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Restructuring a ministry of health - an issue of structure and process: a case study from Uganda.

Jeppsson, Anders LU ; Östergren, Per-Olof LU and Hagström, Bo (2003) In Health Policy and Planning 18(1). p.68-73
Abstract
This paper analyzes the recently undertaken restructuring of the Ministry of Health in Uganda, which was carried out because the previous structure did not comply well with the decentralization framework or policy. The Ministry was put under pressure by higher political levels, supported by the donor community, to restructure. The paper describes the principles that were guiding this operation, and assesses whether these principles relate to the final outcome and whether the outcome was actually as expected. This paper also analyzes the reasons for the achieved, or not achieved, results and suggests the way forward.



The outcome of the restructuring procedure in terms of change in number of employees was small. The... (More)
This paper analyzes the recently undertaken restructuring of the Ministry of Health in Uganda, which was carried out because the previous structure did not comply well with the decentralization framework or policy. The Ministry was put under pressure by higher political levels, supported by the donor community, to restructure. The paper describes the principles that were guiding this operation, and assesses whether these principles relate to the final outcome and whether the outcome was actually as expected. This paper also analyzes the reasons for the achieved, or not achieved, results and suggests the way forward.



The outcome of the restructuring procedure in terms of change in number of employees was small. The foundation, in terms of a certain structure, has been laid for the Ministry of Health to function in its new role as a coach more than a player, but the work to establish a functioning process is far from complete.



The issue is to make actors at various levels relate to each other, and thereby establish appropriate processes within the existing structure that will help the Ministry develop into a dynamic body. The importance of finding forms for interaction, involving face-to-face relationships between the Ministry and service delivery level, is stressed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
administrative reform, policy implementation, decentralization, health sector, Uganda
in
Health Policy and Planning
volume
18
issue
1
pages
68 - 73
publisher
Oxford University Press
external identifiers
  • wos:000181418500007
  • pmid:12582109
  • scopus:0037374452
ISSN
0268-1080
DOI
10.1093/heapol/18.1.68
language
English
LU publication?
yes
id
93d0f9d3-4351-4ba9-b0f1-76e969841a89 (old id 112328)
date added to LUP
2007-07-24 12:19:05
date last changed
2018-01-07 06:09:46
@article{93d0f9d3-4351-4ba9-b0f1-76e969841a89,
  abstract     = {This paper analyzes the recently undertaken restructuring of the Ministry of Health in Uganda, which was carried out because the previous structure did not comply well with the decentralization framework or policy. The Ministry was put under pressure by higher political levels, supported by the donor community, to restructure. The paper describes the principles that were guiding this operation, and assesses whether these principles relate to the final outcome and whether the outcome was actually as expected. This paper also analyzes the reasons for the achieved, or not achieved, results and suggests the way forward.<br/><br>
<br/><br>
The outcome of the restructuring procedure in terms of change in number of employees was small. The foundation, in terms of a certain structure, has been laid for the Ministry of Health to function in its new role as a coach more than a player, but the work to establish a functioning process is far from complete.<br/><br>
<br/><br>
The issue is to make actors at various levels relate to each other, and thereby establish appropriate processes within the existing structure that will help the Ministry develop into a dynamic body. The importance of finding forms for interaction, involving face-to-face relationships between the Ministry and service delivery level, is stressed.},
  author       = {Jeppsson, Anders and Östergren, Per-Olof and Hagström, Bo},
  issn         = {0268-1080},
  keyword      = {administrative reform,policy implementation,decentralization,health sector,Uganda},
  language     = {eng},
  number       = {1},
  pages        = {68--73},
  publisher    = {Oxford University Press},
  series       = {Health Policy and Planning},
  title        = {Restructuring a ministry of health - an issue of structure and process: a case study from Uganda.},
  url          = {http://dx.doi.org/10.1093/heapol/18.1.68},
  volume       = {18},
  year         = {2003},
}