01654nam a22001217a 4500008004100000100002000041245010000061260004500161300003400206520118900240650005801429773004501487240911b           ||||| |||| 00| 0 eng d  aNanjunda, D.C.   aDecentralisation of health service in Karnataka: A study of rural participatory decision making  aBihar Journal of Public Administration    a21(1), Jan-Jun, 2024: p.49-60  aThe effectiveness of the administration of an institutional-quality health care delivery system focusing on decentralization has been under question for the last three decades. Examining the successes of decentralization and the correlation between autonomy and decision space (degree of decentralization) health outcomes is gaining momentum today. As such the major aim of the present study is to assess the effectiveness of Panchayat Raj Institutions (PRI) in managing the rural health care system in Karnataka State. The study based on mixed methods, drawing samples from Panchayat Raj Institutions and Public Health Institutions. It has been found some notable issues in rescheduling decentralised health-administration, reducing benefaction and political meddling, and implementing performance-based resource distribution. It is concluded that structural, dynamic, and geographically specific reforms in age-old administrative procedures are very essential in the administrative and financial management systems of PRIs for effective health decentralization of health services.- Reproduced 

http://www.iipabiharbranch.org/upload/BJPA_Vol.%20XXI%20No.%201%20Jan-June.%202024.pdf
  aNRHM, Health, Rural, Panchayats, Karnataka, Politics.  aBihar Journal of Public Administration