The article examines the factors and conditions that affect street-level bureaucrats in health
service delivery and how the street-level bureaucrats cope with their working conditions in …

Introduction: In the perspectives of implementation of policy, the top-down and bottom-up
perspectives of policy-making dominate the discourse. However, service delivery and …

Background The health system of Iraqi Kurdistan is severely understudied, particularly with
regard to patient-physician interactions and their effects. We examine patterns of behaviour …

Background: In this study, we use the case of medical doctors in the public health system in
rural India to illustrate the nuances of how and why gaps in policy implementation occur at …

This research aims at studying and explaining forms of coping behaviors and public respond
to coping behaviors as shown by health service officers at street-level bureaucrats in …

This chapter examines the role discretion plays at the frontlines of the implementation of
Ghana's NHIS. Relying on participant observations and one-on-one semi-structured …

This paper examines the manner street-level bureaucrats (agents) interact with the principal
(government, citizens, etc.) in the regular course of their jobs to deliver services particularly …

The integrated approach of the Primary Health Care Concept has obvious implications for
development. In view of Zambia's commitment to Primary Health Care it is important to …

Background Community participation is essential for the successful implementation of
primary health care programmes across the globe, including sub-Saharan Africa. The …

The availability of diagnostic equipment, medical products and basic infrastructure is limited
in most low-income societies. Poor motivation among health workers as well as recruitment …