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In Uganda, despite the existence of documented accountability guidelines in The Local Governments (Financial and Accounting) Regulations, 2007 and coupled with the community's need for local leaders to be accountable to their respective communities, public accountability is still a mismanaged aspect by local government officials. This is thought to be hindering sustainable development, lower public confidence in the respective district administrations and consequently impacting on the quality of service delivery from the local governments. This research looks at how the levels of public accountability in most local governments in Uganda have influenced the quality of service delivery from government to the nationals. The study has provided vital findings, conclusions and meaningful recommendations on how public accountability can be improved for sustainable development and improved service quality in local government communities in Uganda.