Publication:
Decentralized Systems of Health Care Delivery and the Role of Large Cities : A Comparative Analysis

dc.contributor.authordi Gropello, Emanuela
dc.date.accessioned2013-05-29T15:21:13Z
dc.date.available2013-05-29T15:21:13Z
dc.date.issued2002-07
dc.description.abstractSouth Africa is going through an important political and administrative reorganization and a series of structural reforms. The responsibility for primary health care, which was mostly provincial, is about to be decentralized to the Local Government level. The main purpose of this paper is to analyze the on-going decentralization process in the Gauteng province and determine the role that Great Johannesburg can play within this new decentralized framework. To extract lessons and recommendations for Gauteng and Johannesburg, the paper takes a close look at the case of three middle -income Latin American countries, Chile, Colombia and Brazil, which offer valuable experience in the design and implementation of decentralized systems of health care delivery at the country and city level. It also looks at other international experiences. At the city level, the paper concludes that the case of Bogota in Colombia seems to be particularly relevant to the selection of a decentralized health care model for Johannesburg. It also shows that, in the longer run, the experiences provided by the current reforms in the UK and New Zealand would be worth looking at. Finally, a more general conclusion of the report is the finding that there is a wide range of possible roles for large cities in primary health care delivery and that the extent of this role will very much depend on the decentralization strategy adopted at the national level and on a number of key characteristics at the city level, among which the political and administrative structure, the fiscal and institutional capacity and the demographic structure could be identified.en
dc.identifierhttp://documents.worldbank.org/curated/en/2002/07/4101596/decentralized-systems-health-care-delivery-role-large-cities-comparative-analysis
dc.identifier.urihttps://hdl.handle.net/10986/13622
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADMINISTRATIVE AUTONOMY
dc.subjectADMINISTRATIVE REGIONS
dc.subjectADMINISTRATIVE SYSTEMS
dc.subjectCAPITATION
dc.subjectCENTRAL GOVERNMENT
dc.subjectCERTIFICATION
dc.subjectCITIZENS
dc.subjectCLINICS
dc.subjectCOLONIES
dc.subjectCONSTITUTION
dc.subjectCOUNCILS
dc.subjectDECENTRALIZATION
dc.subjectDECENTRALIZATION PROCESS
dc.subjectDECENTRALIZATION REFORM
dc.subjectDECENTRALIZATION REFORMS
dc.subjectDECISION MAKING
dc.subjectDECONCENTRATION
dc.subjectDEVOLUTION
dc.subjectDISTRICTS
dc.subjectEMPLOYMENT
dc.subjectEXECUTION
dc.subjectEXPENDITURES
dc.subjectFEDERAL GOVERNMENT
dc.subjectFINANCIAL RESOURCES
dc.subjectFISCAL
dc.subjectFISCAL CAPACITY
dc.subjectFISCAL DECENTRALIZATION
dc.subjectFISCAL REFORM
dc.subjectFISCAL REVENUES
dc.subjectGENERAL ELECTIONS
dc.subjectGOVERNMENT LEVEL
dc.subjectHEALTH CARE
dc.subjectHEALTH CENTRES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH PLANS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SYSTEMS
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT NETWORK
dc.subjectHUMAN RESOURCES
dc.subjectINSTITUTIONAL ARRANGEMENTS
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINTERMEDIARIES
dc.subjectLACK OF AUTONOMY
dc.subjectLARGE CITIES
dc.subjectLAWS
dc.subjectLEGISLATION
dc.subjectLEVELS OF GOVERNMENT
dc.subjectLOCAL ACCOUNTABILITY
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL COUNCILS
dc.subjectLOCAL GOVERNMENT
dc.subjectLOCAL GOVERNMENTS
dc.subjectMANAGERS
dc.subjectMUNICIPAL GOVERNMENT
dc.subjectMUNICIPAL GOVERNMENTS
dc.subjectMUNICIPAL REVENUES
dc.subjectMUNICIPALITIES
dc.subjectMUNICIPALITY
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL POLICY
dc.subjectNEEDS ASSESSMENT
dc.subjectNUTRITION
dc.subjectPATIENTS
dc.subjectPOLITICAL REFORMS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATIZATION
dc.subjectPROPERTY TAXES
dc.subjectPUBLIC HEALTH
dc.subjectRESOURCE MOBILIZATION
dc.subjectREVENUE SOURCES
dc.subjectSOCIAL SECTORS
dc.subjectSUPERVISION
dc.subjectTECHNICAL ASSISTANCE
dc.subjectUSER CHARGES
dc.subjectSOCIAL SERVICES
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH SYSTEMS DEVELOPMENT & REFORM
dc.subjectACCOUNTABILITY
dc.titleDecentralized Systems of Health Care Delivery and the Role of Large Cities : A Comparative Analysisen
dspace.entity.typePublication
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2002/07/4101596/decentralized-systems-health-care-delivery-role-large-cities-comparative-analysis
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeGovernance
okr.globalpracticeGovernance
okr.identifier.externaldocumentum000265513_20040609144739
okr.identifier.internaldocumentum4101596
okr.identifier.report29296
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/06/09/000265513_20040609144739/Rendered/PDF/292960di0Grope1ralized0system1whole.pdfen
okr.region.countryBrazil
okr.region.countryChile
okr.region.countryColombia
okr.region.countrySouth Africa
okr.topicHealth Monitoring and Evaluation
okr.topicRural Development::Regional Rural Development
okr.topicHealth Systems Development and Reform
okr.topicGovernance::National Governance
okr.topicUrban Development::Municipal Financial Management
okr.unitHuman Development Department, Latin America and Caribbean Region
okr.volume1 of 1
relation.isAuthorOfPublication27dee005-bf9e-57b9-8a14-39f3cb203198
relation.isAuthorOfPublication.latestForDiscovery27dee005-bf9e-57b9-8a14-39f3cb203198
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