Governance of Communicable Disease Control Services : A Case Study and Lessons from India

The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective management of disease control in India, in misaligned incentives, and the institutional arrangements for service delivery. The authors discuss these under five headings: administrative issues; human resource management; horizontal coordination; decentralization, community involvement, and public accountability; and implementation of public health laws and regulations. They find that India's public health system is configured to be highly effective at top-down reactive work, such as bringing disease outbreaks under control, but not for the more routine collaborations required for proactive disease prevention. The authors conclude with policy recommendations that take into account the complexity of India's system of public administration and the need for simple reforms that can be easily implemented.

Bibliographic Details

Main Authors:	Das Gupta, Monica, Khaleghian, Peyvand, Sarwal, Rakesh
Language:	English en_US
Published:	World Bank, Washington, DC 2003-07
Subjects:	ADMINISTRATIVE CAPACITY, ADMINISTRATIVE FRAMEWORK, ADMINISTRATIVE SYSTEM, ADULT MORTALITY, AGRICULTURAL PRODUCTION, AUTHORITY, BLINDNESS, BUDGETARY ALLOCATIONS, CADRES, CENTRAL GOVERNMENT, CENTRAL GOVERNMENTS, CHILD DEVELOPMENT, CITIES, CITIZENS, COLONIES, CONSTITUTION, CONTAGIOUS DISEASES, CONTRACEPTIVES, CORRUPTION, DECENTRALIZATION, DECISION MAKING, DEVELOPMENT INDICATORS, DISCIPLINARY PROCEDURES, DISEASE CONTROL, DISTRICTS, DRAINAGE, ELECTED REPRESENTATIVES, EMBEZZLEMENT, EPIDEMICS, EXERCISES, EXPENDITURE, EXTENSION, FAMILY PLANNING, FINANCIAL MANAGEMENT, FISCAL, FISCAL CONTROL, GOVERNMENT DEPARTMENTS, GOVERNMENT EXPENDITURES, HEALTH ADMINISTRATION, HEALTH CENTERS, HEALTH INTERVENTIONS, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH POLICY, HEALTH PROGRAMS, HEALTH REGULATIONS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HOSPITALS, HOUSING, HUMAN RESOURCE, HUMAN RESOURCE MANAGEMENT, HUMAN RESOURCES, HYGIENE, IMMUNIZATION, INCOME, INFANT MORTALITY, INFANT MORTALITY RATE, INNOVATION, INSTITUTIONAL ARRANGEMENTS, ISOLATION, JUDICIARY, LABORATORIES, LACK OF AUTONOMY, LAWS, LEVELS OF GOVERNMENT, LIFE EXPECTANCY, LIVING CONDITIONS, LOW-INCOME COUNTRIES, MALARIA, MANAGERIAL AUTONOMY, MANAGERS, MEDICAL EDUCATION, MORTALITY, MOTIVATION, NATIONS, NUTRITION, PARTNERSHIP, PESTS, POLICY RESEARCH, POLIO, PRIVATE SECTOR, PUBLIC ACCOUNTABILITY, PUBLIC ADMINISTRATION, PUBLIC AGENCIES, PUBLIC FUNDS, PUBLIC GOVERNANCE, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC SECTOR, PUBLIC SECTOR MANAGEMENT, PUBLIC SERVICE, PUBLIC SERVICES, QUALITATIVE RESEARCH, QUARANTINE, REPRESENTATIVES, RESOURCE ALLOCATION, SERVICE DELIVERY, SERVICE DELIVERY MECHANISMS, SOCIAL INFRASTRUCTURE, STATE GOVERNMENT, UNIVERSITIES, WASTE, WASTE DISPOSAL, WATER SUPPLY, WORKERS, WORKING CONDITIONS COMMUNICABLE DISEASES, COMMUNICABLE DISEASES PREVENTION, CASE STUDIES, GOVERNANCE, SURVEY DATA, ADMINISTRATIVE CONSTRAINTS, HUMAN RESOURCES DEVELOPMENT, COMMUNITY PARTICIPATION, POLITICAL ACCOUNTABILITY, PUBLIC HEALTH CARE, HEALTH LEGISLATION, REGULATORY FRAMEWORK, DISEASE PREVENTION, HEALTH REFORM, WORKING CONDITIONS, COMMUNICABLE DISEASES,
Online Access:	http://documents.worldbank.org/curated/en/2003/07/2487592/governance-communicable-disease-control-services-case-study-lessons-india https://hdl.handle.net/10986/18143
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