Governance & Service Delivery in Africa

Health service delivery is the key interface between the health system and the population. Adequate Health service delivery structures are critical for the achievement of the Millennium Development Goals and are directly linked to intermediary results related to access and quality. In many countries in SSA, existing service delivery structures function sub-optimally and do not reach the required outcomes due to specific weaknesses such as inadequate health personnel, overwhelming reliance on the public sector, lack of evaluation of fragmented categorical programs (Nutrition, HIV/AIDS, MCH etc) , and lack of strategies to identify alternative service delivery models. In addition, service delivery is often hampered by poor governance and accountability mechanisms exemplified by a lack of required frameworks and institutions, little involvement of the community, and few transparent and effective financial reporting mechanisms. The focus on strengthening service delivery, governance and accountability (SDGA) structures in Sub-Saharan Africa is a key objective of HHA, and this page provides a wide range of information on SDGA (country snapshots, assistance provided, news) as well as an opportunity to interact on all aspects related to SDGA (Blog and Community Of Practice).