[PDF] Centralization And Decentralization In Social Services Delivery eBook

Author : J.R. Hollingsworth
Publisher : Springer Science & Business Media
Page : 247 pages
File Size : 47,10 MB
Release : 2012-12-06
Category : Social Science
ISBN : 9400956509

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In the United States and other western nations, debates rage over whether welfare, medical care, educational programs, and many other aspects of public policy should be the responsibility of central govern ment, local government, or the private sector. In most nations, the issues of regional autonomy and decentralization are constantly in the news, with intensity varying from mild debate to open warfare. Less visibly, battles are continuously fought in the political arena over what groups should have the right to make decisions concerning the allocation of soci ety's resources. In response to these concerns, social scientists have focused consider able attention on the causes and consequences of centralization and de centralization in political, economic, and social organizations. Their analyses of centralization have been varied, ranging from systems that are quite small (e. g. , the family, the firm, and the community) to those sys tems that are very large (e . g. , the welfare state). While centralization is a concept of major concern in most of the social science disciplines, each discipline has tended to focus on centralization with a different set of interests. Economists have been very much concerned with the causes and the consequences of the concentration of economic resources. Polit ical scientists have long sought to understand the origins and conse quences of dictatorship and democracy. Sociologists have focused on inequalities in the distribution of power.

Author :
Publisher : World Bank Publications
Page : 29 pages
File Size : 48,25 MB
Release : 2005
Category : Decentralization in government
ISBN :

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Dissatisfied with centralized approaches to delivering local public services, a large number of countries are decentralizing responsibility for these services to lower-level, locally elected governments. The results have been mixed. The paper provides a framework for evaluating the benefits and costs, in terms of service delivery, of different approaches to decentralization, based on relationships of accountability between different actors in the delivery chain. Moving from a model of central provision to that of decentralization to local governments introduces a new relationship of accountability-between national and local policymakers-while altering existing relationships, such as that between citizens and elected politicians. Only by examining how these relationships change can we understand why decentralization can, and sometimes cannot, lead to better service delivery. In particular, the various instruments of decentralization-fiscal, administrative, regulatory, market, and financial-can affect the incentives facing service providers, even though they relate only to local policymakers. Likewise, and perhaps more significantly, the incentives facing local and national politicians can have a profound effect on the provision of local services. Finally, the process of implementing decentralization can be as important as the design of the system in influencing service delivery outcomes.

Author : Saltman, Richard
Publisher : McGraw-Hill Education (UK)
Page : 327 pages
File Size : 10,63 MB
Release : 2006-12-01
Category : Education
ISBN : 033521925X

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Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.

Author : Katalin Tausz
Publisher :
Page : 87 pages
File Size : 27,45 MB
Release : 2004-06
Category : Decentralization in government
ISBN : 9789639419636

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Decentralization is defined, interpreted and made a political issue in several-sometimes contradictory--ways. This book attempts to understand and describe one segment of the story: welfare policy. It makes an inventory of who are the main actors, what is decentralized in the social sector (administrative, fiscal, political, service-delivery structures, and institutions), where or to what level of governance decentralization is relevant, and how and by what means is decentralization implemented in the social sector.

Author : Scott L. Greer
Publisher : World Health Organization
Page : 191 pages
File Size : 10,48 MB
Release : 2017-11-20
Category : Law
ISBN : 9289050438

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Civil Society Organizations (CSOs) can make a vital contribution to public health and health systems but harnessing their potential is complex in a Europe where government-CSO relations vary so profoundly. This study is intended to outline some of the challenges and assist policy-makers in furthering their understanding of the part CSOs can play in tandem and alongside government. To this end it analyses existing evidence and draws on a set of seven thematic chapters and six mini case studies. They examine experiences from Austria Bosnia-Herzegovina Belgium Cyprus Finland Germany Malta the Netherlands Poland the Russian Federation Slovenia Turkey and the European Union and make use of a single assessment framework to understand the diverse contexts in which CSOs operate. The evidence shows that CSOs are ubiquitous varied and beneficial and the topics covered in this study reflect such diversity of aims and means: anti-tobacco advocacy food banks refugee health HIV/AIDS prevention and cure and social partnership. CSOs make a substantial contribution to public health and health systems with regards to policy development service delivery and governance. This includes evidence provision advocacy mobilization consensus building provision of medical services and of services related to the social determinants of health standard setting self-regulation and fostering social partnership. However in order to engage successfully with CSOs governments do need to make use of adequate tools and create contexts conducive to collaboration. To guide policy-makers working with CSOs through such complications and help avoid some potential pitfalls the book outlines a practical framework for such collaboration. This suggests identifying key CSOs in a given area; clarifying why there should be engagement with civil society; being realistic as to what CSOs can or will achieve; and an understanding of how CSOs can be helped to deliver.

Author : Pinaki Chakraborty
Publisher : Cambridge University Press
Page : 224 pages
File Size : 46,61 MB
Release : 2016-03-11
Category : Business & Economics
ISBN : 1316673952

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This book is an analytical examination of financing and public service delivery challenges in a decentralized framework. It also provides critical insights into the effectiveness of public expenditure, through benefit incidence analysis of education and healthcare services in India. The benefits of decentralization always come with conflicts and trade-offs. By unpacking the process of decentralization, the authors identify that 'unfunded mandates', arising from the asymmetry between finances and functions at local levels, are a major challenge. The analysis is carried out by distilling the existing studies in this area, and through an empirical investigation of public finance data at different public sector levels in India, as well as in some selected developing countries. Using the household survey statistics of consumption expenditure, an analysis of utilization or benefit incidence of public spending on social sectors in India is achieved, covering education and health sectors. This title is available as Open Access on Cambridge Core.

Author : G. Shabbir Cheema
Publisher : Brookings Institution Press
Page : 338 pages
File Size : 47,34 MB
Release : 2007-08-01
Category : Business & Economics
ISBN : 0815713908

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A Brookings Institution Press and Ash Center for Democratic Governance and Innovation publication The trend toward greater decentralization of governance activities, now accepted as commonplace in the West, has become a worldwide movement. This international development—largely a product of globalization and democratization—is clearly one of the key factors reshaping economic, political, and social conditions throughout the world. Rather than the top-down, centralized decisionmaking that characterized communist economies and Third World dictatorships in the twentieth century, today's world demands flexibility, adaptability, and the autonomy to bring those qualities to bear. In this thought-provoking book, the first in a new series on Innovations in Governance, experts in government and public management trace the evolution and performance of decentralization concepts, from the transfer of authority within government to the sharing of power, authority, and responsibilities among broader governance institutions. This movement is not limited to national government—it also affects subnational governments, NGOs, private corporations, and even civil associations. The contributors assess the emerging concepts of decentralization (e.g., devolution, empowerment, capacity building, and democratic governance). They detail the factors driving the movement, including political changes such as the fall of the Iron Curtain and the ascendance of democracy; economic factors such as globalization and outsourcing; and technological advances (e.g. increased information technology and electronic commerce). Their analysis covers many different contexts and regions. For example, William Ascher of Claremont McKenna College chronicles how decentralization concepts are playing out in natural resources policy, while Kadmeil Wekwete (United Nations) outlines the specific challenges to decentralizing governance in sub-Saharan Africa. In each case, contributors explore the objectives of a decentralizing strategy as well as the benefits and difficulties that will likely result.