Improving the implementation of health workforce policies through governance : a review of case studies

Abstract: A study of 4 governance dimensions (including performance, which has an important decentralization component) on human resources for health (HRH) in low- and middle-income countries (LMIC). Governance to improve HRH must be viewed as inseparable from the wider health system and state governance. Author(s): Dieleman, Maria Areke; Shaw, Daniel M.P.; Zwanikken, Prisca Source(s): ,…

Equalising sub-national governments’ spending needs in a developing country : the case of Tanzania

Abstract: Many countries use fiscal equalization to alleviate fiscal disparities created by decentralization. Application of a new method to estimate spending needs of local governments in developing countries shows that many Tanzanian districts are underfunded for health services. Author(s): RU Groningen Source(s): , 30 p., ill., graphs, tabs Published: 2011 Rijksuniversiteit Groningen (RuG), [Groningen (English…

Monitoring quality of care and accountability mechanisms at the district level : the potential role of the National health insurance scheme in Ghana

Abstract: A framework for monitoring the quality of care by the NHIS (National Health Insurance Scheme) at district level in Ghana was developed and an exploratory study of the current accountability mechanisms is presented. Author(s): Martens, Merel; Toonen, Jurrien; Wal, Bertram Van Der Source(s): , KIT working papers series; WPS.H6 40 p., ill KIT working…

Community driven development in Bangladesh : factors behind the reality

Abstract: A review of community driven development in Bangladesh demonstrates that both formal and informal organizations can bring about people centric development through empowerment. Successful cases include social forestry, community-based health management, microfinance, and cereal banks. Author(s): Baroi, Harold Sougato; Rabbani, Golam Source(s): , Canadian social science; Vol. 7, No. 4 p. 74-81, ill Canadian…

Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania

Abstract: Health care organization and management systems were analysed to explore the challenges of implementing an Accountability for Reasonableness (A4R) approach to priority setting in Tanzania. Despite rhetoric on decentralisation, actual practice in the district involved little community participation. Author(s): Maluka, Stephen Oswald Source(s): , Global health action; vol. 4 11 p., ill., tabs Global…

Negotiating on a seesaw : the decentralisation of education and health services in Uganda and Tanzania from a local perspective and in a historical context

Abstract: Between 1997 and 2001, central governments of Uganda and Tanzania expanded the responsibilities of local management committees of schools and dispensaries. The effects on the way in which these management committees engage with central government and with the local polity are examined. Author(s): Prinsen, Gerard Source(s): , xi, 322 p., ill., graphs, maps, tabs…