The global-local dilemma of a Ministry of Health experiences from Uganda.
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.
Jeppsson
Anders
A
Department of Community Medicine, Lund University, Lund, Sweden. anders.jeppsson@smi.mas.lu.se
Birungi
Harriet
H
Ostergren
Per-Olof
PO
Hagström
Bo
B
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D018672:Community Health Planning / Q000458:organization & administration*; D003159:Community-Institutional Relations; D018954:Drugs, Essential / Q000600:supply & distribution; D017598:Efficiency, Organizational; D018166:Health Care Reform; D006297:Health Services Accessibility; D006801:Humans; D017589:Immunization Programs; D038622:Internationality; D017146:Models, Organizational; D015279:Organizational Culture; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D011635:Public Health Administration; D012941:Social Responsibility; D014454:Uganda
D018954:Drugs, Essential