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Decentralization exercise. Group 2 (Facilitator Dr. Farag). What form of decentralization?. Deconcentration vs. Devolution Conditional transfer of power to homologue inferior structures
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Decentralization exercise Group 2 (Facilitator Dr. Farag)
What form of decentralization? • Deconcentration vs. Devolution • Conditional transfer of power to homologue inferior structures • Isolated initiative of MoH, therefore no shift of functions to separate administrative structures possible • Local government not involved • Ergo: DECONCENTRATION
Extent of decentralization I * *)Changes highlighted in yellow
General comments on matrix • Relatively difficult to interpret • The plusses have different significations according to categories (decision space, capacity) • Sequence and distribution of plusses vague • Aggregated information difficult to disaggregate • Generated a lot of discussion around interpretation and meaning
Essential steps to prepare decentralization I • Principles: • Shift decision making to the lowest level possible while maintaining adequate administrative flows in both directions • Shift in decision making must be preceded by capacity building Central Prov. Information & Planning Budget allocation Peri. Capacity building
Essential steps II • HR development (numbers, capacity) • Management training adapted to decisional space • Improvement of M&E, supervision and HMI system • Preparation of legal framework • Test in Pilot region • Decentralization observatory (Steering committee