Can decentralization of health services improve health service delivery in Ug
Center for Rapid Evidence Synthesis (ACRES)DRRES-10
This Rapid Response should be cited as
ACRES (2011) Can decentralization of health services improve health service delivery in Uganda; A Rapid Response Brief. Kampala: The Center for Rapid Evidence Synthesis
Summary
Background: Many developing countries face challenges in providing quality and equitable healthcare, especially to marginalized populations. Decentralization has been implemented in various forms for over two decades. Findings: Decentralization has the potential to improve health service delivery by enhancing efficiency, quality, and responsiveness to local needs. Uganda's experience has shown some successes, such as improved immunization coverage, but also significant challenges. Conclusion: Decentralization's success depends on addressing key challenges including enhancing local government capacity and ensuring financial autonomy and accountability.