No abstract

The last five decades have seen uncountable debates on the impact of decentralization on provision of public services. While it has evidently improved public service delivery in some countries, it has worsened it in others. Kenya implemented devolution in 2013 in the hope of bringing public services nearer to the people. Health was one of the services identified. Yet, the local media has reported negative impact of devolution on provision of health services since 2013. This study sought to look at the actual effect of devolution on access to health care services by analysing secondary quantitative data from the government published data, official statistics, international development agencies’ surveys and reports. Two county governments; Kisumu and Makueni were chosen to represent the urban and rural populations respectively. Contrary to the wider literature on health decentralization, this study found out that devolution did not worsen access to health care services in Kenya. The study attributed this to the nature of devolution adopted in the country where the county governments have considerable authority, decision-making power and responsibility over their counties.

Why do some fuel protests in Nigeria lead to a response from government, but others are barely noticed? What are the politics behind government response and who are the winners and losers? Using a multi-method approach, this study focuses on the period between 2007 and 2017 to investigate the dynamics of fuel protest in Nigeria to ask how, and under which conditions, struggles over energy access in Nigeria produce accountability and empowerment. The findings suggest that accountability and empowerment outcomes of the struggles over fuel access in Nigeria are severely limited by the very conditions that define the state as fragile: weak institutions, elite capture, widespread corruption, and a citizenry that is protest-fatigued and disempowered. This could be true of other fragile and conflict-affected settings. Therefore, frameworks that open up the civic space for dialogues between the government and citizens may produce better outcomes than protests.