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Institutional constraints and capacity issues in decentralizing management in public services: the case of health in Ghana

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  • George A. Larbi

    (Development Administration Group, School of Public Policy, University of Birmingham, Birmingham, UK)

Abstract

Public health organization in Ghana has been a focus of reform in recent years. This paper examines the application of decentralized management as part of these reforms. It conceptualizes decentralized management as a component of the new public management. It assesses progress made in implementation, highlighting the institutional constraints encountered. The capacity issues raised by management decentralization, especially the trend towards autonomous hospitals and executive agencies, are outlined. The main lessons drawn are that reforms need to be sensitive to operational context and capacity and implementation needs to be planned and managed. © 1998 John Wiley & Sons, Ltd.

Suggested Citation

  • George A. Larbi, 1998. "Institutional constraints and capacity issues in decentralizing management in public services: the case of health in Ghana," Journal of International Development, John Wiley & Sons, Ltd., vol. 10(3), pages 377-386.
    • Handle: RePEc:wly:jintdv:v:10:y:1998:i:3:p:377-386
    DOI: 10.1002/(SICI)1099-1328(199805/06)10:3<377::AID-JID513>3.0.CO;2-P
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    Cited by:

    1. Jacob Assa & Cecilia Calderon, 2020. "Privatization and Pandemic: A Cross-Country Analysis of COVID-19 Rates and Health-Care Financing Structures," Working Papers 2008, New School for Social Research, Department of Economics.
    2. AfDB AfDB, 2005. "Working Paper 82 - Public Sector Management in Africa," Working Paper Series 2296, African Development Bank.
    3. Austin, Kelly F. & DeScisciolo, Cristina & Samuelsen, Lene, 2016. "The Failures of Privatization: A Comparative Investigation of Tuberculosis Rates and the Structure of Healthcare in Less-Developed Nations, 1995–2010," World Development, Elsevier, vol. 78(C), pages 450-460.
    4. Onalenna Seitio-Kgokgwe & Robin D. C. Gauld & Philip C. Hill & Pauline Barnett, 2016. "Redesigning a Ministry of Health's organizational structure: exploring implementation challenges through Botswana's experiences," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 191-207, April.
    5. AfDB AfDB, 2005. "Working Paper 82 - Public Sector Management in Africa," Working Paper Series 2216, African Development Bank.
    6. Kimberly Pugel & Amy Javernick-Will & Matthew Koschmann & Shawn Peabody & Karl Linden, 2020. "Adapting Collaborative Approaches for Service Provision to Low-Income Countries: Expert Panel Results," Sustainability, MDPI, vol. 12(7), pages 1-26, March.

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