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Decentralization and Governance in the Ghana Health Sector, Couttolenc Bernard F.


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Автор: Couttolenc Bernard F.
Название:  Decentralization and Governance in the Ghana Health Sector
ISBN: 9780821395899
Издательство: Mare Nostrum (Eurospan)
Классификация:




ISBN-10: 0821395890
Обложка/Формат: Paperback
Страницы: 116
Вес: 0.23 кг.
Дата издания: 30.06.2012
Серия: Economics/Business/Finance
Язык: English
Иллюстрации: Black & white illustrations
Размер: 254 x 178 x 7
Читательская аудитория: Professional and scholarly
Ключевые слова: Health economics,Public finance
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Поставляется из: Англии
Описание: Ghana´s government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important weaknesses remain regarding several of the key requirements to successful decentralization. Ghana has along the years put in place several important building blocks for a truly decentralized health system. But these efforts have been hampered, and their effectiveness diminished, by the absence of a strong regulatory and policy framework for health, regulatory conflicts and duplications accumulated by several waves of regulations, weak capacity to coordinate and manage a devolved health system, fragmented management systems regarding staff management, procurement and budgeting and financing. Political instability and the resulting lack of continuity and consistency in the process during most of the period have also prevented the process to take root, and have contributed to the current fragmentation in the health system. International comparisons indicate that Ghana shows a narrow effective decision space with respect to most health functions and sub-functions when compared with several other developing countries. However, taking advantage of the structures and features that have been put in place, strengthening the policy framework, ensuring effective coordination, and addressing the weaknesses highlighted above, could make decentralization of the health system more effective and consistent with GOG general policy. This study analyzes the strengths and weaknesses of the decentralization of the Ghanaian health system and presents a few recommendations and strategies for strengthening the process. It is relevant and timely as the GOG seeks to strengthen and deepen decentralization of the health system; it is also useful for other middle- and low-income countries which are pursuing some form of decentralization of their health system to improve its efficiency and effectiveness.


Governance, Decentralization and Reform in China, India and Russia

Автор: Jean-Jacques Dethier
Название: Governance, Decentralization and Reform in China, India and Russia
ISBN: 1441949925 ISBN-13(EAN): 9781441949929
Издательство: Springer
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Цена: 30606.00 р.
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Описание: The papers in Governance, Decentralization and Reform in China, India and Russia, which were presented at a ZEF conference in May 1999, deal with three critical aspects of governance in China, India, and Russia: political reforms at the local level;

The Economics of Informational Decentralization: Complexity, Efficiency, and Stability

Автор: John O. Ledyard
Название: The Economics of Informational Decentralization: Complexity, Efficiency, and Stability
ISBN: 1461359538 ISBN-13(EAN): 9781461359531
Издательство: Springer
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Цена: 27950.00 р.
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Описание: In this volume are papers written by students and co-authors of Stanley Reiter. Stan has had a strong and important direct effect on many students at Purdue University and Northwestern University. Stan`s students include department chairmen, business executives, Deans, a Secretary of the Air Force, and a College President.

The Political Economy Of Decentralization In Four Sub-Saharan African Countries

Автор: Dafflon & Madies
Название: The Political Economy Of Decentralization In Four Sub-Saharan African Countries
ISBN: 0821396137 ISBN-13(EAN): 9780821396131
Издательство: Mare Nostrum (Eurospan)
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Цена: 4712.00 р.
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Описание: For two decades now, experiences in decentralization and federalization have been in progress in many countries, particularly in Sub Saharan Africa. How can these processes be understood and improved? Focusing on four Sub-Saharan countries (Burkina Faso, Ghana, Kenya and Senegal), this volume applies an original approach to address such questions. No attempt is made to transpose an ideal Western model - which does not exist. Here, decentralization is viewed as a sequential process, implying choices that are the sole responsibility of the country concerned. For each of the four countries, the authors provide a diagnosis of how decentralization is organized in practice and compare this with the institutional architecture adopted. This analysis of the gaps separating what is formally targeted and what has been achieved on the ground suggests possible directions for reform. A guide for analyzing decentralized policies is proposed, which is useful to help identify the issues at stake, point out stumbling blocks and ensure the coherence of decisions on decentralization.

Decentralization and Coordination of Water Resource Management

Автор: Douglas D. Parker; Yacov Tsur
Название: Decentralization and Coordination of Water Resource Management
ISBN: 1461378036 ISBN-13(EAN): 9781461378037
Издательство: Springer
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Цена: 20962.00 р.
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Описание: Centralized, top-down management of water resources through regulations has created unnecessary economic burdens upon users. The theme of this book is the increasing efforts throughout water-scarce regions to rely upon economic incentives and decentralized mechanisms for efficient water management and allocation.

Decentralization and Infrastructure in the Global Economy

Название: Decentralization and Infrastructure in the Global Economy
ISBN: 1138909203 ISBN-13(EAN): 9781138909205
Издательство: Taylor&Francis
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Цена: 24499.00 р.
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Описание:

The subnational dimension of infrastructure has emerged as one of the greatest challenges in contemporary public finance policy and management. Ensuring the efficient provision of infrastructure represents a challenge for all countries irrespective of their level of centralization or decentralization. This book proposes an innovative approach for the strengthening of decentralized public investment and infrastructure management.

Decentralization and Infrastructure in the Global Economy: From Gaps to Solutions covers the most important aspects of infrastructure investment in a decentralized setting. It discusses infrastructure gaps and the quality of subnational spending; how functional responsibilities, financing and equalization can be designed; sector-specific arrangements in high expenditure areas, such as health, education and roads; key steps of the public investment cycle and management; and analyses the political economy and corruption challenges that typically accompany decentralized infrastructure projects.

This book challenges some of the well-accepted principles of intergovernmental fiscal relations and will be useful to researchers and practitioners of public finance policy and management.

Fiscal Decentralization and Development

Автор: Uchimura
Название: Fiscal Decentralization and Development
ISBN: 0230389600 ISBN-13(EAN): 9780230389601
Издательство: Springer
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Цена: 15372.00 р.
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Описание: An in-depth analysis of the fundamental role that decentralization plays in developing countries, using detailed statistical data to examine the actual fiscal structure between tiers of government, and the effects of decentralization at the local, national and international levels.

Fiscal Federalism and Political Decentralization Lessons from Spain, Germany and Canada

Автор: Bosch
Название: Fiscal Federalism and Political Decentralization Lessons from Spain, Germany and Canada
ISBN: 1847204678 ISBN-13(EAN): 9781847204677
Издательство: Edward Elgar Publishers
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Цена: 23021.00 р.
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Описание: This highly original book analyzes political decentralization and fiscal federalism in Canada and Germany, both traditional federal countries, and in Spain, a unitarian country engaged in the last two decades in a process of decentralization.

Fiscal Decentralization in Developing Countries

Автор: Bird
Название: Fiscal Decentralization in Developing Countries
ISBN: 0521101581 ISBN-13(EAN): 9780521101585
Издательство: Cambridge Academ
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Цена: 7128.00 р.
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Описание: This title provides important research from leading scholars assessing fiscal decentralization in developing countries. The volume offers rich and varied case-study material from countries as diverse as India, China, Colombia, Bosnia-Herzegovina and South Africa.

Sin Tax Reform in the Philippines: Transforming Public Finance, Health, and Governance for More Inclusive Development

Автор: Kaiser Kai, Bredenkamp Caryn, Iglesias Roberto
Название: Sin Tax Reform in the Philippines: Transforming Public Finance, Health, and Governance for More Inclusive Development
ISBN: 1464808066 ISBN-13(EAN): 9781464808067
Издательство: Mare Nostrum (Eurospan)
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Цена: 4389.00 р.
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Описание: Excise taxes are targeted special taxes applied to a particular set of goods, such as cigarettes, beer, and spirits. Well designed, they can be a win-win, raising significant revenues for development and discouraging harmful consumption. Sin Tax Reform documents and draws lessons from how the Philippines implemented a major excise reform.


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