Governance, Citizenship, and Accountability: Community-Centered Development in the Ugandan Health Sector

Widespread accountability gaps in the public health sectors of low- and middle- income countries account for many government failures to deliver available, affordable health interventions. In Uganda, local political leaders have the potential to mitigate accountability problems by monitoring service provision at government health centers—but few do so. Limited citizen-politician information flow and inadequate politician training may explain this observation. I therefore propose a pilot study of two interventions: (a) quarterly citizen reporting meetings with local politicians on health service delivery and (b) politician skills training on monitoring local government health centers. The study will be one of a few to evaluate governance interventions targeting political economy inefficiencies.