Does Fiscal Decentralization Improve Health Outcomes Evidence From A Cross Country Analysis

Download Does Fiscal Decentralization Improve Health Outcomes Evidence From A Cross Country Analysis full books in PDF, epub, and Kindle. Read online Does Fiscal Decentralization Improve Health Outcomes Evidence From A Cross Country Analysis ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!

Does Fiscal Decentralization Improve Health Outcomes?

Author : David A. Robalino
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4./5 ( download)

DOWNLOAD NOW!

Book Synopsis Does Fiscal Decentralization Improve Health Outcomes? by : David A. Robalino

Download or read book Does Fiscal Decentralization Improve Health Outcomes? written by David A. Robalino and published by World Bank Publications. This book was released on 2001 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments, and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. The authors fill in some quantitative evidence. Using panel data on infant mortality rates, GDP per capita, and the share of public expenditures managed by local governments, they find greater fiscal decentralization is consistently associated with lower mortality rates. The results suggest that the benefits of fiscal decentralization are particularly important for poor countries. They suggest also that the positive effects of fiscal decentralization on infant mortality, are greater in institutional environments that promote political rights. Fiscal decentralization also appears to be a mechanism for improving health outcomes in environments with a high level of ethno-linguistic fractionalization, however, the benefits from fiscal decentralization tend to be smaller.

Decentralization In Health Care: Strategies And Outcomes

Author : Saltman, Richard
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033521925X
Total Pages : 327 pages
Book Rating : 4.3/5 (352 download)

DOWNLOAD NOW!

Book Synopsis Decentralization In Health Care: Strategies And Outcomes by : Saltman, Richard

Download or read book Decentralization In Health Care: Strategies And Outcomes written by Saltman, Richard and published by McGraw-Hill Education (UK). This book was released on 2006-12-01 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.

Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis

Author : David A. Robalino
Publisher :
ISBN 13 :
Total Pages : 14 pages
Book Rating : 4.:/5 (129 download)

DOWNLOAD NOW!

Book Synopsis Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis by : David A. Robalino

Download or read book Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis written by David A. Robalino and published by . This book was released on 2016 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Greater fiscal decentralization is consistently associated with lower mortality rates. And its positive effects on infant mortality are greater in institutional environments that promote political rights.Decentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. Robalino, Picazo, and Voetberg fill in some quantitative evidence.Using panel data on infant mortality rates, GDP per capita, and the share of public expenditures managed by local governments, they find that greater fiscal decentralization is consistently associated with lower mortality rates. The results suggest that the benefits of fiscal decentralization are particularly important for poor countries. They suggest also that the positive effects of fiscal decentralization on infant mortality are greater in institutional environments that promote political rights.Fiscal decentralization also appears to be a mechanism for improving health outcomes in environments with a high level of corruption. In environments with a high level of ethnolinguistic fractionalization, however, the benefits from fiscal decentralization tend to be smaller.This paper - a product of Human Development 1, Africa Technical Families - is part of a larger effort in the region to conduct rigorous analysis of the implications of fiscal decentralization on the financing and delivery of social services. The authors may be contacted at [email protected], [email protected]., or [email protected].

Fiscal Decentralization and the Efficiency of Public Service Delivery

Author : Moussé Sow
Publisher : International Monetary Fund
ISBN 13 : 1475564031
Total Pages : 30 pages
Book Rating : 4.4/5 (755 download)

DOWNLOAD NOW!

Book Synopsis Fiscal Decentralization and the Efficiency of Public Service Delivery by : Moussé Sow

Download or read book Fiscal Decentralization and the Efficiency of Public Service Delivery written by Moussé Sow and published by International Monetary Fund. This book was released on 2015-03-17 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper explores the impact of fiscal decentralization on the efficiency of public service delivery. It uses a stochastic frontier method to estimate time-varying efficiency coefficients and analyzes the impact of fiscal decentralization on those efficiency coefficients. The findings indicate that fiscal decentralization can improve the efficiency of public service delivery but only under specific conditions. First, the decentralization process requires adequate political and institutional environments. Second, a sufficient degree of expenditure decentralization seems necessary to obtain favorable outcomes. Third, decentralization of expenditure needs to be accompanied by sufficient decentralization of revenue. Absent those conditions, fiscal decentralization can worsen the efficiency of public service delivery.

Dangers of Decentralization

Author : Remy Prud'homme
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 43 pages
Book Rating : 4./5 ( download)

DOWNLOAD NOW!

Book Synopsis Dangers of Decentralization by : Remy Prud'homme

Download or read book Dangers of Decentralization written by Remy Prud'homme and published by World Bank Publications. This book was released on 1994 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Demand for decentralization is strong in most parts of the world. This close look at the negative side effects of improperly appled decentralization is not an attack on decentralization but an effort to prevent its misapplication -- and to promote fuller understanding and wiser use of this potentially desirable policy.

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

DOWNLOAD NOW!

Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Fiscal Decentralization and Local Finance in Developing Countries

Author : Roy Bahl
Publisher : Edward Elgar Publishing
ISBN 13 : 1786435306
Total Pages : 430 pages
Book Rating : 4.7/5 (864 download)

DOWNLOAD NOW!

Book Synopsis Fiscal Decentralization and Local Finance in Developing Countries by : Roy Bahl

Download or read book Fiscal Decentralization and Local Finance in Developing Countries written by Roy Bahl and published by Edward Elgar Publishing. This book was released on 2018-03-30 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book draws on experiences in developing countries to bridge the gap between the conventional textbook treatment of fiscal decentralization and the actual practice of subnational government finance. The extensive literature about the theory and practice is surveyed and longstanding problems and new questions are addressed. It focuses on the key choices that must be made in decentralizing, on how economic and political factors shape the choices that countries make, and on how, by paying more attention to the need for a more comprehensive approach and the critical connections between different components of decentralization reform, everyone involved might get more for their money.

Fiscal Decentralization Improves Social Outcomes When Countries Have Good Governance

Author : Ryota Nakatani
Publisher : International Monetary Fund
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4.4/5 (2 download)

DOWNLOAD NOW!

Book Synopsis Fiscal Decentralization Improves Social Outcomes When Countries Have Good Governance by : Ryota Nakatani

Download or read book Fiscal Decentralization Improves Social Outcomes When Countries Have Good Governance written by Ryota Nakatani and published by International Monetary Fund. This book was released on 2022-06-03 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does fiscal decentralization improve health and educational outcomes? Does this improvement depend on the quality of governance? How do fiscal decentralization and governance interact? We answer these questions through an instrumental variable Tobit analysis of cross-country panel data. We find negative effects of fiscal decentralization on health outcomes, which however are more than offset by better governance. Education expenditure decentralization to subnational governments enhances educational outcomes. We conclude that countries can only reap the benefits from decentralization when the quality of their governance arrangements exceeds a certain threshold. We also find that sequencing and staging of decentralization matter. Countries should improve government effectiveness and control of corruption first to maximize benefits of fiscal decentralization.

The Architecture of Government

Author : Daniel Treisman
Publisher : Cambridge University Press
ISBN 13 : 1139466496
Total Pages : 295 pages
Book Rating : 4.1/5 (394 download)

DOWNLOAD NOW!

Book Synopsis The Architecture of Government by : Daniel Treisman

Download or read book The Architecture of Government written by Daniel Treisman and published by Cambridge University Press. This book was released on 2007-07-02 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the days of Montesquieu and Jefferson, political decentralization has been seen as a force for better government and economic performance. It is thought to bring government 'closer to the people', nurture civic virtue, protect liberty, exploit local information, stimulate policy innovation, and alleviate ethnic tensions. Inspired by such arguments, and generously funded by the major development agencies, countries across the globe have been racing to devolve power to local governments. This book re-examines the arguments that underlie the modern faith in decentralization. Using logical analysis and formal modeling, and appealing to numerous examples, it shows that most are based on vague intuitions or partial views that do not withstand scrutiny. A review of empirical studies of decentralization finds these as inconclusive and mutually contradictory as the theories they set out to test.

Does Decentralization Enhance Service Delivery and Poverty Reduction?

Author : Ehtisham Ahmad
Publisher : Edward Elgar Publishing
ISBN 13 : 1849801851
Total Pages : 411 pages
Book Rating : 4.8/5 (498 download)

DOWNLOAD NOW!

Book Synopsis Does Decentralization Enhance Service Delivery and Poverty Reduction? by : Ehtisham Ahmad

Download or read book Does Decentralization Enhance Service Delivery and Poverty Reduction? written by Ehtisham Ahmad and published by Edward Elgar Publishing. This book was released on 2009-01-01 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does decentralization enhance service delivery and poverty reduction? The expert contributors to this book address this fundamental question faced by policymakers and scholars in developing and advanced countries. The book illustrates that it is equally important for international agencies as well as bilateral donors to provide advice and assistance on decentralization that effectively supports poverty reduction. The volume builds on insights from the recent, political economy developments in the intergovernmental literature reviewed in the Handbook of Fiscal Federalism, and presents new empirical evidence on the effects of decentralization in different parts of the world. Policy-oriented papers evaluating the effectiveness of decentralized service delivery are presented. The role of institutions and the importance of sequencing of policies in ensuring effective outcomes are also considered. The volume presents some insightful empirical studies of the decentralization process from Latin America, Eastern Europe, and Africa. With a detailed empirical analysis of effective outcomes of public policies implemented at the sub-national level, and a focus on method, this book will be of great interest to academics specializing in public sector economics and public finance, and to national and international policymakers.

Rethinking Decentralization in Developing Countries

Author : Jennie Ilene Litvack
Publisher : World Bank Publications
ISBN 13 : 9780821343500
Total Pages : 52 pages
Book Rating : 4.3/5 (435 download)

DOWNLOAD NOW!

Book Synopsis Rethinking Decentralization in Developing Countries by : Jennie Ilene Litvack

Download or read book Rethinking Decentralization in Developing Countries written by Jennie Ilene Litvack and published by World Bank Publications. This book was released on 1998-01-01 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an effort to reduce poverty and improve nutrition, this Bank operation assisted the Indian program Operation Flood to develop the dairy industry in India. This study examines the policy changes instituted to support the aid flow to the dairy sector and discusses the lessons learned and benefits realized through improved dairy production. It also presents suggestions for improvement. This program differs from other Bank efforts in that it focuses on a single commodity to alleviate poverty and raise living standards.

Decentralizing Health Services

Author : Krishna Regmi
Publisher : Springer Science & Business Media
ISBN 13 : 1461490715
Total Pages : 222 pages
Book Rating : 4.4/5 (614 download)

DOWNLOAD NOW!

Book Synopsis Decentralizing Health Services by : Krishna Regmi

Download or read book Decentralizing Health Services written by Krishna Regmi and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy

Is Decentralization Good for Development?

Author : Jean-Paul Faguet
Publisher : Oxford University Press, USA
ISBN 13 : 0198737505
Total Pages : 352 pages
Book Rating : 4.1/5 (987 download)

DOWNLOAD NOW!

Book Synopsis Is Decentralization Good for Development? by : Jean-Paul Faguet

Download or read book Is Decentralization Good for Development? written by Jean-Paul Faguet and published by Oxford University Press, USA. This book was released on 2015 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is decentralisation good for development? This book explains when the answer is 'Yes' and when it is 'No'. It shows how decentralisation can be designed to drive development forward, and focuses on the institutional incentives that can strengthen democracy, boost economies, and improve public sector performance.

The Political Economy of Democratic Decentralization

Author : James Manor
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!

Book Synopsis The Political Economy of Democratic Decentralization by : James Manor

Download or read book The Political Economy of Democratic Decentralization written by James Manor and published by World Bank Publications. This book was released on 1999 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly all countries worldwide are now experimenting with decentralization. Their motivation are diverse. Many countries are decentralizing because they believe this can help stimulate economic growth or reduce rural poverty, goals central government interventions have failed to achieve. Some countries see it as a way to strengthen civil society and deepen democracy. Some perceive it as a way to off-load expensive responsibilities onto lower level governments. Thus, decentralization is seen as a solution to many different kinds of problems. This report examines the origins and implications decentralization from a political economy perspective, with a focus on its promise and limitations. It explores why countries have often chosen not to decentralize, even when evidence suggests that doing so would be in the interests of the government. It seeks to explain why since the early 1980s many countries have undertaken some form of decentralization. This report also evaluates the evidence to understand where decentralization has considerable promise and where it does not. It identifies conditions needed for decentralization to succeed. It identifies the ways in which decentralization can promote rural development. And it names the goals which decentralization will probably not help achieve.

Lessons for Effective Fiscal Decentralization in Sub-Saharan Africa

Author : Mr.Niko A Hobdari
Publisher : International Monetary Fund
ISBN 13 : 1484358260
Total Pages : 63 pages
Book Rating : 4.4/5 (843 download)

DOWNLOAD NOW!

Book Synopsis Lessons for Effective Fiscal Decentralization in Sub-Saharan Africa by : Mr.Niko A Hobdari

Download or read book Lessons for Effective Fiscal Decentralization in Sub-Saharan Africa written by Mr.Niko A Hobdari and published by International Monetary Fund. This book was released on 2018-07-06 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fiscal decentralization is becoming a pressing issue in a number of countries in sub-Saharan Africa, reflecting demands for a greater local voice in spending decisions and efforts to strengthen social cohesion. Against this backdrop, this paper seeks to distill the lessons for an effective fiscal decentralization reform, focusing on the macroeconomic aspects. The main findings for sub-Saharan African countries that have decentralized, based on an empirical analysis and four case studies (Kenya, Nigeria, South Africa, Uganda), are as follows: • Determinants and effectiveness: Empirical results suggest that (1) the major driving forces behind fiscal decentralization in sub-Saharan Africa include efforts to defuse ethnic conflicts, the initial level of income, and the urban-ization rate, whereas strength of democracy is not an important determi-nant for decentralization; and (2) decentralization in sub-Saharan Africa is associated with higher growth in the presence of stronger institutions. • Spending assignments: The allocation of spending across levels of gov-ernment in the four case studies is broadly consistent with best practice. However, in Uganda, unlike in the other three case studies, subnational governments have little flexibility to make spending decisions as a result of a deconcentrated rather than a devolved system of government. • Own revenue: The assignment of taxing powers is broadly in line with best practice in the four case studies, with the bulk of subnational revenue coming from property taxes and from fees for local services. However, own revenues are a very small fraction of subnational spending, reflecting weak cadaster systems and a high level of informality in the economy.

The Fourth Industrial Revolution

Author : Klaus Schwab
Publisher : Crown Currency
ISBN 13 : 1524758876
Total Pages : 194 pages
Book Rating : 4.5/5 (247 download)

DOWNLOAD NOW!

Book Synopsis The Fourth Industrial Revolution by : Klaus Schwab

Download or read book The Fourth Industrial Revolution written by Klaus Schwab and published by Crown Currency. This book was released on 2017-01-03 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: World-renowned economist Klaus Schwab, Founder and Executive Chairman of the World Economic Forum, explains that we have an opportunity to shape the fourth industrial revolution, which will fundamentally alter how we live and work. Schwab argues that this revolution is different in scale, scope and complexity from any that have come before. Characterized by a range of new technologies that are fusing the physical, digital and biological worlds, the developments are affecting all disciplines, economies, industries and governments, and even challenging ideas about what it means to be human. Artificial intelligence is already all around us, from supercomputers, drones and virtual assistants to 3D printing, DNA sequencing, smart thermostats, wearable sensors and microchips smaller than a grain of sand. But this is just the beginning: nanomaterials 200 times stronger than steel and a million times thinner than a strand of hair and the first transplant of a 3D printed liver are already in development. Imagine “smart factories” in which global systems of manufacturing are coordinated virtually, or implantable mobile phones made of biosynthetic materials. The fourth industrial revolution, says Schwab, is more significant, and its ramifications more profound, than in any prior period of human history. He outlines the key technologies driving this revolution and discusses the major impacts expected on government, business, civil society and individuals. Schwab also offers bold ideas on how to harness these changes and shape a better future—one in which technology empowers people rather than replaces them; progress serves society rather than disrupts it; and in which innovators respect moral and ethical boundaries rather than cross them. We all have the opportunity to contribute to developing new frameworks that advance progress.

Improving Fiscal Transparency to Raise Government Efficiency and Reduce Corruption Vulnerabilities in Central, Eastern, and Southeastern Europe

Download Improving Fiscal Transparency to Raise Government Efficiency and Reduce Corruption Vulnerabilities in Central, Eastern, and Southeastern Europe PDF Online Free

Author : Mr.Bernardin Akitoby
Publisher : International Monetary Fund
ISBN 13 : 1513532839
Total Pages : 66 pages
Book Rating : 4.5/5 (135 download)

DOWNLOAD NOW!

Book Synopsis Improving Fiscal Transparency to Raise Government Efficiency and Reduce Corruption Vulnerabilities in Central, Eastern, and Southeastern Europe by : Mr.Bernardin Akitoby

Download or read book Improving Fiscal Transparency to Raise Government Efficiency and Reduce Corruption Vulnerabilities in Central, Eastern, and Southeastern Europe written by Mr.Bernardin Akitoby and published by International Monetary Fund. This book was released on 2020-05-11 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: This departmental paper investigates how countries in Central, Eastern, and Southeastern Europe (CESEE) can improve fiscal transparency, thereby raising government efficiency and reducing corruption vulnerabilities.