State-civil partnerships are
more likely to be trusted where resource allocation mechanisms
are based on shared and public evidence, and incorporate agreed
priorities. Fiscal decentralization -the devolution of authority
over revenue or expenditure decisions to lower levels of government
or health systems - is sometimes proposed as a means of strengthening
public accountability. However, it is not a sufficient measure
unless specific mechanisms are built in for policy accountability,
management accountability and transparency.
Civil society has been noted
to play an important local role in furthering these policy goals,
both in making localized revenue control more transparent and
accountable, and in ensuring that expenditures match wider public
priorities (Litvak et al., 2000).