Local Governments and the Public Health Delivery System in Kerala: Lessons of Collaborative Governance

This book discusses the significance of local governments in public healthcare systems in developing countries, particularly India. It considers a new model of public health delivery system in the Indian state of Kerala, which is unique in achieving a fairly high level of human and social development with a relatively low level of economic development. Unlike most Indian states, Kerala has devolved the control of health service management to local governments, though the state government still has administrative powers, resulting in a system of dual responsibilities. Transfer of public health control from state government to local governments has seen an increase in the participation of the local community in public health delivery management.

Based on a field study conducted in Keralan districts, this book explains the scope for mobilising local resources for the implementation of public health projects under local government, discussing a unique model of co-production between the government and civil society that can improve health services, efficiency and equity, leading to better health outcomes.

As such, this study will be of interest to scholars and practitioners in the areas of health, local governance and decentralised planning.


Dr Jacob John has a PhD in Economics and an MBA in Finance, with over 30 years of experience in managing projects in such fields as education, health and local governance. He has assisted the governments of West Bengal and Assam with district development plans, and is the President of KDS-Delhi, a socio-economic research organisation in New Delhi. He has published books and articles in the areas of decentralised governance and local government economics.

Megha Jacob is an economist with KDS-Delhi. She received a BA in Economics from the University of Delhi and an MSc in Economics from Madras School of Economics. She has participated in socio-economic studies for several government ministries in India, and has published work in the field of development economics.

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ISBN: 1-4438-9928-3

ISBN13: 978-1-4438-9928-4

Release Date: 15th September 2016

Pages: 190

Price: £45.99

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