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OECD Development Centre Policy Insights

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The OECD Development Centre links OECD members with developing and emerging economies and fosters debate and discussion to seek creative policy solutions to emerging global issues and development challenges. OECD Development Centre Policy Insights is a series of policy-oriented occasional papers drawn from the Development Centre’s Work Programme. All titles are generally available in the two official languages of the OECD: English and French.

English French

Decentralisation in Asian Health Sectors

Friend or Foe?

Decentralising health services – the transfer of power and responsibility from the central to the local level – should help the poor if local resources, accountability and governance are in good shape. The process in China and India had negative effects because local governments remained under-funded and health was not seen as their priority. Contrary to this, decentralisation in Indonesia and the Philippines produced better health outcomes because they reformed healthcare funding. This is key to successful pro-poor decentralisation.

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