All over the world, devolution of healthcare services has produced both encouraging and non encouraging results. While some countries/regions have rolled out devolution of healthcare successfully, others have failed. In some countries devolution considerably raised resource allocation in response to local health needs, improved community participation and promoted decision making from the ground upwards. Devolution has been advocated as a cure to most health care problems, and African countries have increasingly adapted it as an intervention to bad governance and solution to institutional handicaps experienced with governments which are centralized.
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