The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive ...

Many countries throughout the world are undertaking some forms of decentralization by shifting fiscal, political, and administrative responsibilities to lower levels of government. Decentralization is driven by unique circumstances in each setting. In some countries it is linked to recent democratization, while in others it is spurred by the failure of central government to deliver basic public...

D is pursued for a variety of reasons: technical, political, and financial. On the technical side, it is frequently recommended as a means to improve administrative and service delivery effectiveness. Politically, decentralization usually seeks to increase local participation and autonomy, redistribute power, and reduce ethnic and/or regional tensions. On the financial side, decentralization is...

Mohammed, North, and Ashton find that decentralization in Fiji shifted health-sector workloads from tertiary hospitals to peripheral health centres, but with little transfer of administrative authority from the centre. Decision-making in five functional areas analysed remains highly centralized. They surmise that the benefits of decentralization in terms of services and outcomes will be limited...

Mohammed, North, and Ashton find that decentralization in Fiji shifted health-sector workloads from tertiary hospitals to peripheral health centres, but with little transfer of administrative authority from the centre. Decisionmaking in five functional areas analysed remains highly centralized. They surmise that the benefits of decentralization in terms of services and outcomes will be limited....

Article history: Received 11 September 2007 Received in revised form 9 September 2008 Accepted 10 September 2008 Available online 16 September 2008 How does political decentralization affect the frequency and costliness of bribe extraction by corrupt officials? Previous empirical studies, using subjective indexes of perceived corruption and mostly fiscal indicators of decentralization, have sug...

Spain’s Transition to Democracy set the stage for the organization of a national healthcare system. The adoption of the Spanish Constitution of 1978 was a political milestone that led to the recognition of every citizen’s right to healthcare and the right of autonomy of the various regions that make up the Spanish State. The most distinctive characteristic of the healthcare model set up in thos...

The principles of decentralization applied in the Republic Iraq, which is a federal form government, exist both administrative structure and its administration. While there are provinces that not included region among places where Administrative Decentralization applied, political seen regions. In Spanish system, constitutional monarchy unitary structure. addition, reason why it referred to as ...