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Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis

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dc.contributor.authorPicazo, Oscar F.
dc.contributor.authorRobalino, David A.
dc.contributor.authorVoetberg, Albertus
dc.date.accessioned2014-08-26T18:43:13Z
dc.date.available2014-08-26T18:43:13Z
dc.date.issued2001-03
dc.description.abstractDecentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments, and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. The authors fill in some quantitative evidence. Using panel data on infant mortality rates, GDP per capita, and the share of public expenditures managed by local governments, they find greater fiscal decentralization is consistently associated with lower mortality rates. The results suggest that the benefits of fiscal decentralization are particularly important for poor countries. They suggest also that the positive effects of fiscal decentralization on infant mortality, are greater in institutional environments that promote political rights. Fiscal decentralization also appears to be a mechanism for improving health outcomes in environments with a high level of ethno-linguistic fractionalization, however, the benefits from fiscal decentralization tend to be smaller.en
dc.identifierhttp://documents.worldbank.org/curated/en/2001/03/1047444/fiscal-decentralization-improve-health-outcomes-evidence-cross-country-analysis
dc.identifier.doi10.1596/1813-9450-2565
dc.identifier.urihttps://hdl.handle.net/10986/19698
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 2565
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCOUNTABILITY
dc.subjectADMINISTRATIVE COSTS
dc.subjectALLOCATION OF RESOURCES
dc.subjectANTI-CORRUPTION
dc.subjectAUTONOMY
dc.subjectBANKING CRISES
dc.subjectCENTRAL AGENCIES
dc.subjectCENTRAL GOVERNMENT
dc.subjectCENTRAL GOVERNMENTS
dc.subjectCIVIL RIGHTS
dc.subjectCOLLATERALIZATION
dc.subjectCOMPETITIVENESS
dc.subjectCORRUPTION
dc.subjectDEBT
dc.subjectDECENTRALIZATION PROCESS
dc.subjectDECISION-MAKING
dc.subjectDEMOCRACY
dc.subjectDEPOSIT INSURANCE
dc.subjectDEVELOPMENT INDICATORS
dc.subjectDEVOLUTION
dc.subjectDISTRICTS
dc.subjectECONOMIC ANALYSIS
dc.subjectECONOMIC EFFICIENCY
dc.subjectECONOMIC PERFORMANCE
dc.subjectECONOMICS
dc.subjectECONOMIES OF SCALE
dc.subjectELASTICITY
dc.subjectETHNIC GROUPS
dc.subjectEXOGENOUS VARIABLES
dc.subjectEXPENDITURE
dc.subjectEXPORTS
dc.subjectFINANCIAL CRISES
dc.subjectFINANCIAL PLANNING
dc.subjectFISCAL
dc.subjectFISCAL DECENTRALIZATION
dc.subjectGDP
dc.subjectGDP PER CAPITA
dc.subjectGROSS DOMESTIC PRODUCT PER CAPITA
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectINCOME
dc.subjectINCOME DISTRIBUTION
dc.subjectINEFFICIENCY
dc.subjectINFANT MORTALITY
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINSTITUTIONAL REFORMS
dc.subjectINSURANCE
dc.subjectINVENTORIES
dc.subjectLEGITIMACY
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL GOVERNMENT
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMARGINAL BENEFITS
dc.subjectMORTALITY
dc.subjectNATIONAL ELECTIONS
dc.subjectNATIONAL GOVERNMENTS
dc.subjectNATIONAL POLICIES
dc.subjectPOLICY RESEARCH
dc.subjectPOSITIVE EFFECTS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPUBLIC ADMINISTRATION
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURES
dc.subjectPUBLIC INSTITUTIONS
dc.subjectPUBLIC POLICIES
dc.subjectPUBLIC RESOURCES
dc.subjectPURCHASING POWER
dc.subjectREAL GROSS DOMESTIC PRODUCT
dc.subjectRESOURCE ALLOCATION
dc.subjectRETIREMENT
dc.subjectRISK MANAGEMENT
dc.subjectSAVINGS
dc.subjectSOCIAL SERVICES
dc.subjectSOCIAL WELFARE
dc.subjectSOCIOECONOMIC INDICATORS
dc.subjectTAXATION
dc.subjectTOTAL EXPENDITURES
dc.subjectTRANSITION ECONOMIES
dc.titleDoes Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysisen
dspace.entity.typePublication
okr.crossref.titleDoes Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis
okr.date.disclosure2001-03-31
okr.date.doiregistration2025-04-10T10:30:49.188028Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2001/03/1047444/fiscal-decentralization-improve-health-outcomes-evidence-cross-country-analysis
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeGovernance
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid832091468739534469
okr.identifier.doi10.1596/1813-9450-2565
okr.identifier.externaldocumentum000094946_01032705352347
okr.identifier.internaldocumentum1047444
okr.identifier.reportWPS2565
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2001/04/07/000094946_01032705352347/Rendered/PDF/multi0page.pdfen
okr.sectorDecentralization
okr.sectorPublic Administration, Law, and Justice
okr.topicEconomic Theory and Research
okr.topicBanks and Banking Reform
okr.topicHealth Economics and Finance
okr.topicGovernance::National Governance
okr.topicUrban Development::Municipal Financial Management
okr.topicHealth, Nutrition and Population
okr.unitHuman Development 1, Africa Technical Families
okr.volume1
relation.isAuthorOfPublication63663214-e8c1-5318-a6f5-0c4de21dd09a
relation.isAuthorOfPublication.latestForDiscovery63663214-e8c1-5318-a6f5-0c4de21dd09a
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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