How does decentralisation affect health sector planning and financial management? a case study of early effects of devolution in Kilifi County, Kenya

B Tsofa, S Molyneux, L Gilson, C Goodman - International journal for …, 2017 - Springer
Background A common challenge for health sector planning and budgeting has been the
misalignment between policies, technical planning and budgetary allocation; and …

Devolution and its effects on health workforce and commodities management–early implementation experiences in Kilifi County, Kenya

B Tsofa, C Goodman, L Gilson, S Molyneux - International journal for …, 2017 - Springer
Background Decentralisation is argued to promote community participation, accountability,
technical efficiency, and equity in the management of resources, and has been a recurring …

Devolution of healthcare system in Kenya: progress and challenges

BB Masaba, JK Moturi, J Taiswa, RM Mmusi-Phetoe - Public Health, 2020 - Elsevier
Objectives The aim of the present study was to systematically review the progress and
challenges on the devolved healthcare system in Kenya. Study design A systematic review …

Health system governance following devolution: comparing experiences of decentralisation in Kenya and Indonesia

R McCollum, R Limato, L Otiso, S Theobald… - BMJ global …, 2018 - gh.bmj.com
Introduction Devolution reforms in Indonesia and Kenya have brought extensive changes to
governance structures and mechanisms for financing and delivering healthcare. Community …

Priority setting for health in the context of devolution in Kenya: implications for health equity and community-based primary care

R McCollum, S Theobald, L Otiso… - Health policy and …, 2018 - academic.oup.com
Devolution changes the locus of power within a country from central to sub-national levels.
In 2013, Kenya devolved health and other services from central government to 47 new sub …

Optimising decentralisation for the health sector by exploring the synergy of decision space, capacity and accountability: insights from the Philippines

HJ Liwanag, K Wyss - Health Research Policy and Systems, 2019 - Springer
Background Several studies on decentralisation have used the 'decision space'approach to
assess the breadth of space made available to decision-makers at lower levels of the health …

Understanding the effect of decentralisation on health services: the Nepalese experience

K Regmi, J Naidoo, A Greer… - Journal of health …, 2010 - emerald.com
Purpose–Despite enormous progress in health globally, primary healthcare services in
many developing countries are facing different challenges. Many studies have documented …

[HTML][HTML] Decentralisation and management of human resource for health in the health system of Ghana: a decision space analysis

AM Sumah, L Baatiema - International journal of health policy and …, 2019 - ncbi.nlm.nih.gov
Background: The implications of decentralisation on human resource for health
management has not received adequate research attention despite the presupposition that …

Challenges to the implementation of health sector decentralization in Tanzania: experiences from Kongwa district council

G Frumence, T Nyamhanga, M Mwangu… - Global health …, 2013 - Taylor & Francis
Background During the 1990s, the government of Tanzania introduced the decentralization
by devolution (D by D) approach involving the transfer of functions, power and authority from …

Recentralization within decentralization: county hospital autonomy under devolution in Kenya

EW Barasa, AM Manyara, S Molyneux, B Tsofa - PloS one, 2017 - journals.plos.org
Background In 2013, Kenya transitioned into a devolved system of government with a
central government and 47 semi-autonomous county governments. In this paper, we report …