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Governments and international organizations have promoted community participation in public health since the late 1970s. We lack comparative studies of these participatory institutions in public health. This Element proposes a conceptualization of programmatic participation and distinguishes between two types, monitoring and policy-making.
Challenging the conventional wisdom that decentralization reforms put more power in the hands of governors and mayors, Falleti draws on extensive fieldwork, in-depth interviews, archival records, and quantitative data to explain the different trajectories of decentralization processes in post-developmental Argentina, Brazil, Colombia, and Mexico, and their markedly divergent outcomes.
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