Too often, government leaders fail to adopt and implement policies that they know are necessary for sustained economic development. Political constraints can prevent leaders from following sound technical advice, even when leaders have the best of intentions. Making Politics Work for Development: Harnessing Transparency and Citizen Engagement focuses on two forces—citizen engagement and transparency—that hold the key to solving government failures by shaping how political markets function.

A number of approaches have been adopted in medical education geared towards training health professionals that can improve access to health care by communities most vulnerable to inequalities and injustices in health systems. Relevant health professions education is vital for improvements in health and health care access. A symbiotic medical education can improve the quality of health care and impact on career choice, yet the challenge to sustain equitable access to improved health and healthcare particularly for those most in need remains a major global challenge ( Ssewankambo, 2012). Within a decentralized system, such as in Uganda, Local Governments are mandated to ensure health promotion and equitable healthcare for the population under their jurisdiction. Whereas public service reforms have mainly focused on decentralization and good governance (Mamdani, 2012, Stiglitz, 2012), the role of curriculum reforms in addressing health and health care challenges through needs-based education of health professionals has been largely ignored. Through an analysis of the challenges of health care within a decentralized Local Government setting, this paper, by presenting experiences from one public university in Uganda, reveals how a partnership between Universities and Local Government can go a long way in addressing health disparities and reduction of morbidity and mortality.

This paper provides an overview of key trends and developments impacting on local democracy and is intended to be a broad-ranging background paper to assist in discussions at a workshop organised by the International Institute for Democracy and Electoral Assistance (International IDEA), in partnership with the Commonwealth Local Government Forum (CLGF), to be held in Stockholm in early November 2014, which will bring together academics and practitioners to explore current trends and developments in local democracy.

Uganda’s Government of the National Resistance Movement (NRM) assumed power in 1986, in an environment of political turmoil, and initiated a policy of decentralisation as a way of restoring state credibility and deepening democracy. Decentralisation was accordingly legislated under the Local Government Act of 1997, as a framework act directing the decentralisation process. The aim of the Act was to enable implementation of decentralisation provisions provided for under Chapter 11 of the 1995 National Constitution. The decentralisation policy in Uganda aimed at improving local democracy, effectiveness, efficiency and sustainability in the delivery of essential services country-wide. Improved service delivery was in turn expected to make significant positive impact on people’s quality of life. Unfortunately, the implementation of decentralisation appears to have concentrated more on administrative objectives as a means of promoting popular democracy and less on service delivery which would have led to economic transformation and better lives for the majority of Ugandans, and now new districts are being created without corresponding improvements in service delivery. Surprisingly, this is happening in the midst of external praise that decentralisation reform in Uganda is one of the most far-reaching local government reform programmes in the developing world. The paper explores the role of decentralisation in development and how it can be undermined by political factors. It highlights the development of decentralisation in Uganda, discusses its achievements, failure and challenges, and concludes that the decentralisation programme which was ambitious and politically driven has had mixed results in terms of enhancing service delivery and should be seriously reviewed and strengthened if it is to remain as a role model in Africa.

Review of the book: "Municipal Infrastructure Financing Innovative Practices from Developing Countries" edited by Munawwar Alam