Decentralization and Governance in the Ghana Health Sector book
Decentralization and Governance in the Ghana Health Sector book
Decentralization and Governance in the Ghana Health Sector by Bernard F. Couttolenc
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Author: Bernard F. Couttolenc
Page Count: 116 pages
Published Date: 06 Jul 2012
Publisher: World Bank Publications
Publication Country: Washington, United States
Language: English
Type: PDF
ISBN: 9780821395899
File Name: Decentralization.and.Governance.in.the.Ghana.Health.Sector.pdf
Download Link: Decentralization and Governance in the Ghana Health Sector
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Ghanai??s government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important weaknesses remain regarding several of the key requirements to successful decentralization. Ghana has along the years put in place several important building blocks for a truly decentralized health system. But these efforts have been hampered, and their effectiveness diminished, by the absence of a strong regulatory and policy framework for health, regulatory conflicts and duplications accumulated by several waves of regulations, weak capacity to coordinate and manage a devolved health system, fragmented management systems regarding staff management, procurement and budgeting and financing. Political instability and the resulting lack of continuity and consistency in the process during most of the period have also prevented the process to take root, and have contributed to the current fragmentation in the health system. International comparisons indicate that Ghana shows a narrow effective decision space with respect to most health functions and sub-functions when compared with several other developing countries. However, taking advantage of the structures and features that have been put in place, strengthening the policy framework, ensuring effective coordination, and addressing the weaknesses highlighted above, could make decentralization of the health system more effective and consistent with GOG general policy. This study analyzes the strengths and weaknesses of the decentralization of the Ghanaian health system and presents a few recommendations and strategies for strengthening the process. It is relevant and timely as the GOG seeks to strengthen and deepen decentralization of the health system; it is also useful for other middle- and low-income countries which are pursuing some form of decentralization of their health system to improve its efficiency and effectiveness.|The early twentieth century witnessed the rise of middle-class mass periodicals that, while offering readers congenial material, also conveyed new depictions of manliness, liberal education, and the image of business leaders. ""Should Your Boy Go to College?"" asked one magazine story; and for over two decades these middle-class magazines answered, in numerous permutations, with a collective ""yes!"" In the course of interpreting these themes they reshaped the vision of a college education, and created the ideal of a college-educated businessman. Volume 24 of the Perspectives on the History of Higher Education: 2005 provides historical studies touching on contemporary concerns--gender, high-ability students, academic freedom, and, in the case of the Barnes Foundation, the authority of donor intent. Daniel Clark discusses the nuanced changes that occurred to the image of college at the turn of the century. Michael David Cohen offers an important corrective to stereotypes about gender relations in nineteenth-century coeducational colleges. Jane Robbins traces how the young National Research Council embraced the cause of how to identify and encourage superior students as a vehicle for incorporating wartime advances in psychological testing. Susan R. Richardson considers the long Texas tradition of political interference in university affairs. Finally, Edward Epstein and Marybeth Gasman shed historical light on the recent controversy surrounding the Barnes Foundation. The volume also contains brief descriptions of twenty recent doctoral dissertations in the history of higher education. This serial publication will be of interest to historians, sociologists, and of course, educational policymakers. Roger L. Geiger is Distinguished Professor of Higher Education at the Pennsylvania State University. He has edited the History of Higher Education Annual since 1993. His two volumes Research and Relevant Knowledge and To Advance Knowledge (both published by Transaction) cover the history of universities in the United States during the twentieth century.
Read online Decentralization and Governance in the Ghana Health Sector Buy and read online Decentralization and Governance in the Ghana Health Sector Download and read Decentralization and Governance in the Ghana Health Sector ebook, pdf, djvu, epub, mobi, fb2, zip, rar, torrent Download to iPad/iPhone/iOS, B&N nook Decentralization and Governance in the Ghana Health Sector
Decentralization and Governance in the Ghana Health Sector by Bernard F. Couttolenc
Author: Bernard F. Couttolenc
Page Count: 116 pages
Published Date: 06 Jul 2012
Publisher: World Bank Publications
Publication Country: Washington, United States
Language: English
Type: PDF
ISBN: 9780821395899
File Name: Decentralization.and.Governance.in.the.Ghana.Health.Sector.pdf
Download Link: Decentralization and Governance in the Ghana Health Sector
---------------------------------------------------------------
Ghanai??s government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important weaknesses remain regarding several of the key requirements to successful decentralization. Ghana has along the years put in place several important building blocks for a truly decentralized health system. But these efforts have been hampered, and their effectiveness diminished, by the absence of a strong regulatory and policy framework for health, regulatory conflicts and duplications accumulated by several waves of regulations, weak capacity to coordinate and manage a devolved health system, fragmented management systems regarding staff management, procurement and budgeting and financing. Political instability and the resulting lack of continuity and consistency in the process during most of the period have also prevented the process to take root, and have contributed to the current fragmentation in the health system. International comparisons indicate that Ghana shows a narrow effective decision space with respect to most health functions and sub-functions when compared with several other developing countries. However, taking advantage of the structures and features that have been put in place, strengthening the policy framework, ensuring effective coordination, and addressing the weaknesses highlighted above, could make decentralization of the health system more effective and consistent with GOG general policy. This study analyzes the strengths and weaknesses of the decentralization of the Ghanaian health system and presents a few recommendations and strategies for strengthening the process. It is relevant and timely as the GOG seeks to strengthen and deepen decentralization of the health system; it is also useful for other middle- and low-income countries which are pursuing some form of decentralization of their health system to improve its efficiency and effectiveness.|The early twentieth century witnessed the rise of middle-class mass periodicals that, while offering readers congenial material, also conveyed new depictions of manliness, liberal education, and the image of business leaders. ""Should Your Boy Go to College?"" asked one magazine story; and for over two decades these middle-class magazines answered, in numerous permutations, with a collective ""yes!"" In the course of interpreting these themes they reshaped the vision of a college education, and created the ideal of a college-educated businessman. Volume 24 of the Perspectives on the History of Higher Education: 2005 provides historical studies touching on contemporary concerns--gender, high-ability students, academic freedom, and, in the case of the Barnes Foundation, the authority of donor intent. Daniel Clark discusses the nuanced changes that occurred to the image of college at the turn of the century. Michael David Cohen offers an important corrective to stereotypes about gender relations in nineteenth-century coeducational colleges. Jane Robbins traces how the young National Research Council embraced the cause of how to identify and encourage superior students as a vehicle for incorporating wartime advances in psychological testing. Susan R. Richardson considers the long Texas tradition of political interference in university affairs. Finally, Edward Epstein and Marybeth Gasman shed historical light on the recent controversy surrounding the Barnes Foundation. The volume also contains brief descriptions of twenty recent doctoral dissertations in the history of higher education. This serial publication will be of interest to historians, sociologists, and of course, educational policymakers. Roger L. Geiger is Distinguished Professor of Higher Education at the Pennsylvania State University. He has edited the History of Higher Education Annual since 1993. His two volumes Research and Relevant Knowledge and To Advance Knowledge (both published by Transaction) cover the history of universities in the United States during the twentieth century.
Read online Decentralization and Governance in the Ghana Health Sector Buy and read online Decentralization and Governance in the Ghana Health Sector Download and read Decentralization and Governance in the Ghana Health Sector ebook, pdf, djvu, epub, mobi, fb2, zip, rar, torrent Download to iPad/iPhone/iOS, B&N nook Decentralization and Governance in the Ghana Health Sector