Decentralization of Health and Education in Developing Countries: A Quality-Adjusted Review of the Empirical Literature
AbstractWe review empirical evidence on the ability of decentralization to enhance preference matching and technical efficiency in the provision of health and education in developing countries. Many influential surveys have found that the empirical evidence of decentralization's effects on service delivery is weak, incomplete and often contradictory. Our own unweighted reading of the literature concurs. But when we organize the evidence first by substantive theme, and then - crucially - by empirical quality and the credibility of its identification strategy, clear patterns emerge. Higher quality evidence indicates that decentralization increases technical efficiency across a variety of public services, from student test scores to infant mortality rates. Decentralization also improves preference matching in education, and can do so in health under certain conditions, although there is less evidence for both. We discuss individual studies in some detail. Weighting by quality is especially important when evidence informs policy-making. Firmer conclusions will require an increased focus on research design, and a deeper examination into the prerequisites and mechanisms of successful reforms.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Suntory and Toyota International Centres for Economics and Related Disciplines, LSE in its series STICERD - Economic Organisation and Public Policy Discussion Papers Series with number 038.
Date of creation: Jul 2012
Date of revision:
Contact details of provider:
Web page: http://sticerd.lse.ac.uk/_new/publications/default.asp
Decentralization; School-Based Management; Education; Health; Service Delivery; Developing Countries; Preference Matching; Technical Efficiency;
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-09-09 (All new papers)
- NEP-EDU-2012-09-09 (Education)
- NEP-HEA-2012-09-09 (Health Economics)
- NEP-LAB-2012-09-09 (Labour Economics)
- NEP-LAM-2012-09-09 (Central & South America)
- NEP-PBE-2012-09-09 (Public Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Eric A. Hanushek & Susanne Link & Ludger Woessmann, 2011.
"Does School Autonomy Make Sense Everywhere? Panel Estimates from PISA,"
NBER Working Papers
17591, National Bureau of Economic Research, Inc.
- Hanushek, Eric A. & Link, Susanne & Woessmann, Ludger, 2013. "Does school autonomy make sense everywhere? Panel estimates from PISA," Journal of Development Economics, Elsevier, vol. 104(C), pages 212-232.
- Eric A. Hanushek & Susanne Link & Ludger Woessmann, 2011. "Does School Autonomy Make Sense Everywhere? Panel Estimates from PISA," CESifo Working Paper Series 3648, CESifo Group Munich.
- Hanushek, Eric A. & Link, Susanne & Woessmann, Ludger, 2011. "Does School Autonomy Make Sense Everywhere? Panel Estimates from PISA," IZA Discussion Papers 6185, Institute for the Study of Labor (IZA).
- Hanushek, Eric A. & Link, Susanne & Woessmann, Ludger, 2012. "Does School Autonomy Make Sense Everywhere? Panel Estimates from PISA," ADB Economics Working Paper Series 296, Asian Development Bank.
- F. Javier Arze del Granado & Jorge Martinez-Vazquez & Robert McNab, 2005. "Fiscal Decentralization and The Functional Composition of Public Expenditures," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper0501, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
- Faguet, Jean-Paul, 2001. "Does decentralization increase responsiveness to local needs? - evidence from Bolivia," Policy Research Working Paper Series 2516, The World Bank.
- Jimenez, Emmanuel & Sawada, Yasuyuki, 1999. "Do Community-Managed Schools Work? An Evaluation of El Salvador's EDUCO Program," World Bank Economic Review, World Bank Group, vol. 13(3), pages 415-41, September.
- Enikolopov, Ruben & Zhuravskaya, Ekaterina, 2007.
"Decentralization and political institutions,"
Journal of Public Economics,
Elsevier, vol. 91(11-12), pages 2261-2290, December.
- Enikolopov, Ruben & Zhuravskaya, Ekaterina, 2003. "Decentralization and Political Institutions," CEPR Discussion Papers 3857, C.E.P.R. Discussion Papers.
- Ruben Enikolopov & Ekaterina Zhuravskaya, 2006. "Decentralization and Political Institutions," Working Papers w0065, Center for Economic and Financial Research (CEFIR).
- Ruben Enikolopov & Ekaterina Zhuravskaya, 2004. "Decentralization and Political Institutions," Economics Working Papers 0045, Institute for Advanced Study, School of Social Science.
- Jean-Paul Faguet & Fabio Sanchez, 2006.
"Decentralization’S Effects On Educational Outcomes In Bolivia And Colombia,"
STICERD - Development Economics Papers - From 2008 this series has been superseded by Economic Organisation and Public Policy Discussion Papers
47, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
- Faguet, Jean-Paul & Sánchez, Fabio, 2008. "Decentralization's Effects on Educational Outcomes in Bolivia and Colombia," World Development, Elsevier, vol. 36(7), pages 1294-1316, July.
- Jean-Paul Faguet & Fabio Sanchez, 2006. "Decentralization’S Effects On Educational Outcomes In Bolivia And Colombia," DOCUMENTOS CEDE 002255, UNIVERSIDAD DE LOS ANDES-CEDE.
- Ludger Woesmann, 2003.
"Schooling Resources, Educational Institutions and Student Performance: the International Evidence,"
Oxford Bulletin of Economics and Statistics,
Department of Economics, University of Oxford, vol. 65(2), pages 117-170, 05.
- Ludger Wößmann, 2000. "Schooling Resources, Educational Institutions, and Student Performance: The International Evidence," Kiel Working Papers 983, Kiel Institute for the World Economy.
- Galiani, Sebastian & Gertler, Paul & Schargrodsky, Ernesto, 2008. "School decentralization: Helping the good get better, but leaving the poor behind," Journal of Public Economics, Elsevier, vol. 92(10-11), pages 2106-2120, October.
- Robalino, David A. & Picazo, Oscar F. & Voetberg, Albertus, 2001. "Does fiscal decentralization improve health outcomes? - evidence from a cross-country analysis," Policy Research Working Paper Series 2565, The World Bank.
- Khaleghian, Peyvand, 2004. "Decentralization and public services: the case of immunization," Social Science & Medicine, Elsevier, vol. 59(1), pages 163-183, July.
- Norman V. Loayza & Jamele Rigolini & Oscar Calvo-Gonzlez, 2014.
"More than You Can Handle Decentralization and Spending Ability of Peruvian Municipalities,"
2014-4, Peruvian Economic Association.
- Loayza, Norman V. & Rigolini, Jamele & Calvo-Gonzalez, Oscar, 2011. "More than you can handle : decentralization and spending ability of Peruvian municipalities," Policy Research Working Paper Series 5763, The World Bank.
- Ebel, Robert D. & Yilmaz, Serdar, 2002. "On the measurement and impact of fiscal decentralization," Policy Research Working Paper Series 2809, The World Bank.
- Gunnar Eskeland & Deon Filmer, 2007. "Autonomy, Participation and Learning: Findings from Argentine Schools, and Implications for Decentralization," Education Economics, Taylor & Francis Journals, vol. 15(1), pages 103-127.
- Jean-Paul Faguet, 2008. "Decentralisation's Effects on Public Investment: Evidence and Policy Lessons from Bolivia and Colombia," Journal of Development Studies, Taylor & Francis Journals, vol. 44(8), pages 1100-1121.
- Besley, Timothy & Coate, Stephen, 2003. "Centralized versus decentralized provision of local public goods: a political economy approach," Journal of Public Economics, Elsevier, vol. 87(12), pages 2611-2637, December.
- Jimenez, Emmanuel & Paqueo, Vicente, 1996. "Do local contributions affect the efficiency of public primary schools?," Economics of Education Review, Elsevier, vol. 15(4), pages 377-386, October.
- Freinkman, Lev & Plekhanov, Alexander, 2009. "Fiscal Decentralization in Rentier Regions: Evidence from Russia," World Development, Elsevier, vol. 37(2), pages 503-512, February.
- John Akin & Paul Hutchinson & Koleman Strumpf, 2005. "Decentralisation and government provision of public goods: The public health sector in Uganda," Journal of Development Studies, Taylor & Francis Journals, vol. 41(8), pages 1417-1443.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If references are entirely missing, you can add them using this form.