This risk increases with increasing time since decentralization, but it is also substantially moderated in cases where an external organization was involved in organizing the local forest institution.
Some of the issues raised are not only valid in an OC context, but also for other forward distribution structures (e.g., shorter lead time with decentralization).
I feel like it was a harbinger of a whole time of decentralization.
In times of decentralization, improving health information systems is critical to help districts plan, manage and properly monitor their immunization activities.
The mounting evidence in favor of smaller clinics suggests that it is time for further decentralization of services.
At the same time, through various "decentralizations," the national government has been dumping responsibility downward onto the departments, including the costs for most roads and maintenance, school construction and caring for the elderly, the handicapped and the long-term unemployed.
During this time of rebuilding and decentralization, Liberia was and is transitioning from a period of relief to one of development.
Future work should introduce a dynamic element to the analysis to see if (and how) statewide parties change their positions on decentralization over time, and what lies behind these shifts in position.
At the time of the survey, decentralization of ART was incomplete: 9/16 primary care facilities in Malawi, 6/21 in Uganda and 15/16 in Zimbabwe had on-site ART provision.
A way you could almost title this time we're living in as Decentralization.
