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Health

COVID-19

Local government budget delays are impeding Nepal’s COVID-19 response

April 6, 2022 LPSAManager

Six months into the fiscal year 2021/22, 24 of Nepal’s 753 local governments have yet to approve their annual budget and plan, failing to deliver on what is arguably their most critical constitutional role. With […]

Fiscal Decentralization

Mainstreaming Performance Based Financing into the Government Budget

November 6, 2021 LPS Initiative

Performance based financing (PBF) initiatives in the health sector have been introduced in a wide range of countries. They reward hospitals or health facilities, against the delivery of services adjusted for quality. This was in […]

Africa

Benin: Improving Local Health Outcomes with Participatory Budgeting

October 17, 2021 Tianyu Chen

Public Financial Management (PFM) plays a critical role in policy-making and public service delivery. Participatory Budgeting (PB) is a PFM tool that offers an opportunity for citizens and the civil society to engage in the […]

Africa

What does a decentralized health service delivery model require to succeed?

September 27, 2021 LPS Initiative

Delivery of health services is often under-funded. This is not unique to poor countries — from the UK’s travails with the NHS to India’s under-resourced health sector, examples abound of the detrimental impact that an […]

COVID-19

Leveraging local governments in the fight against the COVID-19 pandemic

August 19, 2021 LPS Initiative

In countries around the world, federal or central authorities have played a leading  role in the public sector’s response to the COVID-19 pandemic. However, this doesn’t mean that there is no place for subnational governments […]

COVID-19

The territorial impact of COVID-19

August 12, 2020 LPS Initiative

In the first six months of 2020, COVID-19 has affected almost all countries and eight million people around the world. COVID-19 has governments operating in a context of radical uncertainty, and faced with difficult trade-offs […]

Africa

Zambia: Decentralisation in the Health Sector

August 17, 2016 LPS Initiative

Zambia is among the many developing countries which have embarked on decentralisation reforms of their administration systems in order to improve efficiency in public service and to strengthen local decision-making processes. Decentralisation of functions to councils […]

Asia

Subnational Health Care Financing Reforms in Indonesia

April 19, 2016 LPS Initiative

Indonesia has seen an emergence of local health care financing schemes over the last decade, implemented and operated by district governments. Often motivated by the local political context and characterized by a large degree of […]

Health

Reflections on Decentralised Health Delivery System in Kerala

February 1, 2016 LPS Initiative

The much acclaimed Kerala model of health care system (Elamon, Franke and Ekbal, 2004) had faced serious challenges in the mid-1980s and early 1990s due to the dilution of the politics of collective action and […]

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