Back to basics: does decentralisation improve health system performance? Evidence from Cear谩 in north east Brazil.

From:
Foreign, Commonwealth & Development Office
Published
1 January 2004
Country:
Brazil
Document Type:
Journal Article
Theme:
Health
First published:
1 January 2004
Authors:
Haran, D. and Atkinson, S.

Abstract

The objective of this study was to examine whether decentralization has improved health system performance in the State of Cear谩, north-east Brazil. A survey across 45 local (munic铆pio) health systems collected data on performance and formal organization, including decentralization, informal management and local political culture. The indicators for informal management and local political culture were based on prior ethnographic research. Data were analysed using analysis of variance, Duncan's post-hoc test and multiple regression.

Citation

Bulletin of the World Health Organization, 2004, 82(11), 811-890 pp.

Updates to this page

Published 1 January 2004
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