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....

by moving government closer to the people, it brings public sector activities and decisions in line with popular preferences. Yet, in practice, the civil service—a critical component of government— rarely enters the decision calculus of decentralization design. The civil service is often recognized as an afterthought rather than seen as essential to successful decentralization. This is lamentab...

Even though several studies have assessed the degree of progressivity in targeting communities under the participatory Social Investment Fund (SIF) approach to the provision of local public goods, there is yet little evidence on how increasing decentralization affects the quality of this targeting. We identify the impact of increasing decentralization on community targeting using the unique sit...

This study provides empirical evidence of the implementation outcomes of decentralization and education reform policies conducted in Argentina during the 1990s. The study examines how the reform was adopted at the provincial level, to what extent policy implementation matches national official mandates, and what role organizational factors play in the processes of policy implementation and outc...

Prior research considers the IT governance decision to be a trade-off between the cost-efficiency of centralized information processing, and the responsiveness provided by local information processing. Environmental uncertainty plays a major role in this trade-off. In uncertain environments, the need for local information processing dominates the cost-efficiency available from centralization, l...

Over the past two decades many countries have undertaken to decentralize government functions and transfer authority and responsibilities from central to intermediate and local governments, and often to communities and the private sector. Decentralization is potentially important to agricultural knowledge and information systems, but decentralization is not an end in itself, and successful dece...

Economic reform has resulted in considerable decentralization and exceptional economic growth in China. It has however posed a serious contradiction for China’s environmental protection efforts. This study empirically investigated the environmental effects of market and power decentralization using data on industrial SO2 emission and dusts at the city level. It is found that China’s industrial ...

BACKGROUND Within the decentralization framework of Government, the Ministry of Health (MoH) Nepal initiated the decentralization of primary care services closer to citizens. This paper aims to examine and understand the effect of decentralization at the district health service from the perspectives of service users and providers. METHODS Using non-probability purposive sampling, we conducted...

We argue that social capital as proxied by regional trust and the Rule of Law can improve aggregate productivity through facilitating greater firm decentralization. We collect original data on the decentralization of investment, hiring, production and sales decisions from Corporate Head Quarters to local plant managers in almost 4,000 firms in the US, Europe and Asia. We find Anglo-Saxon and No...