The global-local dilemma of a Ministry of Health: Experiences from Uganda
Jeppsson,Anders; Birungi,Harriet; Ostergren,Per-Olof; Hagstrom,Bo
Health Policy 72(3): 311-320
Publication date: 2005
Despite extensive reforms, including an overall decentralization of government, health services and health status remain largely unchanged in Uganda. Given its dependence on international resources, policies and paradigms, the Ministry of Health (MOH) paradoxically disembeds itself increasingly from the local community while attempting to improve its local connections. This article suggests a model for understanding and addressing these difficulties.