Japan International Cooperation Agency

Topical and Sectoral Studies

Local Level Service Delivery, Decentralisation and Governance
A Comparative Study of Uganda, Kenya and Tanzania Education, Health and Agriculture Sectors KENYA CASE REPORT (March 2008)

Contents (PDF/1.70MB)

Cover: A Comparative Study of Uganda, Kenya and Tanzania Education, Health and Agriculture Sectors KENYA CASE REPORT

Selected Photos from Fieldwork/ Abbreviations/ Map: Local Authorities in Kenya (PDF/701KB)

1. INTRODUCTION (PDF/391KB)

  • 1-1 Background
  • 1-2 Objective of the Study
  • 1-3 Key Concepts
  • 1-4 Key Issues for Kenya
  • 1-5 Methodology
  • 1-5 Report Outline

2. OVERVIEW OF INSTITUTIONAL ARRANGEMENTS FOR LOCAL SERVICE DELIVERY

  • 2-1 Introduction
  • 2-2 Changes in Legal and Policy Framework for Local Service Delivery
  • 2-3 Planning and Financing Systems for Local Service Delivery
  • 2-4 LG HRs Development
  • 2-5 CG Oversight and Support Mechanisms
  • 2-6 Summary of Main Recent Changes in the Framework for Local Service Delivery

3. LOCAL SERVICE DELIVERY - PE

  • 3-1 Sector Policies for Local Service Delivery - Intentions and Objectives
  • 3-2 The Division of Responsibilities in PE
  • 3-3 Local Service Delivery Financing
  • 3-4 Local Planning Procedures
  • 3-5 HR Issues
  • 3-6 Trends in Service Delivery Outputs and Outcomes
  • 3-7 Impact of Decentralisation – the Mode of Service Delivery
  • 3-8 Key Lessons and Challenges

4. LOCAL SERVICE DELIVERY - PRIMARY HEALTH CARE

  • 4-1 Introduction and Historic Perspective
  • 4-2 Sector Policies, Objectives and Targets
  • 4-3 The Division of Responsibilities in Service Delivery for Health
  • 4-4 Local Health Service Delivery Financing
  • 4-5 Local Planning Procedures
  • 4-6 Human Resource for Health (HRH)
  • 4-7 Physical Infrastructure and Essential Medicine and Medical Supplies
  • 4-8 Trends in Service Delivery Outputs and Outcomes
  • 4-9 Impact of Decentralisation
  • 4-10 Local Service Delivery in Health - Key Lessons and Challenges

5. LOCAL SERVICE DELIVERY - AGRICULTURAL EXTENSION

  • 5-1 Introduction
  • 5-2 Sector Policies and Sector Decentralisation Intentions and Objectives
  • 5-3 Division of Responsibilities in Delivering Agricultural Extension
  • 5-4 Public Sector Financing of Agricultural Research and Extension
  • 5-5 Local Planning Procedures for Agricultural Extension
  • 5-6 HR Issues
  • 5-7 Trends in Service Delivery Outputs and Outcomes
  • 5-8 Impact of Decentralisation on Agricultural Extension
  • 5-9 Key Issues and Challenges

6. CONCLUDING REMARKS

  • 6-1 Weak Legal and Policy Framework for Devolved Local Service Delivery
  • 6-2 Trends in Service Delivery
  • 6-3 Emerging Sector Based Governance Structures
  • 6-4 Proliferation of Funding Channels
  • 6-5 Need for One Local Service Delivery Framework and Governance System

REFERENCES

ANNEXES (PDF/136KB)

  • Annex 1 List of Consulted Literature /Consulted Documents
  • Annex 2 List of People Met
  • Annex 3-1 Distribution of Public Service Employment by Sub-Sector, 2005
  • Annex 3-2 Average Monthly Basic Salaries, by Sub-Sector and Job-Groups, 2005
  • Annex 4 Abstract from the Education Sector Review – 2006
  • Annex 5-1 Ministry of Agriculture, Actual Recurrent Expenditure by Vote, 2002/2003–2004/2005
  • Annex 5-2 Ministry of Agriculture, Actual Development Expenditure by Vote, 2002/2003–2004/2005
  • Annex 5-3 MoA, Recurrent and Development Expenditure by Vote, 2002/2003–2004/2005

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