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Many countries around the world have been attempting - for several reasons and with various degrees of intention and success - to create or strengthen local governments in recent years. Ghana is one of these countries and since 1998 has been going through a decentralisation process, that is moving decision-making from the national (center) to the district and community levels - a bottom up approach. Many rationales for decentralisation may be discerned in the literature and in practice. The most common theoretical rationales for decentralisation are: to attain allocative efficiency in the face of different local preferences for public goods and services and equity and distributional concerns - poverty reduction. In this context, this study performs an economic analysis of decentralisation in rural Ghana specifically addressing the following issues: has the decentralisation helped in the delivery of public goods and services and to what extent has the access to public goods and services helped to reduce poverty? Education, health and water were the public goods and services studied. Quantitative and qualitative techniques are used to address theses issues.
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'Gender and Governance in Rural Services' provides policy-relevant knowledge on strategies to improve agricultural and rural service delivery with a focus on providing more equitable access to these services, especially for women. It focuses India, Ethiopia, and Ghana, and focuses on two public services: agricultural extension, as an example of an agricultural service, and on drinking water, as an example of rural service that is not directly related to agriculture but is of high relevance for rural women. It provides empirical microlevel evidence on how different accountability mechanisms for agricultural advisory services and drinking water provision work in practice, and analyzes factors ...
The world has never been richer than today. The distribution of our global wealth, however, is hugely biased. Since 1980, the gains were mainly captured by the rich: The top 1% obtained twice as much of the income growth as compared to the bottom 50%. Nevertheless, within economics, debates about inequality have remained rather marginal, despite long-term research by renowned scholars such as Tony Atkinson. Within the public arena, concerns about inequality emerged as a result of a number of developments: First, the global financial crisis in 2008 exposed the risks of the financing of the economy; secondly, 2013, Thomas Picketty’s book “Capital in the 21st century” demonstrated that, a...
There is very limited experimental evidence of the impact of large-scale, government-led school meals programs on child educational achievements in Sub-Saharan Africa. We address this gap by reporting treatment effects from a nationwide randomized trial of the Government of Ghana’s school feeding program (GSFP) on children’s math and literacy, cognition (problem-solving ability and working memory), and composite scores of overall attainments. Based on the government’s plans to re-target and scale up the GSFP, food insecure schools and related communities across the country were randomly assigned to school feeding. After two years of implementation, program availability led to moderate ...
Contemporary Healthcare Issues in Sub-Saharan Africa: Social, Economic, and Cultural Perspectives discusses contemporary healthcare issues in Sub-Saharan Africa to identify deficiencies in the system and provide workable recommendations for strengthening healthcare delivery on the continent. Contributors address topical issues such as drug quality, malaria control, health insurance, geriatric care, and the environment-health nexus. The contributors also study intimate partner violence and maternal-child health, food safety, prevalence of childhood tuberculosis, and cardiovascular diseases. This book provides in-depth analyses of current issues in Sub-Saharan Africa that blend theory and practice. The diverse group of contributors includes experts in clinical medicine, pharmacy, economics, anthropology, public health, and the social sciences.
This book engages in the debate on growth versus economic transformation and the importance of industrial policy, presenting a comprehensive framework for explaining the politics of industrial policy. Using comparative research to theorize about the politics of industrial policy in countries in the early stages of capitalist transformation that also experience the pressures of elections due to democratization, this book provides four in-depth African country studies that illustrate the challenges to economic transformation and the politics of implementing industrial policies.
Marco Just Quiles offers new perspectives on how domestic and external factors interact to shape variations in local state capacity. Using Bolivia as a case, he applies quantitative and qualitative methods to decode the nexus between global interdependencies, subnational bargaining processes, and diverging configurations of public service provision at the local level. Relying in part on newly compiled indicators, the author presents the ways in which shifting distributional coalitions between regional elites, central governments and their connections with international markets in different periods of the last century have produced the contemporary fragmentation of stateness in Bolivia.
The fundamental purpose of agriculture is not just to produce food and raw materials, but also to grow healthy, well-nourished people. One of the sector’s most important tasks then is to provide food of sufficient quantity and quality to feed and nourish the world’s population sustainably so that all people can lead healthy, productive lives. Achieving this goal will require closer collaboration across the sectors of agriculture, nutrition, and health, which have long operated in separate spheres with little recognition of how their actions affect each other. It is time for agriculture, nutrition, and health to join forces in pursuit of the common goal of improving human well-being. In R...