Designers and implementers of decentralization and other reform measures have focused much attention on financial and structural reform measures, but ignored their human resource implications. Concern is mounting about the impact that the reallocation of roles and responsibilities has had on the health workforce and its management, but the experiences and lessons of different countries have not...

This article introduces a new concept to the study of decentralization processes: policy dynamism. At its core is the notion that the sequential and temporal process of health decentralization affect the nature of intergovernmental relationships and municipal bureaucratic capacity. Examining the case of Brazil, I argue that the rush to decentralize health services to municipalities has, in the ...

OBJECTIVE To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance. METHODS Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included....

BACKGROUND A critical challenge in the health sector in developing countries is to ensure the quality and effectiveness of surveillance and public health response in an environment of decentralization. In Georgia, a country where there has been extensive decentralization of public health responsibilities over the last decade, an intervention was recently piloted to strengthen district-level loc...

INTRODUCTION One of the principal goals of any health care system is to improve health through the provision of clinical and public health services. Decentralization as a reform measure aims to improve inputs, management processes and health outcomes, and has political, administrative and financial connotations. It is argued that the robustness of a health system in achieving desirable outcomes...

background: job satisfaction remains as an important concern for both employer and employee. the leaving of work­place and migration to city centers is one of the main results of job dissatisfaction among the primary health care (phc) provid­ers in rural setting of iran, behvarzes. determining the predictor's factors of the phc providers' job dissatisfac­tion and provid­ing appropriate strategi...