This paper surveys the state of fiscal federalism in India, in the broader context of decentralization. We begin with an overview of the basic features and recent developments in intergovernmental fiscal relations, including the role of political institutions, the specifics of legislative and budgetary autonomy, assignments of expenditure responsibility and revenue authority, revenue collection...

The fiscal decentralization impulse now sweeping the world often leads to partial decentralization, where subnational governments are funded by central transfers, rather than leading to full local autonomy. Despite the practical important of this arrangement, the literature contains no economic analysis of a partial decentralization regime in a Tiebout-style model. This paper provides such an a...

Designers and implementers of decentralization and other reform measures have focused much attention on financial and structural reform measures, but ignored their human resource implications. Concern is mounting about the impact that the reallocation of roles and responsibilities has had on the health workforce and its management, but the experiences and lessons of different countries have not...

BACKGROUND Front-line health providers have a unique role as brokers (patient advocates) between the health system and patients in ensuring access to medicines (ATM). ATM is a fundamental component of health systems. This paper examines in a South African context supply- and demand- ATM barriers from the provider perspective using a five dimensional framework: availability (fit between existing...

in recent years, performance gap between private and public sector has affected researchers of public administration to pay attention to the concept of public service motivation. present research has been accomplished aiming at improving public service motivation among employees of public sector and is intended to identify effective factors on public service motivation. for this reason, 196 peo...

Health care decisions in many low-income countries often require a close political agency relationship between healthcare decision makers and constituents. This is especially the case for maternal child as well preventative interventions when resources are scarce. article examines effect of introduction National Rural Mission India, introducing Village Health, Sanitation Nutrition Committees (V...

This paper contributes to the existing literature on the determinants of fiscal decentralization by motivating theoretically and exploring in depth the empirical relevance that geography has as determinant of fiscal decentralization. The relationship between decentralization and geography is based on the logic that more geographically diverse countries show greater heterogeneity among their cit...

While some recent evidence suggests that more decentralization is associated with reduced corruption, no empirical work has examined whether different types of decentralization have differential effects on corruption. The theoretical literature has emphasized that expenditure decentralization will only be effective if accompanied by the devolution of revenue generation to local governments. In ...

This paper studies the effect of fiscal and political decentralization on the death toll by disasters for up to 46 developing and transitional economies from 1974 to 2004. The results show that elected government at the local level does not help mitigate disaster risk. This study underscores the importance of the joint effects of different forms of decentralization and shows that when political...