|Statement||D. Narayana, K.K. Hari Kurup.|
|Series||Working paper ;, no. 298, Working paper (Centre for Development Studies (Trivandrum, India)) ;, no. 298.|
|Contributions||Centre for Development Studies (Trivandrum, India)|
|LC Classifications||Microfiche 2001/60381 (R)|
|The Physical Object|
|Number of Pages||31|
|LC Control Number||00371999|
Abstract Kerala is in the forefront of decentralisation of powers following the 73rd and 74th Constitutional Amendments. The existence of a large number of health care, educational and other. Abstract Kerala is in the forefront of decentralisation of powers following the 73rd and 74th Constitutional Amendments. The existence of a large number of health care, educational and other institutions in every Panchayat in Kerala has necessitated decentralisation of every sector as part of the overall decentralisation. The existence of a large number of health care, educational and other institutions in every Panchayat in Kerala has necessitated decentralisation of every sector as part of the overall decentralisation. The government order of has transferred the health care institutions at various levels to the local self government institutions (LSGI). Through a ‘big bang’ approach, Kerala implemented a significant fiscal decentralization program and then built the capacity of its local governments. We employ a diagnostic framework to analyze its.
Decentralisation of Health Services: The Kerala People’s Campaign by Elamon et al. () was the first major attempt to look closely at the possibilities and potentials of decentralised public health and healthcare services. A Note on Decentralisation in Kerala The State has been able to attain high levels of social sector development - in literacy, health care etc - even at a relatively low level of per capita income. Consequently, the quality of life indices - based on life expectancy, educational attainment etc - for the State have been high, mostly on par. Decentralization in health care Edited by Richard B. Saltman Vaida Bankauskaite Karsten Vrangbaek D e c e n t r a l i z a t i o n in h e a l t h c a r e A catalogue record of this book is available from the British Library ISBN 0 X (pb) 0 8 (hb) evidence-based approach to policy formulation in the health sector. 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 .
policies, strategies, and programmes concerning primary health care based on decentralized concepts and approaches. The recently enacted Local Governance Act in Nepal is intended for total decentralization. Likewise, Health and Population Sector Strategy in Bangladesh has given priority for decentralization. Decentralization in Healthcare. Centralization in healthcare is a system in which the federal government makes healthcare decisions that must be followed . 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. One of the major objectives of the decentralization process in Kerala was to strengthen the public health care network and improve the quality of public health service delivery. This article attempts to analyze the transition in the health care sector during the last two decades linking it to the interventions of Local Self Governments (LSGs).