Citizens, Politicians and Providers: The Latin American by Ariel Fiszbein

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  • April 2, 2017
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By Ariel Fiszbein

"Latin American nations have obvious major growth long ago twenty years within the insurance of social and infrastructure providers. even if, insurance gaps and negative caliber of companies stay a major challenge for plenty of electorate, fairly the negative. whereas technical problems should still be a binding constraint for a few subtle providers, they're basically no longer a bottleneck for the main crucial ones. electorate, Politicians, and prone without delay addresses this factor and goals to supply assistance to policymakers and improvement practitioners on how you can form public motion to recover caliber providers for all.The significant premise of this publication is that figuring out questions of entry and caliber of providers is set the behaviors of individuals, from lecturers, to directors, politicians, and wealthy and bad voters. the most predicament is whether or not these chargeable for designing and providing prone are liable to the electorate who're challenging the prone and likewise paying the taxes and charges that finance services."

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Several “bureaucracy avoiding” accountability mechanisms operating in the case of social funds can be found in conditional cash transfer (CCT) programs. In the recent past, CCT programs18 have become a popular social assistance approach as they have been shown to generate important gains regarding both the provision of immediate assistance and longer-term human capital development impacts (Rawlings and Rubio 2003). 19 Indeed, the central government commonly administers CCT programs directly, including identifying beneficiaries and verifying compliance and delivery of cash transfers.

21 These concerns have also led analysts to ask under what conditions will the “outsourcing” of functions create opportunities for strengthening mainstream government agencies in charge of policy making. qxd 2/16/05 11:57 AM Page 28 28 Citizens, Politicians, and Providers: The Latin American Experience with Service Delivery Reform NGOs in Central America implies new types of activities by ministries of health that require the development of new capabilities, such as the ability to manage a competitive bidding process and to oversee, monitor, and evaluate contract compliance.

Client participation in the management and operation of services has also shown good results for services that allow a relatively small production scale Client participation in service management is the second way that client power operates. The experiences with community-run schools, health clinics, and rural water systems in a diverse group of countries provide the empirical basis to assess the power of client participation in service delivery. Overall, the evidence suggests that direct client involvement in the management of services can yield positive results when the services involved allow a relatively small production scale and rather simple management challenges.

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