Health Archives – Decentralization Net

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[ January 19, 2026 ] How intergovernmental fiscal transfers shape local democracy Decentralization
[ January 16, 2026 ] Why people-centered smart cities matter for decentralization Cities and urban development
[ January 14, 2026 ] UCLG: Towards a new Local Social Covenant Community
[ January 12, 2026 ] Multi-Level Governance in the Western Balkans Administrative decentralization
[ December 19, 2025 ] Conditional grants and the hidden politics of fiscal decentralization Australia

The new U.S.–Kenya health partnership risks missing the real problem

December 10, 2025 LPS Alliance

On December 6, the governments of Kenya and the United States announced a major five-year, $2.5 billion cooperation framework to strengthen Kenya’s health sector. The agreement signals renewed American commitment to supporting Kenya’s efforts to […]

Effective multilevel governance and citizen engagement: billions of (dollar) reasons to care

August 18, 2025 LPS Alliance

With global development institutions in retreat, it is becoming more and more obvious that the public sector is unambiguously the primary enabler of ‘global’ development—capable of propelling development forward by embracing inclusive and effective multilevel […]

Global Observatory and Local Democracy and Decentralization Report 2022

November 30, 2022 LPSAManager

Published every three years, United Cities and Local Government’s Global Observatory on Local Democracy and Decentralization (GOLD) reports are an important part of UCLG’s quest to become an international reference point for information about local […]

Improving Effective Coverage in Health: Do Financial Incentives Work?

November 9, 2022 LPSAManager

In many low- and middle-income countries, health coverage has improved dramatically in the past two decades, but health outcomes have not. As such, effective coverage—a measure of service delivery that meets a minimum standard of […]

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 […]

Mainstreaming Performance Based Financing into the Government Budget

November 6, 2021 LPS Alliance

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 […]

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 […]

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

September 27, 2021 LPS Alliance

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 […]

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

August 19, 2021 LPS Alliance

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 […]

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 […]

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