Decentralization and Health Policy in South Asia PDF Download
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Author: Nisha Bellinger
Publisher: Taylor & Francis
ISBN: 1040112889
Category : Political Science
Languages : en
Pages : 153
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Book Description
This ambitious and insightful book provides a unique regional perspective on health policy across South Asia, focusing on how the decentralization of policy and governance leads to differing health outcomes across different countries in the region. Comparing the contexts and outcomes in Sri Lanka, Pakistan, India, Nepal, and Bangladesh, the book asks how power sharing arrangements between central and subnational layers of government nevertheless result in varying levels of success across issues such as infant and under-five mortality rates. The book argues that it is the role of central government in formulating policy, and how this feeds into regional implementation, that partly explains the disparities in health outcomes across the region. The book will interest students and scholars of South Asia politics, global health and health policy more generally.
Author: Nisha Bellinger
Publisher: Taylor & Francis
ISBN: 1040112889
Category : Political Science
Languages : en
Pages : 153
Get Book Here
Book Description
This ambitious and insightful book provides a unique regional perspective on health policy across South Asia, focusing on how the decentralization of policy and governance leads to differing health outcomes across different countries in the region. Comparing the contexts and outcomes in Sri Lanka, Pakistan, India, Nepal, and Bangladesh, the book asks how power sharing arrangements between central and subnational layers of government nevertheless result in varying levels of success across issues such as infant and under-five mortality rates. The book argues that it is the role of central government in formulating policy, and how this feeds into regional implementation, that partly explains the disparities in health outcomes across the region. The book will interest students and scholars of South Asia politics, global health and health policy more generally.
Author: Shailender Kumar Hooda
Publisher: Routledge India
ISBN: 9781032108438
Category : Business & Economics
Languages : en
Pages : 254
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Book Description
"This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--
Author: Shinichi Ichimura
Publisher: World Scientific
ISBN: 9812818642
Category : Political Science
Languages : en
Pages : 441
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Book Description
This book explores the important topic of fiscal decentralization in Asian countries, and focuses on how government finance and administration are being reformed to bring budgetary decisions closer to voters. The focus on Asia is especially important because all countries in this region have been undergoing serious fiscal reforms in the past decade. They include one of the biggest decentralization reforms in Indonesia, significant reforms in democratic Philippines and Vietnam which are in transition, and Japan, whose fiscal reconstruction program is covered extensively. India and China, which are also covered, are very special cases because of their size and because their policies must fit decentralization into a significant economic growth scenario.
Author: Saltman, Richard
Publisher: McGraw-Hill Education (UK)
ISBN: 033521925X
Category : Education
Languages : en
Pages : 327
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Book Description
Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
Author: Andrew Cassels
Publisher:
ISBN:
Category : Health care reform
Languages : es
Pages : 23
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Book Description
Author: M. Ramesh
Publisher: Cambridge University Press
ISBN: 1108676952
Category : Political Science
Languages : en
Pages : 271
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Book Description
The book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.
Author: Anne Mills
Publisher:
ISBN: 9789241561372
Category : Decentralization in government
Languages : en
Pages : 151
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Book Description
Author: Rani D. Mullen
Publisher: Routledge
ISBN: 1136597999
Category : Political Science
Languages : en
Pages : 293
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Book Description
Over the past three decades, decentralization has been seen as the means for allowing local governments to become more accountable, and for encouraging the deepening of democracy and the building of village communities. By drawing on original village-level case studies of six villages in three different Indian states, this book presents a systematic analysis of the impact of decentralization on the delivery of social services at the local level within India. Supplementing national and state-level data and analyzing the different historical legacies in each state, the book argues that decentralization is not simply a function of the structure of the decentralization program or of the relationship between higher-tiered and local government. Rather, the possibility of decentralization affecting social outcomes depends on several interacting factors, including the distribution of power among local elites, the dynamics of political competition, and the level of civil society mobilization. By examining constitutionally-mandated political decentralization across India, this book identifies the circumstances under which local government structures can lead to improved social services and societal wellbeing, as well as presenting a substantial contribution to studies on South Asian Politics and Local Government.
Author:
Publisher: World Bank Publications
ISBN:
Category : Decentralization in government
Languages : en
Pages : 29
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Book Description
Dissatisfied with centralized approaches to delivering local public services, a large number of countries are decentralizing responsibility for these services to lower-level, locally elected governments. The results have been mixed. The paper provides a framework for evaluating the benefits and costs, in terms of service delivery, of different approaches to decentralization, based on relationships of accountability between different actors in the delivery chain. Moving from a model of central provision to that of decentralization to local governments introduces a new relationship of accountability-between national and local policymakers-while altering existing relationships, such as that between citizens and elected politicians. Only by examining how these relationships change can we understand why decentralization can, and sometimes cannot, lead to better service delivery. In particular, the various instruments of decentralization-fiscal, administrative, regulatory, market, and financial-can affect the incentives facing service providers, even though they relate only to local policymakers. Likewise, and perhaps more significantly, the incentives facing local and national politicians can have a profound effect on the provision of local services. Finally, the process of implementing decentralization can be as important as the design of the system in influencing service delivery outcomes.
Author: James Manor
Publisher: World Bank Publications
ISBN:
Category : Business & Economics
Languages : en
Pages : 152
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Book Description
Nearly all countries worldwide are now experimenting with decentralization. Their motivation are diverse. Many countries are decentralizing because they believe this can help stimulate economic growth or reduce rural poverty, goals central government interventions have failed to achieve. Some countries see it as a way to strengthen civil society and deepen democracy. Some perceive it as a way to off-load expensive responsibilities onto lower level governments. Thus, decentralization is seen as a solution to many different kinds of problems. This report examines the origins and implications decentralization from a political economy perspective, with a focus on its promise and limitations. It explores why countries have often chosen not to decentralize, even when evidence suggests that doing so would be in the interests of the government. It seeks to explain why since the early 1980s many countries have undertaken some form of decentralization. This report also evaluates the evidence to understand where decentralization has considerable promise and where it does not. It identifies conditions needed for decentralization to succeed. It identifies the ways in which decentralization can promote rural development. And it names the goals which decentralization will probably not help achieve.
