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Decentralization and Public Delivery of Health Care Services in India

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Singh, Nirvikar

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Abstract

This paper examines delivery of public health care services in India, in the broader context of decentralization. It provides an overview of the basic features and recent developments in intergovernmental fiscal relations and accountability mechanisms, and examines the implications of these institutions for the quality of public service delivery. It then addresses recent policy proposals on the public provision of health care, in the context of decentralization. Finally, it makes suggestions for reform priorities to improve public health care delivery.

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Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 7869.

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Date of creation: 20 Mar 2008
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Handle: RePEc:pra:mprapa:7869

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Related research
Keywords: federalism decentralization intergovernmental relations accountability service delivery health care

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Find related papers by JEL classification:
H1 - Public Economics - - Structure and Scope of Government
H7 - Public Economics - - State and Local Government; Intergovernmental Relations
P35 - Economic Systems - - Socialist Institutions and Their Transitions - - - Public Finance
P26 - Economic Systems - - Socialist Systems and Transition Economies - - - Political Economy

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  1. Esther Duflo & Rema Hanna, 2005. "Monitoring Works: Getting Teachers to Come to School," NBER Working Papers 11880, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  2. Michael Kremer & Nazmul Chaudhury & F. Halsey Rogers & Karthik Muralidharan & Jeffrey Hammer, 2005. "Teacher Absence in India: A Snapshot," Journal of the European Economic Association, MIT Press, vol. 3(2-3), pages 658-667, 04/05. [Downloadable!] (restricted)
  3. Abhijit V. Banerjee & Shawn Cole & Esther Duflo & Leigh Linden, 2007. "Remedying Education: Evidence from Two Randomized Experiments in India," The Quarterly Journal of Economics, MIT Press, vol. 122(3), pages 1235-1264, 08. [Downloadable!] (restricted)
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  4. Singh, Nirvikar, 2006. "State Finances in India: A Case for Systemic Reform," MPRA Paper 1281, University Library of Munich, Germany. [Downloadable!]
  5. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Health Care Delivery in Rural Rajasthan," Natural Field Experiments 0016, The Field Experiments Website. [Downloadable!]
  6. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter. [Downloadable!] (restricted)
  7. Bardhan, Pranab & Mookherjee, Dilip, 2006. "Pro-poor targeting and accountability of local governments in West Bengal," Journal of Development Economics, Elsevier, vol. 79(2), pages 303-327, April. [Downloadable!] (restricted)
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  8. Wade, Robert, 1985. "The market for public office: Why the Indian state is not better at development," World Development, Elsevier, vol. 13(4), pages 467-497, April. [Downloadable!] (restricted)
  9. Nirvikar Singh & Laveesh Bhandari & Aoyu Chen & Aarti Khare, 2004. "Regional Inequality in India: A Fresh Look," Development and Comp Systems 0412006, EconWPA. [Downloadable!]
  10. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May. [Downloadable!] (restricted)
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