Decentralization and Governance in the Ghana Health Sector - download pdf or read online

By Bernard F Couttolenc

Ghana's executive has launched into a decentralization technique because the Nineteen Eighties, yet devolution of the future health approach faces very important demanding situations and weaknesses. Ghana has made major development, and a number of other development blocks for a devolved future health approach were installed position. besides the fact that, vital weaknesses stay relating to numerous of the major specifications to profitable decentralization. Ghana has alongside the years installed position a number of very important construction blocks for a very decentralized future health process. yet those efforts were hampered, and their effectiveness decreased, via the absence of a robust regulatory and coverage framework for future health, regulatory conflicts and duplications accrued via a number of waves of rules, vulnerable capability to coordinate and deal with a devolved well-being procedure, fragmented administration platforms relating to employees administration, procurement and budgeting and financing. Political instability and the ensuing loss of continuity and consistency within the strategy in the course of lots of the interval have additionally avoided the method to take root, and feature contributed to the present fragmentation within the health and wellbeing method. foreign comparisons point out that Ghana indicates a slender powerful selection area with admire to so much overall healthiness capabilities and sub-functions compared to numerous different constructing international locations. even if, benefiting from the constructions and contours which were installed position, strengthening the coverage framework, making sure potent coordination, and addressing the weaknesses highlighted above, can make decentralization of the overall healthiness procedure more advantageous and in keeping with GOG basic policy.This research analyzes the strengths and weaknesses of the decentralization of the Ghanaian health and wellbeing method and provides a couple of ideas and methods for strengthening the method. it really is appropriate and well timed because the GOG seeks to bolster and deepen decentralization of the healthiness process; it's also invaluable for different heart- and low-income nations that are pursuing a few kind of decentralization in their overall healthiness process to enhance its potency and effectiveness.

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Decentralization and Governance in the Ghana Health Sector (World Bank Studies) by Bernard F Couttolenc


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