Publication:
Decentralization and Governance in the Ghana Health Sector

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dc.contributor.authorCouttolenc, Bernard F.
dc.date.accessioned2012-07-02T18:18:56Z
dc.date.available2012-07-02T18:18:56Z
dc.date.issued2012
dc.description.abstractIn recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system. In most cases, decentralization has been adopted to improve accountability to local population, efficiency in service provision, equity in access and resource distribution, or to increase resource mobilization. Ghana has a long history of local government, going back to pre-independence times of the nineteenth century. By 1859 Municipal Councils were established in the major coastal towns of the then Gold Coast. Native Authorities, Councils and Courts were also established to administer law and order under the indirect authority of the colonial government; the limitations of this system was repeatedly put forward in the 1930s and 1940s, and reforms were introduced in 1951 by the Local Government Ordinance (Ahwoi 2010). The government has embarked in a decentralization policy since independence, which was strengthened and amplified by the local government act of 1993 and other legislations. At the present the Government of Ghana (GOG) is committed to strengthen the implementation of decentralization and for that purpose revise and strengthen the policy and regulatory framework governing decentralization. In spite of this long history and successive waves of decentralization reforms, effective decentralization in the country still faces considerable challenges, especially in large social sectors involving large structures. The public health sector is one that has not fully embraced the decentralization model adopted by the GOG, decentralization by devolution to the districts, for a number of reasons that will be discussed in this report. Some functions and responsibilities have been decentralized, but others remain centralized or simply deconcentrated.en
dc.identifierhttp://documents.worldbank.org/curated/en/2012/06/16406296/decentralization-governance-ghana-health-sector
dc.identifier.doi10.1596/978-0-8213-9589-9
dc.identifier.isbn978-0-8213-9589-9
dc.identifier.urihttps://hdl.handle.net/10986/9376
dc.languageEnglish
dc.publisherWashington, DC: World Bank
dc.relation.ispartofseriesA World Bank study
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectDECENTRALIZATION
dc.subjectDEVOLUTION
dc.subjectGOVERNANCE
dc.subjectHEALTH
dc.subjectREGULATORY FRAMEWORK
dc.subjectRESOURCE MOBILIZATION
dc.subjectSERVICE DELIVERY
dc.subjectSOCIAL SECTORS
dc.titleDecentralization and Governance in the Ghana Health Sectoren
dspace.entity.typePublication
okr.date.disclosure2012-06-20
okr.doctypePublications & Research::Publication
okr.doctypePublications & Research::Publication
okr.docurlhttp://documents.worldbank.org/curated/en/2012/06/16406296/decentralization-governance-ghana-health-sector
okr.globalpracticeMacroeconomics and Fiscal Management
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid106611468257682937
okr.identifier.doi10.1596/978-0-8213-9589-9
okr.identifier.externaldocumentum000333037_20120621020419
okr.identifier.internaldocumentum16406296
okr.identifier.report70274
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/06/21/000333037_20120621020419/Rendered/PDF/702740PUB0EPI007902B009780821395899.pdfen
okr.region.administrativeAfrica
okr.region.countryGhana
okr.topicHealth Monitoring and Evaluation
okr.topicMacroeconomics and Economic Growth::Subnational Economic Development
okr.topicHealth Systems Development and Reform
okr.topicGovernance::National Governance
okr.topicPublic Sector Expenditure Policy
okr.topicHealth, Nutrition and Population
okr.topicPublic Sector Development
okr.unitHuman Development (LCSHD)
okr.volume1 of 1
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