Historical and political events in post-colonial countries such as Uganda continue to shape their health systems. Moses Mulumba, Katrina Perehudoff and colleagues argue that colonisation distorted community participation, which is critical for building citizen trust in government and its public services, such as health.
The authors propose that health system decolonisation requires embedding community participation through policies that incentivise historically marginalised and excluded groups to better disperse decision-making power, which is a first step in truly achieving self-determination.
This is a qualitative, historical case-study of Uganda presenting an analysis of the political history of community participation in Uganda from the pre-colonial, through the colonial and postcolonial period.
This paper has been published in Health & Human Rights.