When a country begins a political transition away from violent conflict or non-democratic rule, there are many difficult steps that it must take. Developing an electoral justice system, which includes the means and mechanisms to ensure that electoral integrity is maintained or restored when an electoral process is damaged by repression, misconduct, or irregularities, may appear to decision-makers to be a secondary concern or even an afterthought. This Policy Paper argues for the establishment of an electoral justice system at the outset of a transition, and before initial elections are held. It explains why doing so, despite the challenges, is so important, and offers recommendations on how to develop such systems, in an environment where an adequate legal framework and strong electoral justice institutions may not yet exist.

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.