance contract has s t i l l not be established. 4.13 Secondly, since the SIBASI did not have legal status, MSPAS decided to use the general hospital budgets as the legal and administrative vehicle to make the transfers o f funds to the SIBASI. The general hospitals created a new budget line for the resources assigned to primary healthcare in their SIBASI. This created a potential conflict between the SIBASI manager and the director o f the general hospital because while the SIBASI manager is responsible for all health matters in his area including the care provided b y the general hospital, the hospital directors i s responsible to the Controller o f the Republic (Cuerte de Cuentas) for the resources assigned to the hospital including those assigned for the S I B A S I primary healthcare activities. T o address this conflict MSPAS has appointed managers in many S I B AS1 that also accumulate the function o f hospital director for administrative purposes; these hospitals have also retained a technical director. In some other SIBASI the hospital directors were appointed as SIBASI managers. This arrangement i s unsatisfactory because the hospital should be another element o f the SIBASI’s service network; having the financing going through the hospital and having the director of the hospital accumulating functions as director o f the SIBASI may created conflicts in terms o f allocation o f funds and accountability. In this respect, concerns have been expressed over the possibility that funds assigned to the SIBASI for primary healthcare would be diverted to general hospital use, and that expenditures on health prevention would decline. Again, the disbursement of resources against agreed outcome could help overcome some o f these problems. 114 111. Expenditure Trends and Structure 4.14 El Salvador i s among the countries in Latin America that spends more in health. World Bank (WDI) reports El Salvador’s total health spending at 8.8 percent of GDP in 2002 (3.8 percent public spending and 5 percent private spending), above Costa Rica (6.4 percent) and the average for Latin America and the Caribbean (LAC) (7 percent). While El Salvador’s public sector spends (as percent of GDP) less than Costa Rica’s, i t s private spending i s more than twice Costa Rica’s. El Salvador’s public and private health spending are higher than the average for LAC. Chart 4.1: Total Health Expenditures as percent of GDP, 2000 n 0 s 10 0 5.0 0.0 ~~~ Private mPublic 1 5.0 20 3.8 44 Private I 33 Public 0 Total Note: Total health expenditure i s the sum of public and private health expenditures. I t covers the provision o f health services (preventive and curative), family planning activities, nutrition activities, and emergency aid designated for health but does not include provision o f water and sanitation. Private expenditure includes out-of-pocket and private health insurance plans. Source: World Bank. WDI 4.15 Given El Salvador’s low GDP per capita, i t s total health spending per capita i s much lower than Costa Rica or LAC, however.’* Table 4.1 shows that in 2000, Costa Rica and LAC spent 52 and 42 percent more on a per capita basis than El Salvador. Since public spending in El Salvador i s much lower than Costa Rica, per capita public spending i s just a fraction of that country, which impact on the coverage and quality of public health services, particularly of the poor. ’’ In 2000, WDI shows total population o f El Salvador and Costa Rica at 6.3 million and 3.8 millions, respectively; El Salvador GDP at US$ 11 billion and Costa Rica GDP at U S $ 14 billion (in 1995 US$); and per capita GDP in El Salvador, Costa Rica and L A C at U S $ 1,752, US$ 3,912 and U S $ 3,856, respectively (all i n 1995 US$) 115 1996 1998 2000 El Salvador 135 164 184 Costa Rica 200 236 279 LAC 260 265 262 4.16 MSPAS estimates total health spending at 8 percent of GDP in 2001, a figure somewhat lower than the one reported by the World Bank for 2000. Of total health spending, 46 percent was financed by public sources, namely the treasury, 47.4 percent, the ISSS, 44.5 percent, external donors, 2 percent, and other sources for 6.1 percent (Table 4.2). Table 4.2: Public and Private Health Spending and Sources of Financing I I I I I Private Insurance % private spending 2.0 3.3 2.6 Out-of- Pocket, % private spending b l 97.7 96.7 97.4 a/ Includes mostly the "own resources" of the hospitals and other public facilities, paid by the patients or their institutions (Le., Teachers Health Program). a/ Excludes co-payment in MSPAS facilities Source: Cuentas Nacionales en Salud, MSPAS, mayo 2003 4.17 MSPAS budget in relation to GDP has remained relatively constant in rec n years hovering around 1.6 percent; as a share of the Central Government budget i t has increased from 7.8 percent in 1996 to 9.7 percent in 2003, or by about two percentage points (Chart 4.2). For 2004, the proposed MSPAS budget i s equivalent to 1.6 percent of GDP and to 9 percent of the Central Government The World Health Report (2002) shows that health expenditures by the General Government, which includes the Ministry of Health and other autonomous public institutions such as the social security, as a percentage o f total General Government expenditures was much higher i n El Salvador that other Central America Countries in 2002: E l Salvador, 26.2 percent; Honduras, 18.3 percent; Costa Rica, 18.2 percent; and Guatemala, 16.4 percent. 83 116 Chart 4.2: MSPAS Budget as percent of Total Budget and GDP 1996 2004 - m P c : E a Source: Ministry o f Finance (1996-2001: executed budget; for 2002-2003, approved budgets; for 2004, proposed budget). Spending by Level and Function 4.18 Traditionally, MSPAS has classified healthcare in three levels: Level Ior primary healthcare; Level I1 or general hospital care; and Level I11 or specialized hospital care. Chart 4.3 presents the distribution o f MSPAS approved budget for these levels o f attention, for administration, and “other” expenditures that include transfers t o other entities and investment expenditures. The bulk o f MSPAS resources continued to be allocated to hospital care (57 percent on average during the 1996-2003 period), with the share going to hospitals declining marginally since 1997. In contrast, primary health care participation in MSPAS budget has declined f r o m a peak o f 34 percent in 2000 to 29.6 percent in 2003. Since the MSPAS budget as a share o f the GDP has remained relatively constant, this implies that public primary healthcare spending as a proportion o f GDP has decline in recent years, certainly a worrisome development. According to the MSPAS, the amount budgeted for administration has declined from 6.6 percent o f total spending in 1996 to 4.7 percent in 2003. The item “other”, which includes investment related to the earthquake reconstruction, has doubled i t s share in the total budget from 6.6 percent in 1996 to 12.4 percent in 2003. 117 Chart 4.3: MSPAS Expenditures by Level of Attention & Administration (1996 - 2003) 1 1996 1 1997 1 1998 1 1999 1 2000 1 2001 ~ 2002 1 2003 11 Note: Refers to approved budget. Primary healthcare includes level I(public health and primary care i n health units); general hospital care includes level 11; specialized hospitals includes level 111. Administration spending refers only to that incurred by MSPAS-center. Other includes transfers to other entities and investment expenditures. Source: MSPAS 4.19 Table 4.3 shows MSPAS executed budget b y major economic category for the 1996-2003 period. I t reveals the impact o f MSPAS transfers to the SIBASI. In 2003, 86 percent o f the MSPAS budget was transferred to the specialized hospitals and to the SIBASI (for primary health care and general hospitals). MSPAS-center retained 14 percent o f the total budget (about US$33 million) o f which 3.4 percent were for wages and salaries and the remainder for goods and services, which s t i l l are procured ~ e n t r a l l y ~ ~ , and for investment expenditures. In the near future, as MSPAS-center focuses on the functions of policy making and regulations and the SIBASI become responsible for procuring most goods and services, the budget o f MSPAS-center should be further reduced. 84 This i s for instance the case of fuel. 118 Memo: Executed US$ mm 143.3 145.9 176.6 189.4 209.6 216.0 223.7 235.3 Budget US$ mm 150.6 150.6 151.6 188.3 205.9 222.4 232.0 240.6 % Executed 95.0 97.0 116.0 101.0 102.0 97.0 96.0 98.0 4.20 MSPAS has executed over 95 percent o f i t s budget during 1996-2003 period. Table 4.3 shows that execution varied from 95 percent the 116 percent. This latter figure i s a result o f mid-year upward revision o f the budget in 1998 related t o a sharp increase in the salaries of nurses (US$ 18 million that year) and other emergency expenditures in the wake o f Hurricane M i t c h (US$ 13 million). 4.21 Hospitals spend about two-thirds o f their budget in wages and salaries and onethird in goods and services. Table 4.4 shows the budget break down o f the specialized hospital B l o o m and o f the general hospital L a Union. B y type of attention, over half o f the budget o f hospital L a Union i s now for primary health care o f the SIBASI to which the hospital belongs. Administrative expenses absorb 5.6 and 6.6 percent of the L a Union and Bloom budgets, respectively. Table 4.4: Hospital Budgets by Type of Attention and M a j o r Category, 2003 Source: Ministry o f Finance 4.22 The allocation o f resources between general hospitals and specialized hospitals has been based on historical allocations and has had no explicit relationship with outcomes. A study published in 1999 showed that specialized hospitals in El Salvador received significantly larger budgets per patient than general hospitals apparently, owing to the believe that specialized hospitals treat persons with more difficult (and costly) 119 illne~ses.’~The study analyzes hospital expenditures over a 12-year period and, after controlling for patient morbidity, outputs and other characteristics, concludes that general hospitals are substantially under-funded relative to specialized hospitals. This issue deserves close attention by MSPAS authorities, particularly because under the new SIBASI financial arrangements the relatively under-funding of general hospitals may lead to diversion of resources from primary health care to hospital care, reducing even further the share o f actual resources spent on primary healthcare. 4.23 The consolidated budget b y spending category o f MSPAS and the public hospitals indicates that during the 1996-2003 period, about two-thirds of the budget was to pay for wages and salaries; the remaining to pay for medicines, medical inputs, investment and other goods and services (Table 4.5). The purchase of medicines absorbed between 11 percent and 17 percent o f total spending while medical inputs between 5 percent and 6 percent. The share o f physical investment was below 3 percent o f the budget until 2001, but i t has since increased to almost 9 percent in 2003 as a result o f the earthquakes. Table 4.5: MSPAS and Public Hospitals Budget, by Category 1996 2003 Note: Refers to approved budget a/ Includes other purchase o f goods and services such as water, electricity, telephone, office materials, cleaning and taxes as well as transfers to other non-hospital institutions Source: MSPAS 4.24 The amount spent on wage and salaries have increased sharply during the 19962003 period, b y 76 percent. What explains this trend? On the wage front, most o f the increase took place in 1998 and 1999 owing to the adjustment to nurses’ wages following their strike in 1998. Also, from 1996 to 1999, MSPAS staff received an annual increase in wages that averaged 7 percent (escalafon). Since 2000, this increase has not been granted and the share o f wages and salaries in total spending has declined. N o analysis o f MSPAS wages i s available, but according to senior MSPAS officials, the salaries o f the administrative staff compares well with their public and private sectors counterparts; at technical level salaries are reportedly lower than in the private sector. 4.25 The number o f MSPAS staff from i t s web page i s presented in Table 4.6.86 There are wide annual variations in the number of some staff; for instance, the number o f doctors dropped sharply in 2000 but then increase back in 2001 to drop again in 2002. In the MSPAS, the number o f positions (plazas) and the number o f employed staff may 85 Fiedler, John L et. al. “Risk Adjustment and Hospital Cost-Based Resource Allocation, With an Application to El Salvador”, Social Science and Medicine, 48, 1999, 197-212. 86 MSPAS’s Division of Administration and Human Resources does not keep historic information on staff. 120 differ substantially. In the case o f doctors, one doctor may occupy more than one position, and in case o f medical interns, more than one intern may occupy one position. Also, one position may refer to different daily hours o f work. The information in the table seems to refer sometimes to the number o f staff, other times to the number of positions. Notwithstanding these difficulties, the data indicates that the number o f positions assigned in the budget to MSPAS has been declining since 2000, which would be consistent with a reduction in the share o f wage and salaries in the MSPAS budget indicated above.87 Strengthening MSPAS human resource management systems i s a priority. - Table 4.6: MSPAS’ Staff, 1999 2002 a/ Budget L a w Source: MSPAS (Web page) and Ministry of Finance (Budget documents) 4.26 The share o f the budget spent on medicines has declined sharply until 1999 and has recuperated only slightly in recent years. In 2003, the share o f medicines was 12 percent compared to 17 percent in 1996.88 This does not appear to be a result o f a more efficient pharmaceutical procurement system. Indeed, a study by the Management Sciences for Health (MSH) found that for a sample o f critically needed medicines, only 82 percent were available at MSPAS primary healthcare facilities and 62 percent at hospitals. Moreover, i t discovered that El Salvador routinely purchases pharmaceutical products at prices higher than the international median. In addition, products o f substandard quality were found in “50 percent of samples collected from public facilities (...) and 28.6percent from private p h a m z a ~ i e s ” . ~ In~2003, MSH proposed a new system to manage pharmaceutics, which involves joint procurement by the specialized hospitals and the SIBASI to obtain a better price and a single distributor to manage the purchase orders, storage and distribution; MSPAS would monitor the quality o f pharmaceutical products ordered and purchased by the network facilities. During its first year o f operation, the new system suffered logistic problems that MSPAS i s seeking to overcome. ” The number of positions approved by category i s from the Wage L a w (Ley de Salarios), which accompanies the annual Budget Law. 88 In dollar terms, US$9.5 million were spent in medicines in 1996; US$ 12 million in 2003. 89 Reported in the web page of Management Sciences for Health (www.msh.org/seam/3.1.2b.htm) 121 4.27 Between 1996 and 2000, physical investment average less than 1.5 percent o f the MSPAS budget. In 2003, the investment budget increased to 8.8 percent o f the total budget as a result o f the reconstruction o f the infrastructure damaged b y the earthquakes. MSPAS infrastructure i s a combination o f modern facilities and very old and obsolete ones. In some hospitals there are very old wings (over 75 years) side b y side with more recently build ones. Weak anti-seismic construction specifications and lack o f maintenance made the infrastructure more vulnerable to the natural disasters. Maintenance expenditures for infrastructure and equipment have been minimal. 4.28 M S P A S has developed a program to reconstructhehabilitate i t s facilities, including 23 o f 30 national hospitals and 82 health centers. Existing IDB loans and CABEI funds, are being utilized to cover the costs o f provisional structures and for the rehabilitation o f the 15 less badly damaged hospitals. For the reconstruction o f the eight hospitals w i t h the greatest damage, the government has obtained the support o f the World Bank and Japan.9o The World Bank Emergency Reconstruction project w i l l support the strengthening and implementation o f a comprehensive preventive maintenance program for the seven hospitals being reconstructed under the project. As mentioned, the project w i l l also support the extension o f basic services in remote areas and the strengthening of primary health care services and facilities in areas affected b y the 2001 earthquakes Cost Recovery and External Funding Sources 4.29 To help finance hospital costs, patients usually pay a fee for the services, the socalled co-payments. In the early 1990s’ with support from USAID’s APSISA program (Support to El Salvador’s Health Services program) MSPAS developed the different components of a cost recovery system for the hospitals: costing o f services; socioeconomic evaluation o f patients; administrative-financial management; and required legal changes. A pilot program was initiated but the system was never fully implemented or institutionalized, though hospitals continued to charge for some services. Reportedly, hospitals charge to all patients that use their facilities unless they claim that they cannot pay. The charges vary from hospital to hospital and past attempts to rationalize the systems have failed. Since the introduction o f the SAFI, these resources colleted b y the hospitals are treated as part o f their budgets (own resources). If the hospitals recover more funds than those originally included in their budgets, they need to request the National Assembly authorization to spend the funds. Reportedly this i s done routinely and does not constitute a major disincentive to cost recovery, though i t may take up to three months to obtain the authorization from the National Assembly to use the funds. 4.30 The resources from co-payments are quite important for the hospitals. In 2003, income from the “sale o f goods and services”, most o f which are co-payments from patients, at Hospital B l o o m represented 8.2 percent o f i t s total budget of U S $ 15.3 The World Bank loan w i l l help rehabilitate and replace some equipment in three hospitals (San Juan de Dios in San Miguel, San Pedro in Usulutan, and Santa Teresa in Zacatecoluca) and replace four other hospitals (Maternidad in San Salvador, Santa Gertrudis i n San Vicente, Cojutepeque in Cuscatlan, and San Rafael i n L a Libertad). Japan i s expected to help reconstruct Hospital Rosales. 90 122 million; the remaining being transfers from the treasury; for the general hospital L a Union, the “sale o f goods and services” corresponded in 2003 to 6.2 percent o f i t s budget o f U S $ 3.6 million. As can be observed in Table 4.4, co-payments more than cover the administrative costs o f these hospitals. 4.31 Until recently health centers also charged a fee for services, or the so-called “voluntary quotas”. In June 2002, a Presidential Decree (Executive Decree 2002) abolished these quotas. Local governments are now working closely with communities to mobilize resources to finance some services in health centers that are not covered b y MSPAS. Source: External Cooperation Unit, Directorate of Planning, MSPAS - Table 4.8: External Financing for the Health Sector, 1994 2002 Source: Ministry o f Health I 144.778 I 100 4.32 External sources have also provided an important support to the health sector. External support received b y MSPAS should in principle be all accounted for in i t s budget. In practice, all loans are included in the ordinary or extraordinary budgets, while for the grants received the type o f recording varies: grants that finance expenditures over a extended period o f time such as those received from the European Community and Luxemburg, are included in the budget; grants received sporadically to buy goods or services or grants in kind often are not included in the budget. Table 4.7 presents the recorded loans and grants received b y MSPAS. I t shows that between 1997 and 2000, external sources financed on average 7.3 percent o f MSPAS budget. This includes a large loan (valued at U S $ 15.3 million) for hospital equipment and ambulances f r o m Spain in 1998. With the earthquake in 2001, external financing increased to about over 123 8.4 percent of MSPAS budget in 2003. In the last six years, about two-thirds o f the financing came in the form o f grants and one-third in the form o f loans. The European Union, U S A I D , Spain, Pan American Health Organization (WHO), and Japan accounted for the bulk (80 percent) o f external support to the sector since mid-1990s (Table 4.8). IV. Expenditure Outcomes 4.33 There i s no simple relationship between health spending and outcomes. Health outcomes are not only a function o f the amount o f public and private spending in the sector, but are also influenced b y the efficiency and incidence o f pubic spending as well as b y other variables that are to a large extent outside the control o f the sector such sanitary and education conditions. These considerations should be kept in mind as health indicators and the overall efficiency of health expenditures are discussed in the following paragraphs. Key health indicators 4.34 During the 1990s, El Salvador made progress in life expectancy and infant mortality rates but progress in reducing child malnutrition has lagged, while in immunization the coverage dropped. Table 4.9 shows key health indicators for El Salvador, Costa Rica, and L A C . El Salvador’s life expectancy and infant mortality rates improved during the 1990s and these indicators are now similar or better than LAC. Measles immunization in 2002 was 93 percent for children under 12 months, a drop from 98 percent in 1990, but still above LAC.91 O n the other hand, malnutrition in children under five i s s t i l l four times greater than Costa Rica. I I I Table 4.9: Key Health Indicators, 1990 - 2002 I fe expectancy at ~ulrth,total (years) I Mortality rate, , I Malnutrition in infant (per 1,000 children under live births’, Sfpercent) a/ I I 1 Measles I DTP I 1% Immunization% o f Immunizatiol Children under IL Zhildren under 12 .^ mnnthr Note: Data i s for the most near year available. a/ weight for age Source: National Family Health Survey (FESAL) conducted by the Salvadoran Demographic Association, “El Salvador: Informe de Pais Sobre el Avance de 10s Objectivos de Desarrollo del Milenio”, final draft, April, 2004, and World Bank, W D I I t should noted that according to MSPAS there has been no recorded case o f measles since 1996 and i n 2002, i t introduced the multipurpose vaccination against six diseases including measles, and the triple viral vaccination (SPR). 9’ 124 4.35 Despite the general progress in health indicators, substantial differences remain between the health outcomes for the different income groups. According the National Family Health Survey (FESAL) conducted b y the Salvadoran Demographic Association, infant mortality i s almost twice as high for low-income families than for higher income, though in recent years the gap has been closing (Chart 4.4). Also, 15.3 percent o f children o f low-income families suffer malnutrition (weight for age), only 3.7 percent o f the better o f f children were found in this condition. Efficiency of Overall Spending Table 4.10: MSPAS Selected Indicators. 1996 - 2002 I 1998197 1999198 2000199 2001100 2002/01 13 11.9 18.5 -6.9 6.7 -2.6 7.5 13.8 -6.4 3.7 3.7 0.1 5.5 -7.9 -0.5 0.4 5.3 7.9 -7.2 4.4 -0.5 2.6 -0.5 -7.1 1.8 2.1 2 2 1.9 1.9 Source: Ministry o f Health 4.36 Table 4.10 shows recent MSPAS “production” indicators. I t can be seen that ambulatory visits, major surgeries, and hospital discharges have increased rapidly in recent years, with the exception of 2001 owing to the earthquakes. All the indicators recovered in 2002 with the exception o f institutional deliveries?’ The fall in institutions delivery in 2002 may be associated at least in part w i t h the damaged suffered b y the Hospital de Matemidad in San Salvador during the 2001 earthquakes. Hospital utilization rates, averaging 86 percent since mid- 1990s, have been at acceptable levels. For comparison, hospital occupation rates in Honduras during the same period average about 70 percent.93 Recall that this i s one of the hospital to be replaced with the World Bank loan. Honduras Public Expenditure Management for Poverty Reduction and Fiscal Sustainability, World Bank, June 2001, page53. 92 93 125 Chart 4.4: Infant Mortality per Socio-Economic Group 60 50 $ 40 2 c) 2 0 30 6 20 7 $ 10 P o Low Income Middle Income High Income ~ 10FESAL 1993 EFESAL 20021 Source: Ministry of Health 4.37 Notwithstanding these results, the report o f the Presidential Commission for the Health Sector Reform published in December 2000, indicated that the poor quality and limited efficiency o f public institutions were among the key debilities o f the The major determinant o f poor quality o f services in MSPAS facilities appears to be the lack o f the proper number o f trained staff in public facilities (most o f them rely almost fully on different kinds o f trainees) as well as the missfunction o f doctors incentives and dedication at public institutions. Only half of the medical staff in public institutions i s fully paid by MSPAS. K e y clinical personnel spend approximately one-third to one-half o f their time in non-clinical activities. 95 4.38 H o w cost-effective i s El Salvador’s health sector compared to other countries? As a first approximation, health expenditures can be related to key health outcomes. Charts 4.5 and 4.6 plot total health spending per capita against life expectancy and infant mortality, respectively, for 27 Latin American countries from the W o r l d Bank’s WDI database. In terms o f life expectancy, El Salvador i s situated between the northeast and the southwest segments, which implies that i t spends a reasonable amount o f money and obtains a l i f e expectancy that i s also reasonably high compared to other countries in the sample. The most efficient countries in the sample are Cuba, Jamaica and Belize; the most inefficient Brazil. 94 The report indicated as other debilities the following: lack o f equity and insufficient coverage; legal framework i s not applied adequately; fragmentation and lack o f coordination between institutions; sector institutions with centralized management styles; and incipient social participation. 95 Seiber, Eric. Baseline and Best Practices Assessment of seven SIBASI in El Salvador. PHRPlus. Dec 2002). 126 Chart 4.5: Total health expenditure per Capita and life expectancy at birth. Chart 4.6: Total health exp. Per capita and infant. - __ - . __ Total Health Expenditure per capita (US$) 0 I 0 171 342 342 171 Total Health Expenditure per capita (US$) Note: Most recent data (circa 2001); Total health expenditure i s the sum o f public and private health expenditures. I t covers the provision o f health services (preventive and curative), family planning activities, nutrition activities, and emergency aid designated for health but does not include provision of water and sanitation; El Salvador coordinates: (185,70); Sample average: (171,71) Source: W B ’ s WDI sample o f 27 Latin American countries Note: Most recent data (circa 2001); Total health expenditure i s the sum o public and private health expenditures. It covers the provision of healtt services(preventive and curative), family planning activities, nutritior activities, and emergency aid designated for health but does not includc provision o f water and sanitation; El Salvador coordinates: (185,25); Sampk average: (17 1,26) Source: WB’s WDI sample o f 27 Latin American countries 4.38 As for infant mortality, El Salvador i s also situated between the northeast and the southwest segments, which implies that i t spends a reasonable amount o f money and obtains a infant mortality rate that i s not l o w compared to other countries in the sample (Note that to keep the interpretation o f the Chart similar to that presented previously, the infant mortality scale i s presented in the inverse form because higher spending should correspond to lower infant mortality). The most efficient countries in the sample are: Cuba and Jamaica; the most inefficient i s again Brazil. In conclusion, El Salvador does not appear to be inefficient though i t i s not among the most efficient countries. Expenditure Incidence 4.39 The following paragraphs discuss how public spending have impacted the access and affordability o f health services to the poor, the possible existence o f inequitable cross subsidies between I S S S and MSPAS in detriment o f the latter, and the distribution o f MSPAS expenditures b y income groups and department. Access and Affordabilitj 4.40 The coverage o f the health system i s still inadequate. Table 4.1 1 shows that less than 20 percent o f the Salvadorans have access to medical insurance. The ISSS covers 17 percent o f the population; private and institutional insurance another 1.8 percent; and the remaining 81.3 percent (97.3 percent for those in extreme poverty) has not insurance. MSPAS should cover the population without insurance, particularly the poor. 127 Nevertheless, 24 percent of the population s t i l l does no have access to health services or only has limited access.96 Table 4.11: Population Covered by Medical Insurance, 2002 (% of total population) I ___ Poverty Level Pouulation Poverty Extreme Poverty Relative Poverty No Poor ~ Without Insurance Total 81.3 93.8 97.3 90.9 71.9 Affiliate 11.4 3.6 1.7 5.1 17.2 ISSS I Beneficiary I 5.6 2.3 0.8 3.6 8 Institutional Insurance Private I Insurance 1.7 0.3 0.2 0.4 2.8 0.1 0 0 0.1 Source: Household Survey, 2002 4.41 Substantial differences remain between the access of the poor and the better o f f to health services. Salvadorans in the highest quintiles are one-third more likely to receive medical care than those in the poorest q~intiles.~’FESAL-1998 indicates that 32 percent of l o w income expecting mothers had no prenatal care visits compared to 9.7 percent o f the better off; also while 80 percent o f the better o f f mothers delivered in a hospital, only 41 percent o f the low income mother had an institutional delivery. 14 percent o f the poor go to private or N G O facilities rather than to MSPAS facilities (Table 4.12). One-quarter o f the poor (30 percent in extreme poverty) do not seek MSPAS facilities because o f lack o f funds. (Table 4.13).98 In addition, one in each three poor persons that get ill,do not trust the public system and/or prefer to seek alternative cares. Table 4.12: Establishment that Visited When Ill,2002 (% of ill) MSPAS ISSS Private Total 67.5 10.2 17.1 5.3 Poverty 81.3 4.5 9.6 4.6 Extreme Poverty 86.2 1.2 7.5 5.1 Relative Poverty 77.4 7.1 11.2 4.3 No Poor 56.5 14.7 23.1 5.7 Poverty Level NGO or Other Reported by the UNDP’s Human Development Report 2003 (Table 3.8) based on FUSADES estimates. FUSADES derives the lack of access to MSPAS services b y calculating from the household survey the share o f those that indicated than when ill they did not seek MSPAS facilities because o f all the reasons asked in the survey minus that “it was not necessary” (Table GO6 o f the Household Survey) on the total number o f those that got ill (Table GO4 o f the Household Survey). The reasons not to seek MSPAS include included in the survey are: there are no medicines, lack o f attention, too expensive, there i s no nearby heath center, does not believehrust medical attention, bad attention, need to work, etc (see Table 4.13). The MSPAS acknowledges that about 20 percent o f the population has not “regular” access to i t s services. 97 An Earthquake Emergency Reconstruction and Health Service Extension Project, Project Appraisal Document (Report NO. 22626-ES), October 3 1,200. 98 Note: Executive Decree 2002 of June 2002, payments in health centers were eliminated. Future household surveys should indicate whether this impacted on visits to health centers. Nevertheless, the cost o f accessing MSPAS facilities includes not only direct costs such as co-payments but also other costs such as transportation. 96 128 4.42 The latest estimate o f the annual cost of providing a minimum package o f healthcare and nutrition services in El Salvador based on differentiated capitation i s estimated at about $ 20 per person. The cost o f the package o f health and nutrition established b y MSPAS (SESYN or Essential Heath and Nutrition Services) and based on universal capitation, which i s the basis for providing basic health care in the IDB's Support to the Modernization Health Program, i s US$ 31 per person.99 Taking these two estimates as extremes, the annual cost o f covering the 1.6 million people without regular health services could vary between $ 3 2 m and $ 50 m, equivalent to between 0.2 and 0.3 percent of GDP." I Table 4.13: Motives for not visiting MSPAS establishments, 2002 (% of ill) Poverty Level IIt was necessary not(Lack oflCenter lmoney I too attention Poverty Extreme Povert Relative Poverty No Poor 36.2 47.1 45.1 20.8 19.4 26.9 far,IDoes not I trust, medicine other 20.1 Source: Household Survey, 2002 Cross-subsidies 4.43 There i s a major difference between ISSS and MSPAS notional spending per capita. ISSS i s responsible for about 45 percent o f total public spending but it serves only 17 percent of the population (6 percent o f the poor population). In contrast, MSPAS with 55 percent o f public spending must cover 80 percent o f the population. ISSS spends about U S $ 220 per beneficiary a year; while MSPAS' annual budget corresponds to only US$50 per person i t should cover. Only 6 percent o f the poor have access to ISSS. 4.44 The renting of MSPAS facilities to ISSS further raises equity concerns. MSPAS may send patients to I S S S facilities, the cost of the treatment being deducted from the rent ISSS i s required to pay to the treasury. Reportedly the number o f patients sent to ISSS operated facilities (Hospital de Especialidades) i s small, as referrals require formal An Earthquake Emergency Reconstruction Project, PAD (Report 22626-ES), Oct. 2001, indicated a preliminary cost of $ 15 per person per year based on the Guatemala and Honduran experiences. Recent studies prepared for the WB project point out to higher costs of about $ 20. These studies are based on a differentiated capitation, where the cost of the package for children, adults, are different, while the IDB project uses an universal capitation.. 100 UNDP 2003 HD Report estimates the cost at $ 31 per person per year; with a annual cost of $ 50 million to reach 1.6 m. people or 0.3 % of GDP. To eliminate malnutrition in children under 5 years, UNDP estimates that i t would cost an additional $ 23 m. a year, equivalent to 0.15 % of GDP. The estimate i s based on the number o f children with malnutrition in urban areas (29,655) and rural areas (49,841) and assuming the annual cost o f eliminating malnutrition equivalent to the urban minimum basket ($ 385) and rural minimum basket ($ 240). 99 129 authorization from the Minister o f Health. ISSS' members and beneficiaries also use MSPAS facilities. FESAL-1998 reports that 33 percent o f ISSS' members and beneficiaries had their delivery in MSPAS hospitals, while only 3.3 percent o f those not related to ISSS had the delivery in ISSS' hospitals."" Aside from rents paid for the Hospitd de EspeciaZidades or other facilities, ISSS does not pay anything to MSPAS when i t s beneficiaries use MSPAS facilities. In April 2004, the MSPAS hospitals and the I S S S reached an agreement in which MSPAS hospitals w i l l begin charging ISSS for emergency treatments to ISSS beneficiaries. In the near future, MSPAS authorities expect to reach a similar agreement with ambulatory treatments . Distribution of Resources 4.45 A large proportion o f the better o f f uses MSPAS facilities. Household survey data shows that o f those that visited MSPAS hospitals in 2002, the majority or 53 percent were no poor; 26 percent relative poor, and 21 percent extreme poor (4.14). Overall, 47 percent o f the people that use MSPAS facilities are no poor. Table 4.14: Distribution of Persons Visiting Central Government MSPAS Facilities bv Income GrouD 2002 National Poor Extreme poor Relative poor No poor Source: Household Survey Hospitals 100 47.5 21.3 26.2 52.5 Health Centers 100 55.6 26.8 28.8 44.4 Health Units 100 73.5 44 29.5 26.5 Total 100 53.3 25.3 28 46.7 4.46 Since 64 percent o f the MSPAS budget i s for the hospitals, the better o f f benefit disproportionably from MSPAS. Chart 4.7 shows the distribution o f MSPAS resources by quintile for hospital and primary healthcare. In primary care, expenditure favor the poorest quintiles, while for hospital care, it favors the middle quintiles. This calls for strengthening the cost recovery policies in hospitals so that those that can afford to pay for the attention received do pay, and MSPAS may redirect resources to finance the delivery o f basic health and nutrition services to the population currently underserved. '"ISee FESAL-1998, Table 8.14, page 232. 130 , Chart 4.7: MSPAS Hospital and Primary Health Care Spending by Quintile, 2002 J m .E 35 E e: 25 30 - ;20 15 p 10 5 $ 5 0 + n Poorest Q 1 I Q2 0 3 [BHospitalcare .Primary Q4 Richest Q 5 Healthcare Source: Staff estimates based on household survey and MSPAS data 4.47 O n a geographic basis, MSPAS distribution of resources seems to be somewhat progressive. Charts 4.8 shows per capita income of each Department plotted against MSPAS total per capita spending. No clear relationship emerges which indicates that MSPAS resource distribution does not favor the better o f f Departments or the worse off."* Given that hospital expenditures are concentrated in San Salvador where the three specialized hospitals are located, Chart 4.9 shows MSPAS spending on primary healthcare alone in relation to Departmental per capita income. I t reveals a negative tendency between per capita income and per capita healthcare expenditure but the relationship i s weakIo3Therefore MSPAS distribution o f primary healthcare expenditures b y Department may be said to be somewhat pro-poor. Correlation Coefficient=O.OB; R2=0.003. of Correlation= -0.34; R2= 0.1 18. lo3 Coefficient 131 Figure 4.8: Per capita income and M O H spending by Department (2000) 20 40 60 80 100 120 Figure 4.9: Per capita income and primary health care spending by Department (2000) 140 160 40 Departmental Percapita income (US$) - Per Capita Total Health Spending Loa. (Per CaDita Total Health Soendina) 60 80 100 120 Per Capita Primary Healthcare Spending - I Log. (Per Capita Primary Healthcare Spending) Note: Per capita health expenditure excludes investment expenditures. Source: Staff estimates based on household survey and MSPAS data V. Conclusions and Recommendations 4.48 El Salvador’s health indicators have improved during the last several years. A recent study on the situation o f El Salvador in relation to the MDGs prepared under the direction o f the Presidential Commissioner for the Social Affairs, concludes that it i s highly likely that the country meets the MDGs 2015 targets on infant mortality rate, mortality rate in children under five, measles immunization, and tuberculosis incidence, but it i s unlikely that i t meets the MDGs targets on maternal mortality, deliveries b y trained staff, and HIV/AIDs. Relative to malnutrition, the study concludes that it i s unlikely that the MDG target be met at national and rural levels, but highly likely at urban level.’04 4.49 Thus, significant challenges remain. The MSPAS needs to recover the infrastructure that was severely damaged b y the 2001 earthquakes and take benefit o f this large investment in hospital infrastructure to build a rationalized, modern, and wellmanaged public hospital network. The outputs o f this network needs to recover and surpass its level of production before the earthquakes, without substituting for care that should be done at earlier stages and less costly facilities. Public health expenditure for poor people w i l l need to increase in the coming years since, on one hand, per capita expenditure i s very l o w and, on the other hand, the government budget w i l l need to absorb the expansion o f services that the W o r l d Bank project i s executing once the Bank’s loan i s finished. Allocation o f resources within the sector needs also to be IO4 140 DepartamentalPer Capita income (US$) “El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer Informe de Pais”, 2004. 132 carefully streamlined and enforced. Financial protection o f the poor against health shocks needs t o b e better regulated and enforced, focalizing user fees in public institutions, expanding formal social security, and exploring other ways o f community health insurance. Existing cross-subsidies between the ISSS and MSPAS need to be corrected and the cooperation between these two institutions harnessed. 4.49 The reform o f the sector in such a direction w i l l require a national consensus. In this respect, the new President’s Government Plan -Safe Country, 2004-2009, calls for the reform of the health sector in a “concerted manner which may lead to and efficient national health system, functioning in a decentralized manner, with universal coverage, and free of charge to all persons that can not afsord.” Allocation of resources to the sector 4.50 Since most o f the additional resources allocated to the sector w i l l be needed to finance the reconstruction o f the damaged infrastructure, MSPAS should focus on increasing the efficiency and equity o f resource use in the sector, including increasing cost recovery from those that can afford it. El Salvador i s among the countries in Latin America that spends more in health (as a percentage o f GDP) because o f large private spending. The public sector spends slightly above the average for Latin America, though on a per capita basis, El Salvador spends much less than Costa Rica or LAC. Given overall budgetary constraints, the heavy demands on the treasury that are being made b y the reconstruction o f health infrastructure, and other competing demands, i t i s unlikely that additional significant public resources w i l l become available to the sector in the foreseeable future other than for the reconstruction o f hospital and clinics, thus requiring MSPAS to focus on increase the efficiency o f resource use. 4.51 In this context, i t i s important make a systematic evaluation about to what extent the decentralization program to the SIBASI has been implemented and, more importantly, how this reform i s contributing to the overall performance o f the sector. This assessment should focus in particularly on the efficiency and equity gains, managerial capabilities built in SIBASIS, changes in the quality services, balancing primary-hospital care and coordination of care, the role o f management contracts to foster and reward better performance, the capacity o f central MSPAS to perform i t s stewardship role and the strengthening o f social participation. Intra-sectoral allocation of resources 4.52 MSPAS allocation o f resources should favor primary healthcare. Hospital care continues to absorb a disproportionate share of the sector resources. The coverage o f the health system i s still inadequate as less than 20 percent (6 percent o f the poor) have access to medical insurance, and as much as 24 percent o f the population s t i l l does not have access to health services or only has limited access. The annual cost o f providing a minimum package o f healthcare and nutrition services to this population i s estimated at between U S $ 32 million and U S $ 50 million (0.2 and 0.3 percent o f GDP). MSPAS’s budget in recent years has been equivalent to 1.6 percent o f GDP. 133 4.53 The allocation o f resources between general hospitals and specialized hospitals must be reviewed. The allocation o f resources between general hospitals and specialized hospitals has had no explicit relationship with outcomes, and reportedly general hospitals are substantially under-funded, relative to specialized hospitals. In this context, there i s a great concern about the current channeling o f public funds for primary healthcare through hospital budgets and the important share o f the public budget that i s devoted to hospital care when hospital care i s less pro-poor than primary health care. The establishment o f performance contracts between MSPAS, the SIBASI, and the providers, such as those being supported under the World Bank financed project, and the implementation o f a performance incentive system could help address such concerns. 4.54 Strengthening MSPAS human resource management systems i s a priority. MSPAS expenditure on wage and salaries absorbs two-thirds o f i t s budget. The lack o f information on MSPAS staff i s a clear indication that human resource management in MSPAS, which absorbs the bulk o f the ministry’s budget, must be substantially improved to ensure an efficient use o f resources. A new human resource policy i s badly needed to address the long lasting bottlenecks: the lack o f sufficient, well-trained and professionally balanced staff, operating under enforced labor rules and stimulating reward systems. 4.55 Establishing an efficient and cost effective pharmaceutics management system i s another priority. There i s some evidence that El Salvador purchases pharmaceutical products at prices higher than the international median. In addition, products o f substandard quality were found in several public facilities. MSPAS needs to improve i t s management of pharmaceutics products, including cutting the cost o f medicines procured. Efficiency and equity o f resource use 4.56 There has been an effort to increase the efficiency o f resource use in recent years and these efforts should be intensified. The number o f ambulatory visits, major surgeries, and hospital discharges has increased rapidly in recent years and hospital utilization rates have been at acceptable levels. Also when comparing spending with outcomes, El Salvador’s i s not among the most efficient countries in Latin America nor i s i t among the most inefficient. 4.57 There i s a need to increase the outreach o f the public healthcare services. Children in the poorest quintiles are three times more likely to be ill than are children in the highest quintile. One in each three poor persons that get ill,do not trust the public system and/or prefer to seek cure in alternative ways. Despite the progress in some health indicators, substantial differences remain between the health outcomes for the different income groups. Infant mortality i s almost twice as high for low-income families as for higher income families, though in recent years the gap has been closing. 4.58 MSPAS should not subsidize ISSS. ISSS spends US$ 220 per beneficiary per annum, while MSPAS’ annual budget corresponds to only U S $ 50 per person i t should cover. Only 17 percent o f the population and 6 percent o f the poor are covered b y ISSS. 134 The renting of MSPAS facilities to ISSS, the use o f MSPAS facilities b y ISSS members and beneficiaries raises equity concerns and should be thoroughly examined to ensure that MSPAS does not subsidize ISSS. 4.59 Cost recovery policies should be rationalized and strengthened, and those that can afford i t should pay for the hospital care they receive. A large proportion o f the better o f f population use MSPAS facilities. While in primary care, MSPAS expenditures favor the poorest quintiles; in hospital care they favor the middle quintiles. This calls for strengthening the cost recovery policies in hospitals. Recommendations In sum, the following recommendations may be considered: MSPAS allocation o f resources should give priority to the delivery o f costeffective primary healthcare services to the poor communities that have not been reached b y the health system. The functions and mission o f each component o f the SIBASI (hospital, health centers, health, clinics, and providers) should be clearly defined to strengthen the health network and referral system; performance agreements, contracts, and an incentive scheme should be implemented to make health providers accountable to both the MSPAS and the clients they serve. The allocation o f resources between general hospitals and specialized hospitals should also be reviewed; particularly because under the new STBASI financial arrangements, the relative under-funding o f general hospitals may lead to diversion o f resources from primary healthcare to hospital care. As the majority o f those that use MSPAS hospitals are the better off, cost recovery policies in hospitals should be rationalized and strengthened so that those that can afford to pay for the attention received, do pay. The use o f MSPAS facilities b y ISSS members and beneficiaries and the renting o f MSPAS facilities to ISSS should be thoroughly examined to ensure that MSPAS does not subsidize ISSS and that i t recovers the expenses incurred with I SS S beneficiaries. MSPAS management o f pharmaceutics products needs to improve to reduce the cost o f medicines, which i s high b y international standards, and increase their availability. MSPAS human resource management systems should be strengthened. 135 CHAPTER V: Water Sutmlv and Sanitation 5.1. The analysis of public expenditure on the water supply and sanitation sector focuses on the National Administration o f Water Supply and Sewage Systems, ANDA, the Social Investment Fund for Local Development, FISDL, and the Ministry o f Public Health and Social Assistance, MSPAS. These institutions execute water and sanitation projects in urban and rural areas. The chapter contains a review o f the sector organization and the analysis o f the government’s strategic objectives and the process o f resource allocation in the sector, the trend and structure o f expenditures and sector outcomes. I t concludes w i t h the identification of the sector’s public expenditure principal challenges and recommendations. I. Sector Organization 5.2. The water supply and sanitation sector in El Salvador comprises ANDA, selfsupplied communities, municipalities, FISDL, MSPAS, non-governmental organizations, licensed water systems, and private water-bottling companies. ANDA was created in 1961 to provide-in a centralized manner-water supply and sanitation on a national level, having received through transfers the majority o f systems managed b y municipalities. I t s roles comprise regulation, supervision, planning o f the sector, finance, construction, operation, and maintenance o f aqueducts and sewers systems; water-quality, supervision o f waters served; and exploration o f groundwater. B y mid 1960s, it delegated management o f rural water supply and sanitation o f the entire country to the MSPAS’ Division o f Rural Aqueducts. This function was taken up during the period 1981-1995 b y the National Basic Rural Sanitation Plan, PLANSABAR. In 1995, ANDA created the Directorate o f Rural Systems (GSR) to co-administer some 700 rural water systems, o f which 315 were built by PLANSABAR. F r o m 1999 onwards, ANDA began a decentralization process, signing several 5-year licensing agreements for operating water systems with private, not for profit entities, and municipalities. Table 5.1: Water and Sanitation Coverage, by Institution, 2002 (% of population) a/ Includes domestic or public connections. b/ Includes domestic discharge in sewerage systems and latrines. Source: ANDA 136 5.3. ANDA i s the main water supplier. In 2002, i t attended through i t s water supply systems 153 municipalities, 93 percent o f the urban population and 100 percent of the rural population with these service (Table 5.1). Through i t s sanitation systems in 70 municipalities and latrines, i t attended 96 percent o f the urban population and 100 percent o f the rural population with this service. 5.4. Self-supplied communities - by means o f systems constructed b y land developers - attended 4.9 percent and 4.1 percent o f the urban population with access to piped-water supply and sanitation.’” Municipalities attended the remaining 2.3 percent o f population with access to piped-water, by administering aqueducts in 72 municipalities. Municipalities receive technical, financial, and planning assistance from the Salvadoran Municipal Development Institute, ISDEM, and from the FISDL. From 1991, the F I S D L support the expansion, rehabilitation and construction o f small water and sewage systems, and latrines. Currently it i s executing two programs: Water for Rural Schools in El Salvador (PRONAES), and Expansion o f Drinking-Water Coverage to the Rural Area (PROAGUA). MSPAS i s charged with the program for integrated attention for environmental health, which includes education in communal health, sanitary disposal o f excrements and supervision o f quality o f water for human consumption. N o t for profit organizations are also active in the sector.In6 In 1998, the National Association for Defense, Development and Distribution o f Rural Water (ANDAR) was created, integrating 28,491 associates organized through 102 water systems built b y P L A N S A B A R in 62 municipalities in the country. These systems are administered b y the communities, and receive subsidies from FINET for power supply for water pumping, and their tariffs are adjusted to recover costs, in accordance with the economic capacity o f users. Finally, b y the mid-l990s, private enterprises dedicated to bottling and distributing drinking water sprung up, with five major firms sharing this growing market.‘” 11. Strategic Objectives and Resource Allocation Process 5.5. At the beginning the 1990s, the sector faced major challenges: i)Fragmentation and lack o f coordination o f the entities involved within the sector; ii)Serious operational problems in ANDA, including lack o f maintenance o f equipment, leaks in o l d pipe lines and incomplete system cadastre and l i s t o f users, problems with measuring valves and large water losses (see paragraph 5.20); iii)Weak ANDA finances, because tariffs barely covered operational costs which caused payment arrears to suppliers amounting to US$27 million (CEL, CAESS, ISSS, Government and international financial organizations); iv) Major restrictions to availability o f water resources for supplying drinking water, ln5 Main communities are: Comunidad Las Margaritas in Soyapango, ADESCO ROMA in Colonia Roma, Urbanizacibn Altos de San Antonio in Cuscatancingo and Urbanizacidn Valle Verde I V in Apopa (San Salvador); Urbanizacidn L a Cima I V and Residencial Cumbres de Cuscatlin in Antiguo Cuscatlin, Comunidades Vista Hermosa, E l Rasto and UrbanizacidnBrisas de Zaragoza (La Libertad); as well as Comunidad Bosques de Perulapia (Cuscatlin). ‘06 T h e main non-governmental organizations building and operating the rural potable water supply and sanitation systems with participation o f the communities are: Cooperativa Americana de Remesas al Exterior (CARE), Creative Associates Intemational (CREA), Concern Intemational Project (PCI) and Plan International. lo’ Industrias L a Constancia S.A. de C.V. (Agua Cristal), Inversiones Vida S.A. de C.V (Agua Alpha), Aquapura S.A. de C.V, EnvasadoraAurora Limitada de C.V.( Agua Alaska, Agua Fresca and Agua Kasstle), Pure, Industrias Licteas San JosC S.A. de C.V. (Agua Trbpico). 137 including high levels o f contamination o f underground water sources and conflicts with other uses (electricity, agricultural irrigation, ecological, etc.), and users (municipalities, enterprises, communities, etc.); v) L o w coverage and low quality o f water and sanitation systems, particularly in rural areas; and, vi) Inadequate institutional and legal sector framework. 5.6. Successive administrations sought to address these problems. The strategic objectives for the 1989-1994 period were108:i)T o re-establish minimum order in ANDA; this included staff changes, strengthening o f the Board o f Directors to define up policies and coordinate the other operators in the sector, adjusting tariffs, paying overdue debts with suppliers, disconnecting service to clients with overdue bills, contracting private sector enterprises for reading water meters and for control o f water quality; ii)To complete investment projects being carried out by ANDA, o f which the most important was Phase Iof AMSS water supply and sanitation system financed b y IDB; and, iii)T o raise the coverage in rural areas through higher community participation (by granting them planning, financing, building, and operating responsibilities in their water systems), with donations from USAID and UNICEF, as well as constructing small water and sanitation systems by the Social Investment Fund, with loans from IDB. 5.7. The armed conflict produced serious damages in the water and sanitation sector, estimated at US$58 million. Ninety percent o f damages resulted from non-received income because o f the constant interruption o f water supply arising from power stoppages. This reduction in financial resources caused the postponement in the development o f projects geared toward expanding water coverage and providing normal service, and finally caused a rise in ANDA tariffs. Damage to the water and sanitation infrastructure amounted to US$6 million. The National Reconstruction Plan (PRN) contemplated the execution o f small water and sanitation systems rehabilitation projects in selected communities in an amount o f US$6.1 million, though the actual investment turn out to be five-times the initial estimate. 5.8. Signing o f the Peace Accords and execution o f the PRN greatly influenced the strategic objectives for the 1994-1999 period, including: IO9 i)Rehabilitation o f existent potable water and sewerage systems at the national level, within the framework of the National Reconstruction Plan, with loans from IDB for the eastern, western and central regions, and from Japan for the eastern region; ii)Increasing coverage and quality o f potable water and sanitation service, focalizing on rural areas, with ANDA and FIS resources; iii)Improving San Salvador Metropolitan Areas (AMSS) water and sanitation systems with IDB and CABEI loans; and, iv) Starting the design for a reform o f the sector with IDB support, which includes ANDA institutional modernization, establishment o f a tariff policy, formulating a L a w for Water and i t s regulatory entity, and designing proposals for decentralizing water and sanitation services (See B o x 5.1). lo8 Public Investment Priorities and Needs for Technical Assistance Needs, 1989-1994. Ministry of Planning and Coordination of Economic and Social Development. lo9 “To Convert El Salvador into a Country of Opportunities: Government Plan for 1994-1999”. Government of the Republic o f E l Salvador, 1994. 138 5.9. During the period 1999-2004, the strategic goals were’”: i) To extend coverage o f water supply and sanitation services to underserved rural and peri-urban areas with community participation; ii)To improve the quality of services; iii)To support the modernization o f the sector’s legal and regulatory framework, including the allocation of water rights and concessions to the private sector under government supervision; iv) To restructure ANDA for operating in an open market; v) To begin a gradual process o f decentralization o f production and distribution o f water and sanitation systems; and, vi) To promote rational use of natural resources. Box 5.1: Water and Sanitation Sector Reform Efforts The various diagnostics made o f water and sanitation sector indicated that the key problems o f the sector were: i)Absence o f a rational regulatory framework; i i ) Institutional weakness and dispersion; and iii)Lack o f quantitative and qualitative information o f water resources. El Salvador water legislation was found to be incoherent and contradictory. There i s no single entity responsible for the integrated management of water resources, on the contrary, use i s unsustainable and conflicts arise among heavy users (ANDA for human consumption, C E L for generating electric energy, and M A G for agricultural irrigation). In the absence o f clear rules regarding rights and duties for the use o f water, the private sector has no incentives for investments i n the sector. Intents at reform o f the sector date back to the 1970s. However, a more concerted effort began in the mid- 1990s. In 1995, a Coordinating Commission for Sector Reform o f Water Resources was created (COSERHI) that in turn created the Coordinating Unit o f ANDA Modernization, and prepared the Plan for Modernizing the Water Resources Sector. This plan proposed the creation o f a governing institution-the National Commission for Water Resources-that would regulate the sub sector water and sanitation; an institution for the conservation o f water resources and attention to the rural area; and, enterprises for operating and management o f water and Sanitation systems. In 1998, the IDB approved a loan to support the reform of the sector. I t included the establishing o f a modern regulatory framework; reform o f ANDA; studies of tariffs, subsidy policies, and updating technical norms; and designing the community administration model of rural water and sanitation systems. The loan was not approved by the National Assembly at that time and eventually was modified to support the sector reconstruction efforts after the 2001 earthquakes. Although ANDA has already prepared a proposals for: i)a new General Water Law that would establish as main mechanism for efficient water management, assigning rights for use o f water for 50 years; i i ) a Potable Water and Sanitation Law that would be created by the Superintendence o f Water Resources as governing entity, and by the Superintendence o f Potable Water and Sanitation as regulating entity; iii) a Potable Water and Sewerage Tariff Law; and iv) a Potable Water and Sewerage Subsidies Law, they still have not yet been presented to Congress for approval. In 1999, ANDA started a decentralizing pilot plan, signing 12 licensing agreements for 5-year operation of water systems. These included: 2 micro-regions (Tetralogia S E M in UsulutBn -Santiago de Maria, Alegria. Berlin, TecapBn, Mercedes Umafia and California- and Juaylia i n Sonsonate -Juayda, SalcoatitBn. Nahuizalco and Santa Catarina Masahuat-); an industrial zone (20 enterprises grouped in Asociacih de Empresarios y Vecinos de l a Zona Industrial L a Laguna -ASEVILLA- situated in Antiguo CuscatlBn); and an enterprise formed by ANDA employees to provide service to four rural aqueducts; and ter municipalities (San JosC Villanueva, San Juan Opico, San Matias, San Pablo Tacachico, Tacuba, Ataco Apaneca, Suchitoto, San Isidro and Caluco). The results o f these decentralization experiences are mixed. First evaluations o f Tetralogia SEM (thai receives subsidized electricity for pumping water), E M A S A and A S E V I L L A (See Table 5.2), yield positive results, whilst other municipalities have returned the aqueducts to ANDA because o f the high cost 01 electricity for pumping water. ‘lo“The 1999. New Alliance, Government Plan for 1999-2004”. Government o f the Republic o f El Salvador, 139 5.10. The earthquakes in year 2001 caused serious damage t o water and sanitation systems. According to CEPAL, the damage amounted to US$23 million. In urban areas, damage consisted o f cracks in water-storage and distribution tanks, damage to deep wells, instability o f hillsides and localized landslides that caused ruptures o f water conducting pipelines; in rural areas damage consisted in disconnection and rupture o f pipelines, destruction of well walls, destruction o f entire sections o f conduction and distribution lines, as well as water collecting sites. The alternate network o f Zona Norte project and the systems that served the para-central region o f the country collapsed with the earthquake in February, bringing about generalized water scarcity. This forced the Central Government to redirect resources from loans that supported sector reform and the decontaminating o f critical areas, toward rehabilitation o f the infrastructure damaged b y the earthquakes. 111. Expenditure Trends and Structure Overall trends and Structure 5.11. Total public expenditure (current and capital) for water supply and sanitation grew from 0.4 percent o f GDP in 1990 to 1 percent o f GDP in 2001, falling thereafter in 2003 to 1992-1995 levels (Table 5.3). Approximately 89 percent o f total expenditure for period 1990-2003 belongs to ANDA, 6 percent to FISDL, and 5 percent to MSPAS. Investment grew b y 0.1 percent o f GDP in 1990 to a maximum o f 0.4 percent o f GOP in 2001, falling in 2003 to 1990 levels. Seventy percent of investment was used for rehabilitating, improving and building water systems (aqueducts and public water wells) and the remaining 29 percent for sanitation (sewerage, septic tanks, and latrines). The rise in total expenditure and investment in water and sanitation during the second half o f the 1990s, i s explained b y the improved creditworthiness o f public institutions after the adjustments carried out during 1991-1994. Table 5.2: Public expenditures on water supply and sanitation, 1990 - 2003 (US% m. and % of GDP) Sanitation 2.4 8.5 5.4 Total Expenditure 0.4 0.6 0.7 Total Investment 0.1 0.3 0.4 AS Yo of GDP 140 10.5 12.1 0.9 1.o 1.o 0.9 0.6 0.4 0.4 0.2 0.1 9.3 Expenditure by Economic Function and Category 5.12. A review o f ANDA expenditures b y function during the period 1997-2003 (Chart 5.1) indicates that: i)Activities related to production, physic-chemical treatment o f water, and maintenance o f distribution systems encompassed approximately 50 percent o f total expenditure o f the period, after falling to a minimum 32 percent o f expenditures o f 2000, and rising to 64 percent o f expenditures o f 2003; ii)Investments constitute the secondhighest most important expenditure, having reached a maximum of 39 percent o f expenditure in 2000 and then drastically falling to 5 percent of expenditure in 2003;'" iii)Administration represented an average 14 percent o f expenditures for the period, participation for year 2003 being similar to 1996; iv) Resources destined for debt payment grew threefold between 1996 and 2003, reaching a maximum o f 14 percent in 2000; and, v) Resources destined to preventive and corrective maintenance o f water meters, mechanization o f reading water meters, facilities granted for payment of water bills (ANDA's collection centers and credit card and banking collection fees) and connecting water and sewerage, represented an average o f 5 percent o f total expenditure for the period. Chart 5.1: ANDA Expendituresby Function, 1997 - 2003 70 7 1 60 50 40 30 20 10 0 - Adnunistration 1 Debt Service 165 175 114 122 99 30 31 66 120 142 1 149 152 162 105 113 106 Bilhng&Collection 79 85 12 69 46 21 28 39 -Production&Disuibution 48 1 543 496 41 7 323 41 1 580 640 -Investment 1 24.5 1 16.6 1 25.1 I 27.1 1 39.0 1 24.8 1 12.7 1 1 5.3 Source: ANDA and Ministry of Finance 5.13. A review o f ANDA expenditure b y economic category (Table 5.4) reveals that: i) Approximately 45 percent o f resources for the period 1997-2003 were spent on the purchase o f goods and services, o f which the total for 2003 i s lower than that o f 1997; ii) Payment o f wages and salaries averaged 17 percent o f total expenditures during the period, with a decreasing trend up to year 2002; iii)24 percent o f resources for the period was allocated for purchase o f assets, having reached a maximum share in 2001 o f 33.5 percent, falling drastically thereafter to 4 percent in 2003 (see below); iv) Participation o f ' I 1This decline i s explained by discontinuation of projects affected by acts o f corruption b y the institutions' ex president and ex- general manager, who are being prosecuted by the courts. 141 financial expenditures increased six-fold between 1997 and 2003, from 3 percent to 19 percent; and, v) Current and capital transfers remained constant at 0.1 percent o f expenditures for the period. Table 5.3: ANDA Expenditures, by Major Economic Category, 1997 - 2003 Source: Ministry of Finance Water supply and sanitation in rural areas and urban marginal areas (Japan, USAID, CARE, PCI, Luxemburg, UNICEF, Korea) 39 Water and sanitation (FANTEL) 19.6 Water and sanitation , FISDL (IDB, CABEI) 63.2 Basic sanitation, MSPAS (USAID, UNICEF) 57.9 4. Counterpart resources ANDA Government a/ 69 5. Total 376.5 5.14. Investments in the water and sanitation sector for the period 1990-2003 amounted to US$377 million (Table 5 . 9 , and were mainly geared toward: i)Increasing coverage o f water and sanitation to rural areas and marginal urban areas through FISDL, MSPAS and ANDA, with donations, FANTEL resources, and BID and KFW loans (US$195 million, equivalent to 52 percent of investment o f the sector); ii)Increasing production capacity and improving ANDA’s distribution network in the San Salvador Metropolitan Area, as well as improving served-water quality with financing by BID, BCIE, France and Spain 142 (US$81 million, equivalent to 21 percent o f resources); iii)Counterpart resources to the other programs with Central Government or own resources (US$69 million, equivalent to 18 percent of resources); and, iv) Rehabilitating or reconstructing water supply and sewerage systems in municipalities most affected by the armed conflict o f the 1980s as part o f the National Reconstruction Plan (US$31 million equivalent to 8 percent o f resources). Finally, the sector benefited from an IDB's loan to support the reform o f the sector for U S $ 4 4 million. Chart 5.2: ANDA Investment by Financing Source, 1990 - 2002 A- 40 -' i-Fmign 10 ! 1 nanP Donations 1 0.0 1 0.0 1 0.0 1 0.0 1 0.0 1 11.6 ~ 27.8 108 113 136 119 111 106 100 ~ 1 23.5 1 14.2 1 16.8 1 14.9 1 17.4 ~ 0.0 13 1 0 8 11061 1041 3 0 I 4 2 1 1 I Source: ANDA and Ministry o f Finance Source of Funds 5.15. ANDA investments in water and sanitation for the period 1990-2003 reached US$ 267 million, o f which 93 percent were carried out in 1995-2002. Sub-periods with fewer investments were 2003 with US$4.5 million, and 1990-1994 with US$14.0 million (Table 5.6). Average counterpart financing o f investment projects was 37 percent from ANDA own resources and transfers from public institutions. External resources for the period 1990-1994 came from USAID donations, because o f overdue payments b y ANDA with international agencies, while internal resources came f r o m an A N D A - F I S agreement and the institutions own resources in equal amount. The main sources o f external providers during 1995-2002, were: IDB, Spain, Japan, C A B E I and Germany (54 percent o f investment, and 85 percent o f external resources); and o w n ANDA resources (21 percent o f investment, and 58 percent o f local resources). An average of 48 percent o f ANDA investment for the period 1990-2002 (Chart 5.2) was financed b y external loans. A N D A own resources financed 21 percent o f investment for the period, 15 percent with external donations; and, 16 percent w i t h Central Government and FIS resources. 143 I FIS Agreement 2.8 a/ Only project lending b/ CARE, UNICEF, Korea, PCI and El Dorado Source: ANDA, FISDL and M O H IV. FIS Agreement 1 2.8 I Expenditure Outcomes 5.16. Investments carried out during the period 1990-2002 have improved coverage of water supply and sanitation systems, particularly in underserved rural areas and in the poorest communities. In spite o f this, El Salvador s t i l l lags behind in terms o f coverage with respect to i t s neighbors; and parasites and diarrhea continue to be the main causes o f morbidity, in cases treated b y MSPAS clinics. The following paragraphs analyze the sector’s coverage and the efficiency, the quality of water supply and sanitation services, and the incidence o f public expenditures. Coverage 5.17. National coverage of piped-water service increased b y 18 percentage points during 1990-2002: from 46 percent to 64 percent of total population (Table 5.7). This outcome i s explained b y having incorporated more than 300,000 new residential connections to ANDA’s distribution network. According to ANDA, coverage in rural areas increased b y 19 percentage points during the same period, almost twice the increase in coverage o f the urban area, through a similar expansion o f residential connections and public connections (9.6 and 9.5 percentage points, respectively). In 2002, 96 percent o f the urban population had access to water served by pipes, almost three times more than the rural coverage, mainly through residential service (90 percent, compared to 6 percent 144 through public connections). O f 30 percent o f rural population with access to piped water in 2002, 20 percent did so through residential connections, and 10 percent through public connections. Connections (#) Water 312,834 400,731 539,579 612,917 300,083 Sanitation 244,784 310,277 401,786 450,073 205,289 5.18. Coverage o f sanitation at the national level increased b y 10.1 percentage points between 1990 and 2002, from 61 percent to 71 percent o f total population, due mainly to incorporating more than 200,000 connections to ANDA sewerage networks. Expansion in the rural area was four times greater than that registered in the urban area (13 percentage points, versus 3.4 percentage points). In spite o f this, coverage o f sanitation in 2002 in the urban area was 1.8 times greater than in the rural area. H a l f the total population with access to sanitation in 2002 has residential connections to the sewerage networks and the other half has through latrines (35 percent and 36 percent respectively), with a relation o f 3 to 1 connections-latrines in urban areas, while the rural areas are 100 percent latrines. Data for the household surveys show a similar trend to that reported b y ANDA.’12 112 Date for the household surveys show that the expansion i n piped water coverage at the national level between 1991 and 2002 was 14.2 percentage points in terms of households. The increment in piped water to rural households was twice that registered for urban households, equal to Charts reported by ANDA i n terms of population. Nevertheless, piped water coverage by EHPM in terms of households in 2002 i s higher than ANDA Charts in terms of population (75.9 percent versus 63.7 percent). When considering households that have wells, water coverage in 2002 rises to 88.1 percent at the national level (versus 63.7 percent of population with access to piped water from ANDA), 96.5 percent for urban areas (similar to ANDA’s 96.0 percent) and 73.7 percent in rural areas (compared to ANDA’s 30.1 percent), and 97.5 percent in the San Salvador Metropolitan Area. As for sanitation, the expansion o f drainage coverage at the national level between 1991 and 2002 according to EHPM was 14.9 percentage points in terms of households (higher than 10.1 percentage points in terms of ANDA’s Charts for population). The rise i n coverage for rural regions was 9 times greater than i n urban areas (compared to 4 times ANDA’s Charts). These differences can be explained because ANDA does not take into consideration latrines installed by NGOs operating in the sector. Coverage of drainage in 2002, according to EHPM, was 93.0 percent of homes at the national level (compared to 70.9 percent of population according to ANDA), 98.1 percent of 145 Latrine Rural Residential Connection Latrine Population miles 60.7 34.6 49.5 56 86.6 0.0 0.0 0.3 56.3 49.5 56.0 86.3 11,088 5,989 4,690 2,762 41.5 21.8 2.0 38.7 97.1 50.3 71.3 1.1 0.0 15 96.0 50.3 3,341 6,157 5.19. A comparison o f the regional coverage carried out b y W H O P A H O in 1999 (Table 5.Q reveals that El Salvador registered the lower national coverage of water supply and sanitation. National coverage o f water supply in El Salvador was 3/5 that o f Costa Rica (59.2 percent of total population, versus 95.0 percent); and o f sanitation approximately 3/4 (68 percent versus 94 percent). At the urban level, water supply coverage in El Salvador only exceeded Panama (92 percent versus 88 percent), while rural coverage in El Salvador was only 1/4 that o f Costa Rica. Coverage of sanitation at national and urban level in El Salvador i s 1.5 times higher than in Costa Rica. Efficiency 5.20. Efficiency o f the water supply and sanitation systems can be evaluated through the losses in water distribution and the price of service. There i s no public record o f water losses in ANDA systems. However, there are indications that in the early-l99Os, the losses were high but have subsequently diminished. For example, the survey of urban homes (slightly higher to ANDA’s Charts 90.0 percent), 84.4 percent o f rural homes (as against 51.0 percent) and 98.7 percent o f homes in the San Salvador Metropolitan Area. 146 hydraulic balance o f the AMSS water supply system carried out in February 1993’” indicated that water losses were 39 percent; on the other hand. A W H O R A H O evaluation indicated that in 1999 there were 21 percent water losses in AMSS.’14 ANDA estimated at 17.4 percent potable water losses at the national level in 2002. Estimates of losses using ANDA systems reported production and consumption Charts at the national level for period 1993-2002 shown in Table 5.9, indicate that water losses (operational and commercial) rose from 16 percent in 1993 to a maximum 26 percent in 1996 and then diminished to 9.6 percent in 2002. In this context, i t should be noted that the proportion o f meters in operation declined from 72 percent in 1993 to 57 percent in 2002. Table 5.9: ANDA’s Water Losses, 1993 - 2002 Source: World Bank based on ANDA data Chart 5.3: Nominal and Real Price of Water Service as Measured in CPI 8 A r m v r x 2 -8 I I 250 225 200 175 150 125 100 75 50 25 0 t Nominal t I I 100 100 1 173 173 173 1 173 ~ 173 1 173 173 247 247 1 ‘I3“Analysis of the Potable Water and Sanitation Sector in El Salvador”, USAID, IDB, CARE, CONADE, WHOPAHO. 1994 ‘14 Evaluation of Potable Water and Sanitation Services in the Americas, 2000, WHO/PAHO. 147 recovery o f operational expenses, maintenance and service o f current systems in use, an new systems for enhancing coverage; ii)Recovering collection costs, treatment, and final disposition of sewage; and, iii)Promoting rational use o f water for human consumption and other household uses. During the period 1993-2003, the price o f ANDA water service, measured by the Consumer Price Index has undergone two increments: in December 1994, when the last tariff adjustment was implemented, and in December 2001, when a 50 percent subsidy was eliminated for the first 20 m3 o f water, irrespective of monthly consumption, remaining valid only for marginal communities and for users with monthly consumption up to 20 m3 (See Chart 5.3). These measures produced a 147 percent nominal increment in the price o f the service between 1993 and 2003; and a real increment o f 24 percent. Table 5.10: Average Water Price in Greater San Salvador, 2002 (US$/m3) a/ (+)=subsidy in relation to the average price (-)=overprice relative to average price, which has been estimated dividing total collections b y total water billed. Source: World Bank with ANDA data 5.22. In spite o f the foregoing increments, the tariff structure in 2002 generated an average charge o f US$O.3O/m3 o f water in the Greater San Salvador (GSS), '15 lower than US$0.43 which i s the average cost for ANDA o f 1 per 1 m3 billed (Table 5.10). This means that, in average, users in GSS s t i l l are being implicitly subsidized b y the tariffs with 43 percent per 1 m3 o f water consumed. Sectors that as an average do not receive implicit subsidies are the commercial sector, with a monthly consumption above 21 m3 and the industrial sector, with a monthly consumption above 41 m3. While the sectors that receive relatively greater implicit subsidies are the marginal communities (330 percent), the municipal institutions with monthly consumption o f less than 23 m3 (291 percent), the residential area with a monthly consumption o f less than 20 m 3 (139 percent) and between 21 and 40 m3 (115 percent), the autonomous institutions with a monthly consumption lower than 20 m 3 (126 percent) and greater than 41 m 3 (65 percent). 5.24. The tariff privilege for GSS residential clients o f ANDA becomes greater when compared to prices paid for provision o f water through barrels (from US$2.86 to '15 The Greater San Salvador includes 16 municipalities while the Metropolitan Area of San Salvador includes 13 municipalities. 148 US$4.57/m3 in 2000), or truckloads (US$3.66/m3 in 2000). In the first case, the implicit subsidy o f ANDA tariff moves between 535 percent (when monthly consumption i s greater than 4 1 m3 and 5 barrels are purchased, equivalent to l m 3 o f water, at US$2.86), and 2,440 percent (when monthly consumption i s lower than 23 and 1 m3 o f water in barrels i s purchased at US$4.57). While in the second instance, implicit subsidy in ANDA tariff moves between 713 percent (when monthly consumption exceeds 41 m3) and 1932 percent (when monthly consumption i s lower than 20 m3). 5.25. Establishing tariffs that reflect the real degree o f water scarcity i s important, in order to promote i t s rational use. Residential per capita consumption for homes connected to the network has increased by 20 percent between 1990 and 2002, with a drop in consumption when prices increased in 1994 and 2001 (See Chart 5.4). The per capita consumption level in 2002 (161.4 liters/habitant/day) was 35 percent greater than in Belgium, Germany, and Portugal (120 liters/habitant/day), countries with higher standard of living than El Salvador. Chart 5.4: Per Capita Residential Consumption, 1990 - 2002 180 130 120 I-Consumption 90 1 91 I 92 I 93 1 94 1 95 96 1 97 1 98 99 I 00 1 01 1 02 134.2 1159.0 1162.3 1155.7 1176.8 1136.7 1138.3 1143.3 1142.3 1149.1 1150.8 1145.8 1161.4 Source: ANDA Quality 5.26. Quality o f water supply and sanitation service can be evaluated by: i)Continuity o f water service, measured b y the hours o f average supply; ii)Quality o f water supplied; and, iii)Degree of treatment o f water discharges prior to final disposition. There are no official registers of the population that receives continuous water service (24 hours daily). Nevertheless, in 1994 ANDA’s Operations Management estimated that the average period o f water supply for AMSS fluctuated between 16 to 18 hours daily, with critical 149 sectors, such as Soyapango, Ilopango and San Marcos, with 8 hours daily. W H O P A H O estimates for 2000 indicated that 83 percent o f 213 urban water supply systems analyzed, had intermittent service."' The Diagnostic o f the Water and Sanitation Network in El Salvador carried out in 2001, in 1,526 o f 2,319 districts o f the country, revealed that approximately 62 percent o f households are supplied with water more than 4 hours daily."' And the FESAL 2002 indicated that 18 percent o f those polled in urban areas and 42 percent in the rural area declared they did not have water supply for at least 4 hours daily during the 7-day week.l19 5.27. In view of the above service record, it should not come as a surprise that in 2002 ANDA was the most denounced institution in the Consumer Protection Directorate of the Ministry o f Economy for making unlawful charges and the second most accused in 2003, directly behind the power distributor enterprises (19 percent and 14 percent o f total complaints presented in 2002 and 2003, respectively). The most frequent complaint o f users o f ANDA i s that bills always arrive on time although service i s interrupted for long periods o f time. 5.28. ANDA carries out quality control in water production sites and in distribution networks, b y means o f physic-chemical treatment required to guarantee that water supplied to the population i s apt for human consumption. O f 1,370 physic-chemical analyses carried out in ANDA distribution networks at the national level, and 770 in the GSS during 2002, 68 percent and 63 percent, respectively, met standards established b y MSPAS and W H O P A H 0 (Chart 5.5). O f 5,760 bacteriological analyses carried out in the distribution networks at the national level and 3,160 in GSS, 47 percent and 87 percent, respectively, met these standards. Whilst, o f 3,620 readings for chlorination in the GSS distribution network, 59 percent met the established standards. There i s no information available on water quality in wells in the rural area. These results explain the proliferation o f private enterprises selling bottled drinking water, mainly to medium and high income families, thought the cost o f bottled water is 21 more expansive per m 3 than the water supplied b y ANDA.'" 'I6Analysis of the Potable Water and Sanitation Sector in El Salvador. USAID, BID, CARE, CONADE, OPS-OMS. 1994 Evaluation of Potable Water and Sanitation Services in the Americas, 2000. WHO/PAHO. 'IsThe Diagnosis of the Water and Sanitation Network in El Salvador. RAE-ES, September 2001. 'I9Health survey carried out periodically b y the Demographic Association o f El Salvador with U S A I D support. 120 This Chart results from a comparison o f the average price o f the water supplied by ANDA to residential the equivalent price for bottled water users-with consumption greater than 40 m3 (US$0.45/m3)-with currently valid on the Salvadoran market, through purchase o f 5 gallon containers (US$96.7/m3 = US$1.83 x 52.8 containers). 150 bottom quintile (23 percentage points), 1.7 greater than the increment reported for higherincome households in the 5th quintile (14 percentage points). Chart 5.6: Availability of Piped Water per Quintile, 1991 - 2002 '"" I 1991 I I I -1995 1-2002 I 54.9 58.7 75.9 1 I 1 34.7 35.8 2 46.0 47.8 57.7 68.4 1 3 52.1 58.9 4 63.5 67.5 76.8 84.2 1 5 78.2 83.6 1 92.3 Quintile 5.31. On sanitation, household that registered a higher increment o f service availability between 1991 and 2002 (Chart 5.7) were those in the poorest quintile (21 percentage points), 3.5 times the increment experienced b y the households in the 5th quintile (6.5 percentage points). Chart 5.7: Availability of Sanitation per Quintile, 1991 - 2002 100 95 90 85 80 75 6 5 E - = 70 60 55 4 1991 Total 1 78.1 60.4 +I995 87.9 74.0 +ZOO2 93.0 81.5 , 2 3 1 4 5 92.7 72.8 79.1 85.4 84.6 89.7 93.5 97.5 92.1 94.6 97.8 99.2 Source: Household Survey 152 Table 5.12: Distribution of W a t e r Sanitation Services, b y department 1990 - 2002 Source: ANDA 5.32. Geographical distribution o f new ANDA services for period 1990-2002, reveals that 62 percent o f new aqueduct services and 74 percent o f sanitation services were connected in the department o f San Salvador and L a Libertad (Table 5.12). The nextfollowing department with greater proportion o f newly connected services was Santa Ana. These results are congruent with ANDA policies o f promoting a higher number o f connections of service in those regions where there are already water supply and sanitation systems. Payment facilities for these connections are offered, so as to reap the benefits o f the local economies-or their density-located in these infrastructures. In the case o f sanitation service, the high correlation coefficient between department per capita income and new number o f new connections reflects more so the fact that departments with higher incomes are also in possession o f existing networks. 5.33. A geographical analysis o f water supply and sanitation projects carried out b y FISDL during 1991-2003, reveals that 60 percent o f investments in water supply were done in the departments o f San Salvador, Cuscatlh, Usulutan, L a Libertad and Sonsonate; while 71 percent o f investments in sanitation were done in the departments o f San Salvador, San Miguel, Santa Ana, Sonsonate and L a Paz (Table 5.13). In both cases, there i s high correlation between investments carried out and departmental per capita incomes. Nonetheless, virtually all F I S D L investments benefit l o w income communities within these departments. 153 Table 5.13: FISDL’s Distribution Water Sanitation Projects by Department 1991-2003 Source: FISDL V. Conclusions and Recommendations 5.34. Water supply and sanitation indicators for 1990-2003 reveal an increase in coverage, mainly in rural areas. The M D G - 7 under the general objective o f environmental sustainability establishes the target o f reducing to half b y 2015, the proportion o f population not having sustained access to safe water and basic drainage in 1990. The recent study o f the situation o f El Salvador in relation with the MDGs indicates that El Salvador has already surpassed the MDG target for urban water and sanitation and rural sanitation coverage and i t i s likely that b y year 2015 the target for rural access to water w i l l be met.I2’ Nevertheless, there are s t i l l great challenges to be met in the sector. 5.35. Strengthening the water supply and sanitation sector i s part o f the new President’s Government Plan: Safe Country 2004-2009. I t stresses the need to increase coverage o f water supply services, particularly to the poor households, and improve basic sanitation with community participation; modernize the sector’s legal and institution framework; and promote water conservation. Consistent with these objectives, the previous analysis points out that the main sector challenge i s to implement a reform that includes the establishment o f a new legal framework that eliminates ANDA’s double role as regulator and operator, the creation of an independent regulatory entity, the restructuring o f ANDA management to ensure the transparent use o f resources, and the definition o f water use 12’ “El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer lnforme de Pais ”, 2004. 154 rights. In addition, there i s a need to meet the following specific challenges: i)continue to raise water supply and sanitation coverage in the rural area; ii)reduce operational and commercial water losses; iii)improve the quality o f water supplied; iv) improve service continuity (at least raising the number o f days a year in which water i s supplied to critical areas); and v) promote actions for the treatment o f water discharges in the main cities o f the country. Allocation of resources to the sector 5.36. The sector key challenge i s to achieve universal coverage o f water supply and sanitation b y 2015. Coverage o f water and sanitation services increased significantly in the last several years, particularly in rural areas. Nonetheless, El Salvador coverage through piped water networks and sanitation i s s t i l l low compared to i t s neighbors. Given the uncertainty about the nature and timing o f water and sanitation sector reforms and about the most cost-effective and appropriate service delivery models, estimating with precision the necessary increases in investments i s difficult. Nonetheless, recent estimates suggest a possible range o f costs associated with attaining universal coverage in water and sanitation. Using international estimates o f efficiency prices and differentiating between the costs o f investments in rural and urban areas, Yepes (2004) estimates an average annual investment cost o f US$ 21 million between now and 2015, or about 0.14 percent o f GDP per year. Because these calculations use estimates o f efficiency costs, rather than actual costs, they may be interpreted as lower-bound estimates. Following an analysis presented in the recent Human Development Report (2004), and using unit cost estimates provided b y ANDA (although not differentiating between the unit costs o f rural and urban areas), i t i s estimated that the additional investment costs o f achieving universal water and sanitation coverage would range from US$ 45 to U S $ 50 million between now and 2015, or as much as an additional about 0.3 percent o f GDP per year.'23 Intra-sectoral allocation of resources 5.37. N e w investment should not be in detriment o f the need to maintaining the existing infrastructure and improving the quality o f services. The qualitative aspects, such as improving water quality, continuity o f service, and promoting adequate use o f latrines built, are as important as increasing the coverage o f the services. Thus, there i s a need to balance the amount o f resources dedicated to extend the coverage o f service with the need to maintain and improve existing infrastructure and provide quality services. 5.38. The sector w i l l benefit from more involvement f r o m the municipalities, NGOs and communities, particularly in the execution o f high-impact projects with l o w investment, to meet in the short term rural low-income household needs. These projects could include sanitary education, programs for building wells, water storage tanks, septic 122 When considering wells and latrines built by institutions operating in the sector, water coverage at the national level rises to 88 percent and drainage to 93 percent o f households in 2002. I n the absence o f sector reforms and the identification o f a cost-effective service delivery model for rural areas, the costs are likely to be closer to the upper- than the lower-bound estimate. 155 tanks and/or latrines, and campaigns for the treatment o f water emanating from wells, rivers, creeks, and rainwater 5.39. ANDA needs to streamline further i t s operations and ensure that resources are used in an efficient and transparent manner. The recent corruption scandals call for a major restructuring o f ANDA management policies and procedures. As mentioned A N D A ’ s mandate should be revised to eliminate i t s double role as regulator and operator with i t s conflicting incentives. In this context, there i s also a need to establish a sustained model o f decentralization o f services in the sector. In the last several years, pilot projects have been initiated b y ANDA with mixed results. In several instances, the administration o f the systems was returned to ANDA because o f the high cost o f electricity for pumping water. In other cases, the service model appears to be working. Efficiency and equity of resource use 5.40. The quality o f ANDA services needs to improve substantially. There i s large disruption o f ANDA water service, the quality o f water at the national level i s poor, and sewage i s dumped into rivers, creeks, and lakes without treatment. As mentioned, 18 percent o f those polled in urban areas and 42 percent o f the rural area did not have water delivered at least during 4 hours daily. In 2002, only 68 percent o f physic-chemical analysis and 47 percent o f bacteriological analysis carried out at the national level on ANDA distribution networks met WHOPAH0 standards. On the other hand, less than 3 percent o f total sewage gets treated before final disposition into superficial water sources. This means that the health benefits mainly to the urban population brought about b y aqueducts and sewerage, in turn become environmental costs to the all population. 5.41. The pricing o f water and sanitation services i s inefficient and should be revised. Despite the tariff adjustments in 1994 and the elimination o f subsidy for all consumers, except those that consume up to 20 m3 o f water per month beginning January 2002, there remains an implicit subsidy in the water tariff o f 43 percent. The cost for ANDA residential users i s a fraction o f the cost for low-income households that must buy water b y the barrel or b y truckloads. A new tariff policy should allow for: recuperating operation and maintenance costs; financing expansion o f water and sanitation systems; and promoting rational use o f water. This implies, eliminating excess privileges in the hands o f current users o f ANDA with high monthly consumption. Because o f the sacrifice that w i l l be demanded from consumers, tariff adjustments should be accompanied by specific commitments from ANDA to raising coverage, quality of service, operational and financial efficiency, and honesty and transparency o f administration o f resources. 5.42. FISDL spending on the sector has been pro-poor and it should continue to support low-income communities with cost-efficient water and sanitation systems. Between 1991 and 2002, lowest-income household (first three income quintiles), experienced an increment in piped-water availability 1.6 times greater than richest household (fifth quintile). This increase in water coverage in rural households was double the amount experienced by urban households. During the same period, households in the first quintile 156 registered an increase in availability o f sanitation 3.5 times higher than the households in the fifth quintile. Increases in sanitation coverage in rural areas between 1991 and 2002, was 9 times higher than for urban areas. Recommendations 5.43. e e e e e In sum, consideration may be given to the following: Seek a broad consensus on the direction o f sector reform that should include the approval o f a new legal framework that eliminates ANDA’s double role as regulator and operator, the creation o f an independent regulatory entity, the restructuring o f ANDA management, and the definition o f water use rights. Balance the amount o f resources dedicated to extend the coverage o f service with the need to maintain and improve existing infrastructure and increase service quality . Implement high-impact, low cost projects to meet in the short-term rural lowincome household needs. These projects could include: i)sanitary education to promote adequate use and maintenance o f the drainage infrastructure built, water conservation, final disposition o f waste, habits o f good hygiene, etc.; ii)programs for building wells, water storage tanks, septic tanks and/or latrines in households where i t s t i l l i s not socially worth expanding andor building aqueduct and sewerage systems; and iii) campaigns for physic-chemical treatment o f water emanating from wells, rivers, creeks, and rain-water. Evaluate the conditions necessary for reaching a sustainable decentralization o f water supply and sanitation systems to municipalities and communities. Design and apply a tariff policy that allows for: i)recuperating operation and maintenance costs o f current water supply and sanitation; ii)recuperating costs for collection, treatment, and final disposition o f sewage; iii)financing expansion o f systems, in order to raise coverage of services t o population currently not being served; and iv) promoting rational use o f water for human consumption and other household uses. 157 CHAPTER VI: Rural Roads 6.1 The evaluation o f public expenditure for rural roads focuses on the Ministry of Public Works (MOP), on the Fund for Road Conservation (FOVIAL), and on the FISDL. The chapter contains a review o f the sector organization and the government strategic objectives and the process o f resources allocation in the sector, an analysis o f the public expenditure trends and structure and i t s outcome, and concludes with the identification o f the sector’s principal public expenditure challenges and recommendations. I. Sector Organization 6.2 Public institutions responsible for building and maintaining roads in El Salvador are: MOP, FOVIAL, FISDL, as well as the municipalities. During the 199Os, MOP administered the roads through the: i)General Administration of Road (DGC), that was in charge o f planning, construction, roads signaling, and maintenance o f national roads, including rural road; and ii)Administration o f Urban Planning and Architecture (DUA), responsible for urban roads. Municipalities had the responsibility for the lowest traffic rural road (caminos vecinales). Since 1999, the FISDL has financed road improvement projects. Currently, i t carries out the Technical Assistance Program for Preventive Maintenance of Municipal Road, in order to strengthen the municipal technical, organizational, financial capacities for preventive maintenance and repairs o f their roads. Table 6.1: El Salvador - Road Network, 2000 1 2. Rest of Non paved road network 3. Urban road network I 47.3 65 6 Source: MOP 6.3 In 2000, M O P reclassified the roads network in the following manner: i)Priority roads, made up b y 5,086 K m s o f high-traffic inter-urban roads connecting urban centers 158 in the country with the Central American c ~ u n t r i e s , ’ leading ~~ from municipality to municipality, municipalities to paved highways, and to high-production agricultural zones and tourist zones, (Table 6.1); ii)The remaining unpaved roadways, made up b y 5,150 Kms o f dirt-roads with very low traffic and, often not passable, and iii)Urban roads, made up by 650 Kms o f city roads. M O P i s in charge o f road construction and maintenance (until the creation o f FOVIAL, see below) o f priority roads, while municipalities are in charge o f maintenance o f the remaining road network, unpaved and urban, which was previously under DUA’s responsibility. 6.4 F O V I A L was created in late 2000 to be an autonomous institution in charge o f roads maintenance and signaling. However, in 2001, i t s seed capital was re-oriented to programs for removal o f landslides and debris caused b y the earthquakes o f January and February. In October 2001, i t s founding-law was modified allowing i t to obtain funding through a special tax (US$0.20 per gallon) extra or regular gasoline (excluding aviation gasoline) and diesel oil. On M a y 2002, F O V I A L began the periodic maintenance projects, and on June 2002, began all routine maintenance projects. 11. Strategic Objectives and Resource Allocation Process 6.5 Due to the condition o f the road network in 1990-lack o f maintenance over the 1980s-the government’s strategic objectives during the period 1989-1994’25was to give priority to maintenance and rehabilitation o f the Central American corridors (alternative “A” and natural), as well as to rural roads, in order to support the export led development-strategy with greater territorial integration. The investment strategy did not contemplate any new road infrastructure. 6.6 Armed conflict produced damages in road infrastructure including the total or partial destruction o f 63 bridges and building equipment. In 1991, i t was estimated that the cost o f rebuilding damaged roads and bridges would be US$285 million. The National Reconstruction Plan (PRN) considered only rehabilitating 3 10 Kms o f rural roads and small municipal bridges, up to a total o f US$28.5 million, as the country did not have the needed resources for rebuilding the bridges “Oro” and “Cuscatlan,” which constitute part o f the Central American corridors (natural and alternative “A”) located on the Lempa river. 6.7 T o avoid road infrastructure to become a bottleneck for economic development in peacetime, the Government established as strategic objectives and goals for the period 1994-1999’? i)Rehabilitating, re-building, and enhancing 135 Kms o f major highways; ii)Paving 37,236 m 2 o f urban road national network and 130 Kms o f regional roads; iii) Reconstructing the “Cuscatl6n”, “Oro,” and 25 other bridges as well as repairing 33 124 Alternate corridor “A”or Pan-American highway (CA- 1) and natural corridor or coastal highway (CA- 2). Public Investment Priorities and Needs for Technical Assistance 1989-1994. Ministry o f Planning and Coordination o f Economic and Social Development. lZ6 Converting El Salvador into a Land o f Opportunities. Government Plan, 1994-1999. 159 bridges; iii)Giving maintenance to 320 Kms o f paved special highways-primary and secondary-at the national level, and to more than 100 Kms o f tertiary roads and rural roads, at the national level; iv) Signalizing horizontally and vertically 1,150 Kms o f special highways and main arteries in 27 cities; v) Rehabilitation o f 790 Kms o f rural roads and tertiary roads at the national level, and 3 10 Kms in PRN municipalities; and vi) Building f i v e overpasses in the city o f San Salvador. 6.8 The government strategic objectives for the 1999-2004 period were: i)Improving the road network to foment agricultural production and rural development, ii)Fostering rehabilitation and maintenance o f rural sustainable roads, transferring resources to local administrations and sustained by the community; iii) Supporting strategic regional projects, such as the logistic Central American corridor, so as to advance in productive and commercial integration together with the Region; y iv) Vigorously foster construction, rehabilitation, and maintenance o f physical supportive infrastructure for investment, production and export, in order to improve productivity and the economy, so as to create more and better j0bs.l” 6.9 Earthquakes in 2001 caused damage the road infrastructure amounting to U S $ l 5 0 million, according to ECLA’s estimates (Table 6.2). 45 percent were direct damages owing to total or partial destruction, mainly o f components o f primary roads including the freeway San Salvador-Comalapa; and in 14 secondary roads; and in lesser degree, in urban roads. The remaining 55 percent covered indirect causes, due to deviations of passenger and commercial national and international traffic to alternative routes, mainly at L a Leona curve and Los Chorros. Table 6.2: Damage Caused by the 2001 Source: El Salvador: Evaluation o f the January 13 and February 13 Earthquakes Damage. UN’s ECLA 6.10 The prioritization o f rehabilitation projects for F O V I A L i s based on the Salvadoran Roads Management System (SIGESVIES), implemented at M O P with the support o f an Israeli-Salvadoran consortium. The criteria used for prioritizing projects are the relation benefitskost; given the available budget envelop, resources are assigned to those sections that bring the higher benefits to for users. Economic benefits o f F O V I A L projects are threefold: i)Savings in cost o f operating vehicles (COV); ii)Savings in travel time; and iii)Reduced traffic accidents. According to government estimates, F O V I A L ’’’The New Alliance. Government Program 1999-2004. ~~ 160 w i l l reduce monthly small vehicle C O V o f US$38.09, and monthly heavy vehicle C O V o f US$181.71 (Table 6.3). Should 50 percent o f total vehicles of this type circulate on FOVIAL-serviced roads, the country would save yearly COV o f US$174 million. In addition, FOVIAL w i l l bring about a decrease in small- and large-vehicle users’ travel time up to 40 percent; and up to a 65 percent decrease in traffic accidents. Table 6.3: FOVIAL’s ExnectedBenefits a/ Assuming that 50percent of the vehicles circulate b y roads that receive F O V I A L maintenance. Source: MOP Presentation of F O V I A L to the National Assembly, February. 111. ExpendituresStructure and Trends Expenditure Trends 6.11 Public expenditure for execution o f projects in construction, rehabilitation and maintenance o f the road network (inter-urban and urban) for period 1997-2003 was US$1,256 million, o f which 82 percent correspond to MOP, 11 percent to FOVIAL, and the remaining 7 percent to FISDL. Resources destined for roads peaked at 1.7 percent o f GDP in 2002, and then fell to 1.3 percent in 2003. (Table 6.4). While public expenditure for rural roads for the period 1999-2003 rose to U S $ 184 million, equivalent to 27 percent of total expenditures destined for road, during the same period. Fifty eighth percent of public expenditures on rural roads were for rural maintenance and for sustainable rural roads projects carried out b y MOP, 37 percent for projects for improvement o f roads executed b y FISDL, and 5 percent for routine maintenance projects in unpaved roads, carried out b y FOVIAL. M O P improved 779 kilometers o f sustainable roads during 1999-2003, distributed throughout 58 percent o f the central region, 30 percent o f the eastern region, and 12 percent o f the western region. 161 Table 6.4: Public Expenditure in Road Network, 1990 - 2003 (US$ m. and % of GDP) a/ Inter-urban and urban b/ Periodic maintenance in paved and unpaved roads c/ Rural maintenance and Sustainable Rural Roads d/ Routine maintenance of unpaved roads e/ Rural (vecinal) road improvement Fuente: MOP, FOVIAL and FISDL 6.12 MOP expenditures that include public works, transport, housing, and urban development, rose from US$175 million in 1997 to US$240 million in 2002; equivalent to a growth o f 37 percent (Table 6.5). Eighty six percent o f expenditures during 19972002 correspond to investments made by the Vice-Ministry o f Public Works and FOVIAL on the total road network, the remaining 14 percent was allocated to administration, geotechnical research, Vice-Ministry o f Urban Housing and Development, Vice-Ministry o f Transport, and support to related units, other than FOVIAL. Resources for rural roads represent 12.1 percent o f expenditures made by M O P during 1999-2002; and 14.4 percent of resources for total road network in the same period. Table 6.5: Ministry of Public Works, Budget Execution, 1997 - 2002 ($ million and %) a/ Includes Vice Ministry o f Public Works, Transport, Housing and Urban b/ Includes autonomous institutions (Railways, ANDA, FOVIAL, etc.) c/ Includes Vice Ministry of Public Works and FOVIAL Source: Ministry o f Finance 6.13 During the first year o f FOVIAL’s operations (2002), i t carried out periodic maintenance o f paved-road with MOP resources, amounting to US$46.4 million (Table 162 6.6 and Box 6.1). In 2003, i t carried out periodic maintenance to 250 kilometers o f paved roads, amounting to US$62.1 million, and supplied routine maintenance on the mainroads (paved and unpaved) amounting to US$29.8 million, in both instances with own funds arising from the special tax on gasoline. For 2004, the forecast i s to carry out periodic or routine management amounting to US$74.4 million. Table 6.6; FOVIAL’s Expenditures, 2002 2004 ($ million) 2004 a/ dministration 47.4 29.8 43.5 93.5 76.6 a/ Programmed bl In paved and unpaved roads Source: FOVIAL 163 I Box 6.1: Fund for Road Conservation F O V I A L carries out three types o f projects: i)Periodic maintenance; ii)Routine maintenance; and iii) Maintenance o f bridges and signalization. Periodic maintenance consists in treatment and renewal o f rollsurfaces and shoulders o f the roadways. This i s carried out every certain number o f years, avoiding deterioration o f the original conditions (good or regular) brought about by natural causes and use. Routine maintenance i s carried out yearly on all elements and structures o f paved roads, in order to maintain conditions o f roadways and ensure their designed life-span. This implies, repairing roads, sealing fisures and cracks, leveling unpaved surfaces, cleaning longitudinal drainage (curbs), and transversal drainage (tubes), maintaining hillsides, cleaning shoulders and minor roadways, and focal repairs (retaining walls, boxes, etc.). Maintenance o f bridges and signalization i s carried out every number o f years, in order to keep bridges and drainage sites in optimum functioning condition, and at maximum hydraulic capacity. This implies placing and/or replacing all vertical signalization elements (signs) and horizontal elements (division lines, night indicators, etc.), aimed at increasing driver and pedestrian security. F O V I A L activity on paved roadways, include: i)Overlaying roads in bad condition; ii)Repairing superficial and deep patches; iii)Applying seals for waterproofing roadways; iv) Cleaning minor roadways and drainages; and v) construction o f drainage and protection sites. On unpaved networks, activities include: i)Re-conditioning roll-surfaces (conformation o f road); ii)Substitution o f selected material (ballast or gravel); and iii)Building drainages and protection sites. Activity on bridges and crossways, vertical and horizontal signalization, includes: i)Cleaning, repairing, and exchanging bridge elements or comDonents. vaults and boxes: and ii’,Placinn and/or redacing roadwav signalization. Source of Funds 6.14 Contrary to FOVIAL who finances road conservation programs with 100 percent local funds, M O P finances i t s road-investment programs with external loans (5 1 percent) and treasury funds (49 percent) (Table 6.7). The principal programs were: i)MultiPhase for Rural Sustainable Roads (US$58 million-BID in Phase Iand US$47 million in Phase 11, and national counterpart resources o f US$31.72 for both phases) approved in 2001; ii)Roadways Rehabilitation and Improvement Program approved in 1994 (BID US$225 million, OECF o f Japan US$106, B C I E US$19 million, and US$116 local resources); iii)First Phase o f San Salvador Beltway approved in 1998 (CABEI US$62.7 million, US$46.4 million local resources, and US$l.5 other sources); and iv) Expansion o f National Paved Road Rehabilitation Program ( C A B E I US$32.9 million, and US$4.7 million local resources) approved in 1996. Table 6.7: Financing of MOP-FOVIAL Investment in Road Network, 1998 - 2003 (US$ m.) Source: Ministry o f Finance 164 I IV. Expenditure Outcomes 6.15 Investments in rural road have improved access o f rural communities to markets, educational and health centers, water, and security, improving employment possibilities and the quality o f life. In spite o f the good progress realized in recent years, there i s s t i l l much to do. The following paragraphs analyze the outcomes o f coverage, efficiency and quality o f the Salvadoran road network. Coverage 6.16 Between 1991 and 2002, El Salvador’s inter-urban road network grew 7.8 percent in length from 9,847 K m s to 10,618 Kms (Table 6.8 and Chart No 6.1). The proportion o f rural roads (unpaved roads) decreased b y 80 percent o f total inter-urban road network in 1990, to 78.5 percent in 2002, as a result of carrying out o f the Program for Rural Sustainable Roads. As from 2000, MOP selected 5,150 Kms o f low-vehicular traffic and many impassable rural roads of the total inter-urban road network, converting these to priority roads. Rural roads represented 57 percent o f the priority roadways administered b y MOP and FOVIAL. Chart 6.1: Priority Road Network Source: MOP 165 a/ Data for 2000 and 2002 include 5150 k m s of non priority road network. Source: MOP 6.17 The total vehicular count rose from 214,243 units in 1991 (4.1 vehicles per 100 inhabitants) to 609,485 units in 2002 (9.4 vehicles per 100 inhabitants), which represents an increment o f 184 percent. This means that demand for road infrastructure in El Salvador grew almost threefold between 1991 and 2002, from 21.8 vehicles per kilometer of total inter-urban road network to 57.4. When considering only the priority roads, vehicles per kilometer doubled in 2002 with respect to total inter-urban road network; and when considering only the paved network they grew fivefold with respect to total inter-urban road network. Table 6.9: Rural Household Access Indicators a/ 1997. Source: Beneke de Sanfelid, M. “Dinimica de Ingresos Rurales en El Salvador”. FUSADES, 2003 6.18 The investments carried out on rural roads have improved access o f rural households to markets (paved road and bus stops), educational centers (primary schools and educational centers), health clinics and communication technology (closer to phones). The distance covered by rural household members to the closest phone was reduced b y 52 percent between 1995 and 2001; to a paved road b y 37 percent; to a bus stop by 25 percent; and to educational centers by 18-19 percent (Table 6.9). Travel times have also been considerably reduced. 166 6.19 Studies based on FUSADES-Program Basis’28,revealed that access of households to markets makes a positive impact on their income levels and, therefore, on their poverty condition. This i s due to the fact that location o f the household determines access to productive opportunities, which arise in dynamic markets. The closer the household i s to urban centers, the greater its participation in the market and this increases household income. Efficiency 6.20 A recent World Bank revealed that, in general, average cost o f the Salvadoran road network rehabilitation carried out by various institutions (Sustainable Rural Roads -CRS-, M O P and FOVIAL) are consistent with international standards. Only rehabilitation carried out b y MOP, at a cost o f US$320 per kilometer, i s above the average cost of a World Bank project basket (WBR), but lower than the average plus a standard deviation (See Chart 6.2) Chart 6.2 Paved Road Works Cost per Kilometer in Thousands of Dollars MOP Renaod #tatton WBR Rehabilitation I CRS Rehabilitation i WBR S r r u c t a Ovenays dOP Overlay (Recarpeteo) MOP Overlay (Periodic) Average CRS Overlay Std. Desv. WBR Funcimal Overiays MOP Earthquake Overlay Source: WBR: “Road Works Cost per Km from World Bank Reports” Archondo, 2000. Earthquake - MOP, CRS, MOP y FOVIAL 12’ Beneke de Sanfelid, M “Dynamics of Rural Income in El Salvador”, FUSADES, 2003; Beneke de Sanfelid, M. “Dyanics of Rural Family Income in El Salvador: Panel Study 1995-1997”, FUSADES, 2000; Lard6 de Palomo, A. and Arguello de Morera “Integration to Markets of Rural Homes and Generation of Income”, FUSADES, 2000; and Briones, C. and Andrade-Eekhoff “Participation in Labor Markets of Rural Area Residents: Limitations and Challenges ”, FUSADES, 2000. Yepes, Tito “Infrastructure and Poverty Reduction in Rural El Salvador” Processed, World Bank, 2004. 167 Quality 6.21 Quality of El Salvador’s road network i s evaluated b y their condition. In 2002, 35 percent of priority road network was in good condition, while 41 percent was in bad condition (Table 6.10). Paved roads were in equal proportion of good, bad condition (42 percent); while 70 percent of unpaved roads were in bad condition, compared with a mere 2 percent in good condition. Table 6.10: Situation of the priority Road Network. 2002 e of road Source: M O P 6.22 Departments that in 2002 were in possession of a greater proportion of priority roads in good condition (Table 6-11), were: Cuscatlin (49 percent), Usulutin and Cabaiias (46 percent), San Miguel (44 percent), L a Paz (43 percent), and L a Libertad (39 percent). While departments with a greater proportion of priority roads in bad condition, were: L a Uni6n (67 percent), M o r a z h (57 percent), Ahuachapan (51 percent), San Miguel (46 percent), Usulutin (42 percent), San Salvador (41 percent), San Vicente (41 percent), and L a Paz (41 percent). Table 6.11: Situation of the Priority Road Network by Source: MOP 168 Expenditure Incidence 6.23 The distribution o f Rural Sustainable Roads investments made by M O P during 1999-2003 (Table 6.12) reveals that the main departments benefited were: L a Libertad (21 percent of total kilometers built and 8 percent o f total investment), Usulutan (13 percent and 9.8 percent), L a Paz (10 percent and 8.6 percent), and L a Uni6n (9 percent and 7.2 percent). This explains why L a Libertad, Usulutan and L a Paz rank among the first 6 departments with higher proportion o f priority roads in good condition. While L a Uni6n, in spite o f efforts carried out, continues to be the department with the highest proportion of priority roads in bad condition. San Vicente Usulutan San Miguel Morazan La Union Correlation Coefficient 66.2 66.0 80.1 56.5 60.2 5.00% 9.80% 0.50% 7.80% 7.20% 0.5 4.50% 13.10% 0.80% 7.20% 8.60% 0.4 6.24 A geographical analysis o f the projects for road improvement carried out b y F I S D L during 1997-2003 (Table 6-13), reveals that 63 percent o f beneficiaries and 58 percent o f total investment went to the departments o f L a U n h , L a Libertad, San Salvador, San Miguel, Chalatenango and Usulutan. In spite o f investments carried out, L a Uni6n continues to be the department with highest proportion o f roads in bad condition. While investments in L a Libertad, San Miguel, and Usulutan contributed to place them as the leaders with higher proportion o f roads in good condition. 169 Beneficiaries Per capita income (US$) Investment ($ million) (No.and YO) Departamento Total 83.0 4,504,185 Ahuachapan 47.8 5.80% 3.00% Santa Ana 72.9 4.90% 6.60% 69.6 6.60% 3.50% Sonsonete 61 .O 14.60% 9.30% Chalatenango La Libertad 125.3 8.00% 11.30% San Salvador 140.9 7.30% 10.40% 79.3 3.70% 2.50% Cuscatlan 7.1 0% La Paz 68.1 7.10% 50.9 1.70% 1.10% Cabafias San Vicente 66.2 4.30% 5.40% 66.0 9.60% 7.80% Usulutan San Miguel 80.1 8.80% 9.70% Morazan 56.5 8.1 0% 7.40% La Union 60.2 9.40% 14.90% Correlation Coefficient 0.1 0.4 6.25 L o w correlation coefficients between investments carried out by MOP’S Program for Rural Sustainable Roads, and FISDL’s Improvement o f Roads, with respect o f percapita income o f each department (+OS and +0.1, respectively) and o f kilometers improved (+0.4 in both instances), would indicate that departments did not receive benefits according to their income level. The selection o f projects responded more to conditions of roads that would maximize reduction o f general travel costs (operating cost o f vehicles and travel time) and where there are areas with higher agricultural production and tourist attractions. 6.26 When analyzing the evolution o f access o f rural households to markets by poverty level, between 1995 and 2001, using as proxy variables the distance to a paved highway and bus stop, i t can be seen in Table 6.14 that the mostly poor households and the no poor households have benefited from the different rural road programs, by reducing 48 percent and 38 percent, respectively, the distance to a paved highway. While n o poor households and mostly poor households experienced the highest reductions in distance to a bus stop, 52 percent and 36 percent, respectively. Structural poor households have experienced lesser-but important-reductions in distance to a paved road (26 percent) and a bus stop (6 percent). 170 Table 6.14: Evolution of the Access to Markets, b y Poverty Level, 1995 - 2001 Source: Beneke de Sanfelid, M. “Dintimica de Ingresos Rurales en El Salvador”. FUSADES, 2003 V. Conclusions and Recommendations 6.27 Improved rural roads during the 1990s has contributed to reducing poverty incidence in rural areas, inasmuch as i t has given household members access to more dynamic markets, educational and health centers, water and security. However, the actual conditions o f the road network reveal that a great deal o f effort i s s t i l l required to obtain an adequate level o f connection o f districts and settlements in the country. 6.28 The improvement in country’s road network i s part o f the new President Program. H i s Plan: Safe Country 2004-2009, establishes as priority the support to the Rural Sustainable Roads program that “will help fostering agricultural development and broadening the chain of value. ” Consistent with these objectives, the previous analysis points out that the main challenges of the sector, are to: i)improve 70 percent o f priority unpaved road network which in 2002 was in bad condition; and ii)mobilize resources to the municipalities in order to improve the state o f 5,150 kilometers o f rural roads that M O P does not consider priority and to maintain the 650 k m s o f urban roads previously under the responsibility o f DUA-MOP. Allocation of resources to the sector 6.29 The importance o f rural roads for enabling the poor to increase their human capital and take advantage o f economic opportunities cannot be overstated. Indeed, El Salvador has understood the importance o f improving rural roads, within the strategy o f reducing poverty, and has incorporated them into the country’s “extended” MDGs.’~’The costs associated with program to continue expansion and improvement o f the rural road network, as well as to develop a maintenance capacity for rural roads depends on the specific goals and the timeframe set for achieving them. One possible set o f objectives would be to consistent with the country’s goals to strengthen poverty reduction through ‘30 “El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer Informe de Pais”, 2004 171 infrastructure development would be: (i)to pave or rehabilitate an additional 1,000 kilometers o f rural roads; and, (ii)to ensure annual maintenance o f 3,000 kilometers o f rural (secondary and tertiary) roads. Analysis o f El Salvador’s road investments suggests that the unit costs o f the country’s road development are in line with international norms (Yepes 2004). Using recent average unit costs o f road paving, rehabilitation, and maintenance as benchmarks, i t i s estimated that a 5-year program to pave and/or rehabilitate an additional 1,000 kilometers o f rural roads would cost approximately, and to initiate a rural road maintenance program would cost the Government o f El Salvador roughly an additional U S $25 million per year over average 2003 spending levels. This implies a spending level o f approximately 1.4-1.5 percent o f GDP per year, up from 1.3 percent o f GDP in 2003 (and on average between 1999-2003). Intra-sectoral allocation of resources 6.30 There has been a strong improvement in sector management in recent years, and this progress should continue. Priorities for public expenditure in road network for the period 1990-2003, were to: i) transfer to municipal administrations, resources and responsibility for maintenance o f urban roads; ii) create a modern self-financing mechanism, to preserve the road network (FOVIAL); iii)rebuild damaged roadway infrastructure (mainly bridges) caused b y the armed conflict in the 1980s and earthquakes in year 2001; and iv) rehabilitate and give routine periodic maintenance to Central American corridors and rural roads, in order to support the development strategy based on an open markets and promotion o f exports. 6.31 In the last few years, an increasing share o f the sector’s resources was allocated to road maintenance and rural roads, and this better-balanced resource allocation should continue. F O V I A L began execution in 2002 spending U S $ 47 million (19 percent o f total investment in roads); in 2003 it spent U S $ 9 4 million (49 percent o f total investment in roads). In rural roads, investment increased from US$ 24 million in 1999 (20 percent of total investment in roads) to U S $ 4 4 million in 2003 (23 percent o f total investment in roads). A local and stable source o f funds i s financing road maintenance. F O V I A L roadconservation funding i s 100 percent local, stemming f r o m a special gasoline surcharge. The rural roads that benefit from improvements under the Sustainable Rural Roads program are maintained b y the F O V I A L , which has the responsibility for maintaining the entire priority road network (paved and unpaved). The FISDL i s supporting the municipalities to maintain/improve the 5,150 km o f road network that are not classified b y MOP as priority. Efficiency and equity of resource use 6.32 In general terms, the costs incurred with the road network rehabilitation through the Rural Sustainable Roads, MOP and F O V I A L programs, are similar to international standards. In other words, the sector i s relatively efficient in the use o f resources. On the other hand, the costbenefit ratio o f road projects has been high, because the criterion for project selection has been the state o f road network for the purpose o f maximizing benefits in terms o f reducing general travel costs (cost o f operation o f vehicles and travel 172 time) in those areas with greater agricultural production and tourist attraction, rather than level o f department income. 6.33 The investment in rural roads has improved the equity o f sector expenditure. M O P and F I S D L investments on rural roads reduced between 1995 and 2001, the distance covered by rural households to the nearest phone b y 52 percent, to a paved highway b y 37 percent; to a bus stop b y 25 percent, and to a school b y 19 percent. Travel times are also shorter in similar proportion. Rural households most favored by rural roads programs, are among the poorest and no poor, by experiencing greater reductions i n distances covered to reach a paved highway and a bus stop. Structurally poor households also received benefits from rural roads programs, though reductions in distances covered to a paved highway and a bus stop were lower. Recommendations 6.34 T o continue to improve sector performance, consideration should be given to the following: 0 Continue to support F O V I A L in order to count on a modern, self-sustaining mechanism for road maintenance, which in the medium-term w i l l contribute to incrementing the proportion o f roads network (paved and unpaved) in good condition. Ensure that F O V I A L resources are allocated to periodic and routine maintenance o f the road network that has been classified as priority b y MOP. 0 Consistent with the country’s goals to strengthen poverty reduction through infrastructure development, continue the MOP’S Sustainable Rural Roads program. Review municipal pavement rates in order to allow for timely urban road maintenance in all municipalities o f El Salvador; and when considering municipal tax reform, design a mechanism, which w i l l allow attending roads that do not form part o f the priority roads network. 173 CHAPTER VII: Rural Electrification 7.1 After the privatization o f most o f the electricity sector in 1996/98, rural electrification remains one o f the main responsibilities o f the State in the sector. The evaluation o f public expenditures in the electricity sector that follows focuses on the three public institutions active in rural electrification, namely the R i o Lempa Hydroelectric Executive Commission (CEL), the FISDL, and the Electricity and Telecommunication Investment Fund (FINET). After a brief review o f the sector's current organization, the analysis focuses on the process of resource allocation, trends and structure in public expenditures, and sector outcomes. The chapter concludes with the identification the sector's principal public expenditure challenges and recommendations. I. Sector Organization 7.2 The restructuring that begun in 1996 has changed drastically the organization of the electricity sector. C E L lost i t s monopoly power, when the government decided to separate and privatize the generation, transmission, distribution, and electricity sales activities. C E L lost i t s regulatory and planning functions and retained only the administration of the hydroelectric plants on the Lempa river. I t i s also responsible for the construction o f thermal generating plants and the power line o f the regional interconnection system, or the SIEPAC project (Sistema de Znterconexidn Ele'ctica de 10s Paises de Ame'rica Central)." B y 2003, the number o f operators in the sector had increased to sixteen. 7.3 Five enterprises are responsible for wholesale generation: C E L (hydraulic); LAGEO-previously G E S A L (geothermal); El Paso-previously Nejapa Power, Duke Energy International, Cement0 de El Salvador - CESSA, and Compaiiia Azucarera Salvadoreiia - CASSA (thermal). Installed capacity in 2003 was 1,105.5 MW, o f which 46.5 percent correspond to thermal plants, 39 percent to hydroelectric plants, and 15 percent to geothermal plants. Net injection to the power system amounted to 4,402 Gwh, o f which some 8 percent correspond to imports mainly from Guatemala, and the remaining 92 percent to local generation (33 percent CEL, 23 percent LAGEO, 18 percent El Paso, and 18 percent Duke Energy). 7.4 The Transmission Enterprise o f El Salvador (ETESAL) i s responsible for the maintenance o f the national transmission grid since 1999 and controls i t s expansion since 2003. The grid consists o f 36 transmission lines o f 115 kV. and 2 interconnection lines o f 230 kV. (Guatemala and Honduras), with a total length o f 1,129 K m s , that link 23 power substations. 7.5 Distribution i s the responsibility o f five enterprises: Distribuidora de Electricidad del Sur (DELSUR), CompaAia de Alumbrado Ele'ctrico de Sun Salvador (CAESS), Distribuidora Ele'ctrica de Usulutdn Sociedad de Economi'a Mixta (DEUSEM), Compaiiia de Luz Ele'ctrica de Santa Ana (CLESA), and Empresa Ele'ctrica de Oriente 174 (EEO) (Chart 7.1). As a result o f an international consolidating process, AES Corporation owns the last four distributors, and Pennsylvania Power and Light Global (PP&LG) owns DELSUR. Distribution i s carried out b y means o f 33,755 Kms o f low-tension and medium-tension lines (120 V, 23 kV, 34.5 kV, and 46 kV). In 2003, power sales recorded 3,770,221 MWh (37 percent to the residential sector) to 1,218,455 subscribers (92 percent residential). There are five independent power marketer^.'^' Chart 7.1; Areas of Influence of the Electricity Distribution Companies Rural electrification was initially in the hands o f CEL, through the execution in 7.6 1962 o f the Olocuilta Pilot Plan for Rural Electrification that linked 1,200 users. During the 1980s, a department of C E L (DISCEL) had the responsibility for rural electrification. In 1990, C E L together with National Rural Electric Cooperative Association (NRECA) implemented a rural electrification program financed b y USAID grants. 7.7 The entities currently involved in rural electrification are: Directorate o f Electricity (DEE) in the Ministry of Economy; the General Superintendence o f Electricity and Telecommunications (SIGET); the Technical Secretariat o f External Finances Secretariat (SETEFE), FISDL, FINET, the municipalities, and the distribution companies. DEE i s responsible for policy making and planning the expansion o f the rural electrification grid, as well as for the subsidies policies on rural electrification investment and electricity consumption. SIGET regulates the sector including the fees for use o f transmission and distribution grid and tariffs to final consumers. SETEFE administers the remnants o f the U S A I D donation to N R E C A made after hurricane Mitch. F I S D L provides the necessary resources to the local government and communities to FINET subsidizes the rural electrification carry out rural electrification 131 Conexio'n Ele'ctrica de Centroame'rica, Excelergy, Mercados Elkctricos, Comercializadora Ele'ctrica de Centroame'rica, and Origem. 13' As o f November 2002, FISDL executes the Rural Electrification Program for El Salvador (PROERES) 175 infrastructure expansion and rehabilitation in low-income areas; electricity consumption by l o w income dwellers, schools and health units administered b y local communities, as well as the use o f electricity for water pumping and distribution. The municipalities also build distribution lines with their own funds. Finally, the distribution companies build rural lines, supplying the resources not covered by subsidies from FINET and the municipalities. Their building capacity i s low, as they are not under contractual obligation to expand the rural distribution lines that are characterized b y the l o w density o f potential customers. 33 ’ 11. Strategic Objectives and Resource Allocation Process 7.8 The armed conflict produced serious damage to the Salvadoran electricity system. According to CEL, there were close to 2,000 attacks on sub-stations and 3,800 attacks on transmission lines during the 12 years o f conflict. Direct costs amounted to US$64 million and indirect costs to US$190 million. In 1992, the National Reconstruction Plan estimated the cost o f rebuilding the national electricity system at US$3 10 million. 7.9 Rapid economic growth experienced after signing the Peace Accords, presented great challenges to the system: i)To increase the installed generating capacity to meet accelerated growth in electric power needs (an average o f 9.7 percent annually between 1992-1995); ii)T o rehabilitate the transmission system in order to reduce the frequency and the duration o f power blackouts; iii)T o increase power coverage - mainly in rural areas; and, iv) To improve quality o f the electricity service in order to reduce the damage to end-users’ installations and equipment. 7.10 In order to meet these challenged, the Salvadoran authorities initiated a sector reform and modernization program, which main events are reviewed in Box 7.1. Most of the sector has been privatized but rural electrification remains as a State responsibility. The criteria used b y DEE for deciding on rural electrification investments include several factors: i)efficiency, which implies investments in areas where benefits w i l l be rapidly achieved for a large number o f families; ii)technical evaluation indicating the feasibility o f network expansion to determined areas maintaining rural power service quality within the criteria defined b y SIGET; iii)synergy with other public expenditure such as rural roads, education, etc; iv) contribution o f the Municipality, revealing the communities’ priorities for rural electrification; and v) support to donors investment in rural electrification as for instance was the case when the French Government made a donation for the benefit o f municipalities severely hit by tropical storm “Mitch” and the year-2001 earthquakes. 133 A t national level there are on average 88 clients per 2.5 1 Kms o f line (typical network end-branch) and with less than 100 kWh/month o f consumption. 176 Box 7.1: Principal Measures Implemented to Modernize the Electricity Sector Approving a new legal framework (electricity law, LGE) and establishment the sector superintendence, SIGET, in 1996; Restructuring CEL’s assets between 1996 and 1999; Re-privatizing electric power distribution between 1997 and 1998, through sale o f CEL shares in CLESA, CAESS-EEO and DELSUR to workers and strategic partners (USS.589 million); Organizing the Wholesale Power Market (MME), and establishing the Transaction Unit (UT or Unidad de Transacciones) in 1998, trusting i t with the operation o f the Transmission System, quality of power supply, and the administration of MME; Establishing FINET in 1998, trusting it with subsidies to the residential consumers and helping homeowners in low-income rural areas to obtain power supply; Selling shares of thermal plants to workers and strategic associates in 1999 (US$125 million); Establishing GESAL as a CEL subsidiary, in 1999, dedicated to exploration and commercial development o f geothermal resources; Establishing ETESAL, in 1999, entrusted with management of the national transmission grid including the interconnecting lines with Guatemala and Honduras; Approving electricity sales on the retail markets and establishing the first independent power marketers, in 2000, who would be in charge o f introducing competition in electricity sales to endusers in industry, commercial establishments and residences; Establishing DEE o f the Ministry o f Economy, in 2001, entrusted with planning, formulating policies, and setting up the laws and regulations for the development of the electric power sector; Terminating the Power Purchase Agreement (PPA) between CEL and Coastal (currently El Paso Energy), by means o f an international arbitrage, in March 2002, and an indemnity of US$90 million; Selection o f a strategic partner (Enel Green Power Spa) of LAGEO -previously GESAL- in 2002, to launch the capitalization process (US$4.6 million in cash and US$13.7 under the modality o f risk investment); Concluding the PPA between CEL and Duke Energy, in March 2003; Commencing a contract between UT and Duke Energy, in March 2003 in which Duke places at the market disposition thermal units (125 Mw) to maintain the system’s parameters of security and stability. The cost i s about US$700,000 a month plus the cost of used electricity; Approving reforms to the legal framework for amplifying SIGET’s faculties (fines, sanctions, service quality, market surveillance, and anti-trust), and ETESAL (expansion of system as well as of maintenance), in June 2003; Establishing a fund for price stabilization in the wholesale market, in June 2003; and Approving a loan from CABEI to CEL for US$48,5 million for building a thermal plant in Ateos, 2004. 7.1 1 Subsidies to construction and improvement o f rural electricity infrastructure, are granted b y FINET through “fund contests” every six months to municipalities and electricity distribution companies that offer the best matching counterpart. FINET i s managed b y FISDL and i t s resources come from: i)Government contributions; ii)100 percent o f SIGET resources obtained through concessions for the exploitation o f hydraulic and geothermal resources for generating power; and iii)100 percent o f the resources obtained b y SIGET from fines to operators in the electricity sector. 177 Expenditures Trends and Structure 7.12 During the 1990-2004 period, CEL's resources were assigned to: i)carrying out the second phase of the rural electrification project supported b y USAID (1990-1997); ii) reconstructing and rehabilitating the transmission system (1993-2003); iii)building the interconnection line between El Salvador and Honduras; iv) ensuring availability o f power and related energy through Power Purchase Agreements (PPA) with Coastal currently El Paso- and Duke Energy (1995-2003); v) subsidizing power consumption for residential consumers (January 1998-March 2001); vi) installing two units in geothermal plant o f Berlin (1997-2000); vii) Increasing power o f the hydroelectric plants on the Lempa river (1999-2007); and viii) Building a thermal plant o f 50 MW capacity in Ateos (2004) (Table 7.1). During this period, C E L also negotiated the approval o f loans to build the transmission line o f the project "Sistema de Interconexio'n Ele'ctrica de Zos Paises de Ame'rica Central" (SIEPAC). 7.13 Between 1990 and 1997, C E L and N R E C A carried out the second phase o f the rural electrification program with a US$12 million grant from USAID'34, with which 1,020 Kms o f power lines were built and 27000 users were connected. Maintenance was secured through a framework agreement between the (ex) Ministry o f Planning, the FISDL, and CEL. 7.14 Cost o f reconstruction and rehabilitation o f the power network amounted to US$119 million and was carried out in two steps: i) the Emergency Transmission Program between 1993 and 1997 (US$45.2 million); and ii)the Rehabilitation and Expansion o f the Power System Project between 1997 and 2003 (US$74.0 million), whose objective was to repair 961 transmission towers, 2,500 Kms o f cable network, total reconstruction o f two substations and expansion o f 11 other substations. These projects were financed b y JBIC within the framework o f the 11Electricity Development Program o f the IDB. 7.15 The Interconnection El Salvador-Honduras was inaugurated on 21 August 2002. I t cost US$18 million finance b y the Central American Bank for Economic Integration (CABEI). The project consisted in building 93 Kms, o f transmission lines o f 230 kV, a substation 23011 15/46 kV, expansion o f the existing substation to 115/46 kV in the 15 September Plant and a microwave relaying station. This project would enable power interchange and related energy with Honduras, within the framework o f the Regional Central American Power Market, which b y promoting better use o f existent resources would reduce energy production costs. 7.16 In order to meet increased post-war power demand, C E L in 1994, subscribed a Power Purchase Agreement (PPA) for 144 MW at 20 years with Coastal-currently El Paso-equivalent to 18 percent o f the installed capacity, and in 2000, for 264 M W at 3 years with Duke Energy, equivalent to 26.5 percent o f the installed capacity. Prices paid by C E L during the life o f these contracts were above the wholesale market prices b y Estimated based on a cost for line o f US$11SO2 per Km, similar to the SETEFE's cost for the period 1999-2001. 134 178 US$255 m i l l i o n (US$142 million overpricing to Coastal, US$90 million as compensation to Coastal for termination o f PPA ahead o f deadline, and US$23 million overpricing to Table 7.1: CEL - PrinciDal Proiects Executed. 1990 - 2004 peneration 213.9 Installation of 2 units in geothermic Berlin (56.2 MW) Retrofitting of hydroelectric centrals (61MW) Thermal central Ateos (50 MW) 113.0 42.4 58.5 Total selected priorities 792.4 Memorandum: Income from the privatization of generation and distribution cl 718.1 7.17 Between January 1998 and March 2001, CEL paid US$174 million in electricity subsidies for electricity consumption (Table 7.2): US$15 1 million to residential users that should have been paid b y law b y FINET; US$16 million to ANDA, so that increase in the water consumption tariffs could be avoided; and, US$8 million to non-residential consumers in 2000, in face o f the sharp rises in the wholesale prices. La Prensa Grifica of February 23,2003 and to El Diario de Hoy o f March 23,2003. I t must be noted that in order to determine if these contracts were onerous, i t would be necessary to compare the price o f the contracts with the price of the wholesale market in absence o f this installed capacity and the losses in production due to possible rationing of power if there were any. 135 136 179 Table 7.2: CEL’s Electricity Consumption Subsidies, January 1998 March 2001 Source: CEL 7.18 Construction o f the Berlin Geothermal Plant, with a capacity o f 55 M W (2 units each o f 27.5 MW) was financed b y IDB within the framework o f the 11 Electricity Development Program. Investment amounted to US$113 million, having installed 45 MW in 1999, and 11.2 MW in 2002. The World Bank as a part o f the Energy Sector Modernization Project financed the US$42.4 million-project o f retrofitting hydroelectric plants, And, the construction o f the Ateos 50 M W thermal plant should be concluded by the end o f 2004 at a cost o f US$58.5 million. I t i s being financed by a C A B E I loan o f US$48.5 million and the rest w i l l be covered b y CEL. The plant w i l l have three generating units each o f 16.6 MW. In this second phase, plant capacity will be increased b y an additional 50 MW. With this project CEL returns to thermal generating, which i t had interrupted in 1999, after the sale o f the plants o f Soyapango and San Miguel to Duke Energy. 7.19 0 0 0 a CEL’s resource allocation implies that: I t assigned for investment in generating, transmission and rural electrification 46 percent o f resources spent on these projects, equivalent o f 5 1 percent o f the proceeds from the privatization; Overpricing for power paid through Power Purchase Agreements with Coastal and Duke was 19 percent more than the resources spent on increasing the hydroelectric, thermal and geothermal installed capacity and equivalent to 36 percent o f the proceeds from the privatization. Subsides to residential users represent 22 percent o f resources spent and near a quarter o f the resources obtained from the privatization; Subsidies correspond to almost 15 times the amount o f resources allocated for rural electrification. 7.20 F I S D L and FINET resources were allocated toward: i)incrementing coverage o f electricity service in rural areas; and ii)subsidizing energy consumption by residential users. FISDL executed during the period 1994-2003, a total o f 1,375 electrification projects (620 K m s o f rural power lines benefiting 905,992 people) valued at US$45 million (Table 7.3). The eastern part o f the country received the largest number o f projects and the higher amount invested. Nonetheless, because o f their higher population density, the departments o f San Salvador and L a Libertad, had the highest number o f beneficiaries. 180 Box 7.2: Evolution of Electricity Subsidies Up to December 1997, electricity consumers received an implicit subsidy by paying tariff rates below marginal costs (Table 7.5). This generated large costs for CEL, which were financed by transfers from the Central Government. This caused a (regressive) distribution o f income from all Salvadorans paying taxes (including inflation taxes) to the large industrial, commercial and urban residential electricity consuming sectors, who were the main beneficiaries o f these implicit subsidies. Parallel to the creation o f FINET, direct subsidies were established: i ) for electricity consumption o f residential users and educational, health and water-supply projects (pumping and distribution) administered by the community; and ii) for construction and improvement o f infrastructure for the supply o f electricity to low-income rural areas. I n January, 1998, residential users with monthly consumption below 500 kWh started receiving subsidies, as established by Art. 122 of the General Electricity Law and Art. 128 o f its Regulations. The subsidy was equal to 100 percent o f the positive spread (if any) between the tariffs for electricity consumption and the use of the network and billing and collection fees charged by the distribution companies and the maximum prices for electricity established by SIGET. I n January 1999, subsidies were reduced to residential users with rates o f consumption o f less than 200 kWh. As of September 2000, only consumers within the monthly range o f 1 to 99 kWh are being subsidized. I n November 1999, subsidy decreased to 85 percent o f the positive spread (if any) between full tariffs rates billed by distributors in respect of maximum prices established by SIGET (US$0.0640 for kWh for monthly consumption o f 1 to 49 kWh and US$0.0671for monthly consumption o f 50 to 99 kWh). CEL covered the cost with the electricity subsidy since January 1998 to March 2001. From April 2001, these costs were directly absorbed by FINET, who i s administered by the FISDL. From June 2003, the Government established an electricity price (PEN) o f US$66.34 x MWh, whereas in the wholesale market the price from June to December 2003 was US$68.67. Electricity distributors purchase energy from PEN in the Wholesale Power Market and transfer these to their tariffs. Generating entities carrying out sales in the wholesale market perceive PEN, and the difference i s accumulated in a price-compensation fund, which i s administered by UT. According to Fitch de Central America, this fund accumulated a US$6 million deficit by year-end 2003, which constitutes an indirect subsidy from generating entities to all final users of electricity. DEE estimates that 60 percent of all residential users received subsidies in 2003. SIGET estimates that subsidies represent an average o f 57 percent o f billings, which consumers should pay when falling in the range of 0 to 49 kWh per month, and 43 percent of those users within the monthly range o f 50 to 99 kWh. should subsidies not exist. Subsidizing energy used in water pumping and distribution systems administered by rural communities commenced in August 2000. This embraces 100 percent of the difference between the price for energy consumed and the price invoiced to ANDA on 31 December 1999. Subsidies to construction and improvement of rural electricity infrastructure, are granted through “func contests” every six months to municipalities and electricity distribution and marketing companies that offei the best matching counterpart. They are disbursed at the conclusion o f project works. The maximur FINET subsidy granted in these projects i s that which enables obtaining a present net value o f zero considering a useful l i f e o f 20 years and a rate o f real discount o f 10 percent per annum. Earnings are derived from income from fixed and variable charges for use of the distribution network; whereas cost: include the value o f distribution losses, compensation for non-delivered electricity to final users, and the distribution network operational and maintenance costs. 181 7.21 Subsidies directly paid b y FINET between April 2001 and December 2003 amounted to $95 million, o f which 93 percent correspond to subsidies to residential consumers (Box 7.2 and Table 7.4) In contrast, subsidies allocated for rural power infrastructure amounted to US$6.2 million (78 percent o f total investment) and enabled the connection o f 19,064 users. Table 7.3: FINET - Electricitv Subsidies Granted, Ami1 2001 - December 2003 llnfrastructure Subsidy granted (% of total investment) b/ a/ Includes the grant from France of US$0.6 and US$ 1.2 millions in 2002 and 2003. b/ Includes FINET, France and municipalities Source: FINET - . --- - - _. (US$ cents/ kWh) 6.9 Residential 9.1 Commercial 8.7 Industrial Government ad Municipalities 5.7 Public Lighting 5.7 Total 7.6 I----- 83.9 I 72.6 I ~ 182 11.2 10.6 10.1 10.6 10.6 10.6 (percent) 38.4 14.2 13.2 46.2 46.2 28.3 Million US$ 39.2 6.4 10.9 20.9 2.3 79.7 77.7 I - Expansion of rural electrification (1990 2003) CEL NRECA II - SETEFE b/ Subsidy to electricity consumption (1998 2003) FINET c/ Compensation fund for wholesale prices d/ Memorandum: Rural distribution lines build (kms) e/ Rural electrification/Subsidies to electricity consumption (%) Rural electrification/lncome from privatization (%) Subsidies to electricity consumption/lncome from privatization (%) - US$ million 78.3 11.7 9.4 268.8 262.8 6 Percent 4.207 29.1 10.9 37.4 7.22 In sum, during the period 1990-2003, public institutions allocated US$78 million to expand rural electrification, and $269 million to subsidize electricity consumption (Table 7.6). This means that for each $1 used for subsidizing electricity consumers, $0.29 were used for providing electricity to the Salvadorans that did not have access to this service. Funds destined for rural electrification represented 11 percent o f resources obtained from the privatization o f the electricity sector. On their part, the private electricity companies (CAESS, DELSUR and EEO) made capital investments reaching $94 million during 1998-2003 (Table 7.7), to improve the distribution network. Table 7.6; Capital Investment by the Distribution Source: Fitch Central America 183 111. Expenditure Outcomes 7.23 Public expenditure has marked effect on the, results obtained in coverage, efficiency and quality o f the sector during 1990-2003, inasmuch as i t has created a scheme o f incentives for new private operators in the sector; has provided the country with a greater rural electricity infrastructure; and has influenced the effective demand for electricity o f low income rural households. These measures complemented investments carried out b y private operators. Electricity Coverage 7.24 During 1990-2002, El Salvador experienced important advances in terms of electricity coverage. According to E C L A , the electricity coverage increased from 52 percent o f population in 1990 to 78 percent in 2002 (Table 7.8). El Salvador registered the second-largest increment in electricity coverage in the Central American region (26 percent points), after Guatemala (48 percent points). Nonetheless, i t continues to be in third-place in Central American, after Costa Rica (97 percent) and Guatemala (84 percent). Table 7.7: Electricity Coverage in Central American Countries, 1990 - 2002 a/ percentage points Source: UN’s Economic Commission for Latin America. ECLA. 7.25 This outcome i s mainly explained b y the increase in rural electrification. According to household survey (EHPM), the proportion o f households in rural areas with electricity increased b y 28 percentage points during 1991-2002 (Table 7.9), more than seven times the increment in service coverage in urban areas. In spite o f this, in 2002, close to 29 percent o f rural households s t i l l did not have electricity. 184 Table 7.8: El Salvador - Electricity Coverage, 1991 - 2002 (% of households) 43.5 MSS a/ 51.2 98.2 a/ Metropolitan Area of San Salvador Source: Household Survey (EHPM) 27.5 98.7 Sector Efficiency 7.26 Efficiency in electricity services may be approximated by the losses in the transmission and distribution systems and b y the price o f electricity in the wholesale and retail markets. Total electricity losses have diminished b y 5.4 percentage points between 1990 and 2003 (Table 7.10). This i s explained by a reduction o f transmission losses by an end to the sabotage after signing of the Peace Accords, and by rehabilitation and reconstruction activities carried out by CEL. Distribution losses (technical and nontechnical) have stayed within a range o f 10 percent during this period. 7.27 In spite o f damage caused by the armed conflict to the infrastructure o f the electric power system, electricity losses in El Salvador were lower than in Panama, Honduras and Nicaragua in 1990; and slightly higher than the Central American average (Table 7.11). During the period 1990-2002, El Salvador, was the country in the region that has been able to reduce to a larger extent electricity losses. El Salvador i s now the second-placed country with less electricity losses in Central America. Table 7.9: El Salvador - Transmission & Distribution Electricity Losses (1990 - 2002) a/ During 1980-1989 was 7.5 percent on average with a maximum of 8.9 percent in 1987 Source: CEL, UT y SIGET 7.28 Electricity prices paid b y consumers are influenced by the price in the electricity wholesale market (see B o x 7.3), particularly b y the System Regulator Market ( M R S ) . During 1998-2003, prices in M R S rose by 24 percent in nominal terms and by 13 percent in real terms (Table 7.12). This i s mainly explained by the increment in the price o f fuel used in thermal generation in 2003 that up to 2002 had risen only by 6.2 percent in real terms with respect o f 1998. Monthly volatility o f prices has stayed within a range o f +20 percent, with exception o f 2000, when reportedly the abuse o f market power b y some 185 operators led to fluctuation in the range o f +60 percent and the real price, and an increase o f 35 percent over the 1998 price. Table 7.10: Central America - Transmission & Distribution Electricity Losses (1990 - 2002) a/ Percentage points Source: CEL-UT-SIGET (El Salvador) and E C L A (UN) \Real price index (1998 = 100) d/ I 100 I 99.5 I 123.3 I 168.8 I 158.6 I 160.4 a/ MRS- System Regulator Market or Mercado Regulador del Sistemar b/ Deflated by the Consumer price index (CPI) excluding electricity c/ Electricity service in the consumer price index (CPI) d/ Average price without subsidy charged b y the distribution companies to their clients. Source: Transaction Unit (UT) and SIGET I 7.29 The price of electricity in the retail market measured b y the Consumer Price Index (CPI) experienced an increment o f 75 percent in nominal terms between 1998 and 2003; and o f 60 percent in real terms.137 The average electricity price paid b y the Salvadoran residential users (without subsidy), has been higher than the price paid b y users in Nicaragua (20 percent), Honduras (91 percent) and Costa Rica (118 percent) during the 2000-2002 period (Table 7.1 3). These differences can be explained through different subsidizing policies applied in the selected countries, differences in the participation o f installed hydroelectric capacity (71 percent in Costa Rica, 43 percent in Honduras, 37 percent in El Salvador, and 16 percent in Nicaragua), etc. 137 These changes reflect the invoice variations o f an average residential user who maintains the amount o f electricity consumed after the elimination o f subsidies, variations in energy prices, the distribution and authorized sale prices by SIGET to distribution companies, losses o f energy, and fluctuations in price of energy in MRS or those regulated by Government. 186 Table 7.12: Central America - Average Prices Residential Customers, 1998 - 2002 (US cents/KWh) a/ Without subsidies. Price o f 1995 corresponds to July 1994 7.30 These results lead to conclude that elimination o f subsidies to residential users with monthly consumption higher than 100 k w h and variations in the related charges in the retail market explain to a great extent the increment in electricity price to final consumers in El Salvador between 1998 and 2002. Factors related to the wholesale market (reported abuse o f market power, price rises for fuels for thermal generation, etc.) have been considerable in 2000 and 2003. This calls for increasing significantly the competition in generation and distribution as a mechanism o f market discipline and for lowering electricity prices. Box 7.3: Wholesale Electricity M a r k e t In the Wholesale Electricity Market buying and selling transactions take place b y the generation, distribution, and power marketers and final users connected to the high-voltage grid (115 kV and 230 kV). There are two markets for electricity: the contract market (CM), and the System Regulator Market ( M R S ) . In both o f these markets, offers are submitted the day prior to delivery. In the contract market, participants negotiate freely prices and conditions for power and related energy; they inform la UT only the amounts o f power to be interchanged at hourly intervals each day and the injection nodes and withdrawal o f power. Transactions are dispatched in accordance with declarations made-unless UT determines that they affect quality and security conditions o f the system. M R S i s a power auction market in which bids for the delivery o f energy the following day based on prices per M W at each hour o f the day. Generation companies, who have power surpluses not under contract, are allowed to present their offers for sales, and buyers who have power demands not covered b y contracts, can put in their purchase bids. Generation companies are also able to present bids for purchases in order to reduce their production and supply their contracts with lower-priced power obtainable through MRS; and buyers o f power under contract can sell to M R S if prices are attractive. The equilibrium point between M R S offer and demand fixes the hourly market price paid to all suppliers and charged to all buyers, independently o f prices stipulated in their offers. The retail market has participation of power marketers (independent or related to the distribution and generation companies) and final users connected to the distribution system for low- and medium-tension (120 V 23 kV, 3 4 3 kV and 46 kV). Although the law establishes free access to the distribution networks, independent power marketers have only been able to carry out few transactions with medium and large industrial and commercial users. Distribution companies continue to supply power to residential users and the great majority o o f small-medium industrial and commercial users. Energy prices in M R S depend on the structure of the installed capacity (hydroelectric, thermal and geothermal, most expensive unit), the cost o f inputs used in generation (water and bunkers, diesel oil, gas, etc.), on the consumption patterns o f hourly and daily final users (typical load curve), on the climate (rainy or dry season, temperature variation), etc. The retail market price i s subject to energy losses (transmission, distribution, and transformation), the M R S price or government-regulated price, competition among suppliers, etc. 187 Service Quality 7.3 1 Among electricity service quality indicators are: frequency and duration o f interruptions to energy supply; frequency o f deficits in reserve; percentage o f energy not supplied w i t h respect to adjusted demand; quality o f distribution network tension; flickering tension in the distribution grid; and indicators of quality of services (Box 7.4). Box 7.4: Quality Norms for the Distribution of Electricity On March 30, 2000, through Agreement N o 17-E-2000, SIGET approved the Manual o f Quality o f Distribution Service defining a group of quality indicators. In March 2002, through Agreement N o 20-E2002, SIGET approved one Quality Norms for the Power Distribution Systems, whose goal i t i s to regulate quality reference indicators and indexes for: i) Quality o f supply or technical service delivered (interruptions in service); ii)Quality of the technical product supplied (level o f tension, variations i n the voltage wave--flickering and disharmony tension-and user incidence in quality); and iii)client services (attention to clients, means attention to users, and precision o f measuring equipment). The implementation process o f these norms would be carried out i n four stages: i)Preliminary stage (up to 20 September 2002), when each o f the distribution companies should implement with SIGET, the measuring and control methodology for indicators o f quality o f the energy distribution system; ii) Probationary stage (October 2002 up to June 30, 2003), to obtain information and calculate total energy service distribution indicators to be controlled during the transition stage, in order to diagnose clearly the initial quality levels; iii)Transition stage (July 1-December 31, 2003), during which to control quality o f distribution service supplied, by following up global and individual indicators, in order to demand compliance with fixed values o f these norms; and, iv) Management stage, after which the distributor should have purchase and information management systems that enable SIGET to carry out controls foreseen by the norms. In March 2003, through Agreement No 53-E-2003, approval was given to the final users’ claims and complaints norms. In March 2004, SIGET approved the norms for compensation for damage to equipment, tools, or installations o f final users through Agreement N o 44-E-2004. 7.32 Interruptions in power supply due to failure o f transmission lines and distribution circuits have decreased b y 27 percent between 1998 and 2003 (Table 7.14). Investments carried out for rehabilitating and reconstructing the transmission system have reduced the power interruptions caused b y E T E S A L b y 21 percent. Investments o f distributing entities and the approval and setting in motion o f quality norms for distribution service have reduced interruptions b y 44 percent. This explains the 29 percent increment o f interruptions due to grid maintenance. As a result, energy not served to final users fell abruptly b y 8 percent o f adjusted demand in 1989 to 0.2 percent in 2003. 7.33 During 2003, the Salvadoran power system registered a deficit in i t s reserve margin o f 528 hours or 6 percent o f power demand (Table 7.15).13* This reveals deterioration in quality and security o f the power system with regard to required potency 138 The margin required for spinning reserve in El Salvador i s 7 percent o f power demand, which i s the result of adding the amount o f reserve for Primary Frequency Regulation o f 3 percent (which allows instant balancing between generating and demand, following the normal deviations o f flow and withdrawal), and the amount o f reserve for Secondary Frequency Regulation under Automatic Control o f Generation 4 percent (used for correcting the accumulated error o f primary frequency regulation; and for maintaining interchange between interconnection with Guatemala and Honduras within the programmed values). 188 for operation under normal conditions, This reflects a reduction in the margin between bulk available capacity and maximum power demand o f 18 percent in December 2002 to 6.4 percent in December 2003 (Table 7.16), owing to removal o f 88.4 MW of Duke's plants in Soyapango and San Miguel for their re-conversion and the unavailability o f 67.5 MW of the Cerr6n Grande Unit 2 for adjustments in generating power. This i s because maximum demand has grown at an average annual pace o f 5.1 percent between 1990 and 2003, whilst installed capacity at a pace o f 4.2 percent. Other technical aspects related to the quality o f distribution also require i m p r ~ v e m e n t . ' ~ ~ Table 7.13: El Salvador Energy Interruption and N o t Delivered (EIND), 1990 2002 a/ In transmission, lines, Guatemala and Honduras interconnection lines and distribution networks b/ Interconnections, Generators, Final users and UT Source: UT 7.34 Some indicators used b y SIGET for measuring the quality o f service to client by the distribution companies are: percentage of errors in invoicing residential users (IPE111); percentage o f claims (PRUC); average response time for claims received (TPA); and average time for solving claims received (PRA). Year 2003 results (Table 7.17) indicate that all distributors reached required SIGET levels for IPEll1; CAESS and D E U S E M did not comply with PRUC; CAESS and EEO did not comply with TPA; and only EEO did not comply with PRA. 13' SIGET measures tension quality in the distribution network through the equivalent frequency allowed for annual l i m i t s &8 percent and +9 percent in low-tension lines <600 V in the urban and rural areas; and, +7 percent and +8 percent in medium-tensionlines 600 V <V<115kV) or FEB per index, which must be equal to or more than 97 percent. Measurements taken in the transition stage yielded: DELSUR 96.51 percent, DEUSEM and EEO 94.55 percent, CLESA 92.02 percent, and CAESS 91.54 percent. T h i s means that distributors must carry out investments in their networks in order to improve power quality in order to comply with SIGET requirements. SIGET also carries out campaigns geared to determine the presence of flickering and disharmony tension in the distribution networks. The flickering percentageregisteredbeyond the tolerance levels in the second semester 2003 for distributors was: CAESS 0.8 percent, CLESA 0.87 percent, and DEUSEM 1.66 percent, EEO 2.60 percent and DELSUR 2.99 percent. W h i l s t the disharmony tension percentage registered beyond tolerance levels for the same period was: DELSUR 2.14 percent, CAESS 21.40 percent, CLESA28.87 percent, EEO 58.12 percent and DEUSEM 62.28 percent. T h i s indicates that disturbances due to disharmony tension in the distribution networks are significant. 189 a/ Samples have a duration o f 30 minutes bl The minimum reserve required i s 7 percent o f the power demanded Source: UT a/ Charts for 1990-1998 estimated on the basis o f an availability factor o f 86.1 percent bl After considering a 7 percent margin for reserve Source: O w n estimates on the basis o f C E L and SIGET information. Table 7.16: Electricity Companies - Indicators o f Quality Services to Clients, 2003 Note: IPE111- percentage o f billing errors on residential consumers bills; PRUC- claims made be commercial clients o f distribution companies as percentage o f total number o f clients: TPA- average time o f response to the claims received: PRA- claims resolved as percentage o f total claims received. Source: SIGET Expenditure Incidence 7.35 Although a large part o f the electricity sector i s now privatized, the geographic distribution o f FISDL and FINET rural electrification expenditures and the change in access o f lower income households to electricity help to evaluate whether public expenditures in the sector have favor the poor. The household surveys indicate that between 1991 and 2002, the households in the poorest bottom quintiles saw their access to electricity increase by 21.4 percentage points against 8.8 percent points for the richest 190 households. Households in the second quintile were the major beneficiaries (22.8 percent points) (Chart 7.2). 7.36 A geographic analysis o f FISDL investments during 94-2003 indicates that the departments with the largest investment were UsulutBn, San Miguel and L a Libertad (Table 7.18). The correlation analysis indicates that these investments were carried out independent o f the per capita income o f the department (+0.33 denotes a low positive correlation between variables). Thus i t may be concluded that the allocation o f resources did not favor the richest departments. However, most beneficiaries are concentrated in San Salvador and L a Libertad, these being the o departments most densely populated in the country. Chart 7.2: Access to Electricity b y Quintile 100 90 80 70 60 50 1 1+1gg1 1995 1 69.6 77.0 1 1 45.0 51.2 1 62.3 70.9 I 1 69.7 79.5 Quintiles I 191 1 ~ 80.9 88.2 I 1 90.2 95.2 1 ~ CabaRas San Vicente Usulutan San Miguel Morazan La Union Correlation Coefficient 50.9 66.2 66 80. I 56.5 60.2 5yo 5yo 15% 11% 4yo 6% 0.33 4% 3% 13% 9% 2% 3% 0.82 7.37 Geographic distribution of subsidies granted by FINET to residential users keeps the same proportion of subscribers to the distributing entities (Table 7.19 and Chart No. 7.1). This reveals a 60 percent concentration of users with monthly consumption below 100 kWh in the central region of the country. Table 7.18: FINET - Geographic Distribution of \Easternc/ 19% Source: FINET 192 21% IV. Conclusions and Recommendations 7.38 Electricity indicators for the period 1990-2003 reveal improvement in coverage and quality of service, mainly in rural areas. The main sector challenge i s to lower the cost of service through greater generation with more efficient sources, and market competition in the segments o f generation and distribution. 7.39 Strengthening the electricity sector i s part o f the new President Government Plan- Safe Country, 2004-2009. I t calls for: “ i ) strengthening SZGET by giving it the technical capacity and the tools to maintain its supervision in accord with the electricity market developments and be on guard so that electricity prices do not depend on manipulation nor inefliciencies; i i ) approving the Competition Law and the entity in charge of enforcing it: and iii) eliminating trade barriers to increment competition and thus stimulate reduction in prices of goods and services to consumers.’’ Consistent with these goals, the previous analysis indicate that the specific challenges facing the sector include: i)continue to increase coverage o f power service in rural areas; ii)reduce electricity costs; and iii)continue to improve service quality, mainly at the distribution level. Allocation of resources to the sector 7.40 Although the MDGs do not include electricity coverage, in view o f the importance o f rural electrification for income generation, access to technology, and reduction o f poverty, the recent study on the situation o f El Salvador in relation to the MDGs,I4’ incorporates as a national commitment, the goal o f reaching a rural electrification rate o f 85 percent b y 2015 (from 71 percent in 2002). This implies raising b y about one percentage point per year the rural electricity coverage. I t i s estimated that this would cost (to public entities) about US$ 3 million a year or U S $ 40 million for reaching the target in 2015.14’ During 1991-2002, rural electricity coverage increased from 43.5 percent to 71.1 percent (Table 7.9) or b y about 28 percentage points. The direct investment in rural electrification b y public entities (CEL, FINET, FISDL, SETEFE) was about U S $ 78 millions, or U S $ 2.8 million for each percentage point increase. “El Salvador: Avance de 10s Objetivos de Desarrollo del Milenio- Primer Informe de Pais”, 2004. The report “ Analysis o f the Cost to Meet the Requirements Established in the FINET Law” prepared by Hagler Baily for the FISDLIUSAID in 1999, estimates that for meeting the needs o f 15,000 new rural consumers annually (50 percent of total number of new users in rural areas) over the period 1999-2005 and increase rural coverage by 17.7 percentage points, there would be a need to invest US$ 45.3 million, assuming that there would be other contributions from the companies, municipalities, etc. This would be equivalent to a cost of US$ 2.6 million per percentage point increase in 1999 prices, or US$ 2.9 million in 2003 prices. 14’ 14’ 193 Intra-sectoral allocation of resources 7.41 There i s a need to promote greater generation with more efficient resources to lower the cost of service. Generation from renewable sources should be encouraged in order to reduce the dependency on thermal plants and imported fuels, which increase sharply the cost of electricity to consumers. At the same time, support should be given for the construction and operation o f the SIEPAC line, so as to obtain cheaper power from Guatemala, Costa Rica and Panama, as well as to give greater stability and security to the national power system. 7.42 The sector’s resource allocation priorities should be reviewed in order to allocate more resources to rural low-income population lacking service; and less resources for subsidies to those that already enjoy the service. This requires addressing the priceregulation mechanism (PEN) current deficit; eliminating C E L subsidy to the water company, ANDA: focalizing subsidies more on residential power consumers; and facilitating the establishing o f more power marketers. During 1990-2003, C E L allocated US$351 million to generation and transmission, equivalent to 49 percent o f the proceeds from the sector’s privatizations. During this same period, CEL, FISDL, SETEFT and FINET allocated US$78 million to expand rural electrification coverage; and US$269 million for subsidizing residential power. This indicates that, for each U S $ l used for subsidizing households already with the services, US$0.29 were allocated for increasing the coverage to those without the service. Resources destined for rural electrification represented 11 percent o f the proceeds from the privatization, while resources for subsidies o f electric consumption represent 26 percent. Efficiency and equity of resource use 7.43 The sector needs more competition in the segments o f power generation and distribution to increase i t s efficiency and lower costs to consumers. Electricity prices in MRS increased b y 13 percent in real terms between 1998-2003. Nevertheless, the total cost o f power service to the average consumer, which includes cost o f electricity, use o f network, and billing and collection costs, increased by 60 percent in real terms. This indicates that the elimination o f subsidies to residential users consuming more than 99 k w h and the increase in distribution charges (use o f network and bill collection costs) explains to a great extent the rise in prices. However, reported abuse o f market power and rises in fuel prices for thermal generating were important elements in price developments in 2000 and 2003, respectively. In this connection, there i s a need to close the legal and operational gaps that do not allow power marketers to compete with distribution companies in supplying power to residential, commercial and industrial users. 7.44 The quality o f service should continue to improve particularly at distribution level. Quality o f service has improved inasmuch as: i)interruptions due to power failures in the transmission lines and power distribution circuits have decreased b y 27 percent between 1998 and 2003; and ii)power not served to final users decreased from 8 percent 194 o f adjusted demand in 1989 to 0.2 percent in 2003. Nevertheless, in 2003, there was a decline in the system’s reserve margin. 7.45 The incidence analysis indicated that the access to electricity of the household in the bottom quintiles of the distribution o f income increased faster than for the richest households. The geographic distribution o f resources invested b y the F I S D L and FINET in the sector do no appear to benefit the department with higher per capita income. Recommendations 7.46 a a a a a In sum, consideration should be given to the following: Evaluate the residential consumers subsidy policy and the UT-managed price mechanism, so as to liberate resources for the support o f rural electrification. Encourage renewable sources generation in order to reduce the dependency on thermal plants and imported fuels. Continue implementing the service quality norms for the distribution companies. Mobilize internal support for the construction and operation o f the SIEPAC line, so as to obtain cheaper power from Guatemala, Costa Rica and Panama, as well as to give greater stability and security to the national power system. Introduce more competition in the segments of power generation and distribution, create the incentives for investments in new installed capacity, and close the legal and operational gaps that do not allow power marketers to compete with distribution companies in supplying power to residential, commercial and industrial users. 195 REFERENCES Acevedo Carlos y Mauricio Gonzalez Orellana, (2003). “El Salvador: Diagnostic0 del Sistema Tributario y Recomendaciones de Politica para incrementar l a Recaudacibn”, Banco Interamericano de Desarrollo. Acevedo Carlos (2003). “iEs Sostenible la Politica Fiscal en El Salvador?” FUSADES and DEES, San Salvador Asamblea Legislativa de la Repdblica de El Salvador. L e y de Presupuesto. Various issues. AL, San Salvador. Asamblea Legislativa de l a Repdblica de El Salvador. Several Laws and Regulations Banco Central de Reserva. Revista Trimestral. Various issues. BCR, San Salvador. C o m i s i h Presidencial para l a Modernizacih del Sector Pdblico (2004). Visidn de Futuro: Programa de Modernizacih del Sector Pcblico. Working note, San Salvador. COMURES (2003). El Impact0 de l a Inversi6n del FODES en el Desarrollo Econ6mico y Social de 10s Municipios. Consultancy report from FUNDE and FUNDAUNGO, San S a1v ador. Corte de Cuentas de la Repdblica. Informe de Labores 2002 CCR, San Salvador. Detragiache, E., & A. Spilimbergo (2001). “Crises and Liquidity: Evidence and Interpretation,” IMF Working Paper 01/02. Washington DC. Dorotinsky, Bill, Steve Knack, N i c k Manning & M a r k Kugler (2001). Policy Volatility, Budgetary Volatility, and Poverty. Working note, Washington D.C. Edwards Sebastian, (2003). “Desaceleracin del Crecimiento Economico en El Salvador: Un Analisis Exploratorio. FUSADES FUSADES (2002). Analisis Macroecon6mico del Presupuesto Fiscal 2002. Boletin FUSADES y DEES (2003). “Estrategia Economica y Social 2004-2009. Oportunidades, Seguridad y Legitimidad: bases para e l desarrollo.” San Salvador Gobierno de l a Republica de El Salvador (2004). “Plan de Gobierno 2004-2009: PAIS SEGURO International Monetary Fund, (July 2003). “El Salvador - Staff Report for 2003 Article I V Consultation” prepared b y the Western Hemisphere Department. 196 International Monetary Fund, (July 2003). “El Salvador Selected Issues” prepared b y the Western Hemisphere Department. International Monetary Fund (May 2002) “Assessing Sustainability”. Policy Development and Review Department. International Monetary Fund, (February 2004) “Report on the Observance o f Standards and Codes (ROSC) Fiscal Transparency Module, prepared b y Fiscal Affairs Department International Monetary Fund, (2002). “Central American Tax Reform: Trends and Possibilities”, prepared by Janet Stotsky and A. WoldeMariam, Fiscal Affairs Department. Larrain B. Felipe, (2003) “El Salvador: Como Volver a Crecer?” Banco Interamericano de Desarrollo. Ministerio de Hacienda (2003). Manual de Clasificacih para las Transacciones Financieras del Sector Ptiblico. MH, San Salvador. Marques Jose S, (2003). “El Salvador: Evaluation of Public Expenditure on Education and Health”, prepared for the World Bank Ministerio de Hacienda (2003). Manual de Procesos para l a Ejecuci6n Presupuestaria. MH, San Salvador. Ministerio de Hacienda (2002). Mensaje del Proyecto de Presupuesto 2003. MH, San Salvador. Pattillo Catherine, Helen Poirson, and Luca Ricci (2002). “External Debt and Growth,” IMF Working Paper 02 / 69. Probidad (2003). Indice Latinoamericano de Transparencia Presupuestaria 2003, Informe de El Salvador. Probidad, San Salvador. Schick, Allen (1998). “A Contemporary,Approach to Public Expenditure Management” World Bank Institute, Washington, D.C. Velaco Andres and Rodriguez Camila (2004). “El Salvador Fiscal Performance, Prospects and Policy Options”, Harvard-FUSADES Study World Bank (2004). “El Salvador Poverty Assessment, Strengthening Social Policy” prepared b y Poverty reduction and Economic management and Human Development Sector Management Unit World Bank (2003). “El Salvador Country Economic Memorandum” Report No. 26238, 197 prepared b y the Central America Department, LAC Region World Bank (May 2002) “El Salvador: Social Safety Net Assessment” Report No. 24190-ES, prepared by the Poverty Reduction and Economic Management Sector Unit World Bank (June 2002). “El Salvador: Policy Note on Elements fro Strengthening the Social Safety Net”, Report No. 24191-ES, prepared by the Poverty Reduction and Economic Management Sector Unit World Bank (2001). “Country Assistance Strategy for the Republic o f El Salvador” Report No. 22932 ES, prepared by the Central America Country Management Unit World Bank Group (2004). “Global Development Finance 2004”. Prepared by the Development Data Group. World Bank and Inter-American Development Bank (2004). El Salvador: Country Financial Accountability Assessment. June, 2004, Washington, D.C. 198