However, there is a strong territorial decentralization of health jurisdictions in the Autonomous Communities.
At the same time, Weinberg is a strong believer in decentralization.
The Brazilian health reform process, following the establishment of the Unified Health System (SUS), has had a strong emphasis on decentralization, with a special focus on financing, management and inter-managerial agreements.
This means applying new economic and commercial principles to governmental management, favouring stronger liberalization and decentralization processes and answering to the conditions set by the local environment.
Building on this will require bold leadership to move forward on decentralization, stronger accountability measures, and better health and education for all Liberians.
Along with corruption, Yemen government lacks transparency, accountability, a strong and fair judiciary, decentralization and real practice of the institutionalization of citizen participation in the decision process.
Economically strong regions may favour decentralization because it allows them to retain their wealth and their economic model, while weaker regions will plead for the redistribution of economic gains across the country.
Such measures might include village governing boards or oversight committees, and indeed the literature on decentralization supports "stronger" forms of local control such as devolution of services to locally elected governments [ 56].
Marketization plays a more critical role in driving ALD in the urban planning zone, while decentralization has a stronger impact on ALD in the non-urban planning zone.
Thus, despite high hopes and strong rhetoric, the extent to which decentralization actually occurred is limited [ 2].
