Decision Space and Capacities in the Decentralization of Health Services in Fiji; Comment on “Decentralisation of Health Services in Fiji: A Decision Space Analysis”

Document Type : Commentary

Author

Harvard T.H. Chan School of Public Health, Boston, MA, USA

Abstract

The study of decentralization in Fiji shows that increasing capacities is not necessarily related to increasing decision space of local officials, which is in contrast with earlier studies in Pakistan. Future studies should address the relationship among decision space, capacities, and health system performance.

Keywords

Main Subjects

References

  1. Mohammed J, North N, Ashton T. Decentralisation of health services in Fiji: a decision space analysis. Int J Health Policy Manag. 2016;5(3):173-181. doi:10.15171/ijhpm.2015.199
  2. Bossert TJ . Analyzing the decentralization of health systems in developing countries: decision space, innovation and performance. Soc Sci Med. 1998;47(10):1513-1527. doi:10.1016/S0277-9536(98)00234-2
  3. Bossert TJ. Empirical studies of an approach to decentralization: "decision space" in decentralized health systems. In: Faguet JP, Pöschl C, eds. Is Decentralization Good for Development: Perspectives from Academics and Policy Makers. London: Oxford University Press; 2015:277-298.
  4. Seshadri SR, Parab S, Kotte S, Latha N, Subbiah K. Decentralization and decision space in the health sector: a case study from Karnataka. Health Policy Plan. 2016;31(2):171-181. doi:10.1093/heapol/czv034
  5. Bossert TJ, Mitchell A. Health sector decentralization and local decision-making: decision space, institutional capacities and accountability in Pakistan. Soc Sci Med 2011;72:39-48. doi:10.1016/j.socscimed.2010.10.019
  6. Bossert T, Mitchell A, Janjua M. Improving health system performance in a decentralized health system: capacity building in Pakistan.  Health Systems and Reform. 2015;1(4):276-284. doi: 10.1080/23288604.2015.1056330

Files

History

  • Receive Date: 21 April 2016
  • Revise Date: 08 May 2016
  • Accept Date: 01 May 2016
  • First Publish Date: 01 July 2016

Share

How to cite

Statistics