Australian Development Gateway

The Australian Development Gateway (ADG) strives to support members of the development community in their efforts to reduce poverty and enhance sustainable development in the Asia Pacific region. The site has been created with participation from members of government, private, academia and non-government organisations. User feedback mechanisms have been incorporated to guide future directions of the site. The site is optimised for low bandwidth access to enable the widest participation throughout the Asia Pacific region.

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Institutional arrangements and issues

Decentralisation in Asian health sectors: friend or foe? (pdf 125kb)

This policy brief examines whether or not healthcare decentralisation in Asia has been successful.  

The brief highlights several lessons learned from the decentralisation programs from China, Indonesia, India, and the Philippines, including:
 
- Improving the healthcare financing system towards more pre-payment and less Out-Of-Pocket (OOP) payments.
- Giving local governments incentives to invest in health leads to better outputs and outcomes.
- Decentralisation is a long-term process - it is imperative to set up a high quality data collection system along with an evaluation culture.

 

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