Devolution Accountability And Service Delivery Some Insights From Pakistan

Author : Zahid Hasnain
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.96/5 ( download)

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Download or read book Devolution, Accountability, and Service Delivery written by Zahid Hasnain and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper studies the relationship between devolution, accountability, and service delivery in Pakistan. It examines the degree of accessibility of local policy-makers and the level of competition in local elections, the expenditure patterns of local governments to gauge their sector priorities, and the extent to which local governments are focused on patronage or the provision of targeted benefits to a few as opposed to providing public goods. The main findings of the paper are three-fold. First, the accessibility of policy-makers to citizens in Pakistan is unequivocally greater after devolution, and local government elections are, with some notable exceptions, as competitive as national and provincial elections. Second, local government sector priorities are heavily tilted toward the provision of physical infrastructure - specifically, roads, water and sanitation, and rural electrification - at the expense of education and health. Third, this sector prioritization is in part a dutiful response to the relatively greater citizen demands for physical infrastructure; in part a reflection of the local government electoral structure that gives primacy to village and neighborhood-specific issues, and in part a reaction to provincial initiatives in education and health that have taken the political space away from local governments in the social sectors, thereby encouraging them to focus more toward physical infrastructure.

Author : Zahid Hasnain
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 25 pages
Book Rating : 4./5 ( download)

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Download or read book Devolution, Accountability, and Service Delivery: Some Insights from Pakistan written by Zahid Hasnain and published by World Bank Publications. This book was released on 2008 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: This paper studies the relationship between devolution, accountability, and service delivery in Pakistan. It examines the degree of accessibility of local policy-makers and the level of competition in local elections, the expenditure patterns of local governments to gauge their sector priorities, and the extent to which local governments are focused on patronage or the provision of targeted benefits to a few as opposed to providing public goods. The main findings of the paper are three-fold. First, the accessibility of policy-makers to citizens in Pakistan is unequivocally greater after devolution, and local government elections are, with some notable exceptions, as competitive as national and provincial elections. Second, local government sector priorities are heavily tilted toward the provision of physical infrastructure - specifically, roads, water and sanitation, and rural electrification - at the expense of education and health. Third, this sector prioritization is in part a dutiful response to the relatively greater citizen demands for physical infrastructure; in part a reflection of the local government electoral structure that gives primacy to village and neighborhood-specific issues, and in part a reaction to provincial initiatives in education and health that have taken the political space away from local governments in the social sectors, thereby encouraging them to focus more toward physical infrastructure.

Author : Shahrukh Rafi Khan
Publisher : Oxford University Press, USA
ISBN 13 :
Total Pages : 298 pages
Book Rating : 4.29/5 ( download)

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Download or read book Initiating Devolution for Service Delivery in Pakistan written by Shahrukh Rafi Khan and published by Oxford University Press, USA. This book was released on 2007 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Few would oppose a devolution reform that truly empowers the grassroots level and improves service delivery for the poor. This book demonstrates that the key to such devolution in rural Pakistanis is diffusing power via land reforms so that the poor are empowered and capable of ensuring that the service delivery is not hijacked and actually serves them.

Author : C. Christine Fair
Publisher : Rand Corporation
ISBN 13 : 0833048074
Total Pages : 261 pages
Book Rating : 4.73/5 ( download)

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Download or read book Pakistan written by C. Christine Fair and published by Rand Corporation. This book was released on 2010 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describing Pakistan's likely future course, this book seeks to inform U.S. efforts to achieve an effective foreign policy strategy toward the country. The book forms an empirical analysis of developments in Pakistan and an assessment of the effectiveness of U.S. policy as of August 2009. Drawing on interviews of elites, polling data, and statistical data on Pakistan's armed forces, the book presents a political and political-military analysis. Primary data and analyses from Pakistanis and international economic organizations are used in the book's demographic and economic analyses. The book assesses Pakistan's own policies, based on similar sources, on government documents, and on the authors' close reading of the assessments of several outside observers. The book also discusses U.S. policy regarding Pakistan, which was based on interviews with U.S. policymakers and on U.S. policy documents. The policy recommendations are based on an assessment of the findings in all these areas. The book concludes with a number of recommendations for the U.S. government and the U.S. Air Force concerning how the United States could forge a broad yet effective relationship with this complicated state. --Publisher description.

Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4./5 ( download)

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Download or read book Decentralization and Service Delivery written by and published by World Bank Publications. This book was released on 2005 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dissatisfied with centralized approaches to delivering local public services, a large number of countries are decentralizing responsibility for these services to lower-level, locally elected governments. The results have been mixed. The paper provides a framework for evaluating the benefits and costs, in terms of service delivery, of different approaches to decentralization, based on relationships of accountability between different actors in the delivery chain. Moving from a model of central provision to that of decentralization to local governments introduces a new relationship of accountability-between national and local policymakers-while altering existing relationships, such as that between citizens and elected politicians. Only by examining how these relationships change can we understand why decentralization can, and sometimes cannot, lead to better service delivery. In particular, the various instruments of decentralization-fiscal, administrative, regulatory, market, and financial-can affect the incentives facing service providers, even though they relate only to local policymakers. Likewise, and perhaps more significantly, the incentives facing local and national politicians can have a profound effect on the provision of local services. Finally, the process of implementing decentralization can be as important as the design of the system in influencing service delivery outcomes.

Author : Lambert C. Nwachukwu
Publisher : Trafford Publishing
ISBN 13 : 1490749454
Total Pages : 127 pages
Book Rating : 4.57/5 ( download)

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Download or read book Providing Affordable, Quality Health Care in Owerri written by Lambert C. Nwachukwu and published by Trafford Publishing. This book was released on 2014-11-14 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leaders and those aspiring to direct the welfare of a nation need to understand how citizens perceive the institutions of nation. When the publicly sponsored institution administering the welfare of a nation via health care policies falls into crisis, its leaders must understand the nature of the crisis and influence upon the health of citizens. The adage, reality is perception remains true during such a crisis as leaders ask how to coordinate the resources of a nation as to address a health crisis. This study frames a crisis of health care services delivery within the city of Owerri located within the state of Imo, Nigeria. The goal of this study is to richly illustrate and research the failure of government institutions within Owerri as to understand the problems facing the Nigerian health care sector.

Author :
Publisher :
ISBN 13 :
Total Pages : 166 pages
Book Rating : 4.2W/5 ( download)

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Download or read book Situation Analysis of Children and Women in Pakistan written by and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Nic Cheeseman
Publisher : Cambridge University Press
ISBN 13 : 1107148243
Total Pages : 399 pages
Book Rating : 4.46/5 ( download)

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Download or read book Institutions and Democracy in Africa written by Nic Cheeseman and published by Cambridge University Press. This book was released on 2018-02-22 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers new research on the vital importance of institutions, such as presidential term-limits in the African democratisation processes.

Author : Alexander S. Preker
Publisher : World Bank Publications
ISBN 13 : 9780821344941
Total Pages : 646 pages
Book Rating : 4.43/5 ( download)

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Download or read book Innovations in Health Service Delivery written by Alexander S. Preker and published by World Bank Publications. This book was released on 2003 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.

Author : Megha Jacob
Publisher : Cambridge Scholars Publishing
ISBN 13 : 1443812994
Total Pages : 190 pages
Book Rating : 4.93/5 ( download)

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Download or read book Local Governments and the Public Health Delivery System in Kerala written by Megha Jacob and published by Cambridge Scholars Publishing. This book was released on 2016-09-23 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses the significance of local governments in public healthcare systems in developing countries, particularly India. It considers a new model of public health delivery system in the Indian state of Kerala, which is unique in achieving a fairly high level of human and social development with a relatively low level of economic development. Unlike most Indian states, Kerala has devolved the control of health service management to local governments, though the state government still has administrative powers, resulting in a system of dual responsibilities. Transfer of public health control from state government to local governments has seen an increase in the participation of the local community in public health delivery management. Based on a field study conducted in Keralan districts, this book explains the scope for mobilising local resources for the implementation of public health projects under local government, discussing a unique model of co-production between the government and civil society that can improve health services, efficiency and equity, leading to better health outcomes. As such, this study will be of interest to scholars and practitioners in the areas of health, local governance and decentralised planning.