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Decentralization and Public Delivery of Health Care Services in India

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  • Singh, Nirvikar

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.

Suggested Citation

  • Singh, Nirvikar, 2008. "Decentralization and Public Delivery of Health Care Services in India," MPRA Paper 7869, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:7869
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    File URL: https://mpra.ub.uni-muenchen.de/7869/1/MPRA_paper_7869.pdf
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    References listed on IDEAS

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    6. Singh, Nirvikar, 2006. "State Finances in India: A Case for Systemic Reform," MPRA Paper 1281, University Library of Munich, Germany.
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    Cited by:

    1. Schmid, Hillel & Dolev, Talal & Szabo-Lael, Rachel, 2010. "Community-based programs for children at risk: The case of budget flexibility in Departments of Social Services in Israel," Children and Youth Services Review, Elsevier, vol. 32(2), pages 178-184, February.
    2. Joan Costa-Font & Divya Parmar, 2016. "Political agency and public healthcare: Evidence from India," WIDER Working Paper Series 135, World Institute for Development Economic Research (UNU-WIDER).
    3. Joan Costa-Font & Divya Parmar, 2016. "Political agency and public healthcare: Evidence from India," WIDER Working Paper Series wp-2016-135, World Institute for Development Economic Research (UNU-WIDER).
    4. Ilke Onur & Malathi Velamuri, 2018. "The gap between self-reported and objective measures of disease status in India," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-18, August.
    5. Zheng, Xinye & Wang, Jing & Li, Xilu & Yu, Yihua, 2013. "On the supply of China's healthcare resources in a decentralized healthcare system," MPRA Paper 56030, University Library of Munich, Germany.

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    More about this item

    Keywords

    federalism; decentralization; intergovernmental relations; accountability; service delivery; health care;
    All these keywords.

    JEL classification:

    • H1 - Public Economics - - Structure and Scope of Government
    • H7 - Public Economics - - State and Local Government; Intergovernmental Relations
    • P35 - Political Economy and Comparative Economic Systems - - Socialist Institutions and Their Transitions - - - Public Finance
    • P26 - Political Economy and Comparative Economic Systems - - Socialist and Transition Economies - - - Property Rights

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