Governance of Communicable Disease Control Services : A Case Study and Lessons from India

The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a n...

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Main Authors: Das Gupta, Monica, Khaleghian, Peyvand, Sarwal, Rakesh
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2003/07/2487592/governance-communicable-disease-control-services-case-study-lessons-india
http://hdl.handle.net/10986/18143
id okr-10986-18143
recordtype oai_dc
spelling okr-10986-181432021-04-23T14:03:41Z Governance of Communicable Disease Control Services : A Case Study and Lessons from India Das Gupta, Monica Khaleghian, Peyvand Sarwal, Rakesh ADMINISTRATIVE CAPACITY ADMINISTRATIVE FRAMEWORK ADMINISTRATIVE SYSTEM ADULT MORTALITY AGRICULTURAL PRODUCTION AUTHORITY BLINDNESS BUDGETARY ALLOCATIONS CADRES CENTRAL GOVERNMENT CENTRAL GOVERNMENTS CHILD DEVELOPMENT CITIES CITIZENS COLONIES CONSTITUTION CONTAGIOUS DISEASES CONTRACEPTIVES CORRUPTION DECENTRALIZATION DECISION MAKING DEVELOPMENT INDICATORS DISCIPLINARY PROCEDURES DISEASE CONTROL DISTRICTS DRAINAGE ELECTED REPRESENTATIVES EMBEZZLEMENT EPIDEMICS EXERCISES EXPENDITURE EXTENSION FAMILY PLANNING FINANCIAL MANAGEMENT FISCAL FISCAL CONTROL GOVERNMENT DEPARTMENTS GOVERNMENT EXPENDITURES HEALTH ADMINISTRATION HEALTH CENTERS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROGRAMS HEALTH REGULATIONS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOSPITALS HOUSING HUMAN RESOURCE HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HYGIENE IMMUNIZATION INCOME INFANT MORTALITY INFANT MORTALITY RATE INNOVATION INSTITUTIONAL ARRANGEMENTS ISOLATION JUDICIARY LABORATORIES LACK OF AUTONOMY LAWS LEVELS OF GOVERNMENT LIFE EXPECTANCY LIVING CONDITIONS LOW-INCOME COUNTRIES MALARIA MANAGERIAL AUTONOMY MANAGERS MEDICAL EDUCATION MORTALITY MOTIVATION NATIONS NUTRITION PARTNERSHIP PESTS POLICY RESEARCH POLIO PRIVATE SECTOR PUBLIC ACCOUNTABILITY PUBLIC ADMINISTRATION PUBLIC AGENCIES PUBLIC FUNDS PUBLIC GOVERNANCE PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR PUBLIC SECTOR MANAGEMENT PUBLIC SERVICE PUBLIC SERVICES QUALITATIVE RESEARCH QUARANTINE REPRESENTATIVES RESOURCE ALLOCATION SERVICE DELIVERY SERVICE DELIVERY MECHANISMS SOCIAL INFRASTRUCTURE STATE GOVERNMENT UNIVERSITIES WASTE WASTE DISPOSAL WATER SUPPLY WORKERS WORKING CONDITIONS COMMUNICABLE DISEASES COMMUNICABLE DISEASES PREVENTION CASE STUDIES GOVERNANCE SURVEY DATA ADMINISTRATIVE CONSTRAINTS SERVICE DELIVERY HUMAN RESOURCES DEVELOPMENT DECENTRALIZATION COMMUNITY PARTICIPATION POLITICAL ACCOUNTABILITY PUBLIC HEALTH CARE HEALTH LEGISLATION REGULATORY FRAMEWORK DISEASE PREVENTION DISEASE CONTROL PUBLIC ADMINISTRATION HEALTH POLICY HEALTH REFORM WORKING CONDITIONS COMMUNICABLE DISEASES The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective management of disease control in India, in misaligned incentives, and the institutional arrangements for service delivery. The authors discuss these under five headings: administrative issues; human resource management; horizontal coordination; decentralization, community involvement, and public accountability; and implementation of public health laws and regulations. They find that India's public health system is configured to be highly effective at top-down reactive work, such as bringing disease outbreaks under control, but not for the more routine collaborations required for proactive disease prevention. The authors conclude with policy recommendations that take into account the complexity of India's system of public administration and the need for simple reforms that can be easily implemented. 2014-05-01T21:41:36Z 2014-05-01T21:41:36Z 2003-07 http://documents.worldbank.org/curated/en/2003/07/2487592/governance-communicable-disease-control-services-case-study-lessons-india http://hdl.handle.net/10986/18143 English en_US Policy Research Working Paper;No. 3100 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research 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 CAPACITY
ADMINISTRATIVE FRAMEWORK
ADMINISTRATIVE SYSTEM
ADULT MORTALITY
AGRICULTURAL PRODUCTION
AUTHORITY
BLINDNESS
BUDGETARY ALLOCATIONS
CADRES
CENTRAL GOVERNMENT
CENTRAL GOVERNMENTS
CHILD DEVELOPMENT
CITIES
CITIZENS
COLONIES
CONSTITUTION
CONTAGIOUS DISEASES
CONTRACEPTIVES
CORRUPTION
DECENTRALIZATION
DECISION MAKING
DEVELOPMENT INDICATORS
DISCIPLINARY PROCEDURES
DISEASE CONTROL
DISTRICTS
DRAINAGE
ELECTED REPRESENTATIVES
EMBEZZLEMENT
EPIDEMICS
EXERCISES
EXPENDITURE
EXTENSION
FAMILY PLANNING
FINANCIAL MANAGEMENT
FISCAL
FISCAL CONTROL
GOVERNMENT DEPARTMENTS
GOVERNMENT EXPENDITURES
HEALTH ADMINISTRATION
HEALTH CENTERS
HEALTH INTERVENTIONS
HEALTH OUTCOMES
HEALTH POLICIES
HEALTH POLICY
HEALTH PROGRAMS
HEALTH REGULATIONS
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HOSPITALS
HOUSING
HUMAN RESOURCE
HUMAN RESOURCE MANAGEMENT
HUMAN RESOURCES
HYGIENE
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANT MORTALITY RATE
INNOVATION
INSTITUTIONAL ARRANGEMENTS
ISOLATION
JUDICIARY
LABORATORIES
LACK OF AUTONOMY
LAWS
LEVELS OF GOVERNMENT
LIFE EXPECTANCY
LIVING CONDITIONS
LOW-INCOME COUNTRIES
MALARIA
MANAGERIAL AUTONOMY
MANAGERS
MEDICAL EDUCATION
MORTALITY
MOTIVATION
NATIONS
NUTRITION
PARTNERSHIP
PESTS
POLICY RESEARCH
POLIO
PRIVATE SECTOR
PUBLIC ACCOUNTABILITY
PUBLIC ADMINISTRATION
PUBLIC AGENCIES
PUBLIC FUNDS
PUBLIC GOVERNANCE
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC SECTOR
PUBLIC SECTOR MANAGEMENT
PUBLIC SERVICE
PUBLIC SERVICES
QUALITATIVE RESEARCH
QUARANTINE
REPRESENTATIVES
RESOURCE ALLOCATION
SERVICE DELIVERY
SERVICE DELIVERY MECHANISMS
SOCIAL INFRASTRUCTURE
STATE GOVERNMENT
UNIVERSITIES
WASTE
WASTE DISPOSAL
WATER SUPPLY
WORKERS
WORKING CONDITIONS COMMUNICABLE DISEASES
COMMUNICABLE DISEASES PREVENTION
CASE STUDIES
GOVERNANCE
SURVEY DATA
ADMINISTRATIVE CONSTRAINTS
SERVICE DELIVERY
HUMAN RESOURCES DEVELOPMENT
DECENTRALIZATION
COMMUNITY PARTICIPATION
POLITICAL ACCOUNTABILITY
PUBLIC HEALTH CARE
HEALTH LEGISLATION
REGULATORY FRAMEWORK
DISEASE PREVENTION
DISEASE CONTROL
PUBLIC ADMINISTRATION
HEALTH POLICY
HEALTH REFORM
WORKING CONDITIONS
COMMUNICABLE DISEASES
spellingShingle ADMINISTRATIVE CAPACITY
ADMINISTRATIVE FRAMEWORK
ADMINISTRATIVE SYSTEM
ADULT MORTALITY
AGRICULTURAL PRODUCTION
AUTHORITY
BLINDNESS
BUDGETARY ALLOCATIONS
CADRES
CENTRAL GOVERNMENT
CENTRAL GOVERNMENTS
CHILD DEVELOPMENT
CITIES
CITIZENS
COLONIES
CONSTITUTION
CONTAGIOUS DISEASES
CONTRACEPTIVES
CORRUPTION
DECENTRALIZATION
DECISION MAKING
DEVELOPMENT INDICATORS
DISCIPLINARY PROCEDURES
DISEASE CONTROL
DISTRICTS
DRAINAGE
ELECTED REPRESENTATIVES
EMBEZZLEMENT
EPIDEMICS
EXERCISES
EXPENDITURE
EXTENSION
FAMILY PLANNING
FINANCIAL MANAGEMENT
FISCAL
FISCAL CONTROL
GOVERNMENT DEPARTMENTS
GOVERNMENT EXPENDITURES
HEALTH ADMINISTRATION
HEALTH CENTERS
HEALTH INTERVENTIONS
HEALTH OUTCOMES
HEALTH POLICIES
HEALTH POLICY
HEALTH PROGRAMS
HEALTH REGULATIONS
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HOSPITALS
HOUSING
HUMAN RESOURCE
HUMAN RESOURCE MANAGEMENT
HUMAN RESOURCES
HYGIENE
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANT MORTALITY RATE
INNOVATION
INSTITUTIONAL ARRANGEMENTS
ISOLATION
JUDICIARY
LABORATORIES
LACK OF AUTONOMY
LAWS
LEVELS OF GOVERNMENT
LIFE EXPECTANCY
LIVING CONDITIONS
LOW-INCOME COUNTRIES
MALARIA
MANAGERIAL AUTONOMY
MANAGERS
MEDICAL EDUCATION
MORTALITY
MOTIVATION
NATIONS
NUTRITION
PARTNERSHIP
PESTS
POLICY RESEARCH
POLIO
PRIVATE SECTOR
PUBLIC ACCOUNTABILITY
PUBLIC ADMINISTRATION
PUBLIC AGENCIES
PUBLIC FUNDS
PUBLIC GOVERNANCE
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC SECTOR
PUBLIC SECTOR MANAGEMENT
PUBLIC SERVICE
PUBLIC SERVICES
QUALITATIVE RESEARCH
QUARANTINE
REPRESENTATIVES
RESOURCE ALLOCATION
SERVICE DELIVERY
SERVICE DELIVERY MECHANISMS
SOCIAL INFRASTRUCTURE
STATE GOVERNMENT
UNIVERSITIES
WASTE
WASTE DISPOSAL
WATER SUPPLY
WORKERS
WORKING CONDITIONS COMMUNICABLE DISEASES
COMMUNICABLE DISEASES PREVENTION
CASE STUDIES
GOVERNANCE
SURVEY DATA
ADMINISTRATIVE CONSTRAINTS
SERVICE DELIVERY
HUMAN RESOURCES DEVELOPMENT
DECENTRALIZATION
COMMUNITY PARTICIPATION
POLITICAL ACCOUNTABILITY
PUBLIC HEALTH CARE
HEALTH LEGISLATION
REGULATORY FRAMEWORK
DISEASE PREVENTION
DISEASE CONTROL
PUBLIC ADMINISTRATION
HEALTH POLICY
HEALTH REFORM
WORKING CONDITIONS
COMMUNICABLE DISEASES
Das Gupta, Monica
Khaleghian, Peyvand
Sarwal, Rakesh
Governance of Communicable Disease Control Services : A Case Study and Lessons from India
geographic_facet South Asia
India
relation Policy Research Working Paper;No. 3100
description The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective management of disease control in India, in misaligned incentives, and the institutional arrangements for service delivery. The authors discuss these under five headings: administrative issues; human resource management; horizontal coordination; decentralization, community involvement, and public accountability; and implementation of public health laws and regulations. They find that India's public health system is configured to be highly effective at top-down reactive work, such as bringing disease outbreaks under control, but not for the more routine collaborations required for proactive disease prevention. The authors conclude with policy recommendations that take into account the complexity of India's system of public administration and the need for simple reforms that can be easily implemented.
format Publications & Research :: Policy Research Working Paper
author Das Gupta, Monica
Khaleghian, Peyvand
Sarwal, Rakesh
author_facet Das Gupta, Monica
Khaleghian, Peyvand
Sarwal, Rakesh
author_sort Das Gupta, Monica
title Governance of Communicable Disease Control Services : A Case Study and Lessons from India
title_short Governance of Communicable Disease Control Services : A Case Study and Lessons from India
title_full Governance of Communicable Disease Control Services : A Case Study and Lessons from India
title_fullStr Governance of Communicable Disease Control Services : A Case Study and Lessons from India
title_full_unstemmed Governance of Communicable Disease Control Services : A Case Study and Lessons from India
title_sort governance of communicable disease control services : a case study and lessons from india
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2003/07/2487592/governance-communicable-disease-control-services-case-study-lessons-india
http://hdl.handle.net/10986/18143
_version_ 1764438976512393216