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

37 Pages Posted: 20 Apr 2016

See all articles by Monica Das Gupta

Monica Das Gupta

World Bank - Development Research Group (DECRG)

Peyvand Khaleghian

World Bank

Rakesh Sarwal

Johns Hopkins University - Department of International Health

Date Written: July 17, 2003

Abstract

Das Gupta, Khaleghian, and Sarwal 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.

This paper - a product of Public Services, Development Research Group - was prepared as background for the World Development Report 2004: Making Services Work for Poor People.

Suggested Citation

Das Gupta, Monica and Khaleghian, Peyvand and Sarwal, Rakesh, Governance of Communicable Disease Control Services: A Case Study and Lessons from India (July 17, 2003). Available at SSRN: https://ssrn.com/abstract=636462

Monica Das Gupta (Contact Author)

World Bank - Development Research Group (DECRG) ( email )

1818 H. Street, N.W.
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HOME PAGE: http://econ.worldbank.org/staff/mdasgupta

Peyvand Khaleghian

World Bank ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

Rakesh Sarwal

Johns Hopkins University - Department of International Health ( email )

615 N. Wolfe St.
Baltimore, MD 21205
United States

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