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Analisi della politica di decentramento sanitario in Costa d'Avorio

Analisi della politica di decentramento sanitario in Costa d'Avorio


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About the Book

In Costa d'Avorio, il decentramento è un processo accelerato dopo la crisi economica degli anni '80 e sotto la pressione dei donatori. Si basa su argomenti di efficienza, razionalità, reattività e sulla capacità di aumentare la partecipazione delle comunità. A partire dagli anni 2000, la forma di devoluzione è stata approfondita con la creazione di diversi tipi di governi locali e il trasferimento e la distribuzione di competenze dallo Stato ad essi. Tuttavia, l'appropriazione e l'attuazione di queste competenze sono carenti, con conseguente frammentazione della pianificazione e del coordinamento delle attività sanitarie locali, meccanismi di responsabilità deboli e scarsa qualità dell'assistenza. In breve, l'operatività della devoluzione nel settore sanitario è un processo complesso che deve essere attuato in modo incrementale, partecipativo e misto, combinando approcci top-down e bottom-up. Deve tenere conto degli interessi dei vari stakeholder attraverso un processo di pianificazione partecipativa e un coordinamento consensuale delle attività locali.


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Product Details
  • ISBN-13: 9786205788011
  • Publisher: KS Omniscriptum Publishing
  • Binding: Paperback
  • Language: Italian
  • Returnable: N
  • Weight: 172 gr
  • ISBN-10: 6205788012
  • Publisher Date: 13 Mar 2023
  • Height: 229 mm
  • No of Pages: 76
  • Spine Width: 5 mm
  • Width: 152 mm


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