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)

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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