Decentralization and Public Services : The Case of Immunization
The author studies the impact of political decentralization on childhood immunization, an essential public service provided in almost all countries. He examines the relationship empirically using a time-series data set of 140 low- and middle-income...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2003/03/2183607/decentralization-public-services-case-immunization http://hdl.handle.net/10986/19159 |
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okr-10986-191592021-04-23T14:03:42Z Decentralization and Public Services : The Case of Immunization Khaleghian, Peyvand ACCOUNTABILITY ADAPTATION ADMINISTRATIVE AUTONOMY ADMINISTRATIVE REFORM BUREAUCRATIC ACTORS CENTRAL GOVERNMENT CENTRAL GOVERNMENT CONTROL CENTRAL GOVERNMENTS CHILD HEALTH SERVICES CITIZEN CITIZENS CLINICS COMMUNICABLE DISEASES COMMUNITY PARTICIPATION CONSTITUENCIES CONVENTIONAL WISDOM CORRUPTION DECENTRALIZATION DECONCENTRATION DEMOCRACY DEMOCRATIC COUNTRIES DEMOCRATIC PARTICIPATION DEMOCRATIC SYSTEMS DEVOLUTION DISTRICTS ELECTORAL SYSTEM EMPLOYMENT EXPENDITURE EXTERNALITIES FAMILY PLANNING FISCAL FISCAL DECENTRALIZATION GOVERNMENT GOVERNMENT PERFORMANCE HEALTH EDUCATION HEALTH EXPENDITURES HEALTH SERVICES HUMAN RESOURCE HUMAN RESOURCES IMMUNIZATION INCOME INCOME DISTRIBUTION INNOVATION INSTITUTIONAL BARRIERS INSTITUTIONAL CAPACITY INSTITUTIONAL QUALITY INSURANCE INTERGOVERNMENTAL RELATIONS INTERNATIONAL AID LEGAL FRAMEWORK LITERACY RATES LOCAL LOCAL AUTHORITIES LOCAL AUTHORITY LOCAL AUTONOMY LOCAL BODIES LOCAL COMMUNITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POLITICIANS MACROECONOMICS MALARIA MANAGERS MEASLES MEDIA MINISTRIES OF HEALTH MORBIDITY MORTALITY MOTIVATION MUNICIPAL GOVERNMENTS MUNICIPALITIES NATIONAL DEVELOPMENT PARENTS POLITICAL CONFLICT POLITICAL CONTROL POLITICAL ECONOMY POLITICAL FORCES POLITICAL INSTITUTIONS POLITICAL STABILITY POLITICIANS PREFECTURES PRIMARY HEALTH CARE PUBLIC FINANCE PUBLIC FINANCE THEORY PUBLIC FINANCING PUBLIC HEALTH PUBLIC INFORMATION PUBLIC OFFICIALS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICE DELIVERY PUBLIC SERVICE PROVISION PUBLIC SERVICES REGULATORY AUTHORITY REGULATORY FRAMEWORK REPRESENTATIVES RESOURCE ALLOCATION RULE OF LAW SOCIAL CAPITAL SOCIAL SAFETY SOCIAL SAFETY NETS SOCIAL SERVICES STRUCTURAL ADJUSTMENT URBAN DEVELOPMENT URBANIZATION USER CHARGES VACCINATION VOTING WORKERS The author studies the impact of political decentralization on childhood immunization, an essential public service provided in almost all countries. He examines the relationship empirically using a time-series data set of 140 low- and middle-income countries from 1980 to 1997. The author finds that decentralization has different effects in low- and middle-income countries. In the low-income group, decentralized countries have higher coverage rates than centralized ones, with an average difference of 8.5 percent for measles and DTP3 vaccines. In the middle-income group, the reverse effect is observed: decentralized countries have lower coverage rates than centralized ones, with an average difference of 5.2 percent for the same vaccines. Both results are significant at the 99 percent level. Modifiers of the decentralization-immunization relationship also differ in the two groups. In the low-income group, development assistance reduces the gains from decentralization. In the middle-income group, democratic government mitigates the negative effects of decentralization, and decentralization reverses the negative effects of ethnic tension and ethno-linguistic fractionalization, but institutional quality and literacy rates have no interactive effect either way. Similar results are obtained whether decentralization is measured with a dichotomous categorical variable or with more specific measures of fiscal decentralization. The study confirms predictions in the theoretical literature about the negative impact of local political control on services that have public goods characteristics and inter-jurisdictional externalities. The author discusses reasons for the difference between low- and middle-income countries. 2014-07-31T22:09:15Z 2014-07-31T22:09:15Z 2003-03 http://documents.worldbank.org/curated/en/2003/03/2183607/decentralization-public-services-case-immunization http://hdl.handle.net/10986/19159 English en_US Policy Research Working Paper;No. 2989 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 |
| 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 |
ACCOUNTABILITY ADAPTATION ADMINISTRATIVE AUTONOMY ADMINISTRATIVE REFORM BUREAUCRATIC ACTORS CENTRAL GOVERNMENT CENTRAL GOVERNMENT CONTROL CENTRAL GOVERNMENTS CHILD HEALTH SERVICES CITIZEN CITIZENS CLINICS COMMUNICABLE DISEASES COMMUNITY PARTICIPATION CONSTITUENCIES CONVENTIONAL WISDOM CORRUPTION DECENTRALIZATION DECONCENTRATION DEMOCRACY DEMOCRATIC COUNTRIES DEMOCRATIC PARTICIPATION DEMOCRATIC SYSTEMS DEVOLUTION DISTRICTS ELECTORAL SYSTEM EMPLOYMENT EXPENDITURE EXTERNALITIES FAMILY PLANNING FISCAL FISCAL DECENTRALIZATION GOVERNMENT GOVERNMENT PERFORMANCE HEALTH EDUCATION HEALTH EXPENDITURES HEALTH SERVICES HUMAN RESOURCE HUMAN RESOURCES IMMUNIZATION INCOME INCOME DISTRIBUTION INNOVATION INSTITUTIONAL BARRIERS INSTITUTIONAL CAPACITY INSTITUTIONAL QUALITY INSURANCE INTERGOVERNMENTAL RELATIONS INTERNATIONAL AID LEGAL FRAMEWORK LITERACY RATES LOCAL LOCAL AUTHORITIES LOCAL AUTHORITY LOCAL AUTONOMY LOCAL BODIES LOCAL COMMUNITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POLITICIANS MACROECONOMICS MALARIA MANAGERS MEASLES MEDIA MINISTRIES OF HEALTH MORBIDITY MORTALITY MOTIVATION MUNICIPAL GOVERNMENTS MUNICIPALITIES NATIONAL DEVELOPMENT PARENTS POLITICAL CONFLICT POLITICAL CONTROL POLITICAL ECONOMY POLITICAL FORCES POLITICAL INSTITUTIONS POLITICAL STABILITY POLITICIANS PREFECTURES PRIMARY HEALTH CARE PUBLIC FINANCE PUBLIC FINANCE THEORY PUBLIC FINANCING PUBLIC HEALTH PUBLIC INFORMATION PUBLIC OFFICIALS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICE DELIVERY PUBLIC SERVICE PROVISION PUBLIC SERVICES REGULATORY AUTHORITY REGULATORY FRAMEWORK REPRESENTATIVES RESOURCE ALLOCATION RULE OF LAW SOCIAL CAPITAL SOCIAL SAFETY SOCIAL SAFETY NETS SOCIAL SERVICES STRUCTURAL ADJUSTMENT URBAN DEVELOPMENT URBANIZATION USER CHARGES VACCINATION VOTING WORKERS |
| spellingShingle |
ACCOUNTABILITY ADAPTATION ADMINISTRATIVE AUTONOMY ADMINISTRATIVE REFORM BUREAUCRATIC ACTORS CENTRAL GOVERNMENT CENTRAL GOVERNMENT CONTROL CENTRAL GOVERNMENTS CHILD HEALTH SERVICES CITIZEN CITIZENS CLINICS COMMUNICABLE DISEASES COMMUNITY PARTICIPATION CONSTITUENCIES CONVENTIONAL WISDOM CORRUPTION DECENTRALIZATION DECONCENTRATION DEMOCRACY DEMOCRATIC COUNTRIES DEMOCRATIC PARTICIPATION DEMOCRATIC SYSTEMS DEVOLUTION DISTRICTS ELECTORAL SYSTEM EMPLOYMENT EXPENDITURE EXTERNALITIES FAMILY PLANNING FISCAL FISCAL DECENTRALIZATION GOVERNMENT GOVERNMENT PERFORMANCE HEALTH EDUCATION HEALTH EXPENDITURES HEALTH SERVICES HUMAN RESOURCE HUMAN RESOURCES IMMUNIZATION INCOME INCOME DISTRIBUTION INNOVATION INSTITUTIONAL BARRIERS INSTITUTIONAL CAPACITY INSTITUTIONAL QUALITY INSURANCE INTERGOVERNMENTAL RELATIONS INTERNATIONAL AID LEGAL FRAMEWORK LITERACY RATES LOCAL LOCAL AUTHORITIES LOCAL AUTHORITY LOCAL AUTONOMY LOCAL BODIES LOCAL COMMUNITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOCAL POLITICIANS MACROECONOMICS MALARIA MANAGERS MEASLES MEDIA MINISTRIES OF HEALTH MORBIDITY MORTALITY MOTIVATION MUNICIPAL GOVERNMENTS MUNICIPALITIES NATIONAL DEVELOPMENT PARENTS POLITICAL CONFLICT POLITICAL CONTROL POLITICAL ECONOMY POLITICAL FORCES POLITICAL INSTITUTIONS POLITICAL STABILITY POLITICIANS PREFECTURES PRIMARY HEALTH CARE PUBLIC FINANCE PUBLIC FINANCE THEORY PUBLIC FINANCING PUBLIC HEALTH PUBLIC INFORMATION PUBLIC OFFICIALS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICE DELIVERY PUBLIC SERVICE PROVISION PUBLIC SERVICES REGULATORY AUTHORITY REGULATORY FRAMEWORK REPRESENTATIVES RESOURCE ALLOCATION RULE OF LAW SOCIAL CAPITAL SOCIAL SAFETY SOCIAL SAFETY NETS SOCIAL SERVICES STRUCTURAL ADJUSTMENT URBAN DEVELOPMENT URBANIZATION USER CHARGES VACCINATION VOTING WORKERS Khaleghian, Peyvand Decentralization and Public Services : The Case of Immunization |
| relation |
Policy Research Working Paper;No. 2989 |
| description |
The author studies the impact of
political decentralization on childhood immunization, an
essential public service provided in almost all countries.
He examines the relationship empirically using a time-series
data set of 140 low- and middle-income countries from 1980
to 1997. The author finds that decentralization has
different effects in low- and middle-income countries. In
the low-income group, decentralized countries have higher
coverage rates than centralized ones, with an average
difference of 8.5 percent for measles and DTP3 vaccines. In
the middle-income group, the reverse effect is observed:
decentralized countries have lower coverage rates than
centralized ones, with an average difference of 5.2 percent
for the same vaccines. Both results are significant at the
99 percent level. Modifiers of the
decentralization-immunization relationship also differ in
the two groups. In the low-income group, development
assistance reduces the gains from decentralization. In the
middle-income group, democratic government mitigates the
negative effects of decentralization, and decentralization
reverses the negative effects of ethnic tension and
ethno-linguistic fractionalization, but institutional
quality and literacy rates have no interactive effect either
way. Similar results are obtained whether decentralization
is measured with a dichotomous categorical variable or with
more specific measures of fiscal decentralization. The study
confirms predictions in the theoretical literature about the
negative impact of local political control on services that
have public goods characteristics and inter-jurisdictional
externalities. The author discusses reasons for the
difference between low- and middle-income countries. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Khaleghian, Peyvand |
| author_facet |
Khaleghian, Peyvand |
| author_sort |
Khaleghian, Peyvand |
| title |
Decentralization and Public Services : The Case of Immunization |
| title_short |
Decentralization and Public Services : The Case of Immunization |
| title_full |
Decentralization and Public Services : The Case of Immunization |
| title_fullStr |
Decentralization and Public Services : The Case of Immunization |
| title_full_unstemmed |
Decentralization and Public Services : The Case of Immunization |
| title_sort |
decentralization and public services : the case of immunization |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2003/03/2183607/decentralization-public-services-case-immunization http://hdl.handle.net/10986/19159 |
| _version_ |
1764439352451006464 |