Current Issues in Sector-wide Approaches for Health by Adrienne Brown, World Health Organisation

By Adrienne Brown, World Health Organisation

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Managing relationships between governments and development partners: what have we learnt about the negotiation/transaction costs of SWAps? How effective are the various types of accord/compact / MOUs? What conclusions can be drawn about the need for and effectiveness of, conflict resolution systems? Is there any evidence that processes such as UNDAF have increased the effectiveness of UN agencies as participants in sector programmes? planning: a great deal of emphasis has been placed on the preparation of sectoral plans of different kinds: what conclusions can be drawn about sectoral planning processes?

MoH, 1999f. 23 Current Issues in Sector-wide Approaches for Health Development Uganda Case Study including that from NGOs, districts have continued to build new health centres. HSD boundaries correspond with those of electorates so there is often a political motivation for establishing a high profile indication of a health programme. Part of the problem with the response that HSSP is receiving may be the way it has been developed. At the October 1999 GoU / donor Consultative Meeting representatives from districts expressed their lack of enthusiasm about producing additional five year plans in addition to their usual integrated three year programmes.

From interview. 49 MoH, 1999f. 4 Uganda Case Study Decentralisation The decentralised structure of health delivery in Uganda presents MoH with one of its biggest challenges for HSSP implementation. 4). The rationale was that district health managers would know local needs best and allocate accordingly. A review in 1998 and other research has suggested that there was some improvement in the quality of services50, that local officials and communities were more involved in health systems management, capacity for planning and managing budgets had increased, and that in some cases there was an improved range of services51.

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