Decentralized Governance in the Management of Urban Health Care Systems in Developing Countries - Open Journal of Political Science

OJPS > Vol.9 No.1, January 2019

Open Journal of Political Science

Volume 9, Issue 1 (January 2019)

ISSN Print: 2164-0505 ISSN Online: 2164-0513

Google-based Impact Factor: 1.04 Citations

Decentralized Governance in the Management of Urban Health Care Systems in Developing Countries ()

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Download as PDF (Size: 265KB) PP. 189-202

DOI: 10.4236/ojps.2019.91010 1,756 Downloads 3,992 Views Citations

Author(s)

Joseph Okeyo Obosi

Affiliation(s)

Department of Political Science & Public Administration, University of Nairobi, Nairobi, Kenya.

ABSTRACT

Enhanced Health care services address not only one of the key Sustainable Development Goals (SDG) which is goal No 3, but also the development strategies for most developing countries. Good governance is critical to improving health care systems. Many developing countries therefore have decentralized health care systems as a way of improving good governance and as a means of attaining improved access to and delivering quality health care services to both urban and rural population. Decentralization involves the extent of planning, management and decision making from national to lower levels of government. From the 1990s the capacity of governments in developing countries to deliver public goods and services was stretched to the extent there was dire for partnerships. The Public Private Partnerships (PPP) therefore became fundamental in the provision of health services under decentralization. The nature of PPP differed from country to country and the level of decision making within each level of government. The paper has discussed the extent to which decentralized governance has facilitated the management of health care systems in the urban centres through Public Private Partnership initiatives, by conducting a comparative case study analysis of existing literature on urban health care systems under different forms of decentralized governance in Kenya, Uganda, Ghana and India, respectively. The study established that access to health care services differed with forms of decentralization. Secondly, there were more public private partnerships in devolved governments which also registered higher improvement in access to health care services in urban centres. The paper concluded that the more the involvement of public private partnership, the better health care services in terms of access was noted.

KEYWORDS

Public Private Partnership, Health Governance, Health Policy, Urban Health Care Systems, Decentralization

Share and Cite:

Obosi, J. (2019) Decentralized Governance in the Management of Urban Health Care Systems in Developing Countries. Open Journal of Political Science, 9, 189-202. doi: 10.4236/ojps.2019.91010.

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