BACKGROUND This article conducts a comparative national and subnational government analysis of the political, economic, and ideational constructivist contextual factors facilitating the adoption of obesity and diabetes policy. METHODS We adopt a nested analytical approach to policy analysis, which combines cross-national statistical analysis with subnational case study comparisons to examine ...

The Partnership for Reviving Routine Immunization in Northern Nigeria - Maternal, Newborn and Child Health initiative supports efforts by the government of Nigeria to bridge primary health care (PHC) policies and services at three levels of government: federal, state and local. The paper suggests that understandings informed by complexity theory and complex adaptive systems have been helpful in...

Brazil is a highly decentralized federation. The 27 states (including the Federal District) and 5,559 municipalities together account for over one-third of total government spending and revenue collection. States and municipalities also account for almost 40 percent of the public sector’s net debt stock. Revenue mobilization capacity is concentrated in the more prosperoud states and municipalit...

Kanagawa Prefecture became the first subnational government in Japan to implement an ordinance for the prevention of exposure to secondhand-smoke in public facilities. The ordinance aims to protect people from the negative health impacts of secondhand smoke; however, it has wide exemptions especially for hospitality and leisure business establishments. In addition, designated smoking areas are ...

Excessive borrowing by subnational governments due to soft budget constraints and intergovernmental coordination failures might be one of the perils of decentralization. Despite a large body of case studies, empirical investigations on whether decentralization increases consolidated public debt levels are still scarce. This paper contributes to the literature by exploring econometrically for se...

This article provides empirical evidence showing that when a multilevel government is well coordinated, organized crime can be more effectively controlled. Using a time-variant data set of Mexico’s cocaine markets at the subnational level and Cox proportional-hazards regressions, I show that when Mexico’s democratization decreased the probability of government coordination—the same party govern...

This paper explains the transformation of Pancasila as an institution that governs state religion relations in Indonesia. Why has Pancasila been stable at the national level but discontinuous at the subnational level since Indonesia’s democratic transition and decentralization? By tracing Pancasila’s history back to its origin, this paper demonstrates that territorial interest has been an impor...

INTRODUCTION Due to the commitment by the Government of Kenya (GoK) and international donors to address HIV/AIDS, Kenya has some of Africa's most developed health infrastructure for tackling the crisis. Despite this commitment, significant gaps exist in the national HIV/AIDS monitoring and evaluation (M&E) system. To identify these gaps and opportunities for improvement, the U.S. Centers for Di...

From the system of financing subnational activities emanates a significant part of the structure of incentives under which local decisionmakers operate. As discussed in Chapter 4, established practices need thorough reforms to create the right set of incentives. Own sources of revenue need to be developed in synchrony with intergovernmental transfers so that the latter do not displace the forme...

The Andrew Young School of Policy Studies was established at Georgia State University with the objective of promoting excellence in the design, implementation, and evaluation of public policy. In addition to two academic departments (economics and public administration), the Andrew Young School houses seven leading research centers and policy programs, including the International Center for Pub...