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

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 …

This study reviews the experience of decentralization in four developing countries: Ghana,
Uganda, Zambia and the Philippines. It uses two analytical frameworks to describe and …

Decentralization is often a major part of health reform policies. However, there have been
few attempts to comparatively study the degree of decentralization and the effects of …

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

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 …

The complex ways in which decentralization is practised in the field of government health
services are examined. Organizationally, decentralization means a choice between different …

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 …

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 …