In this paper, we estimate the efficiency of Metropolitan, Municipal and District Assemblies (MMDAs) in Ghana, investigate impact fiscal decentralization on local public goods services delivery by MMDAs. Using data from composite budgets all 216 MMDAs, employ both non-parametric parametric frontier methods to carry out study. The results with regard our two indicators indicate that autonomy pro...

This paper examines the residential location and school choice responses to the desegregation of large urban public school districts. We decompose the well documented decline in white public enrollment following desegregation into migration to suburban districts and increased private school enrollment, and find that migration was the more prevalent response. Desegregation caused black public en...

One of the central interests of modern public finance theory is the implication of decentralization for the equity and efficiency of public services. It is therefore somewhat surprising that health policy in the UK and elsewhere is formulated with hardly any reference to this theory and the associated empirical evidence. The purpose of this paper is to examine the relevance of mainstream public...

New Public Management in Europe Many European countries have experienced a wave of approaches to restructuring the public sector (including health care and social services, as well as higher education) based on new public management (NPM), which some researchers have broken down into four basic models representing different stages and points of departure: (1) Efficiency drive. This model’s prim...

Evolutionary psychology has made enormous progress in understanding how individual and kin selection shape our sexual and family behaviors. In striking contrast, our understanding of the evolution of our uniquely massive scale of social cooperation (kinship-independent; subjectively, the “public” sphere) has been seriously incomplete. We briefly critique theories of human social evolution to id...

clarification of the legal and religious status of property ownership rights and paving the way for elimination of defects and completing existing rules and therefore, expanding economic security as well as determining and explaining the limits of expropriation by religious legitimate government and religious statement of permission of such an action from the islamic state and clearing objectiv...

OBJECTIVE To examine whether decentralization has improved health system performance in the State of Ceara, north-east Brazil. METHODS Ceara is strongly committed to decentralization. A survey across 45 local (municipio) health systems collected data on performance and formal organization, including decentralization, informal management and local political culture. The indicators for informal...

martin powell suggests that the death of the english national health service (nhs) has been announced so many times we are at risk of not noticing should it actually happen. he is right. if we ‘cry wolf’ too many times, we risk losing sight of what is important about the nhs and why.

Policymakers in developing countries are challenged to increase the availability and affordability of essential medicines. To improve access to medicines, the Government of India recently opened Generic Drug Stores in a few public facilities. These stores sell generic medicines manufactured by the public sector manufacturers. The prices are lower than market price. We examine the premise of the...