This paper asks how the benefits of municipal amalgamations compare to the costs thereof. It answers this research question by comparing the postwar experiences with such consolidation in a variety of OECD countries. First, this paper argues that nowadays upscaling local and regional government is popular. Many Western countries have plans to upscale local government or have already implemented...

Resilient organizations maintain functioning during times of unexpected adversity. Collaboration may enhance resilience by enabling scarce information, resources and capabilities to be leveraged across organizations, although it also impede rapid flexible decision-making. We explore this dilemma using the case ‘inter-municipal’ collaboration in England, analysing how first COVID-19 lockdown 202...

Khaleghian studies the Impact of political the two groups. In the low-income group, development decentralization on childhood immunization, an essential assistance reduces the gains from decentralization. In the public service provided in almost all countries. He middle-income group, democratic government mitigates examines the relationship empirically using a time-series the negative effects o...

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...

Recent policy developments in public health care systems lead to a greater diversity in health care. Decentralization, either geographically or at an institutional level, is the key force, because it encourages innovation and local initiatives in health care provision. The devolution of responsibilities allows for a sort of 'deconstruction' of the status quo by changing both organizational form...

BACKGROUND Within the decentralization framework of Government, the Ministry of Health (MoH) Nepal initiated the decentralization of primary care services closer to citizens. This paper aims to examine and understand the effect of decentralization at the district health service from the perspectives of service users and providers. METHODS Using non-probability purposive sampling, we conducted...