This policy brief, apart from describing the dilemmas of the democratization process of health services it, aims to analyze its implications on the dynamics of social accountability in the health sector and, finally, to inform on possible ways for a more coherent democratization, considering the normative discourses. It is publicly argued that one of the causes of the collapse of PROSAUDE funding is the practices of centralization of aid resources. The GFF, by introducing the results-based funding mechanism, in principle, shows an intention to subvert the logic of centralization, as resources should be allocated to districts in order to directly benefit local communities. However, as it ignores the experience and lessons learned from PROSAUDE implementation, it carries the risk of reproducing the same centralizing practices.
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