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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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    1. 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.
    2. Abhijit V. Banerjee & Shawn Cole & Esther Duflo & Leigh Linden, 2007. "Remedying Education: Evidence from Two Randomized Experiments in India," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1235-1264.
    3. Duflo, Esther & Hanna, Rema, 2005. "Monitoring Works: Getting Teachers to Come to School," CEPR Discussion Papers 5426, C.E.P.R. Discussion Papers.
    4. 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.
    5. Planning Commission, 2006. "An Approach to the 11th Five Year Plan: Towards Faster and More Inclusive Growth," Working Papers id:569, eSocialSciences.
    6. Singh, Nirvikar, 2006. "State Finances in India: A Case for Systemic Reform," MPRA Paper 1281, University Library of Munich, Germany.
    7. World Bank, 2004. "India : Fiscal Decentralization to Rural Governments," World Bank Publications - Reports 14674, The World Bank Group.
    8. Pradeep Chhibber, 1995. "Political parties, electoral competition, government expenditures and economic reform in India," Journal of Development Studies, Taylor & Francis Journals, vol. 32(1), pages 74-96.
    9. 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.
    10. Kaliappa Kalirajan & Ulaganathan Sankar (ed.), 2003. "Economic Reform and the Liberalisation of the Indian Economy," Books, Edward Elgar Publishing, number 2787.
    11. Abhijit V. Banerjee & Esther Duflo & Rachel Glennerster, 2008. "Putting a Band-Aid on a Corpse: Incentives for Nurses in the Indian Public Health Care System," Journal of the European Economic Association, MIT Press, vol. 6(2-3), pages 487-500, 04-05.
    12. 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.
    13. 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.
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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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