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An analysis is presented of research carried out in 1995, focusing on programmes funded by an NGO, Oxfam, as the basis of a case study of the Ugandan health sector. The involvement of NGOs in service provision for the state in Uganda is discussed together with the changing trends in aid distribution and what they mean for NGOs, the state and for their relationship with each other. Sections consider whose responsibility it is to provide a viable health service, and the importance of NGO support for the health service in Uganda.

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