The quest for health care decentralization: revisiting decree 159
- Resource Type
- Academic Journal
- Authors
- Kassak, K.M.; Ali, A. Mohammad; Tauk, Mitra; Abdallah, A.M.
- Source
- Journal of Public Budgeting, Accounting & Financial Management, 2007, Vol. 19, Issue 4, pp. 447-461.
- Subject
- research-article
Research paper
cat-AA
Accounting
cat-ACF
Accounting, Finance & Economics
cat-AMET
Accounting methods/systems
cat-ECO
Economics
- Language
- English
- ISSN
- 1096-3367
Many developing countries have at some point in their quest for health reform considered decentralization as a strategy. A search of Lebanese health policy texts revealed a call for some form of decentralization in the mid eighties through Decree 159. This paper highlights the experience of health centers in Lebanon and discusses the importance of implementing an incremental decentralization of the system by highlighting the importance of ensuring political commitment as well as building the capacity of administrative and clinical staff as prerequisites for the implementation of a fully decentralized system.