Governance and decentralization in the Ghana health sector by Bernard Couttolenc

Cover of: Governance and decentralization in the Ghana health sector | Bernard Couttolenc

Published by International Bank for Reconstruction and Development/The World Bank in Washington DC .

Written in English

Read online

Subjects:

  • Health Policy,
  • Regional Health Planning,
  • Economics,
  • Organization & administration

Edition Notes

Includes bibliographical references.

Book details

StatementBernard F. Couttolenc
ContributionsWorld Bank
The Physical Object
Paginationp. ;
ID Numbers
Open LibraryOL25356052M
ISBN 109780821395899
LC Control Number2012023399

Download Governance and decentralization in the Ghana health sector

Ghana's government has embarked on a decentralization process since the s, but devolution of the health system faces important challenges and weaknesses.

Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. Decentralization and Governance in the Ghana Health Sector (World Bank Studies): Medicine & Health Science Books @ ed by: Decentralization and Governance in the Ghana Health Sector by Bernard F.

Couttolenc,available at Book Depository with free delivery worldwide. Decentralization and Governance in the Ghana Health Sector. Washington, D.C.: World Bank. DOI: / License: Creative Commons A 4 ribution CC BY Translations —If you create a translation of this work, please add the following disclaimer along with the a 4 ribution.

Decentralization and Governance in the Ghana Health Sector Published on Ghana's government has embarked on a decentralization process since the s, but devolution of the health. Decentralisation.

Health systems decentralization involves moving decision making away from centralised control and closer to the users of health services.

Many countries have embarked on a process to decentralize their health systems as a means to improve their responsiveness and performance. Government to the private sector (whether. Downloadable. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system.

In most cases, decentralization has been adopted to improve accountability to local population, efficiency in service provision, equity in access and resource distribution, or to increase resource.

The volume is timely, given the stage of the Ghana's development. It briefly discusses some of the debates in Ghana?s health sector: decentralization and governance, private sector partnership, strengthening health systems, and health financing.

Decentralization is the restructuring of authority so that there is system of co-responsibility between institutions of governance at the central, regional and local levels according to the principle of solidarity, thus increasing the overall quality and effectiveness of the systems of governance, while increasing the authority and capabilities.

The book reviews the situation in the country under the lens of the principles of health financing: revenue mobilization for health, risk pooling, and purchasing services. The book also estimates the fiscal space in health that is, looking at options that can increase resources for health within a.

Decentralization and Governance in the Ghana Health Sector. 90% of Central Government recurrent disbursements for health. A second. Although Ghana has been committed to decentralization since the passing of the Local Governance Act, it typically has practiced deconcentration—i.e., local government is solely responsible for implementation and accountability extends upwards to line ministries within the central government.

Decentralization. Background Decentralization of health systems is a common pillar of health sector reform initiatives and is often viewed as a means to improve efficiency and quality of services as well as promoting accountability and local governance of the health system.

Ghana has over the last few decades embraced decentralisation in principle, as a way of promoting inclusive, efficient, accountable and bottom-up local-level governance.

However, it is unclear how. ISBN: OCLC Number: Description: xvii, pages ; 26 cm: Contents: Literature review on decentralization --Regulatory and policy framework on decentralization in Ghana --Rapid assessment of local capacity and challenges --Analysis of regional resource allocation --Main challenges and policy options.

Get this from a library. Decentralization and governance in the Ghana health sector. [Bernard Couttolenc] -- Ghana's government has embarked on a decentralization process since the s, but devolution of the health system faces important challenges and weaknesses.

Ghana has made significant progress, and. government organizations and/or the private sector. Administrative decentralization in Ghana involves ministerial restructuring and the establishment of decentralized Departments of the District Assemblies Social welfare Health Service Human Resource Dept.

Decentralization and governance in the Ghana health sector (English) Abstract. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system.

Local administration has been an integral part of our political history centuries before the birth of Ghana. It was not the decentralization programme in.

Fiscal Decentralization in Developing Countries: A Review of Current Concepts and Practice Programme Paper: 2; Ethnic Structure, Inequality and Governance in the Public Sector: Malaysian Experiences inequality and representation in government and in the public sector in Ghana.

The most complete forms of decentralization from a government's perspective are privatization and deregulation because they shift responsibility for functions from the public to the private sector. Privatization and deregulation are usually, but not always, accompanied by economic liberalization and market development policies.

The governance work of the Commonwealth Secretariat has a particular focus on Public Sector Development in Africa and small states. An integral component of this effort is helping to improve local.

Concept Paper on Decentralisation and Local Governance 2 1. Introduction SDC has been implementing projects in support to decentralisation and local governance for about 15 years. Today, around 2/3 of SDC’s country programmes include a support to local governance and/or decentralisation.

DECENTRALIZATION: A SAMPLING OF DEFINITIONS Page 1 Joint UNDP-Government of Germany Evaluation Working Paper of the UNDP Role in Decentralization and Local Governance October INTRODUCTION “One of the most critical perquisites to translate decentralization from theory to practice is a clear understanding of the concept.

Decentralization and governance in the Ghana health sector (英语) 摘要. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system.

Decentralization and governance in the Ghana health sector (الانكليزية) الخلاصة. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system.

Decentralization and governance in the Ghana health sector (Английский) Аннотация. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system.

The volume is timely, given the stage of the Ghana's development. It briefly discusses some of the debates in Ghana’s health sector: decentralization and governance, private sector partnership, strengthening health systems, and health financing.

The book also assesses the Decentralization in Health Carewill appeal to health policy makers, postgraduates taking courses in health services management, human resources, health policy and health economics, and human resource professionals.

evidence-based approach to policy formulation in the health sector. Decentralization of Health Systems in Ghana, Zambia, Uganda, and the Philippines: A Comparative Assessment of Decision Making Space.

Health Policy and. Over the past three decades the developing world has seen increasing devolution of political and economic power to local governments. Decentralization is considered an important element of participatory democracy and, along with privatization and deregulation, represents a substantial reduction in the authority of national governments over economic policy.

While the drivers of decentralization vary from one country to another, in many cases, it is not initiated in the health sector, and rarely takes place in the health sector alone. Decentralization may be implemented to stimulate economic growth, reduce rural poverty, strengthen civil society, deepen democracy or to delegate responsibilities.

The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space.

general, and Ghana in particular, decentralization is now at the heart of government business and on-going reforms (Alam and Koranteng, ). Reforms in the public health sector in developing countries have been a major policy focus over the last three decades.

One such reform in the sphere of governance is decentralization. Decentralization -- the transfer of authority and responsibility for public functions from the central government to intermediate and local governments or quasi-independent government organizations and/or the private sector -- is a complex multifaceted concept.

Bossert T., Mitchell A. “Health sector decentralization and local decision-making: Decision space, institutional capacities and accountability in Pakistan” Social Science and Medicine 72 () (on line in ) Bossert T., Ono T.

“Finding Affordable Health Workforce Targets in Low Income Countries” Health Affairs () 29/7. Zomba Central Hospital Director, Mathias Joshua has touted the enactment of the National Decentralisation Policy for contributing to increased community participation in the management of health.

The Ghana Health Service was officially launched in February Although the GHS is under the As a result of decentralization and health sector reform, services are integrated as one goes down the hierarchy of health structure from the national to the subdistrict.

The Ghana Centre for Democratic Development (CDD-Ghana) is advocating for the decentralization of the health and education sectors for improved service delivery. governance). This approach was based largely on principal agent theory focusing on how using health sector functions Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: a comparative analysis of decision space.

Notwithstanding the adoption of the devolution as the preferred government of Ghana governance policy, decentralisation in Ghana's health sector is at variance with devolution.

The health sector rather saw a delegation from the MoH to the GHS and Teaching hospitals and a deconcentration within the GHS as provided by ACT This book offers a fascinating insight into theory and practice surrounding decentralization activities in the Public Sectors of developing and transitional countries.

In drawing on the expertise of established scholars, the book explores the contexts, achievements, progress and challenges of decentralization and local governance.decentralization process: health and water provision.

To do so, this study provides an analytical framework to examine the relationships between decentralization and service delivery of health and water, and then provides a cross-country empirical analysis testing these relationships.

10265 views Tuesday, November 17, 2020