ABSTRACT
Government has committed itself to the policy of decentralisation for all line Ministries; the Ministry of Health and that of Local Government being central in the decentralisation process. In the Health Sector; the strategy seeks to improve the health status of the population by putting most health sector operations at district level. These include; among others; planning and budgeting; management and implementation; and supervision/monitoring and evaluation of services provided. The strategy; in effect; entails increased resource mobilisation and retention at district level; more efficient resource allocation and utilisation; building and/or restoring the functional capapcity not only for exisiting government facilities; but also personnel skills and participation and participation of non-governmental bodies and the community. More importantly; it demands that health teams at district level will increasingly be rquired to monitor and evaluate their programmes and specific health activities to ensure quality; cost effectiveness and sustainability at community level. The monitoring and evaluation of district health services assignment by the Child Health and Development Centre was therefore part of the process to strengthen the capapcity of district health teams at district level will increasingly be required to monitor and evaluate their programmes and specific health activities to ensure quality; cost effectiveness and sustainability at community level. The monitoring and evaluation of district health services assignedment by the Child Health and Development Centre was therefore part of the process to strenthen the capacity of district health teams to carry out independent monitoring and evaluation of their health services. This process is part of the UNICEF-GoU country Health programme 1995 to the Year 2000. Four pilot districts were purposely selected by UNICEF and the Child Health and Development Centre with a view to have a regional representation; the districts are Apac; Kabale; Mukono and Tororo