Democratic decentralisation is the process of devolving the functions and resources of the state from the centre to the elected representatives at the lower levels so as to facilitate greater direct participation by the citizens in governance. The basic principle governing the devolution of functions and resources should be that of subsidiarity: what can be done best at a particular level shoul...

Decentralisation has been described as an empty concept that lacks clarity. Yet there is an enduring interest in the process of decentralisation within health systems and public services more generally. Many claims about the benefits of decentralisation are not supported by evidence. It may be useful as an organising framework for analysis of health systems but in this context it lacks conceptu...

Decentralisation has an important meaning in the context of European integration, since a Europe composed of subsidiary spatial units is to be constructed and a ”Europe of regions” is on the agenda of many political discussions. From the early 1990s, the European Communities (EC), later the European Union (EU), promoted the idea of administrative decentralisation also in transformation countrie...

Decentralisation is one of the most common health sector reforms initiated in developing countries in the 1980-90s. Although decentralisation is often politically driven, it can significantly improve health sector performance. However, the early phase of the Philippines experience indicates that decentralisation in and of itself does not always improve the efficiency, equity and effectiveness o...

Background Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach refl...

background decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. fiji has attempted two approaches to decentralisation. the current approach refl...

and Nepal for repeated short assignments and has coordinated a global evaluation of the Joint Nutrition Support Programme (JNSP) on behalf of the Government of Italy, WHO and UNICEF in 1989. Dr. Omar's areas of work cover (a) teaching: human resources planning and training, decentralised planning and management and district management strengthening; (b) Providing technical support through consu...

For over a decade the governments of Kiribati and Tuvalu have adopted decentralisation policies to strengthen the role of local-level authorities in development. This can be seen as a response to both domestic policy drivers and global trends. However, while Kiribati and Tuvalu share a common past and many of the same development issues, the decentralisation process has taken distinct paths in ...