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 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.Health Monitoring&Evaluation,Health Systems Development&Reform,Agricultural Knowledge&Information Systems,Public Health Promotion,Disease Control&Prevention,Health Systems Development&Reform,Health Monitoring&Evaluation,National Governance,Agricultural Knowledge&Information Systems,Health Economics&Finance

Why Reading on Website is Better than Email Subscription

Why Reading on Website is Better than Email Subscriptio

Here are 12 steps to follow to bring about change in Tripura

Here are 12 steps to follow to bring about change in Tripur

Health Outcomes in India, Israel & Palestine

The recent armed conflict between Israel and Palestine has drawn focus on the human impact of war, especially on the children and women. It would be of interest to recap the level of health attainments of the countries in conflict with those of India. These graphs compare the health outcomes in terms of life expectancy, child and maternal mortality, health spending and cause of death in these countries. While Israel is a High Income country, Palestine has features of a Least Developed Countries, while India is a Lower Middle Income economy. The performance of Palestine is impressive, despite low income and chronic conflict