This article reviews relevant US health education actions which are pertinent to understanding the possibilities for enhancing health education in Brazil, and discusses the interconnections between theory, policy, practice, and evaluation. One common assumption underlying most health education policy and practice is that participation of the population will increase involvement in program...

The relationship between decentralization of government activities and the extent of rent extraction by private parties is an important element in the recent debate on institutional design. The theoretical literature makes ambiguous predictions about this relationship, and it has remained virtually unexamined by empiricists. In this paper, we make a first attempt at examining this issue empiric...

Purpose. The aim of the article is scientific substantiation new concept development sports and health sphere region, which based on observance principles inclusive growth achievement SDGs. Methodology research. In course research, methods generally accepted in economics were used: monographic, system structural, used sustainable region conditions decentralization. Findings. It determined that ...

This paper studies the effect of fiscal and political decentralization on the death toll by disasters for up to 46 developing and transitional economies from 1974 to 2004. The results show that elected government at the local level does not help mitigate disaster risk. This study underscores the importance of the joint effects of different forms of decentralization and shows that when political...

In many African countries, decentralization has long been viewed as a means for improving local service delivery. Yet, despite various decentralization initiatives, poor service delivery continues to be problematic in two of Kenya’s largest cities, Nairobi and Mombasa. Despite various governance reforms to enhance Kenya’s decentralization process, backed up by constitutional provisions and legi...

Over the last thirty years, international organizations have invested heavily in efforts aimed at increasing the provision and improving the efficacy of public services within developing countries. Health sector decentralization have been one of the most common manifestations of this effort to reform governance. However, generalizing about appropriate methodology for evaluating and identifying ...

An increasing number of countries are exploring the introduction or expansion of autonomous hospitals as one of the numerous health reforms they are introducing to their health system. Hospital autonomy is one of the forms of decentralization that is focused on a specific institution rather than on a political unit. It has gained much interest because it is an attempt to amalgamate the best ele...

Integrated health systems are confronted with numerous dilemmas that must be managed. Many of these dilemmas are an inherent part of the system's structure, given that multiple competing hospitals, medical groups, and (sometimes) health plans are often under one organizational roof. This article presents an analysis of these dilemmas--referred to in the management literature as polarities--as t...

This paper studies the choice between centralization and decentralization of fiscal policy in a political economy setting. With centralization, regional delegates vote over agendas comprising sets of regionspecific projects. The outcome is inefficient because the choice of projects is insufficiently sensitive to within-region benefits. The number of projects funded may be non-monotonic in the s...

This paper studies strategic decentralization in binary choice composite network congestion games. A player decentralizes if she lets some autonomous agents to decide respectively how to send different parts of her stock from the origin to the destination. This paper shows that, with convex, strictly increasing and differentiable arc cost functions, an atomic splittable player always has an opt...