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Understanding Decentralization: Deconcentration vs. Devolution

Learn about conditional transfer of power in inferior structures, the role of MoH, and steps for effective decentralization. Discover various extents and key principles. Essential steps and preparations for successful implementation are detailed, along with potential challenges and discussions.

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Understanding Decentralization: Deconcentration vs. Devolution

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  1. Decentralization exercise Group 2 (Facilitator Dr. Farag)

  2. 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

  3. Extent of decentralization I * *)Changes highlighted in yellow

  4. Extent of decentralization II

  5. Extent of decentralization III

  6. Extent of decentralization IV

  7. 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

  8. 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

  9. 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

  10. The End

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