One constant refrain in evaluations and reviews of decentralization is that the results are
mixed. But given that decentralization is a complex intervention or phenomenon, what is …

Policy Points: For more than 3 decades, international development agencies have
advocated health system decentralization to improve health system performance in low‐and …

Objectives A substantial number of low and middle income countries (LMICs) have
implemented health sector reforms in the last 40 years, and the majority of them have …

Decentralization has long been advocated as a desirable process for improving health
systems. Nevertheless, we still lack a sufficient analytical framework for systematically …

Decentralization is a difficult concept to pin down. Different scholars view it through a variety
of diverse, often inconsistent, sometimes overtly contradictory, analytic lenses. This …

Background Decentralised governance of health care has been widely adopted globally
over the past three decades. But despite being implemented as a management strategy …

Introduction One of the principal goals of any health care system is to improve health
through the provision of clinical and public health services. Decentralization as a reform …

Background Decentralization is promoted as a strategy to improve health system
performance by bringing decision-making closer to service delivery. Some studies have …

Although decentralization has been widely implemented in health systems, there is little
agreement as to how it should be defined or the outcomes it should produce. This article …

Evaluates the extent to which decentralization can serve as a policy instrument for the
improvement of a nations health system. Addressed to policy-makers and administrators, the …