Water Reforms, Decentralization and Child Mortality in Colombia, 1990ヨ2005
نویسنده
چکیده
— This paper attempts to determine the municipal level impact of the 1994 Law 142 water and sewerage services reforms on child mortality and service coverage. The objective of these reforms was to transfer service provision from the municipalities to specialized companies. These reforms were undertaken within the 1990s decentralization process which established that the provision of water and sewerage services was the responsibility of local governments. The results obtained indicate that municipalities that reformed exhibit a slower reduction of child mortality rates and lower increases in water coverage than the ones that did not reform. 2013 Elsevier Ltd. All rights reserved.
منابع مشابه
The quest for equity in Latin America: a comparative analysis of the health care reforms in Brazil and Colombia
INTRODUCTION Brazil and Colombia have pursued extensive reforms of their health care systems in the last couple of decades. The purported goals of such reforms were to improve access, increase efficiency and reduce health inequities. Notwithstanding their common goals, each country sought a very different pathway to achieve them. While Brazil attempted to reestablish a greater level of State co...
متن کاملReversal in childhood mortality trend in rural KwaZulu-Natal, South Africa
This study uses pregnancy history information from a demographic surveillance site in rural KwaZulu-Natal, along the eastern coastal board of South Africa, to investigate the mortality levels, trends and selected factors associated with childhood mortality. Life table analysis of the data reveals a reversal of the downward trend in mortality rates over time that began around 1990 in this popula...
متن کاملSpatial Analysis over the Impact of Fiscal Decentralization on the Mortality Rate in Iranian Provinces
Background: Many previous empirical studies indicated appropriate implementation of the fiscal decentralization and transfer of resources and expenses from the central government to local governments was an important factor to improve health outcomes in developing countries. Accordingly, the major purpose of this study was to evaluate the impact of fiscal decentralization indicators on the mort...
متن کاملThe Chilean health system: 20 years of reforms.
The Chilean health care system has been intensively reformed in the past 20 years. Reforms under the Pinochet government (1973-1990) aimed mainly at the decentralization of the system and the development of a private sector. Decentralization involved both a deconcentration process and the devolution of primary health care to municipalities. The democratic governments after 1990 chose to preserv...
متن کاملEvaluating the Impact of School Decentralization on Education Quality
An important piece of the major fiscal and structural reforms undertaken in Argentina in the early 1990’s was the decentralization of education services from the federal government to the provincial governments. The theoretical literature does not find absolute superiority of centralization or decentralization in the provision of public services. We evaluate empirically the effect of the decent...
متن کامل