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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: 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: Anne Mills
Publisher:
ISBN: 9789241561372
Category : Decentralization in government
Languages : en
Pages : 151
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Book Description
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: Jean-Paul Faguet
Publisher: Oxford University Press, USA
ISBN: 0198737505
Category : Business & Economics
Languages : en
Pages : 352
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Book Description
Is decentralisation good for development? This book explains when the answer is 'Yes' and when it is 'No'. It shows how decentralisation can be designed to drive development forward, and focuses on the institutional incentives that can strengthen democracy, boost economies, and improve public sector performance.
Author: Jennie Ilene Litvack
Publisher: World Bank Publications
ISBN: 9780821343500
Category : Business & Economics
Languages : en
Pages : 52
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Book Description
In an effort to reduce poverty and improve nutrition, this Bank operation assisted the Indian program Operation Flood to develop the dairy industry in India. This study examines the policy changes instituted to support the aid flow to the dairy sector and discusses the lessons learned and benefits realized through improved dairy production. It also presents suggestions for improvement. This program differs from other Bank efforts in that it focuses on a single commodity to alleviate poverty and raise living standards.
Author: Ketleen Florestal
Publisher: World Bank Publications
ISBN: 9780821339336
Category : Law
Languages : en
Pages : 52
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Book Description
In practice, most education systems have both centralized and decentralized elements. Planners involved in a decentralizing reform must identify which components of the system are more appropriately managed at the central level and which at the local level. This book is intended to inform education policymakers, planners, and practitioners about international experience in the legal aspects of decentralizing basic education. It also provides a basic understanding of how laws and regulations can be used for education reform. For purposes of the discussion, decentralization is used to describe efforts to transfer decision making power in basic education from the administrative center of a country to authorities closer to users. The term is also used in a more technical sense to describe one of the many forms this type of reform can take, and in this sense it is contrasted with deconcentration and devolution as educational reforms. The first section examines the general legal aspects of decentralization, and the second looks more closely at decentralization laws and regulations. The third section is, in effect, a checklist of items that should be included in decentralization laws, and the fourth section provides a road map to help the planner prepare and implement the laws required for reform. Although an effort has been made to keep the discussion general enough for use in many countries, the analysis is based on the legal systems of the Western world or those that they inspired. (Contains 35 references.) (SLD)
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: World Bank
Publisher: World Bank Publications
ISBN: 0821383132
Category : Business & Economics
Languages : en
Pages : 122
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Book Description
This paper, based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity, aims at understanding the performance of primary health care providers in four states in Nigeria. As possible ways to improve performance, the paper concludes that clearly defining lines of responsibility, implementing performance-based financing of local governments and providers, and collecting, analyzing, and sharing information are some options that can help realign incentives and improve accountability in the service delivery chain and service provision. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom, and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition, and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharma-ceuticals, Governance and Service Delivery, and Infrastructure and ICT.
Author: Tove A. Larsen
Publisher: IWA Publishing
ISBN: 1843393484
Category : Science
Languages : en
Pages : 502
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Book Description
Is sewer-based wastewater treatment really the optimal technical solution in urban water management? This paradigm is increasingly being questioned. Growing water scarcity and the insight that water will be an important limiting factor for the quality of urban life are main drivers for new approaches in wastewater management. Source Separation and Decentralization for Wastewater Management sets up a comprehensive view of the resources involved in urban water management. It explores the potential of source separation and decentralization to provide viable alternatives to sewer-based urban water management. During the 1990s, several research groups started working on source-separating technologies for wastewater treatment. Source separation was not new, but had only been propagated as a cheap and environmentally friendly technology for the poor. The novelty was the discussion whether source separation could be a sustainable alternative to existing end-of-pipe systems, even in urban areas and industrialized countries. Since then, sustainable resource management and many different source-separating technologies have been investigated. The theoretical framework and also possible technologies have now developed to a more mature state. At the same time, many interesting technologies to process combined or concentrated wastewaters have evolved, which are equally suited for the treatment of source-separated domestic wastewater. The book presents a comprehensive view of the state of the art of source separation and decentralization. It discusses the technical possibilities and practical experience with source separation in different countries around the world. The area is in rapid development, but many of the fundamental insights presented in this book will stay valid. Source Separation and Decentralization for Wastewater Management is intended for all professionals and researchers interested in wastewater management, whether or not they are familiar with source separation. Editors: Tove A. Larsen, Kai M. Udert and Judit Lienert, Eawag - Swiss Federal Institute of Aquatic Science and Technology, Switzerland. Contributors: Yuval Alfiya, Technion - Israel Institute of Technology, Faculty of Civil and Environmental Engineering; Prof. Dr. M. Bruce Beck, University of Georgia, Warnell School of Forestry and Natural Resources; Dr. Christian Binz, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Innovation Research in Utility Sectors (Cirus); Prof. em. Dr. Markus Boller, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Urban Water Management (SWW); Prof. Dr. Eran Friedler, Technion – Israel Institute of Technology, Faculty of Civil and Environmental Engineering; Zenah Bradford-Hartke, The University of New South Wales, School of Chemical Engineering and UNESCO Centre for Membrane Science and Technology; Dr. Shelley Brown-Malker, Very Small Particle Company Ltd; Bert Bundervoet, Ghent University, Laboratory Microbial Ecology and Technology (LabMET); Prof. Dr. David Butler, University of Exeter, Centre for Water Systems; Dr. Christopher A. Buzie, Hamburg University of Technology, Institute of Wastewater Management and Water Protection; Dr. Dana Cordell, University of Technology, Sydney (UTS), Institute for Sustainable Futures (ISF); Dr. Vasileios Diamantis, Democritus University of Thrace, Department of Environmental Engineering; Prof. Dr. Jan Willem Erisman, Louis Bolk Institute; VU University Amsterdam, Department of Earth Sciences; Barbara Evans, University of Leeds, School of Civil Engineering; Prof. Dr. Malin Falkenmark, Stockholm International Water Institute; Dr. Ted Gardner, Central Queensland University, Institute for Resource Industries and Sustainability; Dr. Heiko Gebauer, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Innovation Research in Utility Sectors (Cirus); Prof. em. Dr. Willi Gujer, Swiss Federal Institute of Technology Zürich (ETHZ), Department of Civil, Environmental and Geomatic Engineering (BAUG); Prof. Dr. Bruce Jefferson, Cranfield University, Cranfield Water Science Institute; Prof. Dr. Paul Jeffrey, Cranfield University, Cranfield Water Science Institute; Sarina Jenni, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Process Engineering Department (Eng); Prof. Dr. Håkan Jönsson, SLU - Swedish University of Agricultural Sciences, Department of Energy and Technology; Prof. Dr. Ïsik Kabdasli, Ïstanbul Technical University, Civil Engineering Faculty; Prof. Dr. Jörg Keller, The University of Queensland, Advanced Water Management Centre (AWMC); Prof. Dr. Klaus Kömmerer, Leuphana Universität Lüneburg, Institute of Sustainable and Environmental Chemistry; Dr. Katarzyna Kujawa-Roeleveld, Wageningen University, Agrotechnology and Food Sciences Group; Dr. Tove A. Larsen, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Urban Water Management (SWW); Michele Laureni, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Process Engineering Department (Eng); Prof. Dr. Gregory Leslie, The University of New South Wales, School of Chemical Engineering and UNESCO Centre for Membrane Science and Technology; Dr. Harold Leverenz, University of California at Davis, Department of Civil and Environmental Engineering; Dr. Judit Lienert, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Environmental Social Sciences (ESS); Prof. Dr. Jürg Londong, Bauhaus-Universität Weimar, Department of Urban Water Management and Sanitation; Dr. Christoph Lüthi, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Water and Sanitation in Developing Countries (Sandec); Prof. Dr. Max Maurer, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Urban Water Management (SWW); Swiss Federal Institute of Technology Zürich (ETHZ), Department of Civil, Environmental and Geomatic Engineering; Prof. em. Dr. Gustaf Olsson, Lund University, Department of Measurement Technology and Industrial Electrical Engineering (MIE); Prof. Dr. Ralf Otterpohl, Hamburg University of Technology, Institute of Wastewater Management and Water Protection; Dr. Bert Palsma, STOWA, Dutch Foundation for Applied Water Research; Dr. Arne R. Panesar, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH; Prof. Dr. Bruce E. Rittmann, Arizona State University, Swette Center for Environmental Biotechnology; Prof. Dr. Hansruedi Siegrist, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Process Engineering Department (Eng); Dr. Ashok Sharma, Commonwealth Scientific and Industrial Research Organisation, Australia, Land and Water Division; Prof. Dr. Thor Axel Stenström, Stockholm Environment Institute, Bioresources Group; Norwegian University of Life Sciences, Department of Mathematical Science and Technology; Dr. Eckhard Störmer, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Innovation Research in Utility Sectors (Cirus); Bjartur Swart, STOWA, Dutch Foundation for Applied Water Research; MWH North Europe; Prof. em. Dr. George Tchobanoglous, University of California at Davis, Department of Civil and Environmental Engineering; Elizabeth Tilley, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Water and Sanitation in Developing Countries (Sandec); Swiss Federal Institute of Technology Zürich (ETHZ), Centre for Development and Cooperation (NADEL); Prof. Dr. Bernhard Truffer, Eawag, Swiss Federal Institute of Aquatic Science and Technology; Innovation Research in Utility Sectors (Cirus); Prof. Dr. Olcay Tünay, Ïstanbul Technical University, Civil Engineering Faculty; Dr. Kai M. Udert, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Process Engineering Department (Eng); Prof. em. Dr. Willy Verstraete, Ghent University, Laboratory Microbial Ecology and Technology (LabMET); Prof. Dr. Björn Vinnerås, SLU - Swedish University of Agricultural Sciences, Department of Energy and Technology; Prof. Dr. Urs von Gunten, Eawag, Swiss Federal Institute of Aquatic Science and Technology, Department of Water Resources and Drinking Water (W+T); Ecole Polytechnique Fédérale de Lausanne (EPFL),School of Architecture, Civil and Environmental Engineering (ENAC); Prof. em. Dr. Peter A. Wilderer, Technische Universität München, Institute for Advanced Study; Prof. Dr. Jun Xia, Chinese Academy of Sciences (CAS), Center for Water Resources Research and Key Laboratory of Water Cycle and Related Surface Processes; Prof. Dr. Grietje Zeeman, Wageningen University, Agrotechnology and Food Sciences Group
Author: Remy Prud'homme
Publisher: World Bank Publications
ISBN:
Category : Central-local government relations
Languages : en
Pages : 43
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Book Description
Demand for decentralization is strong in most parts of the world. This close look at the negative side effects of improperly appled decentralization is not an attack on decentralization but an effort to prevent its misapplication -- and to promote fuller understanding and wiser use of this potentially desirable policy.
