Governance of Communicable Disease Control Services : A Case Study and Lessons from India
The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a n...
| Main Authors: | , , |
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2003/07/2487592/governance-communicable-disease-control-services-case-study-lessons-india http://hdl.handle.net/10986/18143 |
| Summary: | The authors study the impact of
governance and administrative factors on communicable
disease prevention in the Indian state of Karnataka using
survey data from administrators, frontline workers, and
elected local representatives. They identify a number of key
constraints to the effective management of disease control
in India, in misaligned incentives, and the institutional
arrangements for service delivery. The authors discuss these
under five headings: administrative issues; human resource
management; horizontal coordination; decentralization,
community involvement, and public accountability; and
implementation of public health laws and regulations. They
find that India's public health system is configured to
be highly effective at top-down reactive work, such as
bringing disease outbreaks under control, but not for the
more routine collaborations required for proactive disease
prevention. The authors conclude with policy recommendations
that take into account the complexity of India's system
of public administration and the need for simple reforms
that can be easily implemented. |
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