The Experts below are selected from a list of 336657 Experts worldwide ranked by ideXlab platform
Ben Lockwood - One of the best experts on this subject based on the ideXlab platform.
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Decentralization and the productive efficiency of government evidence from swiss cantons
Journal of Public Economics, 2007Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that among other benefits, it can increase the efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between expenditure Decentralization and the productive efficiency of government using a data set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for legal local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap.
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Decentralization and the productive efficiency of government evidence from swiss cantons
2006Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that amongst other benefits, it can increase the productive efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between expenditure Decentralization and the productive efficiency of government using a data-set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for factual local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap. Finally, we present evidence of the importance of competence in government and how it can reinforce the gains from Decentralization.
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Decentralization and the productive efficiency of government evidence from swiss cantons
2006Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that amongst other benefits, it can increase the efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between education expenditure Decentralization and the productive efficiency of schools using a data-set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for legal local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap.
Iwan Barankay - One of the best experts on this subject based on the ideXlab platform.
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Decentralization and the productive efficiency of government evidence from swiss cantons
Journal of Public Economics, 2007Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that among other benefits, it can increase the efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between expenditure Decentralization and the productive efficiency of government using a data set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for legal local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap.
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Decentralization and the productive efficiency of government evidence from swiss cantons
2006Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that amongst other benefits, it can increase the productive efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between expenditure Decentralization and the productive efficiency of government using a data-set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for factual local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap. Finally, we present evidence of the importance of competence in government and how it can reinforce the gains from Decentralization.
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Decentralization and the productive efficiency of government evidence from swiss cantons
2006Co-Authors: Iwan Barankay, Ben LockwoodAbstract:Advocates of fiscal Decentralization argue that amongst other benefits, it can increase the efficiency of delivery of government services. This paper is one of the first to evaluate this claim empirically by looking at the association between education expenditure Decentralization and the productive efficiency of schools using a data-set of Swiss cantons. We first provide careful evidence that expenditure Decentralization is a powerful proxy for legal local autonomy. Further panel regressions of Swiss cantons provide robust evidence that more Decentralization is associated with higher educational attainment. We also show that these gains lead to no adverse effects across education types but that male students benefited more from educational Decentralization closing, for the Swiss case, the gender education gap.
Benjamin Tsofa - One of the best experts on this subject based on the ideXlab platform.
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how does decentralisation affect health sector planning and financial management a case study of early effects of devolution in kilifi county kenya
International Journal for Equity in Health, 2017Co-Authors: Benjamin Tsofa, Sassy Molyneux, Lucy Gilson, Catherine GoodmanAbstract:A common challenge for health sector planning and budgeting has been the misalignment between policies, technical planning and budgetary allocation; and inadequate community involvement in priority setting. Health system decentralisation has often been promoted to address health sector planning and budgeting challenges through promoting community participation, accountability, and technical efficiency in resource management. In 2010, Kenya passed a new constitution that introduced 47 semi-autonomous devolved county governments, and a substantial transfer of responsibility for healthcare from the central government to these counties. This study analysed the effects of this major political Decentralization on health sector planning, budgeting and overall financial management at county level. We used a qualitative, case study design focusing on Kilifi County, and were guided by a conceptual framework which drew on decentralisation and policy analysis theories. Qualitative data were collected through document reviews, key informant interviews, and participant and non-participant observations conducted over an eighteen months’ period. We found that the implementation of devolution created an opportunity for local level prioritisation and community involvement in health sector planning and budgeting hence increasing opportunities for equity in local level resource allocation. However, this opportunity was not harnessed due to accelerated transfer of functions to counties before county level capacity had been established to undertake the decentralised functions. We also observed some indication of re-centralisation of financial management from health facility to county level. We conclude by arguing that, to enhance the benefits of decentralised health systems, resource allocation, priority setting and financial management functions between central and decentralised units are guided by considerations around decision space, organisational structure and capacity, and accountability. In acknowledging the political nature of decentralisation polices, we recommend that health sector policy actors develop a broad understanding of the countries’ political context when designing and implementing technical strategies for health sector decentralisation.
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recentralization within Decentralization county hospital autonomy under devolution in kenya
PLOS ONE, 2017Co-Authors: Edwine Barasa, Sassy Molyneux, Anthony M Manyara, Benjamin TsofaAbstract:Background In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. Methods We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. Findings Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. Conclusion Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions.
Sassy Molyneux - One of the best experts on this subject based on the ideXlab platform.
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how does decentralisation affect health sector planning and financial management a case study of early effects of devolution in kilifi county kenya
International Journal for Equity in Health, 2017Co-Authors: Benjamin Tsofa, Sassy Molyneux, Lucy Gilson, Catherine GoodmanAbstract:A common challenge for health sector planning and budgeting has been the misalignment between policies, technical planning and budgetary allocation; and inadequate community involvement in priority setting. Health system decentralisation has often been promoted to address health sector planning and budgeting challenges through promoting community participation, accountability, and technical efficiency in resource management. In 2010, Kenya passed a new constitution that introduced 47 semi-autonomous devolved county governments, and a substantial transfer of responsibility for healthcare from the central government to these counties. This study analysed the effects of this major political Decentralization on health sector planning, budgeting and overall financial management at county level. We used a qualitative, case study design focusing on Kilifi County, and were guided by a conceptual framework which drew on decentralisation and policy analysis theories. Qualitative data were collected through document reviews, key informant interviews, and participant and non-participant observations conducted over an eighteen months’ period. We found that the implementation of devolution created an opportunity for local level prioritisation and community involvement in health sector planning and budgeting hence increasing opportunities for equity in local level resource allocation. However, this opportunity was not harnessed due to accelerated transfer of functions to counties before county level capacity had been established to undertake the decentralised functions. We also observed some indication of re-centralisation of financial management from health facility to county level. We conclude by arguing that, to enhance the benefits of decentralised health systems, resource allocation, priority setting and financial management functions between central and decentralised units are guided by considerations around decision space, organisational structure and capacity, and accountability. In acknowledging the political nature of decentralisation polices, we recommend that health sector policy actors develop a broad understanding of the countries’ political context when designing and implementing technical strategies for health sector decentralisation.
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recentralization within Decentralization county hospital autonomy under devolution in kenya
PLOS ONE, 2017Co-Authors: Edwine Barasa, Sassy Molyneux, Anthony M Manyara, Benjamin TsofaAbstract:Background In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. Methods We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. Findings Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. Conclusion Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions.
Tulia G Falleti - One of the best experts on this subject based on the ideXlab platform.
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Decentralization and subnational politics in latin america
2010Co-Authors: Tulia G FalletiAbstract:1. Decentralization and the revival of subnational politics 2. A sequential theory of Decentralization and the intergovernmental balance of power 3. Argentina: the national dominance path to Decentralization 4. Colombia: the subnational dominance path to Decentralization in a unitary country 5. Brazil: the subnational dominance path to Decentralization in a federal country 6. Mexico: the subnational response path to Decentralization 7. Conclusion: Decentralization, temporal analysis, and territorial politics Appendix: in-depth interviews.
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a sequential theory of Decentralization latin american cases in comparative perspective
American Political Science Review, 2005Co-Authors: Tulia G FalletiAbstract:Both advocates and critics of Decentralization assume that Decentralization invariably increases the power of subnational governments. However, a closer examination of the consequences of Decentralization across countries reveals that the magnitude of such change can range from substantial to insignificant. In this article, I propose a sequential theory of Decentralization that has three main characteristics: (1) it defines Decentralization as a process , (2) it takes into account the territorial interests of bargaining actors, and (3) it incorporates policy feedback effects . I argue that the sequencing of different types of Decentralization (fiscal, administrative, and political) is a key determinant of the evolution of intergovernmental balance of power. I measure this evolution in the four largest Latin American countries and apply the theory to the two extreme cases (Colombia and Argentina). I show that, contrary to commonly held opinion, Decentralization does not necessarily increase the power of governors and mayors.
