This paper reviews the progress of implementation of health-care decentralization in Thailand since the promulgation of the Decentralization Act 1999, draws lessons learnt and provides recommendations. This review was carried out because of the delay in health-care decentralization, as compared with what was indicated in the Decentralization Action Plan, and to identify the possible causes of d...

This paper uses a unique panel dataset from China's initial reform of fiscal decentralization to analyze the relationships between fiscal decentralization, local economic development, and rural-rural undocumented inter-provincial labor mobility. Using a modified gravity model with Heckman Maximum Likelihood Estimation method, this paper shows that fiscal decentralization has two contending effe...

While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya and one from Uganda, of experiences of mainstreaming gender at district level...

BACKGROUND Several countries have developed policies that restrict or limit duration of stay, clinical privileges or the number of residency permits allocated to migrating physicians. Switzerland is currently preparing a new law limiting overall foreign immigration. The impact of such restrictive policies is currently unknown. In a case study of anaesthesia care in Switzerland we modelled, tren...

the main function of rural areas in the third world is the agricultural function which is crucially important because of its great effects on employment, moderating income and poverty, food security and self-efficacy. this article studies the role of agriculture (as an independent variable) in rural development (related variable) of miyankangi district in sistan. the method of the study was des...

In many African countries, decentralization has long been viewed as a means for improving local service delivery. Yet, despite various decentralization initiatives, poor service delivery continues to be problematic in two of Kenya’s largest cities, Nairobi and Mombasa. Despite various governance reforms to enhance Kenya’s decentralization process, backed up by constitutional provisions and legi...

This note discusses the interface between community-driven development (CDD) and decentralization. In particular, it focuses on the aspects of decentralization programs related to local government capacity building, where the practical application of CDD principles becomes meaningful. The note considers how the principles of CDD are being incorporated into local government capacity building pro...

This thesis takes the position that decentralization is a dynamic process in constant transition in Third World countries between centralization and decentralization. The author uses an historic approach to explore the process of decentralization as it affects local governments, particularly historic-cultural influences which have had a negative impact on the development of local government ins...

Background Fiscal Decentralization (FD) in many cases is encouraged as a strong means of improving the efficiency and equity in the provision of public goods, such as healthcare services. This issue has urged the researchers to experimentally examine the relationship between fiscal decentralization indicators and health outcomes. In this study we examine the effect of Fiscal Decentralization in...