Das Gupta, MonicaKhaleghian, PeyvandSarwal, Rakesh2014-05-012014-05-012003-07https://hdl.handle.net/10986/18143The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective management of disease control in India, in misaligned incentives, and the institutional arrangements for service delivery. The authors discuss these under five headings: administrative issues; human resource management; horizontal coordination; decentralization, community involvement, and public accountability; and implementation of public health laws and regulations. They find that India's public health system is configured to be highly effective at top-down reactive work, such as bringing disease outbreaks under control, but not for the more routine collaborations required for proactive disease prevention. The authors conclude with policy recommendations that take into account the complexity of India's system of public administration and the need for simple reforms that can be easily implemented.en-USCC BY 3.0 IGOADMINISTRATIVE CAPACITYADMINISTRATIVE FRAMEWORKADMINISTRATIVE SYSTEMADULT MORTALITYAGRICULTURAL PRODUCTIONAUTHORITYBLINDNESSBUDGETARY ALLOCATIONSCADRESCENTRAL GOVERNMENTCENTRAL GOVERNMENTSCHILD DEVELOPMENTCITIESCITIZENSCOLONIESCONSTITUTIONCONTAGIOUS DISEASESCONTRACEPTIVESCORRUPTIONDECENTRALIZATIONDECISION MAKINGDEVELOPMENT INDICATORSDISCIPLINARY PROCEDURESDISEASE CONTROLDISTRICTSDRAINAGEELECTED REPRESENTATIVESEMBEZZLEMENTEPIDEMICSEXERCISESEXPENDITUREEXTENSIONFAMILY PLANNINGFINANCIAL MANAGEMENTFISCALFISCAL CONTROLGOVERNMENT DEPARTMENTSGOVERNMENT EXPENDITURESHEALTH ADMINISTRATIONHEALTH CENTERSHEALTH INTERVENTIONSHEALTH OUTCOMESHEALTH POLICIESHEALTH POLICYHEALTH PROGRAMSHEALTH REGULATIONSHEALTH SECTORHEALTH SERVICESHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHOSPITALSHOUSINGHUMAN RESOURCEHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESHYGIENEIMMUNIZATIONINCOMEINFANT MORTALITYINFANT MORTALITY RATEINNOVATIONINSTITUTIONAL ARRANGEMENTSISOLATIONJUDICIARYLABORATORIESLACK OF AUTONOMYLAWSLEVELS OF GOVERNMENTLIFE EXPECTANCYLIVING CONDITIONSLOW-INCOME COUNTRIESMALARIAMANAGERIAL AUTONOMYMANAGERSMEDICAL EDUCATIONMORTALITYMOTIVATIONNATIONSNUTRITIONPARTNERSHIPPESTSPOLICY RESEARCHPOLIOPRIVATE SECTORPUBLIC ACCOUNTABILITYPUBLIC ADMINISTRATIONPUBLIC AGENCIESPUBLIC FUNDSPUBLIC GOVERNANCEPUBLIC HEALTHPUBLIC HEALTH SERVICESPUBLIC SECTORPUBLIC SECTOR MANAGEMENTPUBLIC SERVICEPUBLIC SERVICESQUALITATIVE RESEARCHQUARANTINEREPRESENTATIVESRESOURCE ALLOCATIONSERVICE DELIVERYSERVICE DELIVERY MECHANISMSSOCIAL INFRASTRUCTURESTATE GOVERNMENTUNIVERSITIESWASTEWASTE DISPOSALWATER SUPPLYWORKERSWORKING CONDITIONS COMMUNICABLE DISEASESCOMMUNICABLE DISEASES PREVENTIONCASE STUDIESGOVERNANCESURVEY DATAADMINISTRATIVE CONSTRAINTSSERVICE DELIVERYHUMAN RESOURCES DEVELOPMENTDECENTRALIZATIONCOMMUNITY PARTICIPATIONPOLITICAL ACCOUNTABILITYPUBLIC HEALTH CAREHEALTH LEGISLATIONREGULATORY FRAMEWORKDISEASE PREVENTIONDISEASE CONTROLPUBLIC ADMINISTRATIONHEALTH POLICYHEALTH REFORMWORKING CONDITIONSCOMMUNICABLE DISEASES10.1596/1813-9450-3100