Abstract
In Uganda district splitting occurs when new districts are created out of old districts using existing boundaries which usually constitute a health sub district or county boundary. The Ugandan system of local governance is based on the district as a functional unit under which there are lower local governments and administrative units that follow the devolution system of decentralisation. The aim of this study was therefore to assess issues affecting constitution, functionality and operationalization (establishment and appointment) of District Service Commission (DSCs). This was an exploratory cross-sectional study that used qualitative methods about the implications of the phenomenon of district splitting (creation) in relation to constitution and functionality of the district service commissions and human resources for health management. We purposively collected data from 16 key informants based on their roles and responsibilities on the DSCs. Out of the eight districts in the study, only one district constituted a fully functional DSC while the remaining seven districts managed to constitute DSCs in a period between 6 and 12 months. This study shows that splitting negatively affected both the parent and child (new) districts in sense that they could not constitute a complete committee within the stipulated time of three months. Generally, all the districts have had challenges in constituting the DSCs of 5-7 commission committee members. Only one in the eight districts had managed to constitute a full committee within three months of post-splitting. After districts are split, majority of the DSCs especially in the child districts took over almost a year to be constituted and fully functional due to mainly lack of qualified members for example retired senior civil servants in these districts. All the eight districts had a challenge of political interference during the process of appointing the technical team, which delayed constitution of quorum of DSCs in the districts. Lack of resources to carry out most of the DSC functions was also mentioned in all districts as a major hindrance to the district councils which were responsible for appointing DSC members. The DSCs should be allowed to operate with no political interference and this can be enacted as a law by parliament.
Highlights
Local governments are critical for effective service delivery worldwide
A district service commission is supposed to consist of a chairperson, a secretary and such other members as a district council shall determine, at least one of whom shall represent urban authorities and all of whom shall be appointed by the district council on the recommendation of the district executive committee with the approval of the Public Service Commission
According to what was reported in the interviews, the process of appointing and operationalization of District Service Commission (DSCs) started after a child district had been approved by parliament
Summary
Local governments are critical for effective service delivery worldwide. In Uganda, district splitting is the creation of new districts by separating the old district along existing boundaries which usually constitute a health sub district or county boundary. The local governance system in Ugandan is based on the district as a functional unit under which there are lower local governments and administrative units that follow the devolution system of decentralisation. Aloysius Mutebi et al.: Exploring the Implications of District Splitting on the Constitution and Functionality of District Service Commissions in Uganda: A Case Study of 8 Districts in Uganda with article 179 of the Constitution [1]. Uganda has a highly decentralised governance system under which the role of structures such as the district service commission (DSC) cannot be underestimated. For the newly created districts, the DSCs are supposed to be enacted or established within three months but they have always encountered political and administrative challenges while fulfilling the requirements so as to be fully operational. There are issues that affect establishment and operation of DSCs that need to be understood
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
More From: International Journal of Health Economics and Policy
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.