This article discusses the impact of public expenditure policy on pove
rty reduction, focusing on the interaction between poverty assessments
(PAs) and public expenditure reviews (PERs). Most PAs have analysed p
overty in terms of the constraints that prevent the poor from particip
ating in labour intensive growth, with little appreciation of sociolog
ical and political factors involved. Most PERs have concentrated on th
ree issues: increasing the share of the education and health sectors w
ithin total public expenditure, the composition of spending within the
se sectors and the balance between staff and non-staff costs. However,
increased budgetary allocations to the social sectors often do not ge
t translated into reality because of poor management and monitoring of
public expenditure. In addition, the use of cash budgeting to elimina
te fiscal deficits in line with IMF conditionality works against World
Bank conditionality aimed at increasing spending in priority social s
ectors. Greater integration of PAs and PERs should be promoted by esti
mating the net impact of government expenditure and taxation/user char
ges on the poor. A central aim should be to facilitate a process of di
alogue and consensus building around public expenditure decisions.