Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania

Abstract: Health care organization and management systems were analysed to explore the challenges of implementing an Accountability for Reasonableness (A4R) approach to priority setting in Tanzania. Despite rhetoric on decentralisation, actual practice in the district involved little community participation. Author(s): Maluka, Stephen Oswald Source(s): , Global health action; vol. 4 11 p., ill., tabs Global…

Negotiating on a seesaw : the decentralisation of education and health services in Uganda and Tanzania from a local perspective and in a historical context

Abstract: Between 1997 and 2001, central governments of Uganda and Tanzania expanded the responsibilities of local management committees of schools and dispensaries. The effects on the way in which these management committees engage with central government and with the local polity are examined. Author(s): Prinsen, Gerard Source(s): , xi, 322 p., ill., graphs, maps, tabs…

VNG international’s Local government capacity programme

Abstract: The 2012-2016 plan for the Local Government Capacity Programme (LGCP) Programme of the Association of Netherlands Municipalities (VNG) is outlined. The consequences of the new priorities of Dutch international development policy (water, agriculture, security, reproductive health) are highlighted. Author(s): VNG Source(s): , 10 p., ill., tabs Published: 2011 VNG international, The Hague (English ISBN/ISSN:…

Improving the implementation of health workforce policies through governance : a review of case studies

Abstract: A study of 4 governance dimensions (including performance, which has an important decentralization component) on human resources for health (HRH) in low- and middle-income countries (LMIC). Governance to improve HRH must be viewed as inseparable from the wider health system and state governance. Author(s): Dieleman, Maria Areke; Shaw, Daniel M.P.; Zwanikken, Prisca Source(s): ,…

Equalising sub-national governments’ spending needs in a developing country : the case of Tanzania

Abstract: Many countries use fiscal equalization to alleviate fiscal disparities created by decentralization. Application of a new method to estimate spending needs of local governments in developing countries shows that many Tanzanian districts are underfunded for health services. Author(s): RU Groningen Source(s): , 30 p., ill., graphs, tabs Published: 2011 Rijksuniversiteit Groningen (RuG), [Groningen (English…

Global forum on local development (GFLD) : pursuing the MDGs through local government, Kampala, Uganda, October 4th-6th, 2010

Abstract: WEBSITE: The goal of the Global Forum on Local Development is to broaden and deepen the paradigm of local development through democratic local governments to achieve the MDGs, and to unpack what it takes for local governments to deliver local development outcomes. Author(s): UNCDF Source(s): , Published: 2010 United nations capital development fund (UNCDF),…

Decentralisation, governance and health-system performance : ‘where you stand depends on where you sit’

Abstract: Drawing on evidence from Bolivia, Chile, India, Pakistan, Philippines, and Uganda, it is shown that a balance between centralisation of some functions and decentralisation of others, along with improved mechanisms of accountability, is needed to achieve health system objectives. Author(s): Mitchell, Andrew; Bossert, Thomas J. Source(s): , Development policy review; Vol. 28, Issue 6…

Improving district level health planning and priority setting in Tanzania through implementing accountability for reasonableness framework : perceptions of stakeholders

Abstract: The analysis of health care priority-setting in Tanzania suggests that the Accountability for Reasonableness framework could be an important tool for improving priority-setting processes in the contexts of resource-poor settings. Author(s): Maluka, Stephen Source(s): , BMC Health services research; vol. 10, no. 322 44 p., ill., tabs BMC Health services research vol. 10, no.…

Zimbabwe in transition : what about the local level?

Abstract: An examination of local governance in Zimbabwe in 2009 showed that local administration officials are much better educated and more experienced than local elected officials. Contrary to the opinion of these local officials, citizen involvement is actually quite weak. Health care is in a poor state. Author(s): Bland, Gary Source(s): , RTI research report…

An assessment of decision space and [district] health care sector performance following decentralisation in Kenya

Abstract: Decentralisation is beginning to bring some positive change to the district health sector in Kenya, but more needs to be done to support or subsidize poor districts. Author(s): Otieno, Mathews Odunga Source(s): , viii, 53 p., ill., graphs, tabs, 30 cm Published: 2009 Royal tropical institute (KIT) [etc.], Amsterdam (English ISBN/ISSN: / Link: http://dare.uva.nl/cgi/arno/show.cgi?fid=183294