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Searching with a thematic focus on Decentralisation & Local Governance, Governance

Showing 221-230 of 344 results

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• Document

  Decentralisation and poverty reduction: the reality in Africa

  id21 Development Research Reporting Service, 2002

  Although decentralisation is often heralded as a means to promote democracy and poverty reduction, there is little reliable evidence to prove these claims. In fact, ruling parties and ethnic elites in Africa have used decentralisation to further strengthen their own power and influence at a local level. New research argues that on its own, decentralization will not reduce poverty.
• Document

  Decentralisation in Bolivia: a success story for the poor

  id21 Development Research Reporting Service, 2002

  Since 1994 Bolivia has undergone a dramatic process of political decentralisation. Recent research has analysed this decentralisation process and argues that it has made the Bolivian government more responsive to the needs of the poor by redirecting public investment to areas of greatest need.
• Document

  Ghana: pharmaceutical pricing study, policy analysis and recommendations

  John Snow International UK, 2003

  This policy document looks at the impact of decentralised decision-making on access to essential medicines in Ghana, based on the findings of a detailed pricing study.Local autonomy in procurement decisions, combined with weak management, has led to wide variations in the prices of these medicines across the country and within regions.
• Document

  Old priorities and new agenda of public health in India: is there a mismatch?

  Croatian Medical Journal, 1998

  This paper examines how structural adjustment programs and health sector reforms in India have created a new agenda in health services, arguing that as the State abdicates its responsibility for the provision of health care, the majority of the households at the subsistence level in India would be left without any life support system.
• Document

  Understanding mechanisms for integrating community priorities in health planning, resource allocation and service delivery: results of a literature review

  EQUINET: Network for Equity in Health in Southern Africa, 2003

  Community participation is widely advocated as a mechanism to allow health service users to be involved in the design, implementation and evaluation of activities, with the aim of increasing the responsiveness, sustainability and efficiency of health programmes.
• Document

  Democracy, public expenditures, and the poor

  Policy Research Working Papers, World Bank, 2003

  This paper reviews the theory and evidence on the impact of political market imperfections, and develops the implications of these findings for the structure and design of policy interventions meant to improve the allocation of resources.
• Document

  Enhancing local capacity to manage conflicts: Malian women take centre stage

  id21 Development Research Reporting Service, 2002

  Have we neglected the gender dimensions of conflict over natural resources (NR)? Are women’s capacities to analyse and resolve NR disputes sufficiently recognised? Can women’s rights to participate in NR management be affirmed in a way that is not confrontational? How could women be integrated into peace-making and reconciliation initiatives?
• Document

  Pathways through the sustainable livelihoods maze

  id21 Development Research Reporting Service, 2002

  In recent years, there has been an explosion of interest in the concept of sustainable livelihoods (SL). Has the sustainable livelihoods approach (SLA) to development and poverty reduction managed to address gender, power and markets and to overcome the sectoral divisions which have characterised development work? How can SLA be mainstreamed?
• Document

  Decentralisation of the health care sector in Kerala: some issues

  Centre for Development Studies, Kerala, India, 2000

  What is the impact of decentralization on health care services? This paper tackles this question by analysing the experience of the Indian state of Kerala.Decentralisation of the health care sector has been underway in Kerala since the government order of 1995 which transferred health care institutions at various levels to local self government institutions (LSGI).
• Document

  The interface between health sector reform and human resources in health

  Human Resources for Health, 2003

  The impact of health sector reform has modified critical aspects of the health workforce, including labour conditions, degree of decentralisation of management, required skills and the entire system of wages and incentives.

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