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.

This book focuses on the experience of decentralization in rural Kenya and is presented in two parts under the following themes: (i) successes and failures of decentralization (chapters 2-6); and (ii) socioeconomic and institutional preconditions for successful decentralization (chapters 7-10). The text will be of interest to researchers and students in social sciences and development studies, and to policy makers in international aid agencies, non-governmental development organizations and government ministries. A subject index is included.

Nearly all countries worldwide are now experimenting with decentralization. Their motivation are diverse. Many countries are decentralizing because they believe this can help stimulate economic growth or reduce rural poverty, goals central government interventions have failed to achieve. Some countries see it as a way to strengthen civil society and deepen democracy. Some perceive it as a way to off-load expensive responsibilities onto lower level governments. Thus, decentralization is seen as a solution to many different kinds of problems. This report examines the origins and implications decentralization from a political economy perspective, with a focus on its promise and limitations. It explores why countries have often chosen not to decentralize, even when evidence suggests that doing so would be in the interests of the government. It seeks to explain why since the early 1980s many countries have undertaken some form of decentralization. This report also evaluates the evidence to understand where decentralization has considerable promise and where it does not. It identifies conditions needed for decentralization to succeed. It identifies the ways in which decentralization can promote rural development. And it names the goals which decentralization will probably not help achieve.

"This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--

Is decentralisation good for development? This book explains when the answer is 'Yes' and when it is 'No'. It shows how decentralisation can be designed to drive development forward, and focuses on the institutional incentives that can strengthen democracy, boost economies, and improve public sector performance.

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.

Representational government is not authentic democracy. The American Constitution cannot defend us from socioeconomic domination by centralized power. Independence means that people organize among themselves in order to meet all of their existential needs, which include more than preserving corporal survival. It means actualizing a better civil and civic organization, and adding to that a civic-economic organization (explained in my other writings) in order to afford every child the support needed to grow as individuated people. The genius my father contributed is the means of making consensus-based decision making processes a structured organization in conjunction with mutual banking, and its production-based economy, which as an organization must expand, or perish. That inbuilt expansive component is what distinguishes DESO from all other attempts to create a better lifestyle. By forcing decentralization to expand, as a structural component, consequent of consensus-based organization and its mutual banking, and its production-based economy, it will compete with mass centrist society for members, because living in real, sovereign community provides a better quality of life; a better culture. I am encouraged that there are people really interested in making this project move into its actualization, and that eventuality is nearing. My blog: http://decentralizationblog.wordpress.com