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Decentralization and Service Delivery

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Author :
Release : 2005
Genre : Decentralization in government
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis Decentralization and Service Delivery by :

Download or read book Decentralization and Service Delivery written by . This book was released on 2005. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Decentralization and Service Delivery

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Author :
Release : 2012
Genre :
Kind : eBook
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Book Synopsis Decentralization and Service Delivery by : Junaid Ahmad

Download or read book Decentralization and Service Delivery written by Junaid Ahmad. This book was released on 2012. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Does Decentralization Enhance Service Delivery and Poverty Reduction?

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Author :
Release : 2009-01-01
Genre : Political Science
Kind : eBook
Book Rating : 851/5 ( reviews)

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Book Synopsis Does Decentralization Enhance Service Delivery and Poverty Reduction? by : Ehtisham Ahmad

Download or read book Does Decentralization Enhance Service Delivery and Poverty Reduction? written by Ehtisham Ahmad. This book was released on 2009-01-01. Available in PDF, EPUB and Kindle. Book excerpt: Does decentralization enhance service delivery and poverty reduction? The expert contributors to this book address this fundamental question faced by policymakers and scholars in developing and advanced countries. The book illustrates that it is equally important for international agencies as well as bilateral donors to provide advice and assistance on decentralization that effectively supports poverty reduction. The volume builds on insights from the recent, political economy developments in the intergovernmental literature reviewed in the Handbook of Fiscal Federalism, and presents new empirical evidence on the effects of decentralization in different parts of the world. Policy-oriented papers evaluating the effectiveness of decentralized service delivery are presented. The role of institutions and the importance of sequencing of policies in ensuring effective outcomes are also considered. The volume presents some insightful empirical studies of the decentralization process from Latin America, Eastern Europe, and Africa. With a detailed empirical analysis of effective outcomes of public policies implemented at the sub-national level, and a focus on method, this book will be of great interest to academics specializing in public sector economics and public finance, and to national and international policymakers.

Decentralizing Health Services

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Author :
Release : 2013-11-19
Genre : Medical
Kind : eBook
Book Rating : 715/5 ( reviews)

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Book Synopsis Decentralizing Health Services by : Krishna Regmi

Download or read book Decentralizing Health Services written by Krishna Regmi. This book was released on 2013-11-19. Available in PDF, EPUB and Kindle. Book excerpt: Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy

Fiscal Decentralization in Developing and Transition Economies

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Author :
Release : 2004
Genre : Decentralization in government
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Book Synopsis Fiscal Decentralization in Developing and Transition Economies by : Anwar Shah

Download or read book Fiscal Decentralization in Developing and Transition Economies written by Anwar Shah. This book was released on 2004. Available in PDF, EPUB and Kindle. Book excerpt:

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