The analysis of government disbursement carried out by ICEFI shows that adjustments and the slow use of funds limit the coverage of essential services, which conditions children’s access to health, education and food.

Public Investment Overview

The Central American Institute of Fiscal Studies (Icefi) and Save the Children Guatemala highlighted significant concerns regarding public investment for children and adolescents (IPNA). As of the end of the first quarter of 2026, IPNA reached Q 36,871.3 million, accounting for 22.1% of the Central Government’s budget, but with only a 20.6% execution rate. This raises alarms as 42% of children under five continue to suffer from chronic malnutrition, according to the National Health Development Survey 2025.

Budget Allocation and Utilization

Throughout the first quarter up until March 31, a nominal increase of Q 1,349 million (3.8%) was noted due to the recent Decree 3-2026 passed by the Congress. Most of the allocated funds are directed towards the Ministry of Education, which utilizes 72.1% of this budget. However, despite this allocation, there appears to be a vast discrepancy in effective utilization, particularly in essential services like education, health, and nutrition.

Three illustrated posters, titled 'ATTENDANCE', 'HEALTH' and 'NUTRITION' hang from a dark brick wall. A report 'LOW COMPLIANCE' is on the ground.
Three posters on assistance, health and nutrition, along with a “poor compliance” report on the floor, symbolize the critical under-execution in investing for children. (Illustrative Image Infobae)

Challenges in Effective Implementation

Per capita daily investment stands at Q 15.4 (approximately USD 2.0) per child, but many programs are either underfunded or poorly executed. The Departmental Development Councils (Codede) experienced a Q 418.3 million cut for critical areas, such as water, sanitation, and educational infrastructure, with a mere 2.3% of allocated funds effectively used by the end of March.

The Ministry of Public Health and Social Assistance (MSPAS)‘s efforts towards preventing childhood mortality and chronic malnutrition also fell short, recording only 13.3% execution against its budget.

Educational Sector Impact

The Ministry of Education reported cuts in various key programs for adolescents, affecting areas like industrial technician training and scholarships, resulting in inadequate financial support for essential educational initiatives.

Similarly, only 8.6% of the budget for the school health program was utilized, indicating a troubling trend in critical educational and health areas.

The Way Forward

The Icefi has called for increased budget allocations, particularly for vaccination programs at MSPAS, where an urgent uptick in measles cases has been observed. Additionally, addressing chronic childhood malnutrition and increasing access to clean water are paramount to improving child health outcomes in Guatemala.

Continued underexecution remains a significant barrier to achieving vital public goals for children, making the call for reform and targeted investment in these areas more critical than ever.



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