Continuing decentralisation in most developing countries increases pressure on local governments to manage more functions and services and larger budgets. In this context, financial improvement planning (FIP) is a strategy that can be used by local governments wishing to improve or 'fine-tune' their financial performance, and especially by those facing serious financial difficulties. This article examines the application of FIP in the town of Kitwe, Zambia, which faces financial difficulties within a national decentralisation framework characterised by several policy and fiscal deficiencies. The article covers how an FIP framework was developed, undertaken and the resultant interventions structured. Implications regarding the role, design and techniques of FIP in local governments within a decentralisation policy framework are elaborated upon. Effective decentralisation in southern African countries requires local governments to undertake sound financial management. In turn, this requires local governments to embrace challenging local policy processes. Development of FIP techniques, and strengthening local capacity and policy to support them in local governments, should be ingredients of any country's decentralisation programme.
While medical geographers have generally ignored medical pluralism in developing countries, a small but significant geographical literature on traditional medicine has emerged. Progress for research by geographers on traditional medicine lies through a broader contextualisation of medical pluralism sensitive to the socio-economic and political context of health and disease. In this paper, a brief overview of medical pluralism in South Africa is presented. Issues surrounding the changing geography of traditional medicine are illustrated with reference to urban herbalism on the Witwatersrand.
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