Citizens living outside of Bangui, the capital of the Central African Republic (CAR), get little attention from the country’s central government and have poor access to public services like health care, electricity and education. The federal government makes all decisions and there has been little progress in efforts to give local governments power over such services, a process known as decentralization. In addition, there have been no municipal elections in almost 20 years, so local officials are appointed by the central government.