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Governments all over the world have transitioned away from directly providing public services to contracting and collaborating with cross-sectoral networks to deliver services on their behalf. Governments have thus pursued an array of policy instruments to improve interorganizational progress towards policy goals. In recent years, outcomes-based contracting has emerged as a compelling solution to service quality shortcomings and collective action challenges. Informed by public policy, public administration, and public procurement scholarship, this Element details the evolution of social outcomes in public contracting, exploring the relationship between how outcomes are specified and managed and how well such instruments deliver against policy goals. It comments on the possible drawbacks of contracting for social outcomes, highlighting how governments may use outcomes as an excuse to avoid actively managing contracts or to sidestep their accountability as outlined in public law. This title is also available as Open Access on Cambridge Core.
Improved health data governance is urgently needed due to the increasing use of digital technologies that facilitate the collection of health data and growing demand to use that data in artificial intelligence (AI) models that contribute to improving health outcomes. While most of the discussion around health data governance is focused on policy and regulation, we present a practical perspective. We focus on the context of low-resource government health systems, using first-hand experience of the Zanzibar health system as a specific case study, and examine three aspects of data governance: informed consent, data access and security, and data quality. We discuss the barriers to obtaining meaningful informed consent, highlighting the need for more research to determine how to effectively communicate about data and AI and to design effective consent processes. We then report on the process of introducing data access management and information security guidelines into the Zanzibar health system, demonstrating the gaps in capacity and resources that must be addressed during the implementation of a health data governance policy in a low-resource government system. Finally, we discuss the quality of service delivery data in low-resource health systems such as Zanzibar’s, highlighting that a large quantity of data does not necessarily ensure its suitability for AI development. Poor data quality can be addressed to some extent through improved data governance, but the problem is inextricably linked to the weakness of a health system, and therefore AI-quality data cannot be obtained through technological or data governance measures alone.
Political tradecraft is a set of duties, responsibilities and skills required of diplomats who work in political affairs. It is the main instrument in the diplomatic tradecraft toolbox, which also includes, among other tools, economic tradecraft, commercial diplomacy, consular affairs and public diplomacy. Political officers work both at diplomatic missions abroad and at headquarters, such as their ministry of foreign affairs or the State Department. Although there are some differences in a political officer’s daily duties at home compared with those abroad, they all participate in managing international relations and implementing foreign policy. Those who rise to the most senior positions in their ministry or department also take part in the policymaking process. The primacy of politics is the reason the political department is the most powerful in any ministry of foreign affairs, and its head, known as “political director,” is typically among the highest-ranking officials.
This chapter traces the complex trajectory of land tenure reforms in Benin since the democratic transition and liberalisation of the economy in the early 1990s. It shows that conceptions of the problem of land tenure insecurity and the responses to it have often clashed. Attention paid to sectors (rural vs urban) has varied as well as the timing and the nature of land tenure reforms. The solution of formal land titling propounded by international donor and local supporters has been considered by many as both inaccessible and unsuited to the needs of the majority of the population, hence the search for legal and institutional alternatives. This history of land reforms reveals intricate conflicts involving corporatist struggles, conflicts of interest between different stakeholders, and divergent social choices. It highlights the political economy dimension of land tenure problems and their instrumentalisation by some actors and competing public policy networks, the strengths and limitations of attempts to implement policy reforms, and the influence of donors in reform processes. It also questions the capacity of the intended reforms to modify practices and have enough inclusiveness.
Since the 18th National Congress of the Chinese Communist Party in November 2012, the Party school system has been subject to several reforms. How well these reforms have been implemented in lower-level Party schools has received little attention because access is difficult to obtain. We conducted on-site investigations, interviews with cadres and surveys of trainees at a county/district-level Party school in an economically typical city and county. Our findings show that operational dilemmas lead to the perfunctory implementation of policy that is substantively deficient. These operational dilemmas are likely to be found in varying degrees in other county/district Party schools. Our finding that cadre education and training policy is implemented in a pro forma manner suggests that cadres may not be receiving the ideological education and practical training intended for them by the centre.
There are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implement stated reform proposals are identified including a failure to identify and address the practicalities of implementation, competing health care demands, the political cycle and stakeholder resistance. While there has been a shift in Irish health care policy documents in the last 10 years with increasing emphasis on ensuring access to health care based on need rather than ability to pay, a repeated failure to implement the proposed reforms raises questions as to whether there is a real commitment to improving access to health care.
To analyse the implementation of front-of-pack nutrition labelling (FOPNL) in Mexico.
Design:
Review of publicly accessible documents, including legislative websites, news sources, and government, intergovernmental, and advocacy reports. Usage of the policy cycle model to analyse the implementation and evaluation stages of Mexico’s General Health Law, amended with FOPNL (2019–2022).
Results:
In October 2019, the government published a draft modification of the Norma Oficial Mexicana (Official Mexican Standard) to regulate and enforce a new FOPNL warning label system. A 60-d public consultation period followed (October–December 2019), and the regulation was published in March 2020 and implementation began in October 2020. An analysis of nine key provisions of the Standard revealed that the food and beverage industry and its allies weakened some original provisions including health claims, warnings for added sweeteners and display areas. On the other hand, local and international public health groups maintained key regulations including the ban on cartoon character advertisements, standardised portions and nutrient criteria following international best practices. Early implementation appears to have high compliance and helped contribute to reformulating unhealthy products. Continued barriers to implementation include industry efforts to create double fronts and market their cartoon characters on social media and through digitalised marketing.
Conclusion:
Early success in implementing the new FOPNL system in Mexico was the result of an inclusive and participatory regulatory process dedicated to maintaining public health advances, local and international health advocacy support, and continued monitoring. Other countries proposing and enacting FOPNL should learn from the Mexican experience to maintain scientifically proven best practices, counter industry barriers and minimise delays in implementation.
Temporary Assistance for Needy Families (TANF) was born out of the 1996 Personal Responsibility and Work Opportunity Reconciliation Act in the backdrop of highly racialised and otherizing fears about the mythical “welfare queen.” However, the perception of Black exploitation of public benefits to White detriment is not exclusively a modern phenomenon. One of its original manifestations can be found in White reactions to the Freedmen’s Bureau during the post-Civil War period of Reconstruction. We therefore argue that state decisions to allocate spending towards cash assistance and coercive programmes designed to motivate work participation and regulate private behaviour are shaped by the imprint of this historic institution. Using TANF spending data from 2001 to 2019 and data on Freedmen’s Bureau field offices, we find evidence of a link between these offices’ historic prevalence and contemporary, coercive allocations. However, we find little evidence that this link extends to spending towards cash assistance.
This chapter discusses the implementation of EU policies after they have been adopted. It is structured around three phases in the implementation process: legal implementation, practical implementation and monitoring implementation. Each of these phases takes place both at the EU-level and within member states, leading to a system of multi-level administration. Subsequent sections zoom in on each of the three phases. In relation to legal implementation, both transposition by member states and the adoption of delegated and implementing acts by the Commission are discussed, including the system of comitology. The section on practical implementation looks at areas in which EU institutions are the main implementers and discusses the general EU requirements for implementation by member states. The section on monitoring implementation includes an extensive discussion of (the procedural set-up and practical use of) the infringement procedure and preliminary rulings. The chapter ends with a discussion of the role of EU agencies and European regulatory networks in the implementation of EU policies, stressing the variation within and commonalities between these two types of structure.
Edited by
Anja Blanke, Freie Universität Berlin,Julia C. Strauss, School of Oriental and African Studies, University of London,Klaus Mühlhahn, Freie Universität Berlin
After laying out the substantial challenges faced by the young People’s Republic of China in 1949, this chapter focuses on the particular ways in which revolutionary policies were implemented: by an ever shifting mix of bureaucratic and campaign modalities that were supported by a range of public performances. Bureaucracy was characterized by hierarchy, order, precedent, the strengthening of formal state institutions and a mania for classification, thus radically simplifying complex realities through a process of disaggregation; campaigns mobilized moral commitments through a different type of radical simplification – fusion into morally charged narratives and popular mobilization. Both modalities were in evidence in the two signature campaigns of 1951: the Campaign to Suppress Counterrevolutionaries and land reform. While, in the early 1950s, bureaucratic and campaign modalities were co-constitutive, after the mid 1950s, they were more often in stark tension with each other.
Many studies put forward the argument that local policy experimentation, a key feature of China's policy process in the Hu Jintao era, has been paralysed by Xi Jinping's (re)centralization of political power – otherwise known as “top-level design.” This narrative suggests that local policymakers have become increasingly risk-averse owing to the anti-corruption campaign and are therefore unwilling to experiment. This article, however, argues that local governments are still expected to innovate with new policy solutions and now will be punished if they do not. By introducing the analytical framework of “experimentation under pressure” and drawing on an analysis of over 3,000 local government regulations and fieldwork data related to foreign investment attraction policies in two localities, Foshan and Ganzhou, the authors highlight new features developing within current experimental policy cycles. Local cadres now have no choice but to experiment as the political risk of shirking the direct command to experiment may be higher than the inherent risk of experimentation itself.
The chapter tests a further observable implication of the theory that blunt force regulation does reduce pollution. Regressing pollution levels on blunt force measures, this chapter shows that this type of regulation is effective at overcoming enforcement failures; indeed, it is associated with much greater reductions in pollution than conventional regulation. These findings challenge a common conception that blunt force regulation is mere political theater, in which the government uses highly publicized spectacles to convince the public it is doing something about pollution. Drawing on interviews with national and local regulators, this chapter further illustrates that far from mere performance, blunt force measures are the result of high-level government planning, enlist the efforts of several government agencies, and constitute part of a concerted, multiyear strategy to reduce pollution levels across the country.
Meant for public health professionals, the Chapter explains what is meant by political economy and its relevance to health, why structural reforms in health are frequently influenced and obstructed by political considerations, how political expediency influences priority setting decisions in health that are frequently related to allocation of resources, and what measures can be taken to minimize political obstacles and barriers in favour of evidence-informed decisions. Political economy of health, as a field of study, grew rapidly in the 1970s that sought to explain the disparities in health care access and the socioeconomic differential in health status across society. Health system development, reform and transformation is a social and political intervention. Political economy analysis (PEA) is central to the successful formulation of health policies and plans and for ensuring their effective implementation. PEA can help to identify potential barriers and facilitators for policy and system change. PEA can help to identify potential barriers and facilitators for policy and system change.
Labor Secretary Frances Perkins championed liberal immigration policies between 1933 and 1940. Some efforts were successful, but most were not due to political, economic, and social constraints on immigration policy making, especially in Congress. Yet, she reorganized the enforcement functions of her department when she created the Immigration and Naturalization Service. Narratives abound about the period, though few delve into this reorganization. In this article, I share an analytical framework that I developed, “policy innovation through bureaucratic reorganization,” to explain how Perkins temporarily eased the debarments, as well as deportations, of newcomers by adjusting agency resources, including staffing, budget, and infrastructure. I describe how she responded to pressures from immigration restrictionists by tightening these functions. My narrative adds to the literature on immigration policy history, which has not fully appreciated the role of bureaucratic reorganization. This research bolsters the perspective in political control theory that bureaucratic structure merits as much attention as does legislation as a tool for control.
As part of a broader direction of welfare and governance reforms, China has launched a policy to contract welfare services out to social organizations. Scholars have explored the implementation of the policy in a few socioeconomically advanced cities such as Guangzhou, Shenzhen and Shanghai. In this article, we examine how local governments lacking nongovernmental services suppliers or resources for contracting respond to the policy. We developed a framework of multiple logics to analyse services contracting in a county-level city in eastern China. We found that local officials follow three logics in implementing the policy: to meet the central state's targets, to balance policy outcomes and risks, and to stimulate a more participatory society. This generates a mix of policy behaviour, including entrepreneurialism, welfarism, innovation, risk-sharing and collaboration. We thus argue the interplay of the logics determines the local policy process of services contracting in China.
Chapter 7 investigates how bureaucratic norms change, analyzing recent institutional reforms in Uttar Pradesh (UP) and Bihar. I first examine Mahila Samakhya in UP, a women’s empowerment program initiated by the central government. Challenging legalistic bureaucratic norms, Mahila Samakhya fostered a subculture of deliberation that inspired frontline worker commitment to institutional activism. Frontline workers countered village caste and patriarchal structures to mobilize Dalit women's associations, a process rife with social conflict. Deliberation with target households supported the integration of disadvantaged girls into school. In Bihar, by contrast, committed state leadership worked to strengthen law and order, encouraging a broad shift toward legalism. Bureaucratic commitment to rules supported the growth of school enrollment and infrastructure provision. However, state initiatives to improve education quality through innovative teaching practices faltered, as they conflicted with administrative rule-following. The findings suggest the difficulties of securing frontline worker commitment to quality reforms on the back of legalistic bureaucracy.
Chapter 1 introduces the central puzzle of implementing primary education in northern India, a least likely setting for programmatic service delivery. Despite having the same formal institutions and national policy framework for primary education, implementation varies remarkably across northern Indian states. After reviewing existing explanations, the chapter outlines the main argument, anchored around variation in informal bureaucratic norms, and foreshadows the theoretical contributions to comparative politics and development. It then presents the research design and methods, based on multilevel comparisons in four Indian states (Uttar Pradesh, Himachal Pradesh, Uttarakhand and Bihar). Using multiple field research methods, I trace the implementation process from state capitals down to the village primary schools, drawing on two and a half years of field research: participant observation inside bureaucracies; village ethnography; and 853 interviews and 103 focus group discussions. I conclude with an overview of the book’s remaining chapters.
Chapter 4 embarks on Part II of the book, the first of four empirical chapters analyzing implementation in northern India. It examines primary education in Uttar Pradesh (UP), a state that exemplifies the dynamic of legalistic bureaucracy theorized in Chapter 2. Rural UP is among the least likely setting. First, I trace the historical origins and persistence of legalistic bureaucracy in UP from the colonial era onward, but focusing on the recent period of lower caste mobilization and multiparty competition. Next, I present evidence from multilevel comparative fieldwork demonstrating how legalistic bureaucracy drives implementation over a range of administrative tasks, including school infrastructure and enrollments and provision of the Midday Meal program. I then bring the analysis down to the village-level. Taking a citizen-centric view of the state, I trace the evolution of village collective action around primary schooling over time, demonstrating how bureaucratic norms interact with citizen oversight.
Chapter 9 concludes the book by outlining its contributions to scholarship in comparative politics, development and public administration. The theoretical framework centered on bureaucratic norms brings institutionalist perspectives on the state and social policy together with insights on street-level bureaucracy and local collective action. The conceptual interweaving of meso-level state institutions with the micro-politics of frontline service delivery gives rise to a new understanding of bureaucracy and its relationship to human development. The chapter also explores the study's policy implications for the reform of bureaucracy, public services and primary education in developing countries.
Chapter 6 studies primary education in the Himalayan state of Uttarakhand. It offers a matched-pair comparison with the previous chapter's study of Himachal Pradesh (HP). Despite similar geography, agrarian economies and sociocultural norms, Uttarakhand's school system performs far worse. I trace the underperformance to the persistence of legalistic bureaucratic norms. Drawing on historical and ethnographic materials, I explore the political process behind Uttarakhand’s political separation from UP in 2000, a critical juncture that offered a window for state elites to reshape bureaucratic norms. Field-based evidence from interviews with state and societal actors showcases how legalism persists inside the state bureaucracy. Next, I analyze how legalism influences the state's management of teachers and monitoring of education services. I find that village collective action gets thwarted due to administrative burdens posed by local agencies, which induces households to exit and seek private substitutes. The findings suggest that legalistic bureaucracy weakens societal coproduction of public services over time, even in settings of high social capital.