The Status of District level of Government in Amhara State, Ethiopia: From the perspective of primary health care service delivery

Alene Agegnehu, Worku Dibu, Ayele Behaylu


The existence of district level government was constitutionally recognized at regional level with legislative, executive and judicial power so as to make law centered on in its particular jurisdiction, enforce and adjudicate local cases with first instance court level respectively. They are also empowered to rendered important social services such as education, health, road and water etc for their electorate. Practically speaking, however, the kind of law they make need strict observance of the law of the upper levels of government and the quality and quantity of services they render are largely determined by the available funds they received from the above. Since they have limited resource availability, they could not provide and meet the intended objectives of decentralization in Ethiopia. Regardless of this fact, district level of government have entrusted health care service delivery related powers and responsibilities for instance, Undertake Building of HCs and health posts, health workers recruitment, provide in-service training and promotion to the health workers, management and Supervision of health institutions, and collect user fee and finance health institutions are given to the district government in Amhara state.

Keywords: District Government, Health Center, Health post, Health Care Service

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