Decentralisation and Difference: Indigenous Peoples and Health System Reform in the Brazilian Amazon
Published by: IDS
The implications of decentralisation for minority and marginalised groups are complex and contested. It has long been an article of faith for 'decentralisation and participation' advocates that bringing decision making closer to the grassroots is a prerequisite for overcoming the unresponsiveness of monolithic, top-down state service delivery systems or unaccountable, exclusionary privatised ones (Tendler 1997).