Decentralizing Health and Family Planning Services

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In recent years, some ministries of health around the world have embarked on a process of decentralization. Many non-governmental organizations are also interested in transferring decision-making powers to the field level, and donors are promoting decentralization by supporting initiatives that increase the management capacity of field-level managers, so they can use their new powers wisely and effectively.

Whether your government or organization is planning a decentralization initiative or decentralization has already begun, you should know what the goals of the decentralization initiative are, how it can benefit your clients, and how your job and your role in the overall program will be affected. This issue of The Family Planning Manager explores the changing roles of managers at the central and local levels and the management skills they must have to function effectively in a decentralized environment.