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Examining decentralization and managerial decision making for child immunization program performance in India

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  • Feldhaus, Isabelle
  • Chatterjee, Susmita
  • Clarke-Deelder, Emma
  • Brenzel, Logan
  • Resch, Stephen
  • Bossert, Thomas J.

Abstract

Despite widespread adoption of decentralization reforms, the impact of decentralization on health system attributes, such as access to health services, responsiveness to population health needs, and effectiveness in affecting health outcomes, remains unclear. This study examines how decision space, institutional capacities, and accountability mechanisms of the Intensified Mission Indradhanush (IMI) in India relate to measurable performance of the immunization program.

Suggested Citation

  • Feldhaus, Isabelle & Chatterjee, Susmita & Clarke-Deelder, Emma & Brenzel, Logan & Resch, Stephen & Bossert, Thomas J., 2023. "Examining decentralization and managerial decision making for child immunization program performance in India," Social Science & Medicine, Elsevier, vol. 317(C).
    • Handle: RePEc:eee:socmed:v:317:y:2023:i:c:s0277953622007638
    DOI: 10.1016/j.socscimed.2022.115457
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    References listed on IDEAS

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    6. Pranab Bardhan & Dilip Mookherjee (ed.), 2006. "Decentralization and Local Governance in Developing Countries: A Comparative Perspective," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262524546, April.
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    8. Bossert, Thomas John & Mitchell, Andrew David, 2011. "Health sector decentralization and local decision-making: Decision space, institutional capacities and accountability in Pakistan," Social Science & Medicine, Elsevier, vol. 72(1), pages 39-48, January.
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