This study examines the impact of democratic governance on service delivery in Katsina State: with a focus on Katsina and Bindawa Local government from 2011 to 2016. The problem investigated is that; in spite of the institutional framework for efficient service delivery at both the state and local government levels; over 8 billion naira was spent on primary health care, water supply and basic education with the aim of boosting service delivery in the study area, some health facilities cannot operate for 24 hours, there is increased maternal mortality ratio, prevalence of malaria and other related diseases, shortage of portable drinking water. The story is almost the same in the basic education sector; as there are no adequate teachers, infrastructure and insignificant increased in the enrolment, retention and completion of basic education circle. The main objective of the study is to determine the impact of democratic governance on primary health care, basic education and portable drinking water in Katsina and Bindawa Local Government Areas. Data were generated from both primary and secondary sources. The instruments of the primary data used were questionnaire, interview and observation. While the secondary sources made use of project completion documents, financial records, files, staff inventory, laboratory and pharmacy record, medical records, store receipt and issued vouchers. Questionnaires were distributed to the sample of 362 respondents selected from the population of the study through a stratified purposive and simple random sampling. Regression analyses were used in testing the hypotheses. The findings reveals that there is inadequate manpower in basic education and primary health care sector, that there is increased maternal mortality rate, malaria and other related diseases, there is insignificant increase in the enrolment, retention and completion of basic education circle . There is also shortage of portable drinking water in Bindawa Local Government which is not an issue in
Katsina Local Government. It was recommended among other things that, there should be urgent and adequate provision of manpower in both primary healthcare and basic education, consistent creation of awareness for parents to send their children to schools and women for maternal care service and more provision for adequate sources of portable drinking water in Bindawa Local Government.