BACKGROUND In 1998, we set up nurse-led epilepsy clinics in five rural health centres around Gondar in northern Ethiopia. Despite good treatment outcomes, two years after registration only 40% of patients were still under follow-up. AIM The purpose of this study was to examine the causes of default and factors that might improve adherence to follow-up. METHOD The study was carried out at on...

Distributed generation is becoming increasingly important in energy systems, causing a transition of regional energy systems. These decentralisation dynamics are difficult to predict in their scope and timing and therefore become a major challenge for political decision makers, utility companies and technology developers. Network effects are crucial in these decentralisation dynamics, strongly ...

Are States in contemporary Europe subject to new forms of convergence under the impact of economic crisis, enhanced European steering and international monitoring? Or is the evolution of governance (national and sub-national) driven fundamentally by diverging, mainly domestic pressures? Drawing on extensive new data, the article combines analysis of the State Modernisation and Decentralisation ...

Union strategy and structure in a decentralised environment: An exploratory study of the Community and Public Sector Union Michael O’Donnell, John O’Brien* and Anne Junor* Australian National University and The University of New South Wales* The paper examines the strategic and organisational responses of the union covering Australian Public Service (APS) employees, the Community and Public sec...

Decentralisation of government has been a major policy direction of the World Bank and International Monetary Fund (IMF) as an adjunct to the Structural Adjustment Programme (SAP) imposed on low income countries. The emphasis in SAPs on the reduction of public spending has increased poverty in many cases. This has led to the growth of a new emphasis on decentralisation and participatory develop...

This study assesses District Assemblies’ contributions towards the provision of educational and health care infrastructure services in Bekwai Municipality. Questionnaires were administered to one hundred (100) households fifty (50) Assembly Members while in-depth interviews conducted with Municipal Directors Education Health Services as well Planning Chief Executive Officers. The chi-square tes...

The term decentralisation is now universally accepted. quality of governance enhances through decentralisation. In the time post-globalisation, it allows citizens to express their views regarding process developmental work in area. This paper examines status grassroots-level implementation Panchayats Extension (PESA) Fifth Scheduled Areas Jharkhand. empirical study conducted shows that Jharkhan...

Much work in electronic government (eGovernment) research was done on innovations from a single-organisational managerial perspective, while little was investigated into sectoral innovation and diffusion processes in public sector organisations. Here, a political science perspective appreciates the embeddedness of public sector innovation and diffusion processes in the surrounding politico-admi...

Decentralised Online Social Networks (DOSN) are evolving as a promising approach to mitigate design-inherent privacy flaws of logically centralised services such as Facebook, Google+ or Twitter. A common approach to build a DOSN is to use a peer-to-peer architecture. While the absence of a single point of data aggregation strikes the most powerful attacker from the list of adversaries, the dece...

Information technology has long been recognised as a cause of organisational change. Recent developments in information technology (IT) media have stimulated considerable interest in how they will impact business organizations. Studies have largely examined the role that IT plays in improving information efficiency and synergies, in promoting collaboration and information sharing both inside an...