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Decentralization and governance in the Ghana health sector /

Ghana's government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Couttolenc, Bernard
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington : World Bank Publications, 2012.
Colección:World Bank studies.
Temas:
Acceso en línea:Texto completo

MARC

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072 7 |a HEA  |x 039000  |2 bisacsh 
072 7 |a HEA  |x 028000  |2 bisacsh 
072 7 |a MED  |x 022000  |2 bisacsh 
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100 1 |a Couttolenc, Bernard. 
245 1 0 |a Decentralization and governance in the Ghana health sector /  |c Bernard F. Couttolenc. 
260 |a Washington :  |b World Bank Publications,  |c 2012. 
300 |a 1 online resource (xvii, 102 pages) :  |b illustrations 
336 |a text  |b txt  |2 rdacontent 
337 |a computer  |b c  |2 rdamedia 
338 |a online resource  |b cr  |2 rdacarrier 
347 |a data file  |2 rda 
490 1 |a World Bank study 
500 |a Title from PDF title page (viewed September 10, 2012). 
504 |a Includes bibliographical references. 
505 0 |a Foreword; Acknowledgments; About the Author; Acronyms and Abbreviations; Executive Summary; 1. Introduction; Objectives; The Ghana Health System; Tables; Table 1.1: Distribution of facilities by type and ownership; Table 1.2: Facility number and density by region; Figures; Figure 1.1: Levels and institutions in the Ghana health system; Table 1.3: Mean size of hospitals by type, 2008; Table 1.4: Mean size of other facilities and administrative units by type, 2008; Main Issues in the Health System; 2. Literature Review on Decentralization; Conceptual Framework. 
505 8 |a Experience in Developing CountriesFigure 2.1: Relation between scope, depth, and types of decentralization; Lessons Learned; Table 2.1: Mapping the decision space: Ghana, Philippines, Uganda, and Zambia; Table 2.2: Main advantages and disadvantages of the modalities of decentralization; Table 2.3: Expected impacts and risks in decentralization; 3. Regulatory and Policy Framework on Decentralization in Ghana; General Legal Regulatory Framework; Current Legislation and Policies for Decentralization in Health; Table 3.1: Mapping out the decision space for Ghana districts regarding health. 
505 8 |a 4. Rapid Assessment of Local Capacity and ChallengesApproach and Methods; Size and Organization of District Health Systems; Table 4.1: Structure and number of questions in the instrument; Figure 4.1: Participants in the workshop; Governance and Accountability of DHAs; Table 4.2: Mean density of public health infrastructure per district; Figure 4.2: Administrative lines of authority; Figure 4.3: Lines of accountability; Figure 4.4: Role of the committee; Structure and Staff; Figure 4.5: Contracting arrangements with other public entities; Planning and Budgeting. 
505 8 |a Figure 4.6: Administrative units present at RHAs and DHAsFigure 4.7: Health Office involvement in integrated planning; Finance and Expenditure; Figure 4.8: Responsibility for budget execution; Figure 4.9: Contracting arrangements with other public entities; Human Resources; Figure 4.10: Authority for determining staff numbers and composition; Procurement; Figure 4.11: Authority for hiring staff; Health Care Management; Figure 4.12: Responsibility for drugs procurement; Knowledge and Perceptions of Decentralization; Figure 4.13: Supervision of and interaction with District Hospitals. 
505 8 |a Figure 4.14: Supervision and interaction with sub-district health servicesFigure 4.15: Awareness of role and responsibilities under decentralization; Figure 4.16: Expected main responsibilities under decentralization; Figure 4.17: Perceptions about transfer of DHAs to DA authority (percentage of agreement); Figure 4.18: Perceptions about transfer of facilities to DAs: Health Centers (percentage of agreement); Figure 4.19: Perceptions about transfer of facilities to DAs: Hospitals (percent of agreement); Figure 4.20: Perceptions on the feasibility of decentralization. 
500 |a Figure 4.21: Expectations on positive impact of decentralization on health system performance. 
520 |a Ghana's government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important weaknesses remain regarding several of the key requirements to successful decentralization. Ghana has along the years put in place several important building blocks for a truly decentralized health system. But these efforts have been hampered, and their effectiveness diminished, by the absence of a stron. 
546 |a English. 
590 |a ProQuest Ebook Central  |b Ebook Central Academic Complete 
650 0 |a Health planning  |z Ghana. 
650 0 |a Health services administration  |z Ghana. 
650 0 |a Health planning  |x Law and legislation  |z Ghana. 
650 0 |a Medical policy. 
650 2 |a Regional Health Planning  |x economics 
650 1 2 |a Regional Health Planning  |x organization & administration 
650 2 2 |a Health Policy 
651 2 |a Ghana 
650 6 |a Santé publique  |x Planification  |z Ghāna. 
650 6 |a Services de santé  |x Administration  |z Ghāna. 
650 6 |a Politique sanitaire. 
650 7 |a HEALTH & FITNESS  |x Diseases  |x General.  |2 bisacsh 
650 7 |a HEALTH & FITNESS  |x Health Care Issues.  |2 bisacsh 
650 7 |a MEDICAL  |x Diseases.  |2 bisacsh 
650 7 |a MEDICAL  |x Health Care Delivery.  |2 bisacsh 
650 7 |a MEDICAL  |x Health Policy.  |2 bisacsh 
650 7 |a MEDICAL  |x Public Health.  |2 bisacsh 
650 7 |a SOCIAL SCIENCE  |x Disease & Health Issues.  |2 bisacsh 
650 7 |a Medical policy  |2 fast 
650 7 |a Health planning  |2 fast 
650 7 |a Health planning  |x Law and legislation  |2 fast 
650 7 |a Health services administration  |2 fast 
651 7 |a Ghana  |2 fast  |1 https://id.oclc.org/worldcat/entity/E39PBJrwWdFrtwYQThrFvRGJXd 
758 |i has work:  |a Decentralization and governance in the Ghana health sector (Text)  |1 https://id.oclc.org/worldcat/entity/E39PCFPv8W3CDwRJWfDDJfbPQq  |4 https://id.oclc.org/worldcat/ontology/hasWork 
776 0 8 |i Print version:  |a Couttolenc, Bernard.  |t Governance and decentralization in the Ghana health sector.  |d Washington DC : International Bank for Reconstruction and Development/The World Bank, 2012  |z 9780821395899  |w (DLC) 2012023399  |w (OCoLC)795553743 
830 0 |a World Bank studies. 
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