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Health services

Africa

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 […]
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 […]
Africa

Decentralization and Governance in Health: Lessons for Botswana

December 17, 2015 LPS Initiative
There have been recent calls by health unions in the country calling out government to decentralize primary health care services, saying that the current system disadvantages people in rural areas where resources are scarce and […]
Africa

Decentralized Local Health Services in Tanzania

July 21, 2015 Jamie Boex
Over two-thirds of Tanzanians reside in rural areas and rely on local health facilities (such as Dispensaries and Health Centers) run by their Local Government Authorities to provide them with basic health services. Therefore, efforts […]

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