This was an attempt to understand the status of decentralization in the health sector in particular, the range of choice that local authorities are able to exercise over different functions and sub- functions.
Objectives:
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To understand the status of decentralization in the health sector in particular, the range of choice that local authorities are able to exercise over different functions and sub- functions (e.g. Financing, service delivery and organization, human resources, governance).
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Accessing the existing capacities at different levels of local government to execute responsibilities pertaining to health care decisions
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To understand the extent of responsiveness of local governments to local interests and demands.
Geographical Spread:
10 districts of Orissa
Key areas/components:
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A tentative sample plan was developed and sample districts, blocks and GPs to be covered under the study were identified in consultation with the health department officials at state and district levels.
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A two-day initial orientation workshop was organized for the group of potential interviewers on the approach and methodology to be adopted during the study, survey instruments and data collection and quality management aspects.
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The survey instruments were translated into Oriya language for better facilitation of interview process and the Oriya version of the survey instruments were retranslated into English to know the gap or loss of information through the translation process.
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Interviews conducted with the PRI and health/government functionaries at various levels and performance data available at the local level was also collected.
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The coded state level data, collected through interview process was analysed and a report was prepared based on the findings of the study. The final report was submitted to the World Bank
