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SWAp dynamics in a decentralized context: experiences from Uganda

Jeppsson, Anders LU (2002) In Social Science and Medicine 55(11). p.2053-2060
Abstract
This paper examines the role of the Ministry of Health (MoH) in Uganda in the process of developing a Sector-Wide Approach (SWAp) within the health sector. Power dynamics are integral to any understanding of development assistance, and SWAps bring with them new opportunities for the deployment of influence. The SWAp process has changed the interaction between the donors and the Government, and the perspective of this interaction has shifted from various technical areas to the entire health sector. It is argued that although the decentralization of the public sector has transferred considerable responsibilities and duties from the central level to the districts, significant power, defined as a social construct, has been generated by the MoH... (More)
This paper examines the role of the Ministry of Health (MoH) in Uganda in the process of developing a Sector-Wide Approach (SWAp) within the health sector. Power dynamics are integral to any understanding of development assistance, and SWAps bring with them new opportunities for the deployment of influence. The SWAp process has changed the interaction between the donors and the Government, and the perspective of this interaction has shifted from various technical areas to the entire health sector. It is argued that although the decentralization of the public sector has transferred considerable responsibilities and duties from the central level to the districts, significant power, defined as a social construct, has been generated by the MoH in the very process of developing SWAps. The MoH has been able to exercise significant influence on defining the content and boundaries of the SWAp process, as well as the direction it is taking. This development has largely followed blueprints drawn by donors. Through the institutional framework associated with SWAps, the MoH has redefined the interaction between the central level and the districts as well as between the MoH and the donors. While the SWAp process is now moving from the planning to the implementation phase in Uganda, we see a number of new, changing, ambiguous and contradictory strategies emerging. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Social Science and Medicine
volume
55
issue
11
pages
2053 - 2060
publisher
Elsevier
external identifiers
  • pmid:12406470
  • scopus:0036972740
ISSN
1873-5347
DOI
10.1016/S0277-9536(01)00345-8
language
English
LU publication?
no
id
7c81a674-b024-49bf-a400-6c3f3d054c25 (old id 1125074)
date added to LUP
2008-05-23 09:24:24
date last changed
2017-11-19 03:35:58
@article{7c81a674-b024-49bf-a400-6c3f3d054c25,
  abstract     = {This paper examines the role of the Ministry of Health (MoH) in Uganda in the process of developing a Sector-Wide Approach (SWAp) within the health sector. Power dynamics are integral to any understanding of development assistance, and SWAps bring with them new opportunities for the deployment of influence. The SWAp process has changed the interaction between the donors and the Government, and the perspective of this interaction has shifted from various technical areas to the entire health sector. It is argued that although the decentralization of the public sector has transferred considerable responsibilities and duties from the central level to the districts, significant power, defined as a social construct, has been generated by the MoH in the very process of developing SWAps. The MoH has been able to exercise significant influence on defining the content and boundaries of the SWAp process, as well as the direction it is taking. This development has largely followed blueprints drawn by donors. Through the institutional framework associated with SWAps, the MoH has redefined the interaction between the central level and the districts as well as between the MoH and the donors. While the SWAp process is now moving from the planning to the implementation phase in Uganda, we see a number of new, changing, ambiguous and contradictory strategies emerging.},
  author       = {Jeppsson, Anders},
  issn         = {1873-5347},
  language     = {eng},
  number       = {11},
  pages        = {2053--2060},
  publisher    = {Elsevier},
  series       = {Social Science and Medicine},
  title        = {SWAp dynamics in a decentralized context: experiences from Uganda},
  url          = {http://dx.doi.org/10.1016/S0277-9536(01)00345-8},
  volume       = {55},
  year         = {2002},
}