Strengthening Decentralization at the Local Level




Management Sciences for Health


All decentralization initiatives require making changes in the structure of the agency or organization, which means making changes in how the work gets done. It means developing new management systems, training staff in the skills that they will need to perform in their new roles, designing or modifying service delivery systems, and developing strategies for enhancing the long-term sustainability of the program. The following guidelines can help you, the local manager, assess the status and implications of a decentralized environment so that you can function effectively in the new organizational environment. [From author]


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