Volume 4, Issue 2, June 2019, Page: 35-43
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
Aloysius Mutebi, Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
Xavier Nsabagasani, Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
Fredrick Makumbi, Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
Elizeus Rutebemberwa, Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
Received: Feb. 5, 2019;       Accepted: Mar. 25, 2019;       Published: Apr. 18, 2019
DOI: 10.11648/j.hep.20190402.11      View  354      Downloads  46
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.
District Splitting, District Service Commissions, Constitution, Functionality
To cite this article
Aloysius Mutebi, Xavier Nsabagasani, Fredrick Makumbi, Elizeus Rutebemberwa, 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, International Journal of Health Economics and Policy. Vol. 4, No. 2, 2019, pp. 35-43. doi: 10.11648/j.hep.20190402.11
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Uganda government, ‘Local Governments Act 1997 | Uganda Legal Information Institute’, 1997. [Online]. Available: https://ulii.org/ug/legislation/consolidated-act/243. [Accessed: 22-Jan-2018].
Government of Uganda, ‘THE LOCAL GOVERNMENTS (AMENDMENT) ACT, 2005’, 2005.
Ministry of Local government, ‘Constitution of the Republic of Uganda, 1995 | Uganda Legal Information Institute’, Constitution of the Republic of Uganda, 1995, 1995. [Online]. Available: https://ulii.org/ug/legislation/consolidated-act/0. [Accessed: 20-Feb-2018].
R. J. Thomas, ‘What is Human Resource Management?’, Work Employment & Society. 1988.
H. R. Waters, ‘Measuring equity in access to health care’, Soc. Sci. Med., 2000.
S. Wild-River, ‘The role of local government in environmental and heritage management: Integrative commentary’, prepared for the 2006 Australian State of the Environment Committee, 2006, 2006. .
L. Paina, S. Bennett, F. Ssengooba, and D. H. Peters, ‘Advancing the application of systems thinking in health: Exploring dual practice and its management in Kampala, Uganda’, Health Research Policy and Systems. 2014.
V. Oketcho, I. Ezati, J. Odaga, A. A. Foster, J. McMahan, and L. Muldavin, ‘UGANDA ON TRACK FOR KEEPING HUMAN RESOURCES FOR HEALTH COMMITMENTS’, 2015.
T. Robert, K. Mesharch, and N. Molenaers, ‘New District Creation in Uganda and Local Actors: Passive Recipients or Active Pursuers?’, J. Public Adm. Gov., vol. 8, no. 2, p. 62, May 2018.
E. D. Green, ‘Decentralisation and conflict in Uganda Article (Accepted version) (Refereed) Decentralization and Conflict in Uganda’, Conflict, Secur. Dev., vol. 8, no. 4, pp. 427–450, 2008.
N. Awortwi and A. H. J. Bert Helmsing, ‘Behind the façade of bringing services closer to people the proclaimed and hidden intentions of the government of Uganda to create many new local government districts’, Can. J. Afr. Stud., 2014.
Kimuli Kasara, ‘Ethnic Beachheads and Vote Buying: Explaining the Creation of New Administrative Districts in Kenya, 1963-2001’, 2006. [Online]. Available: https://scholar.google.ch/citations?user=uIrzRUcAAAAJ&hl=de#d=gs_md_cita-d&p=&u=%2Fcitations%3Fview_op%3Dview_citation%26hl%3Dde%26user%3DuIrzRUcAAAAJ%26citation_for_view%3DuIrzRUcAAAAJ%3A_kc_bZDykSQC%26tzom%3D-180. [Accessed: 22-Jan-2018].
H. Ojambo, ‘Decentralisation in Africa: A critical review of Uganda’s experience’, Potchefstroom Electron. Law Journal/Potchefstroomse Elektron. Regsbl., 2012.
The World Bank Group, ‘Administrative Decentralization’, Administrative Decentralization , 2001. [Online]. Available: http://www1.worldbank.org/publicsector/decentralization/admin.htm. [Accessed: 22-Jan-2018].
R. Prud’homme, ‘The dangers of decentralization’, World Bank Res. Obs., 1995.
GoU, ‘National Development Plan (2010/11-2014/15)’, 2010.
G. & Thorogood, ‘Qualitative methodology and health research’, Qual. methods Heal. Res., 2009.
J. Sebbowa and Joseph, ‘The capacity of District Service Commissions to manage the recruitment function for Local Governments in Uganda, the case of Luweero District, (1997-2005)’, 2010.
journalists association, ‘Challenges in Civil Service in Uganda - Fortune Of Africa - Uganda’, 2011. [Online]. Available: http://fortuneofafrica.com/ug/challenges-in-civil-service-in-uganda/. [Accessed: 25-Jan-2018].
Panelists, ‘Creation of NEW DISTRICTS in Uganda: The Myths, the Truth and the Lies. | Politics of Growth and Good Governance worldwide.’, 2012. [Online]. Available: http://ekimeeza.blogspot.com/2012/07/creation-of-new-in-uganda-myths-truth.html. [Accessed: 20-Jan-2018].
D. K. Singiza and J. de Visser, ‘Chewing more than one can swallow: the creation of new districts in Uganda’, Law, Democr. Dev., 2011.
Onyach-Olaa Martin, ‘Op-Ed: Does creation of new districts improve service delivery?’, 2012. [Online]. Available: http://www.worldbank.org/en/news/opinion/2012/09/25/op-ed-does-creation-of-new-districts-improve-service-delivery. [Accessed: 22-Oct-2017].
Uganda government, ‘Physical Planning Act, 2010, 2010 | Uganda Legal Information Institute’, 2010. [Online]. Available: https://ulii.org/ug/legislation/act/2015/8-10. [Accessed: 11-Jan-2018].
Kavuma Richard, ‘Explainer: Local government structures in Uganda | Katine | The Guardian’, 2009. [Online]. Available: https://www.theguardian.com/katine/2009/dec/14/local-government-explainer. [Accessed: 18-Feb-2018].
Rajab Mukombozi, ‘Government lacks political will to improve district funding, say local leaders - Daily Monitor’, 2017. [Online]. Available: http://www.monitor.co.ug/News/National/Government-political-will-improve-district-funding-local-leaders/688334-4179026-96ugtd/index.html. [Accessed: 25-Feb-2018].
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