Abstract
In the Philippines, the enactment of the 1991 Local Government Code (the 1991 Code) led to further fiscal decentralization; in addition, it brought about significant devolution of the provision of public services. One of the most affected sectors was the health sector. The responsibility for providing health services was devolved in a drastic manner to the lower tiers of government following the enforcement of the 1991 Code. A considerable number of personnel were transferred from the central to local governments in the health sector, and local responsibility for providing health services was significantly expanded. Provincial governments became responsible for secondary and tertiary services, including the management and maintenance of hospitals, whereas municipal governments became responsible for public health services, i.e., the promotion of health care and the prevention of diseases.
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References
Ahmad, Junaid, Shantayanan Devarajan, Stuti Khemani, and Shekhar Shah. 2005. Decentralization and Service Delivery. World Bank Policy Research Working Paper 3603.
Akin, John, Paul Hutchinson, and Koleman Strumpf. 2001. Decentralization and Government Provision of Public Goods: The Public Health Sector in Uganda. MEASURE Evaluation Working Papers, WP-01-35. Carolina Population Center, University of North Carolina at Chapel Hill.
Awio, Godwin, and Deryl Northcott. 2001. “Decentralization and Budgeting: the Uganda Health Sector Experience,” International Journal of Public Sector Management, 24 (1): 75–88.
Bautista, Victoria A., Perla E. Legaspi, Eden V. Santiago, and Lilibeth J. Juan. 2002. National and Local Government Roles in Public Health under Devolution. University of the Philippines Press, the Philippines.
Bureau of Local Government Finance. 2002. LGU Fiscal and Financial Profile: Statement of Income and Expenditures 2002. Department of Finance. http://www.blgf.go.ph/downloads/lgudata/SIE01–04/2002.xls. Republic of the Philippines.
Bureau of Local Government Finance. 2003. LGU Fiscal and Financial Profile: Statement of Income and Expenditures 2003. Department of Finance. http://www.blgf.go.ph/downloads/lgudata/SIE01–04/2003.xls. Republic of the Philippines.
Bureau of Local Government Finance. 2004. LGU Fiscal and Financial Profile: Statement of Income and Expenditures 2004. Department of Finance. http://www.blgf.go.ph/downloads/lgudata/SIE01–04/2004.xls. Republic of the Philippines.
Bureau of Local Government Finance. 2005. LGU Fiscal and Financial Profile: Statement of Income and Expenditures 2005. Department of Finance. http://www.blgf.go.ph/downloads/lgudata/SIE01–04/2005.xls. Republic of the Philippines.
Bureau of Local Government Finance. 2006. LGU Fiscal and Financial Profile: Statement of Income and Expenditures 2006. Department of Finance. http://www.blgf.go.ph/downloads/lgudata/SIE01–04/2006.xls. Republic of the Philippines.
Bird, Ricard M. 1993. “Threading The Fiscal Labyrinth: Some Issues in Fiscal Decentralization,” National Tax Journal, 46(2): 207–27.
Bird, Ricard M. and Michael Smart. 2002. “Intergovernmental Fiscal Transfers: International Lessons for Developing Countries,” World Development, 30 (6): 899–912.
Collins, Charles, and Andrew Green. 1994. “Decentralization and Primary Health Care: Some Negative Implications in Developing Countries,” International Journal of Health Services, 24 (3): 459–75.
Capuno, Joseph J. 2008. “A Case Study of the Decentralization of Health and Education Services in the Philippines.” HDN Discussion Paper Series. Human Development Network.
Department of Health. 2002. Field Health Service Information System, Annual Report 2002. Division of Public Health Surveillance and Informatics, National Epidemiology Center, Manila, Philippines.
Department of Health. 2003. Field Health Service Information System, Annual Report 2003. Division of Public Health Surveillance and Informatics, National Epidemiology Center, Manila, Philippines.
Department of Health. 2004. Field Health Service Information System, Annual Report 2004. Division of Public Health Surveillance and Informatics, National Epidemiology Center, Manila, Philippines.
Department of Health. 2005. Field Health Service Information System, Annual Report 2005. Division of Public Health Surveillance and Informatics, National Epidemiology Center, Manila, Philippines.
Department of Health. 2006. Field Health Service Information System, Annual Report 2006. Division of Public Health Surveillance and Informatics, National Epidemiology Center, Manila, Philippines.
Department of Health. 2008. Policy Guide on Local Health Systems Development. Administrative Order No. 2008–0020. Republic of the Philippines.
Dorotan, Eddie G., and Zsolt Mogyorosy. 2004. Making Your Local Health System Work. A resource book on the local health system development. Department of Health ( DOH) Philippines. German Agency for Technical Cooperation (GTZ), the Philippines.
Faguet, Jean-Paul. 2001. Does Decentralization Increase Responsiveness to Local Needs? Policy Research Working Paper ( WPS ) 2516. World Bank.
Friedman, Jed, Peter F. Heywood, Geoff Marks, Fadia Saadah, and Yoonjoung Choi. 2006. Health Sector Decentralization and Indonesia’s Nutrition Programs: Opportunities and Challenges. Washington, DC: Health, Nutrition, and Population Unit, East Asia and Pacific Region, The International Bank for Reconstruction and Development.
Gupta, Monica Das, Varun Gauri, and Stuti Khemani. 2003. Decentralized Delivery of Primary Health Services in Nigeria. Africa Region Human Development Working Paper Series. The World Bank.
Hutchinson, L. Paul, and Anne K. LaFond. 2004. Monitoring and Evaluation of Decentralization Reforms in Developing Country Health Sectors. Bethesda, MD: The Partners for Health Reformplus Project, Abt Associates Inc.
Khaleghian, Peyvand. 2003. Decentralization and Public Services: The Case of Immunization. World Bank Policy Research Working Paper 2989. World Bank.
Mosca, Ilaria. 2006. “Is Decentralization the Real Solution? A Three-country Study,” Health Policy, 77: 113–20.
National Statistical Coordination Board. 2001. Philippine National Health Accounts 1991–1997. The Economic and Social Statistical Office (ESSO) of the National Statistical Coordination Board (NSCB). The Philippines.
National Statistical Coordination Board. 2008. Philippine National Health Accounts 2005. The Social Sectors A Division (SSAD) of the National Statistical Coordination Board (NSCB). The Philippines.
National Statistical Office. 2000. Census of Population and Housing 2000. The Philippines.
NDiaye, Jean-Michel. 1990. “Decentralization of Health Services in Senegal,” in Anne Mills, J. Patrick Vaughan, Duane L. Smith, and Iraj Tabibzadeh (eds), Health System Decentralization. Geneva: World Health Organization.
Oates, Wallance E. 1999. “An Essay on Fiscal Federalism,” Journal of Economic Literature, 37: 1120–49.
Shah, Anwar. 1994. The Reform of Intergovernmental Fiscal Relations in Developing and Emerging Market Economies. Washington, DC: World Bank.
Schwartz, J. Brad, Rachel Racelis, and David K. Guilkey. 2000. Decentralization and Local Government Health Expenditures in the Philippines. MEASURE Evaluation Working Paper (WP-01-36), Carolina Population Center, University of North Carolina at Chapel Hill.
Schwartz, J. Brad, David K. Guilkey, and Rachel Racelis. 2002. Decentralization, Allocative Efficiency and Health Service Outcomes in the Philippines. MEASURE Evaluation Working Paper (WP-02-44), Carolina Population Center, University of North Carolina at Chapel Hill.
Vujicic, Marko, Kelechi Ohiri, and Susan Sparkes. 2009. Working in Health: Financing and Managing the Public Sector Health Workforce. Washington, DC: World Bank.
World Bank. 1994. Philippines Devolution and Health Services: Managing Risks and Opportunities. Report No. 12343-PH. County Department I, Population and Human Resources Operation Division, East Asia and Pacific Office.
World Health Organization (WHO). 2008. Decentralized Health Systems in Transition. Technical Report based on the Fourteenth Annual Conference of RHN, WHO Europe.
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Uchimura, H. (2012). Health Development in the Decentralized Health System of the Philippines: Impact of Local Health Expenditures on Health. In: Uchimura, H. (eds) Fiscal Decentralization and Development. IDE-JETRO Series. Palgrave Macmillan, London. https://doi.org/10.1057/9780230389618_4
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DOI: https://doi.org/10.1057/9780230389618_4
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