Work

Decentralization and Health Care Inequality: A Geographical Approach to the Study of HIV & AIDS Mitigation in Kenya

Year: 2009

Type: article

Abstract: The 1980's and 1990's were characterized by considerable debate on decentralization in the developing world.While advocates argued that decentralization would bring government, and therefore delivery of services closer to users, opponents pointed to potential problems including 'elite capture' of the decision making process, disparities in regional resource endowments and corruption.This thesis uses the decentralization framework to investigate the outcomes of health sector reforms in Kenya, especially allocation of HIV & AIDS mitigation resources.A desk review of relevant literature was employed, but the research was also augmented by limited primary data.Findings indicate that though the government embraced a diversity of policies, the broader objectives of reforms, to enhance quality and geographical coverage of health services, remain elusive.

Source: OhioLink ETD Center (Ohio Library and Information Network)

Author: Josiah Zachary Nyangau

Institution: Ohio University

Language: English

Topic: Healthcare Systems and Reforms

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Reduced inequalities, Peace, justice, and strong institutions, Good health and well-being

Open Access status: green

OpenAlex ID: W2264746480

FWCI:

Cites: 49

Cited by:

Related to: 10