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Equity in public services in Tanzania and Uganda (Inglês)

The context of this note is the concern in both Uganda and Tanzania that the distribution of public servants in both countries has been uneven, leading to inequity in the delivery of public services, with lower quality services linked to persistent poverty in certain underserved or hard-to-reach and stay (HTRS) areas. The note looks in detail at the nature of the problem as it affects education and health services, assesses measures already in place to tackle inequity, and makes recommendations to address the problem in the immediate as well as the long-term. In focus in this note are those areas that suffer from having far below average numbers of public servants, and consequently far below average public services. In Tanzania such areas are more commonly referred to as under-served and again additional resources have been allocated to them. Governments have so far responded with relatively conventional measures, such as financial incentives for staff and improved living conditions. While both of these are important, the scope and depth of the issue requires a more radical approach. A range of ideas is offered for each country, and these are then presented in a matrix. Three priorities needs emerge for both countries: 1) to consider demand as well as supply-side measures, in particular to strengthen Government accountability; 2) to address fiscal constraints by changing policies on allowances which currently favor those at the centre of government, and by giving HTRS areas greater financial management flexibility; and 3) to put a time limit on the assessment of measures to fix the state, leaving open the possibility that market mechanisms might eventually present the best option in dealing with inequity in public services.

Detalhes

  • Data do documento

    2011/04/30

  • TIpo de documento

    Outro estudo sobre infraestrutura

  • No. do relatório

    56511

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Tanzânia,

  • Região

    África,

  • Data de divulgação

    2012/12/11

  • Disclosure Status

    Disclosed

  • Nome do documento

    Equity in public services in Tanzania and Uganda

  • Palavras-chave

    Human Resource Management System;global burden of disease;data collection and validation;quality of public service;primary school leaving exam;Human Resources for Health;education and health;number of teachers;Access to Electricity;resources for education;Service Delivery Indicators;consultations with stakeholders;weights and measure;lack of infrastructure;gross enrolment rate;primary school education;water and electricity;human resource deployment;global economic crisis;incentives for performance;improving service delivery;remote rural area;pay for performance;senior education specialist;mobility of people;demand for good;service delivery standard;primary health care;Agriculture Extension Services;performance management process;primary school teacher;quality of house;access to health;performance management system;Health Service Delivery;terms of education;local government authority;lack of accessibility;management consultant;public education system;nurses and midwives;Health Workers;Wage Bill;developmental outcomes;teacher absence;remote area;accountability measure;supply-side measure;public servant;ugandan shilling;class teacher;policy option;supply side;Education Services;living condition;decentralized system;service commission;school visit;work load;educational outcome;health centre;development partner;opportunity cost;quality service;human factor;persistent poverty;standing order;delivery problem;Teacher Attendance;adequate housing;maternity leave;personnel management;school inspection;town council;administration cost;housing census;poverty criterion;international ngos;limited resources;field visits;equitable allocation;recurrent budgets;equity more;health establishment;catchment population;veto power;decentralized service;baseline study;career progression;government intervention;rural parts;incentive scheme;effective performance;aids pandemic;disciplinary action;aids epidemic;job satisfaction;medical doctor;expert meeting;staff fund;patient visits;staff recruitment;population number;incentive policy;market base;health resource;formal communication;annex annex;drug budget;global health;remote district;whooping cough;common sense;poor road;Affordable Transport;poor attendance;experienced teacher;female teacher;security risk;Learning and Innovation Credit;disciplinary measure;vicious cycle;food supply;geographical difference;education status;financial resource;global context;financial constraint;fair share;district leadership;market mechanism;long-term impact;narrative structure;natural factors;rough terrain;spatial distribution;career development;water bodies;student enrolment;staff ratio;government staff;security criterion;social amenities;safe water;adequate health;district authority;staff housing;attrition rates;rapid change;aggregate data;anecdotal evidence;equity issue;internal accountability;financial incentive;fiscal constraint;push factor;schooling quality;contextual factor;professional behaviour;professional misconduct;teacher management;absenteeism;

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