Sentence examples for lack of decentralisation from inspiring English sources

In summary, this study revealed the following challenges facing the Malawi Leprosy Elimination Programme: increasing and high prevalence which were over the leprosy elimination goal, high prevalence/detection ratios, lack of decentralisation to health centres for diagnosis and treatment, insufficient knowledge and skills of health centre staff and poor registration and recording system.

That's reality, snorts the truffle pig.Germany's fight against corruption is hampered by lack of resources, decentralisation and the absence of a corporate criminal law.

For example, if absenteeism was consequent in part to a lack of supervision because following the decentralisation reform clear policies on supervisory responsibilities and sanctions on health staff absent without leave were not established, then the governance intervention would be to design clear policies on responsibilities and to ensure the authority and resources to implement them.

In Buhera, however, 57% of the early attrition is related to the high loss to follow-up rate, which might be related to the rapid decentralisation, the lack of trained human resources available in the health centres, and the poor registration, which undoubtedly overlooked many self-referrals of patients to the health centres as soon as the ART services became available.

Difficulties with decentralisation include a lack of supervision and control, little interest (and hence funds) in HIV/AIDS by some local decision-makers, inequities in service provision, a need for improved information sharing between national structures and the decentralised entities.

In addition, previous studies on the impact of decentralisation on health workers suggest that delays in disbursement of funds from the national government (10) and lack of technical capacity and financial resources to manage human resources for health at lower levels of government is a common feature of decentralisation in LMICs (8).

Was it a betrayal of decentralisation and localism?

All politicians say they are in favour of decentralisation; this one has done something about it.

Clegg said it was "another landmark on the journey of decentralisation".

Mr Poroshenko will aim for some form of decentralisation, with guarantees for language and cultural rights.

But in Mr Burrows's view the advantages of decentralisation far outweigh its handicaps.