Health
Designing Local Democracy for Health: Evidence from a Randomized Controlled Trial on Public Participation in Kenya
Participatory governance mechanisms, particularly participatory budgeting (PB), aim to give citizens a direct role in public spending decisions. While celebrated globally, evidence of their real-world impact, especially in low-income settings is limited. Study Design We conducted a randomized controlled trial (RCT) in Elgeyo-Marakwet County, Kenya, assigning 200 villages to one of three PB formats: consultation,…
Equitable Healthcare Provision in a Resource-constrained Setting
This case scenario from Homa Bay County, Kenya, illustrates efforts by a local government to provide equitable healthcare to its citizens during limited resources being scrambled for by all government sectors. These challenges, combined with a high disease burden, contributes to a low quality of life in the County.The purpose of this scenario is to…
Partnership and governance for health and resilience
The ICLD partnership between Homa Bay County and Region Västerbotten has been a driving force behind the development of a Memorandum of Understanding (MoU) on partnership and governance for health and resilience in relation to climate and the environment in the Kenyan Lake Region. The MoU has been signed by Kisumu, Siaya, Homa Bay, Migori, and Busia…
Secure and Develop Childrens Rights
A step-by-step guide to conducting a Child Rights Ambassador Training Programme This toolbox presents a training programme for Child Rights Ambassadors, developed as part of one of four projects carried out within an ICLD-funded partnership between Region Stockholm, Sweden, and Jinja City, Uganda (2022–2025). The work was implemented by staff from Astrid Lindgren Children’s Hospital…
Region Stockholm and Jinja, Uganda
Project: Child Thrive Projects (2) Region Stockholm and its partner Jinja Municipal Council in Uganda are planning two one-year project. On of the project will strengthen the quality of care for children with neurological conditions by increasing awareness of children’s rights among healthcare staff and guardians, reducing stigma, and enhancing inclusion in society. The initiative will…
Region Västerbotten and Homa Bay County, Kenya
Project: Assessing Organizational Capacity on Human Resources for Resilient Health Systems in Homa Bay County 2025-0023: Expansion Region Västerbotten and its partner Homa Bay County in Kenya are planning a one-year project to build on achievements from previous collaborations on health workforce development. The project will strengthen organizational capacity in Homa Bay County by addressing challenges related to…
Region Västerbotten, Vaupes and Amazonas, Colombia
Project: Equitable health in sparsely populated areas – women’s and indigenous perspectives Region Västerbotten, Vaupes and Amazonas in Colombia, will together address the fact that indigenous women and youth in rural Colombia, face severe human rights violations, especially regarding health access. Geographic and sociocultural barriers limit their access to quality services, leading to high maternal…
Call for proposals: Health equity in decentralized democracy
Note: this call is closed. The project funded from this call is described here: Open call for proposals for research on the nexus between local democracy and equitable health provision. Background Democracy is essential for achieving good health globally.1 A recent comprehensive study by Bollyky et al. (2019) asserts that “democracies are more likely than…
Region Västerbotten and Homa Bay County, Kenya
Project: Peer Learning Practioners Project for Youth Health in Homa Bay County The partners have collaborated within the programme since 2017 and is currently involved in a project about youth health. This project application is designed to be an addition to the already ongoing project, representing an effort to broaden collaborations and enable a larger…
Equitable Health: a far-away dream for young girls and women in Uganda?
This case reveals the reproductive health challenges young people face in Uganda that predispose them to maternal mortality, and invites to discussion of the responsibilities and opportunities for local leaders. It references concerns of teenage pregnancy reported in Jinja District during the COVID-19 pandemic. According to the 2020 District Health Office report, 17% of women…
