Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability
India has embarked on a substantial program of decentralization following the 73rd and 74th Amendment Acts to the Constitution, which call for establishing and significantly empowering Panchayati Raj Institutions (PRIs) at district, sub-district (b...
| Main Author: | |
|---|---|
| Format: | Other Health Study |
| Language: | English en_US |
| Published: |
Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2010/01/16259462/decentralization-health-indian-state-west-bengal-analysis-decision-space-institutional-capacities-accountability http://hdl.handle.net/10986/12397 |
| id |
okr-10986-12397 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-123972021-04-23T14:03:00Z Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability World Bank ADMINISTRATIVE RULES AGRICULTURE BASIC HEALTH CARE BLINDNESS CHILD DEVELOPMENT CHILD HEALTH CHILD NUTRITION COMMUNITY PARTICIPATION DECENTRALIZATION DECISION MAKING DELIVERY SYSTEM DISEASE CONTROL DISEASES DOCTORS EXERCISES EXPENDITURES FAMILY PLANNING FINANCIAL MANAGEMENT FINANCIAL PLANNING HEALTH ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CENTERS HEALTH CENTRES HEALTH FACILITIES HEALTH INDICATORS HEALTH INFORMATION HEALTH NEEDS HEALTH ORGANIZATION HEALTH PLANNING HEALTH PLANS HEALTH POLICY HEALTH PROGRAMS HEALTH PROJECT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HIV/AIDS HOSPITALS HR HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT IMMUNIZATION INCOME LAWS LEPROSY LITERACY LEVELS MEDICAL CARE MEDICAL FACILITIES MEDICINES MORTALITY NURSES NUTRITION PRIMARY CARE PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC HEALTH WORKERS PUBLIC SECTOR RURAL DEVELOPMENT RURAL HEALTH CARE RURAL HOSPITALS VILLAGE HEALTH WORKERS WORKERS India has embarked on a substantial program of decentralization following the 73rd and 74th Amendment Acts to the Constitution, which call for establishing and significantly empowering Panchayati Raj Institutions (PRIs) at district, sub-district (block), and village and urban local levels. The World Bank's India program is interested in these developments and is considering how it should support the Government of India (GoI) objectives in these governance reforms. A wide range of support mechanisms is possible, including lending and analytical work, and focusing on national- or state-level activities and direct support for local governments or actions through specific sectors, such as the health sector. The study focused on five functional areas of decisions about health systems, strategic and operational planning, budgeting, human resources, service organization or delivery, and monitoring and evaluation. Prior studies in other countries and Indian states had found that decentralization of decisions, capacities and accountability varied considerably among these functional areas. In West Bengal, the formal decision space allowed for a significant range of choice over planning, service organization, monitoring and evaluation and less range over budgeting and human resources. The survey questionnaire asked specific questions about what choices the respondents had actually made within the possible choices granted by the formal range of choices. 2013-02-19T22:05:35Z 2013-02-19T22:05:35Z 2010-01 http://documents.worldbank.org/curated/en/2010/01/16259462/decentralization-health-indian-state-west-bengal-analysis-decision-space-institutional-capacities-accountability http://hdl.handle.net/10986/12397 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work South Asia India |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ADMINISTRATIVE RULES AGRICULTURE BASIC HEALTH CARE BLINDNESS CHILD DEVELOPMENT CHILD HEALTH CHILD NUTRITION COMMUNITY PARTICIPATION DECENTRALIZATION DECISION MAKING DELIVERY SYSTEM DISEASE CONTROL DISEASES DOCTORS EXERCISES EXPENDITURES FAMILY PLANNING FINANCIAL MANAGEMENT FINANCIAL PLANNING HEALTH ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CENTERS HEALTH CENTRES HEALTH FACILITIES HEALTH INDICATORS HEALTH INFORMATION HEALTH NEEDS HEALTH ORGANIZATION HEALTH PLANNING HEALTH PLANS HEALTH POLICY HEALTH PROGRAMS HEALTH PROJECT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HIV/AIDS HOSPITALS HR HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT IMMUNIZATION INCOME LAWS LEPROSY LITERACY LEVELS MEDICAL CARE MEDICAL FACILITIES MEDICINES MORTALITY NURSES NUTRITION PRIMARY CARE PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC HEALTH WORKERS PUBLIC SECTOR RURAL DEVELOPMENT RURAL HEALTH CARE RURAL HOSPITALS VILLAGE HEALTH WORKERS WORKERS |
| spellingShingle |
ADMINISTRATIVE RULES AGRICULTURE BASIC HEALTH CARE BLINDNESS CHILD DEVELOPMENT CHILD HEALTH CHILD NUTRITION COMMUNITY PARTICIPATION DECENTRALIZATION DECISION MAKING DELIVERY SYSTEM DISEASE CONTROL DISEASES DOCTORS EXERCISES EXPENDITURES FAMILY PLANNING FINANCIAL MANAGEMENT FINANCIAL PLANNING HEALTH ADMINISTRATION HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CENTERS HEALTH CENTRES HEALTH FACILITIES HEALTH INDICATORS HEALTH INFORMATION HEALTH NEEDS HEALTH ORGANIZATION HEALTH PLANNING HEALTH PLANS HEALTH POLICY HEALTH PROGRAMS HEALTH PROJECT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HIV/AIDS HOSPITALS HR HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT IMMUNIZATION INCOME LAWS LEPROSY LITERACY LEVELS MEDICAL CARE MEDICAL FACILITIES MEDICINES MORTALITY NURSES NUTRITION PRIMARY CARE PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC HEALTH WORKERS PUBLIC SECTOR RURAL DEVELOPMENT RURAL HEALTH CARE RURAL HOSPITALS VILLAGE HEALTH WORKERS WORKERS World Bank Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| geographic_facet |
South Asia India |
| description |
India has embarked on a substantial
program of decentralization following the 73rd and 74th
Amendment Acts to the Constitution, which call for
establishing and significantly empowering Panchayati Raj
Institutions (PRIs) at district, sub-district (block), and
village and urban local levels. The World Bank's India
program is interested in these developments and is
considering how it should support the Government of India
(GoI) objectives in these governance reforms. A wide range
of support mechanisms is possible, including lending and
analytical work, and focusing on national- or state-level
activities and direct support for local governments or
actions through specific sectors, such as the health sector.
The study focused on five functional areas of decisions
about health systems, strategic and operational planning,
budgeting, human resources, service organization or
delivery, and monitoring and evaluation. Prior studies in
other countries and Indian states had found that
decentralization of decisions, capacities and accountability
varied considerably among these functional areas. In West
Bengal, the formal decision space allowed for a significant
range of choice over planning, service organization,
monitoring and evaluation and less range over budgeting and
human resources. The survey questionnaire asked specific
questions about what choices the respondents had actually
made within the possible choices granted by the formal range
of choices. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| title_short |
Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| title_full |
Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| title_fullStr |
Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| title_full_unstemmed |
Decentralization of Health in the Indian State of West Bengal : Analysis of Decision Space, Institutional Capacities and Accountability |
| title_sort |
decentralization of health in the indian state of west bengal : analysis of decision space, institutional capacities and accountability |
| publisher |
Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2010/01/16259462/decentralization-health-indian-state-west-bengal-analysis-decision-space-institutional-capacities-accountability http://hdl.handle.net/10986/12397 |
| _version_ |
1764419761313153024 |