Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature

We review empirical evidence on the ability of decentralization to enhance preference matching and technical efficiency in the provision of health and education in developing countries. Many influential surveys have found that the empirical evidence of decentralization's effects on service deli...

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Main Authors: Channa, Anila, Faguet, Jean-Paul
Format: Journal Article
Published: Published by Oxford University Press on behalf of the World Bank 2018
Subjects:
Online Access:http://hdl.handle.net/10986/29307
id okr-10986-29307
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spelling okr-10986-293072021-05-25T10:54:43Z Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature Channa, Anila Faguet, Jean-Paul DECENTRALIZATION DEVELOPING COUNTRIES PREFERENCE MATCHING TECHNICAL EFFICIENCY SCHOOL-BASED MANAGEMENT SERVICE DELIVERY EDUCATION HEALTH We review empirical evidence on the ability of decentralization to enhance preference matching and technical efficiency in the provision of health and education in developing countries. Many influential surveys have found that the empirical evidence of decentralization's effects on service delivery is weak, incomplete, and often contradictory. Our own unweighted reading of the literature concurs. However, when we organize quantitative evidence first by substantive theme, and then—crucially—by empirical quality and the credibility of its identification strategy, clear patterns emerge. Higher-quality evidence indicates that decentralization increases technical efficiency across a variety of public services, from student test scores to infant mortality rates. Decentralization also improves preference matching in education, and can do so in health under certain conditions, although there is less evidence for both. We discuss individual studies in some detail. Weighting by quality is especially important when quantitative evidence informs policy-making. Firmer conclusions will require an increased focus on research design, and a deeper examination into the prerequisites and mechanisms of successful reforms. 2018-02-02T19:26:46Z 2018-02-02T19:26:46Z 2016-08 Journal Article World Bank Research Observer 1564-6971 http://hdl.handle.net/10986/29307 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Published by Oxford University Press on behalf of the World Bank Publications & Research :: Journal Article Publications & Research Africa East Asia and Pacific Latin America & Caribbean South Asia
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic DECENTRALIZATION
DEVELOPING COUNTRIES
PREFERENCE MATCHING
TECHNICAL EFFICIENCY
SCHOOL-BASED MANAGEMENT
SERVICE DELIVERY
EDUCATION
HEALTH
spellingShingle DECENTRALIZATION
DEVELOPING COUNTRIES
PREFERENCE MATCHING
TECHNICAL EFFICIENCY
SCHOOL-BASED MANAGEMENT
SERVICE DELIVERY
EDUCATION
HEALTH
Channa, Anila
Faguet, Jean-Paul
Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
geographic_facet Africa
East Asia and Pacific
Latin America & Caribbean
South Asia
description We review empirical evidence on the ability of decentralization to enhance preference matching and technical efficiency in the provision of health and education in developing countries. Many influential surveys have found that the empirical evidence of decentralization's effects on service delivery is weak, incomplete, and often contradictory. Our own unweighted reading of the literature concurs. However, when we organize quantitative evidence first by substantive theme, and then—crucially—by empirical quality and the credibility of its identification strategy, clear patterns emerge. Higher-quality evidence indicates that decentralization increases technical efficiency across a variety of public services, from student test scores to infant mortality rates. Decentralization also improves preference matching in education, and can do so in health under certain conditions, although there is less evidence for both. We discuss individual studies in some detail. Weighting by quality is especially important when quantitative evidence informs policy-making. Firmer conclusions will require an increased focus on research design, and a deeper examination into the prerequisites and mechanisms of successful reforms.
format Journal Article
author Channa, Anila
Faguet, Jean-Paul
author_facet Channa, Anila
Faguet, Jean-Paul
author_sort Channa, Anila
title Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
title_short Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
title_full Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
title_fullStr Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
title_full_unstemmed Decentralization of Health and Education in Developing Countries : A Quality-Adjusted Review of the Empirical Literature
title_sort decentralization of health and education in developing countries : a quality-adjusted review of the empirical literature
publisher Published by Oxford University Press on behalf of the World Bank
publishDate 2018
url http://hdl.handle.net/10986/29307
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