Uganda embarked in 1993 on radical decentralization, among other reasons, to enhance local governance and local democracy. The major focus of the decentralization policy was on empowering citizens to participate in decisions that affect their localities. This issue will be examined based on two major themes of the twelve principles of the Commonwealth’s ‘Aberdeen Agenda’ for local democracy – the enabling environment and participation. However, the paper argues that Uganda’s devolutionary decentralization can only foster local governance and local democracy if it is properly conceptualised, the facilitating conditions are given careful attention, and the institutional framework is sufficiently elaborate and effective to enable it to achieve its intended objectives. Short of these measures, the gap between intent and reality might be so great as to disable the decentralization policy from achieving real local governance and local democracy.

Rwanda is the country with the highest enrolment in health insurance in Sub-Saharan Africa. Pivotal in setting Rwanda on the path to universal health coverage is the community-based health insurance (CBHI), which covers three-quarters of the population. Despite the importance of the Rwandan case, analyses of the history and politics behind the scheme are largely absent. This article fills this gap by identifying the political drivers behind its development. It engages in process-tracing of the critical policy choices regarding the CBHI: the design of the first pilot, the decision to make enrolment mandatory, the policies to ensure its adequate funding, and the strategy of day-to-day implementation. It argues that the commitment to expanding health coverage is part of the broader efforts of the ruling coalition to foster its legitimacy based on rapid socio-economic development in a context of a dominant political settlement. The paper also argues that CBHI was chosen as a solution to expand access to healthcare over other approaches because it was the policy option that was the most compatible with the ruling coalition core paradigmatic ideas of popular participation, individual and national self-reliance.

This paper summarises key findings from a comprehensive analysis commissioned by the Japan International Cooperation Agency (JICA) of the nature of decentralisation in the three East African countries: Kenya, Uganda and Tanzania.The specific objectives of the study were: Provide a basic comparative analysis of the forms and processes of decentralisation reforms in the three countries. Analyse the specific modalities in the three countries for local service delivery planning and provision within the three sectors of basic education, primary health care and agricultural extension, with a particular emphasis on rural areas. TIDEMAND: Local level service delivery, decentralisation and governance: A comparative study of Uganda, Kenya and Tanzania CJLG May 2009 145. Explore the impact of the specific forms of decentralisation and local level service delivery arrangements in terms of efficiency, accountability (transparency) and democratic process (participation).

Andrew Sancton combines his own broad knowledge of global changes with an outline and comparison of the viewpoints of prominent social scientists to argue that city regions in western liberal democracies will not and cannot be self-governing. Self-government requires a territory delineated by official boundaries, but the multiple boundaries of city-regions, unlike the clear and undisputed boundaries of provinces and states, continue to move outward due to the constant growth and expansion of urban populations and services.

Decentralization - an essential pillar of institutional reform - is of critical importance in developing countries, particularly in regard to democratization, effective development, and good governance. Uganda, since 1986 and the start of decentralization measures under Yoweri Museveni and the National Resistance Movement, has represented one of the most serious commitments in Sub-Saharan Africa. With the benefit of extensive fieldwork, Fumihiko Saito demonstrates how conflict resolution, information dissemination, and encouragement of the many and varied stakeholders to form partnerships are critical to successfully bringing services "closer to the people. Decentralization and Development Partnerships: Lessons from Uganda goes beyond theory to compare academic assumptions to the reality of decentralization implementation in modern Uganda. Although the process is by no means free of difficulties, Saito concludes that a "win-win" outcome is a real possibility.