Territorial and governance reforms are well underway in Europe, a development that can be viewed as an indication of democracy in motion. These reforms have encouraged greater decentralization and a more effectual share of responsibility […]
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 […]
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 […]
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 […]
Ethiopia—as one of the most donor-dependent countries in the world—has made good progress with respect to some of the health indicators and was one of the early achievers of the health Millennium Development Goals targets. […]
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 […]
Decentralization reforms and local democratic governance have attracted significant attention as a way to promote good governance and accountability at the local level. Established theories in economics and political science have articulated the efficiency and accountability gains […]
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 […]
This paper analyzes the impacts of fiscal decentralization on the efficiency of public service delivery. It contributes to existing studies by focusing explicitly on the efficiency of public service delivery instead of the policy outcome. […]
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