Executive summary 50 years after a noble but flawed attempt to eradicate malaria in the mid-
20th century, the global malaria community is once again seriously considering eradication …

Public financial management (PFM) processes are a driver of health system efficiency. PFM
happens within the budget cycle which entails budget formulation, execution and …

Introduction Nepal's move to a federal system was a major constitutional and political
change, with significant devolution of power and resources from the central government to …

Background While health worker strikes are experienced globally, the effects can be worst in
countries with infrastructural and resource challenges, weak institutional arrangements …

Background Globally, good health system performance has resulted from continuous reform,
including adaptation of Decentralisation by Devolution policies, for example, the Direct …

Introduction Devolution reforms in Indonesia and Kenya have brought extensive changes to
governance structures and mechanisms for financing and delivering healthcare. Community …

Health systems are faced with a wide variety of challenges. As complex adaptive systems,
they respond differently and sometimes in unexpected ways to these challenges. We set out …

Devolution changes the locus of power within a country from central to sub-national levels.
In 2013, Kenya devolved health and other services from central government to 47 new sub …

Background Decentralization is promoted as a strategy to improve health system
performance by bringing decision-making closer to service delivery. Some studies have …

Abstract Background Community health programs (CHPs) are integral components of
primary health care (PHC) systems and support the delivery of primary care and allied …