Advanced Search
MyIDEAS: Login to save this paper or follow this series

Decentralization of Health and Education in Developing Countries: A Quality-Adjusted Review of the Empirical Literature

Contents:

Author Info

  • Anila Channa
  • Jean-Paul Faguet

Abstract

We 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 Info

If 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.
File URL: http://sticerd.lse.ac.uk/dps/eopp/eopp38.pdf
Download Restriction: no

Bibliographic Info

Paper 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.

as in new window
Length:
Date of creation: Jul 2012
Date of revision:
Handle: RePEc:cep:stieop:038

Contact details of provider:
Web page: http://sticerd.lse.ac.uk/_new/publications/default.asp

Related research

Keywords: Decentralization; School-Based Management; Education; Health; Service Delivery; Developing Countries; Preference Matching; Technical Efficiency;

This paper has been announced in the following NEP Reports:

References

References listed on IDEAS
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.:
as in new window
  1. 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).
  2. Khaleghian, Peyvand, 2004. "Decentralization and public services: the case of immunization," Social Science & Medicine, Elsevier, vol. 59(1), pages 163-183, July.
  3. 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, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University paper0501, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
  4. Jean-Paul Faguet & Fabio Sanchez, 2006. "Decentralization´S Effects On Educational Outcomes In Bolivia And Colombia," DOCUMENTOS CEDE 002255, UNIVERSIDAD DE LOS ANDES-CEDE.
  5. 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.
  6. Joshua D. Angrist & J�rn-Steffen Pischke, 2010. "The Credibility Revolution in Empirical Economics: How Better Research Design Is Taking the Con out of Econometrics," Journal of Economic Perspectives, American Economic Association, vol. 24(2), pages 3-30, Spring.
  7. 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.
  8. Jimenez, Emmanuel & Paqueo, Vicente, 1996. "Do local contributions affect the efficiency of public primary schools?," Economics of Education Review, Elsevier, Elsevier, vol. 15(4), pages 377-386, October.
  9. 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.
  10. Ludger Wößmann, 2000. "Schooling Resources, Educational Institutions, and Student Performance: The International Evidence," Kiel Working Papers 983, Kiel Institute for the World Economy.
  11. Freinkman, Lev & Plekhanov, Alexander, 2009. "Fiscal Decentralization in Rentier Regions: Evidence from Russia," World Development, Elsevier, vol. 37(2), pages 503-512, February.
  12. 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.
  13. Ebel, Robert D. & Yilmaz, Serdar, 2002. "On the measurement and impact of fiscal decentralization," Policy Research Working Paper Series 2809, The World Bank.
  14. 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.
  15. Lockheed, Marlaine E. & Qinghua Zhao, 1992. "The empty opportunity : local control of secondary schools and student achievement in the Philippines," Policy Research Working Paper Series 825, The World Bank.
  16. 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.
  17. Enikolopov, Ruben & Zhuravskaya, Ekaterina, 2003. "Decentralization and Political Institutions," CEPR Discussion Papers 3857, C.E.P.R. Discussion Papers.
  18. Faguet, Jean-Paul, 2001. "Does decentralization increase responsiveness to local needs? - evidence from Bolivia," Policy Research Working Paper Series 2516, The World Bank.
  19. 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.
  20. 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, World Bank Group, vol. 13(3), pages 415-41, September.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. repec:rom:campco:v:9:y:2013:i:1:p:92-103 is not listed on IDEAS

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:cep:stieop:038. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.