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Item African Development Dilemma. The Big Debate. Lanham(Cambridge University Press, 2013-05-23) Muriithi, Samuel Muiruri; Ndikumana, Lexception of Goran Hyden, express similar sentiments about foreig donors in Kenya, Tanzania, and Uganda. Most troubling and least empir cally and realistically grounded, are Hyden's arguments that structural adjustment is the "price that Africa is paying for excess...," "an inevitab process... to get African countries to take greater responsibility for the own affairs..." and "provide [s] a sense of relief, maybe even freedom.... Service Provision Under Stress in East Africa provides a captivating and crit ical analysis of service provision in East Africa. Each chapter provides an in- depth look at central issues governments, non-governments, and ordina folks in Kenya, Tanzania, and Uganda are facing as they attempt to provi and access needed services. The calls of contributors to clarify exactly wh privatization means in the era of SAPs is timely. It accomplishes its goal explaining interorganizational relations between the state, foreign donor NGOs, and POs. A section on gender would have been most useful in furthering our understanding of the differential impacts of privatization on women and men as different service provision and service recipient populations. I rec- ommend this book most highly to academicians, policy makers, develop- ment field workers, and students of service provision and organizational behavior.