Reform in Peru
نویسنده
چکیده
From 1983 to 1987 the United States Agency for International Development (USAID) provided support to several national-level organizations in Peru's highly centralized public sector: the Rehabilitation and Reconstruction Division (GRR), the Sierra Microregional Project (PMS), and the Technical Assistance and Training Program for Departmental Development Corporations (PATC-CORDES). These national-level organizations, in turn, provided assistance and political support to decentralized development agencies called departmental development corporations (CORDES).! Linkages between national and departmental-level organizations in Peru facilitated more efficient implementation of the USAID projects, capacity building in CORDES, and use of comparative advantages among the corporations and other organizations. Such impacts are significant, though not surprising in light of the recent literature on interorganizational linkages and decentralization. But in Peru the same linkages also played a crucial role in securing important institutional reforms at the national level-a very unusual project impact that is not anticipated by the recent literature. The first section of this article provides an overview of the recent literature on interorganizational linkages and decentralization, emphasizing key issues of concern to the ensuing analysis. The second section gives general background on the Peruvian
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Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services
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Background The global burden of mental health conditions has led to the implementation of new models of care for persons with mental illness. Recent mental health reforms in Peru include the implementation of a community mental health model (CMHM) that, among its core objectives, aims to provide care in the community through specialized facilities, the community mental health centers (CMH...
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