Analyzing the decentralization of health systems in developing countries: decision space, innovation and performance

1998 ◽  
Vol 47 (10) ◽  
pp. 1513-1527 ◽  
Author(s):  
Thomas Bossert
2011 ◽  
pp. 1115-1139
Author(s):  
Adebusoye A. Anifalaje

This article attempts to elucidate the intricacies of primary health care delivery in Nigeria. Among myriad complexities, the central proposition made herein is that the absence of an effective regulatory and enforcement framework in developing countries results in a prominent informal decision space. The findings show that the prominence of an informal decision space compromises the objectives of an information-based public health system. The article concludes that decentralisation in developing countries must have a coordinated top-down and bottom-up development component for it to be effective in improving the performance of primary health systems. One of the implications of the study is that researching decentralised healthcare delivery requires analytical models which are able to illuminate the complexities of local accountability in developing countries. The study also reveals the need to further research the dynamics of democratic decentralisation in developing countries as this goes beyond administrative structures but involve socio-cultural institutions.


Author(s):  
Adebusoye A. Anifalaje

This article attempts to elucidate the intricacies of primary health care delivery in Nigeria. Among myriad complexities, the central proposition made herein is that the absence of an effective regulatory and enforcement framework in developing countries results in a prominent informal decision space. The findings show that the prominence of an informal decision space compromises the objectives of an information-based public health system. The article concludes that decentralisation in developing countries must have a coordinated top-down and bottom-up development component for it to be effective in improving the performance of primary health systems. One of the implications of the study is that researching decentralised healthcare delivery requires analytical models which are able to illuminate the complexities of local accountability in developing countries. The study also reveals the need to further research the dynamics of democratic decentralisation in developing countries as this goes beyond administrative structures but involve socio-cultural institutions.


2021 ◽  
Vol 13 (11) ◽  
pp. 6256
Author(s):  
Gerdina Handa Serafim ◽  
José Manuel Cristóvão Veríssimo

This paper aims to investigate the impacts of customer orientation, competitor orientation, learning orientation, technology orientation, and entrepreneurial orientation on hotel innovation and performance. Data from 69 hotels in four Angolan provinces were analyzed using the partial least squares (PLS) approach and multi group analysis. The results show that learning and entrepreneurial orientations have a positive impact on hotel innovation. As anticipated, innovation has a positive impact on performance. According to the multigroup analysis, only the hotel category has a moderating effect on performance. Results suggest that hotels in developing countries could add value to both customers and shareholders by promoting new services and exploring new business opportunities. To the best of our knowledge, this is one of the few studies that has researched the impact of strategic orientation on hotel innovation and financial performance in developing countries.


2019 ◽  
Vol 8 (5) ◽  
pp. 153
Author(s):  
Rifat Hoxha ◽  
Hamdi Hoti

Family business is the most contributing category in the economic development of all countries. Both Developed and Developing Countries and Less Developed Family Business plays an important role in reducing unemployment and is a catalyst for developing creative ideas and innovations in all business activities. In this paper we will address some of the characteristics of managers of this business category, such as their gender, age, and style of management, and their impact on the development and growth of these businesses' performance. The paper is part of the survey conducted by the survey of over 300 family businesses in Kosovo and was used by the author for the preparation of doctoral dissertation. This paper is fulfill from the survey which is realized with professors of Economic field in University of Prizren “Ukshin HOTI” in Prizren. From those finding results of research we give some modest recommendations and it’s more raising awareness especially business management from female gender as an opportunity to duplicate the potential for a development and performance of those business. This is based on the fact that the more thought we have, the more ideas come about how we can manage a family business with contemporary style, without a gender or age complex, which can guarantee success not only in our country , but to become competitive and penetrate the markets of the most developed countries.Keywords: Family business, Gender, Age, Management style


Author(s):  
Julus H. Vodounnou ◽  
Emmanuel A. Ajav ◽  
Gontrand C. Bagan ◽  
Victorin K. Chegnimonhan

A small-scale maize harvester was designed and fabricated for developing countries and is composed of a harvester header, a chain conveyor, a drive power unit and a five-wheel tricycle. Fabrication of components was made and assembling of the devices on the tricycle was done. The performance evaluation of the small-scale maize harvester was done at 15% kernels moisture content (wet basis). Three rotational speeds of the engine, 1347, 1521 and 1937 rpm were used, while the forward velocity of the harvester was kept at an average of 0.617 km.hr-1. The testing experiment revealed significant effect of physical properties of maize (p<0,05). The highest machine capacity was obtained at 0.05 ha.hr-1, while the highest driving efficiency was 97.30% and the highest picking and conveying efficiencies were 84.11% and 98.21%, respectively. However, it was observed that the machine noise level decreased with increase in engine speed. Also, the engine speed affected both picking and conveying efficiencies. The designed machine is found suitable for most smallholder farms.


Sign in / Sign up

Export Citation Format

Share Document