The present work looks at the relationship between institutional structure and economic performance at the regional level. The work focuses on one particular aspect, the number of municipalities in a given region (municipal fragmentation) and the impact on regional development measured as GDP...

Brazil has constitutionally adopted a Unified Health System (SUS) since 1988. SUS is designed so that central government, states and municipalities together offer public, free for all full health coverage. The complexity and territorial arrangement of SUS have been developed in such a way that...