Institutional constraints and capacity issues in decentralizing management in public services: the case of health in Ghana

George A. Larbi
Additional contact information
George A. Larbi: Development Administration Group, School of Public Policy, University of Birmingham, Birmingham, UK, Postal: Development Administration Group, School of Public Policy, University of Birmingham, Birmingham, UK

Journal of International Development, 1998, vol. 10, issue 3, 377-386

Abstract: Public health organization in Ghana has been a focus of reform in recent years. This paper examines the application of decentralized management as part of these reforms. It conceptualizes decentralized management as a component of the new public management. It assesses progress made in implementation, highlighting the institutional constraints encountered. The capacity issues raised by management decentralization, especially the trend towards autonomous hospitals and executive agencies, are outlined. The main lessons drawn are that reforms need to be sensitive to operational context and capacity and implementation needs to be planned and managed. © 1998 John Wiley & Sons, Ltd.

Date: 1998
References: View complete reference list from CitEc
Citations: View citations in EconPapers (6)

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:10:y:1998:i:3:p:377-386

DOI: 10.1002/(SICI)1099-1328(199805/06)10:3<377::AID-JID513>3.0.CO;2-P

Access Statistics for this article

Journal of International Development is currently edited by Paul Mosley and Hazel Johnson

More articles in Journal of International Development from John Wiley & Sons, Ltd.
Bibliographic data for series maintained by Wiley Content Delivery ().