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Local Government Accountability for Health Service Delivery in Nigeria

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Author Info

  • Stuti Khemani

Abstract

Decentralisation to locally elected governments has recently become popular as a means to improve incentives of public providers for service delivery to poor people. Yet, empirical evidence on how decentralisation initiatives work in practice is lagging. This paper provides new survey evidence from the health sector in Nigeria, one of the few countries in the developing world to have significantly decentralised both fiscal resources and service delivery responsibilities, on how locally elected governments actually function in delivering basic health services to their citizens. We find evidence of limited accountability at local levels, specifically reflected in the non-payment of salaries of health workers, variation in which cannot be explained by appealing to lack of resources available to local governments. Faced with this evidence, we explore solutions in the context of on-going policy discussions on intergovernmental fiscal relations in Nigeria. Copyright 2006, Oxford University Press.

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Bibliographic Info

Article provided by Centre for the Study of African Economies (CSAE) in its journal Journal of African Economies.

Volume (Year): 15 (2006)
Issue (Month): 2 (June)
Pages: 285-312

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Handle: RePEc:oup:jafrec:v:15:y:2006:i:2:p:285-312

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Cited by:
  1. Ahmad, Junaid & Devarajan, Shantayanan & Khemani, Stuti & Shah, Shekhar, 2005. "Decentralization and service delivery," Policy Research Working Paper Series 3603, The World Bank.
  2. World Bank, 2008. "Nigeria - Agriculture Public Expenditure Review," World Bank Other Operational Studies 7923, The World Bank.
  3. Schaeffer, Michael & Yilmaz, Serdar, 2008. "Strengthening local government budgeting and accountability," Policy Research Working Paper Series 4767, The World Bank.
  4. World Bank, 2007. "China : Public Services for Building the New Socialist Countryside," World Bank Other Operational Studies 7665, The World Bank.

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