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 SYNTHESIS REPORT (March 2008)

Contents (PDF/961KB)

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

Selected Photos from Fieldwork/ Abbreviations

1. INTRODUCTION

  • 1-1 Background
  • 1-2 Objective of the Study
  • 1-3 Key Concepts
  • 1-4 Previous Studies on Decentralisation and Service Delivery
  • 1-5 Report Outline

2. OVERALL INSTITUTIONAL ARRANGEMENTS FOR LOCAL SERVICE DELIVERY

  • 2-1 Legal and Policy Framework
  • 2-2 Local Government (LG) Council Structures
  • 2-3 LG Financing
  • 2-4 LG Human Resources (HR)
  • 2-5 Current LG and Decentralisation Reform Efforts
  • 2-6 Key Issues and Challenges

3. PRIMARY EDUCATION

  • 3-1 Sector Policies for Local Level Service Delivery
  • 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
  • 3-8 Key Lessons and Challenges

4. HEALTH

  • 4-1 Sector Policy and Strategy
  • 4-2 Division of Responsibilities
  • 4-3 Local Service Delivery Financing
  • 4-4 Planning and Implementation Procedures
  • 4-5 HR Issues
  • 4-6 Trends in Service Delivery Outputs and Outcomes
  • 4-7 Impact of Decentralisation
  • 4-8 Key Lessons and Challenges

5. AGRICULTURE

  • 5-1 Sector Policy and Strategy
  • 5-2 Division of Responsibilities for Agricultural Development
  • 5-3 Local Service Delivery Financing
  • 5-4 Planning and Implementation Procedures
  • 5-5 HR Issues
  • 5-6 Trends in Service Delivery Outputs and Outcomes
  • 5-7 Impact of Decentralisation
  • 5-8 Key Lessons and Challenges

6. ONCLUSIONS

  • 6-1 Overall Progress and Challenges with Local Institutional Reforms
  • 6-2 Linkages between Sector Decentralisation and LGs
  • 6-3 Impact of (Sector) Decentralisation on Governance
  • 6-4 Impact of (Sector) Decentralisation on Service Delivery
  • 6-5 Key Challenges for Decentralised Service Delivery
  • 6-6 Emerging Models for Decentralisation?
  • 6-7 Key Areas for Possible External Assistance

REFERENCES

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