Further decentralization of OB/GYN services is worthy of consideration as a strategy for addressing these issues.
Some of the most recent theoretical work has focused on the advantages of decentralization, and in particular plant-level bargaining, stimulated at least in part by influential forces in Germany recommending outright decentralization or at least further decentralization of bargaining (e.g., Berthold and Fehn 1996; German Council of Economic Experts 1996).
The study recommends further decentralization between health facilities as well as between health workers and administrators.
Recommendations that were based on the findings of the pilot and the follow up interviews included: further decentralization of TB care, realignment of the currently used communication strategy to stimulate TB suspects to seek care early, mobile clinics, stronger TB/HIV program coordination to allow for integrated TB/HIV care, further usage of the Tool in other areas.
Despite the prominence of decentralization and community accountability in policy, there is little published experience, leading to calls for further research [2,5].
Further, absolute decentralization without gradation is required.
This is important in order to advance DG solutions implemented by utilities like ENEL Distribucion, to further EPS decentralization, offer a broad, more flexible and personalized spectrum of services and, at the same time, preparing them for growing environmental challenges and threats.
Further, because decentralization is an ongoing process, especially in the first years after it occurs, attribution is also dependent on assessing the extent to which the decentralization actually occurred.
Its isolation and difficult terrain have led to its residents' demand for administrative decentralization, with Raipur as a regional centre.
