Under what conditions does decentralized governance prove most effective? This paper
starts unraveling this question by presenting the main results from a field study of …

OBJECTIVE: To examine whether decentralization has improved health system performance
in the State of Ceará, north-east Brazil. METHODS: Ceará is strongly committed to …

Decentralization in health care: strategies and outcomes Page 1 European Observatory on
Health Systems and Policies Series Decentralization in health care Page 2 Decentralization in …

Is decentralisation good for development? This book offers insights and lessons that help us
understand when the answer is' Yes', and when it is No'. It shows us how decentralisation …

Decentralization of political and administrative power, combined with a civil service reform,
are increasingly prevalent components of health sector reform. The wider implications of …

Advocates of local government often argue that when decentralisation is accompanied by
adequate mechanisms of accountability, particularly those responsive to local preferences …

Does decentralization enhance service delivery and poverty reduction? This is a
fundamental question facing policy-makers in developing as well as advanced countries. It …

Decentralization is a highly popular concept, being a key element of Primary Health Care
policies. There are, however, certain negative implications of decentralization that must be …

Health sector decentralization has been widely adopted to improve delivery of health
services. While many argue that institutional capacities and mechanisms of accountability …

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 …