Decentralization and Public Service Delivery in Uganda Local Governments: An Exploratory Study of Service Improvement, Access, and Quality in the Mount Elgon Region.

Abstract

This paper studies how decentralization affects public service delivery in Ugandan local governments. It looks at the Mount Elgon region. The main research problem explores the connection between decentralization and better access to public services. It also looks at service quality and delivery. The study uses two research methods. It combines qualitative data from detailed interviews with quantitative data from surveys. These data show how stakeholders view service outcomes. Findings show that decentralization can improve service delivery. It increases local responsiveness and accountability. Large challenges still exist regarding fair access and quality. This is true for healthcare services. Stakeholders reported better service responsiveness and citizen engagement. Gaps in access for marginalized groups still exist. These gaps raise concerns about how inclusive decentralized systems are. This research shows why we must fit decentralization policies to the healthcare sector. It calls for tailored strategies that focus on work speed and fairness. The results of this study apply outside the Mount Elgon region. They offer facts for policymakers and workers who manage decentralization across sub-Saharan Africa. This work adds to the discussion on public service delivery. It points out the need to check and change decentralization plans often. This helps meet the different needs of local people.