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While transport cost can be reduced by taking services closer to client homes, it could also lead to decentralization and reduction in waiting time.
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"It symbolically stood for the unfeeling, insensitive, top-down, initiative-smothering bureaucracy that was at the center of the great school wars of the 1960's that led to decentralization," she said.
The strike by the teachers union in 1968, which led to decentralization of the city school system, was freighted with black-white, black-Jewish antagonisms and expressions of anti-Semitism.
The structure of leadership is related to the character of interdependence in data acquisition, analysis, and communication of results: greater interdependence leads to decentralization of leadership and less formalization.
David Mitrani, a lawyer at Sandler Reiff Lamb Rosenstein & Birkenstock, agreed that Super Pacs led to "a decentralization of our political system.
Reforms in the health sector have led to the decentralization of planning and budgeting.
It is argued that spatial decentralization can lead to various social and environmental consequences contradicting the multi-goals of a degrowth society.
A review of TB control in Nepal concludes that decentralization...can lead to inequity, political manipulation, fragmentation, increased bureaucratic costs and the overall weakening of the public sector...and affects the incentives and career prospects of health staff.
Jeremy Shiffman, in a 2007 article [ 4], conveys that to bring about a health priority in a country, two major factors are involved: first, significant political changes such as the introduction of democracy or decentralization that lead to modifications in the policymaking process and second, the priorities that are already present and will have to be competed against for available resources.
For some parties, the two dimensions are consistent in determining positions on decentralization; for others, they may lead to internal ideological tensions.
Yet decentralization of such powers can lead to health workforce "fragmentation", and can pose a "threat to workers' well-being" if it negatively affects (as in Uganda) professionalism, career mobility and the timeliness of salary payments" [ 27].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com