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medications close to home. Elba Rahmouni: This project was developed at a time when Kenya was undergoing significant changes in its constitution, with the so-called devolution process giving the regions and their subdivisions greater autonomy. Did that decentralisation process have an impact on how the project was conducted? Léon Salumu: The decentralisation of power also meant decentralisation of our interlocutors. The devolution was a great help
. How might NGOs respond? Will MSF leave the European cities in which its operational centres are based, and will the International Rescue Committee move from its New York headquarters to Dakar, Jakarta or Quito? At the moment, the answer of most major relief groups is implied by their stasis: no. But some measure of devolution appears necessary if they are to retain legitimacy. The gravest political challenge NGOs face lies not in what is going on in the Global South but rather what is going on at home in the Global North, particularly in Europe