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Related Experiment Videos

SWAp dynamics in a decentralized context: experiences from Uganda.

Anders Jeppsson1

  • 1Ministry of Health, P.O. Box 7822, Kampala, Uganda. jep@imul.com

Social Science & Medicine (1982)
|October 31, 2002
PubMed
Summary
This summary is machine-generated.

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Uganda's Ministry of Health (MoH) has gained significant power by defining the Sector-Wide Approach (SWAp) process, influencing donor interactions and health sector direction despite decentralization efforts.

Area of Science:

  • Public Health
  • Health Policy
  • Development Studies

Background:

  • Sector-Wide Approaches (SWAps) in developing countries involve complex power dynamics.
  • Understanding the Ministry of Health's (MoH) role in SWAp development is crucial for effective health sector reform.
  • Decentralization in Uganda has shifted responsibilities but not necessarily power away from the central MoH.

Purpose of the Study:

  • To examine the Ministry of Health's (MoH) role and power dynamics in Uganda's health Sector-Wide Approach (SWAp) development.
  • To analyze how SWAps have reshaped interactions between the MoH, donors, and districts.
  • To understand the influence of the MoH in defining the SWAp's content, boundaries, and trajectory.

Main Methods:

  • Qualitative analysis of the SWAp development process in Uganda.

Related Experiment Videos

  • Examination of power dynamics and influence within the health sector.
  • Review of institutional frameworks and policy shifts related to SWAps.
  • Main Results:

    • The MoH has consolidated significant power in defining the SWAp, often aligning with donor-driven blueprints.
    • SWAps have shifted interactions from technical areas to a sector-wide perspective, redefining central-district and MoH-donor relationships.
    • Emerging strategies in the SWAp implementation phase are characterized by ambiguity and contradictions.

    Conclusions:

    • Despite decentralization, the MoH in Uganda has strategically utilized SWAp development to assert central authority and influence.
    • The SWAp framework has become a tool for the MoH to manage relationships with both domestic and international stakeholders.
    • The transition to SWAp implementation in Uganda presents evolving challenges and necessitates careful navigation of emerging strategies.