chapter  7
30 Pages

Investing in health infrastructure: how decentralization matters BERNARD DAFFLON AND FRANçOIS VAILLANCOURT

Introduction This chapter examines the infrastructure-decentralization nexus in the production of health services with a particular emphasis on the issue of health infrastructure. The first part of the chapter presents evidence on spending on health services and infrastructure spending both in general and in health for various countries or groups of countries showing the importance of infrastructure spending in the provision of health services. The second part of the chapter examines how some of the characteristics of health services affect the decentralization of such services and thus the decentralization of health infrastructure. The third examines case studies and policy choices.