Institutionalised Co-production: Unorthodox Public Service Delivery in Challenging Environments

In developing countries in particular, services are often delivered through unorthodox organisational arrangements that cannot simply be dismissed as relics of ‘traditional’ institutions, or as incomplete modern organisations. Some have emerged recently, and represent institutional adaptations to specific political and logistical circumstances. We need to expand the range of organisational categories that are considered worthy of study and develop a better understanding of the strengths and weaknesses of unorthodox arrangements. The concept of institutionalised co-production provides a useful point of entry. Institutionalised co-production is defined as: the provision of public services (broadly defined, to include regulation) through a regular long-term relationship between state agencies and organised groups of citizens, where both make substantial resource contributions. We explain some varieties of institutionalised co-production arrangements; explore why they appear to be relatively so widespread in poor countries; and relate the concept to broader ideas about public organisation.     

PUBLIC RESPONSIBILITY AND INEQUALITY IN HEALTH INSURANCE COVERAGE: AN EXAMINATION OF AMERICAN STATE HEALTH CARE SYSTEMS

This article examines the effect of the three publicness dimensions on inequality in health insurance coverage across 50 American state‐level health care systems. The analysis validates a Gini‐coefficient measure of Americans' unequal distribution of health insurance coverage across nine income groups and compares public ownership, financing, and control of health care systems across all 50 states from 2002 to 2010. There is a significant and negative relationship between public ownership and inequality in health insurance coverage, although the substantive impact of ownership is relatively small. Both public financing and control substantially reduce inequality in health insurance coverage across income groups. However, both of these must be present in order to be effective at reducing inequality. This article expands our understanding of the link between different institutional arrangements and inequality in health insurance coverage in hybrid health care systems.     

Effect of Forced Relocation on Household Income and Consumption Patterns: Evidence from the Aynak Copper Mine Project in Afghanistan

In 2011, the government of Afghanistan and a Chinese mining company relocated an entire village near the Aynak copper mine, where they developed a mining site. This paper investigates the impact of this displacement on affected households’ income and consumption patterns using a difference-in-differences approach and primary household-level data from the villages around the mine in two periods: one just before relocation in 2011 and another in 2015. In 2011, all households of the Wali Kali village, one of the seven project-affected villages, were involuntarily relocated. Project-affected families (PAFs) claim that their traditional earning sources have been inadequately replaced by mine-related earnings and that, being separated geographically, they now face difficulty maintaining social networks that are necessary for their survival. Once lost, rebuilding social networks is not easy in war-trampled Afghanistan. This paper clarifies these shadowy effects of forced relocation and demonstrates that traditional daily labour income was reduced significantly and only partially replaced by income from mine-related activities among those who were relocated and that relocation significantly discouraged the participation in community life, reflecting the losses of social capital among the PAFs due to separation.     

Households’ Willingness to Pay for Health Microinsurance and its Impact on Actual Take-up: Results from a Field Experiment in Senegal

Abstract

Community-based health insurance schemes (CBHIS) have been present in the region of Theis, Senegal, for many years. Yet, despite the benefits they offer, take-up rates remain low. This article measures the willingness to pay (WTP) for CBHIS premiums in such a context; our results highlight the role of income, wealth and risk preferences as determinants of WTP. We also provide an analysis of the predictive power of WTP on the actual take-up of insurance following our offering of membership to a sample of 360 households. Results show that WTP has a positive and significant impact on actual CBHIS take-up.     

Management of the kidnap risk

Abstract

Paradoxically, Britain, where kidnapping is rare, has been a pioneer in kidnap insurance, prevention, and negotiation, largely due to the experience of Lloyd's of London in underwriting every kind of risk worldwide. The premium income of Lloyd's for kidnap insurance has grown from $150,000 in 1970 to $50 million in 1976. As with fire risks, with kidnap risks Lloyd's found that it saved money both for the underwriters and their clients if they sent specialist consultants to advise on reducing the risk and, in the event of a kidnap, to advise on negotiation. A firm at Lloyd's founded such a consultancy (Control Risks Ltd.) which has now expanded to meet a rising demand, not only from insured clients, but also from an increasing number of uninsured clients who engage them on a consultancy fee basis. This article examines the growing attractiveness of kidnapping as a high‐yield low‐risk crime (whether for political dividends or criminal gain); describes how kidnaps are organized; advises on the various means of protection against it; and discusses the acts of contingency planning and crisis management if a kidnap occurs.     

Organizing Democracy: How International Organizations Assist New Democracies

Scholars in the environmental security tradition have sought to explicate the links between environmental scarcity (or degradation) and the onset of different forms of political violence and how these are mediated by institutional mechanisms. The Malthusian trap here is not a direct deterministic relationship, but rather a possibility, where environmental scarcity when it coincides with socio-economic processes of rent-seeking and exclusion triggers political conditions ripe for violent struggles. This a priori attention to scarcity as causal mechanism blurs our understanding why violence occurs in some and does not in other places. Our research strategy is therefore different: we study a case of non-violent relations between resource users under conditions of environmental scarcity (due to drought) and political instability and look into the crucial role of local institutions in governing competing resource claims. Our case from the violence-prone Somali Region, Ethiopia analyses how agro-pastoralist communities develop sharing arrangements on pasture resources with intruding pastoralist communities in drought years, even though this places additional pressure on their grazing resource. A household survey investigates the determinants for different households in the agro-pastoralist community, asset-poor and wealthy ones, to enter into different types of sharing arrangements. Our findings suggest that resource sharing offers asset-poor households opportunities to stabilise and enhance their asset-base in drought years, providing incentives for cooperative rather than conflicting relations with intruding pastoralists.     

Remittances,Banking Status and the Usage of Insurance Schemes

Empirical evidence that migrants send home more remittances after disasters raises the question of whether remittances are used to self-insure, substituting for both formal and informal insurance. We investigate this question using a unique data set on the usage patterns of financial services by households in South Africa. We show that the likelihood that a respondent has a formal funeral cover increases with income and banking status. However, it is lower for individuals receiving remittances, which supports the idea that remittances act as self-insurance. We also show that other risk management strategies influence the purchasing of formal funeral cover. Finally, we find that determinants of informal insurance differ from those of formal insurance.     

CHANGING PATIERNS OF BUDGETING IN ENGLISH LOCAL GOVERNMENT

Worsening financial circumstances have prompted local authorities to review the appropriateness of traditional budgetary arrangements. Using Wildavsky's concept of incremental budgeting as a guiding framework this paper examines how and why authorities have altered their budgetary processes. Results indicate that underlying incrementalism is the assumption of growth, although certain aspects of incrementalism are more affected than others by declining revenues.     

INSTITUTIONAL LAYERING IN GOVERNING HEALTHCARE QUALITY

Since the 1980s, regulated markets and New Public Management have been introduced in the public sector across the world. How they have affected existing governance mechanisms such as self‐regulation and state regulation has remained largely unexplored, however. This article examines the origins and consequences of institutional layering in governing healthcare quality. Dutch health care, where a market‐based system has been introduced, is used as a case study. The results show that this market‐based system did not replace but modified existing institutional arrangements. As a result, hospitals have to deal with the fragmentation of quality demands. Using the concept of institutional layering, this study shows how different arrangements interact. As a consequence, the introduction of a certain policy reform will work out differently in different countries and policy sectors. Our ‘archaeological’ study in this layering can be seen as an example of how such incremental change can be studied in detail.     

The role of local government in rural communities: culture-based development strategies

ABSTRACT

This paper discusses local development and various governance strategies that local governments can use to engage actors in rural communities and resources from a broader environment to achieve desired socio-economic outcomes. We ask: How can local governance vary in rural communities? How can governance arrangements lead to contrasting socio-economic outcomes? Our conceptual framework combines a typology of local governance roles with socio-economic outcomes associated with neo-endogenous development theory. We explore culture-based development projects from three rural communities. We find that local governance strategies vary between relatively similar rural communities and that they represent compromises in terms of socio-economic outcomes. Local government in rural communities can act strategically through use of local networks. Local governance here is best understood as an emergent quality of the local context, history, institutions, culture, and, power relations. Therefore, governance strategies in rural contexts should be based on careful reflection on potential roles, trade-offs and desirable outcomes.     

Agricultural Workers,Credit Rationing and Family Networks in Rural Mexico

Abstract

We use mixed methods and first-hand household data in Mexico to investigate credit practices by households engaged in agricultural wage employment. Quantitative analysis shows evidence of rationing in the formal sector but also suggests the existence of mitigating mechanisms. Qualitative analysis provides additional insights. First, income patterns associated with agricultural wage generate income smoothing needs that are sometimes better met by the informal sector. Second, family networks can perform key functions as gateways to the formal sector, through specific informal arrangements that inject flexibility into formal rules and procedures.     

Going privately: partnership and outsourcing in UK public services

Public private partnerships provide an important illustration of the way the traditional role of government as employer and service provider is being transformed. While policy–makers argue that the growing role of the private sector is not driven by ideological thinking – that, in fact, both public and private sector organizations can benefit from working together in partnership relations – in practice it is the norms and rules of private sector management that underpin reforms. This paper assesses evidence from two detailed case studies of partnerships and demonstrates, first, that there is little evidence of mutual gains from partnership arrangements and, second, that because of an imbalance of power between public and private sector partners, any gains achieved are not distributed equitably. These results suggest that current reforms need to be refocused around building on the distinctive qualities of services provision in the public sector, rather than expanding the private sector world of markets and contracts.     

PUBLIC SECTOR REFORM IN DUTCH HIGHER EDUCATION: THE ORGANIZATIONAL TRANSFORMATION OF THE UNIVERSITY

During the past few decades traditional state‐centred governing arrangements have been critiqued and replaced by alternative modes of governance. Higher education is one of the public sectors where such shifts in governance have been seen. As a consequence of the reshuffling of authority and responsibilities across the different levels in Dutch higher education, universities as organizations have become important foci of attention in the system’s coordination. The main question addressed in this article is to what extent we can speak of an organizational transformation of Dutch universities. Based on conceptual ideas from researchers such as Greenwood and Hinings (1996), Ferlie et al. (1996) , and Brunsson and Sahlin‐Andersson (2000) , we use a framework that focuses attention on the concepts of the construction of identity, hierarchy and rationality to systematically analyse the various aspects of transformations of professional organizations.     

External Social Ties and Loan Repayment of Group Lending Members: A Case Study of Pro Mujer Mexico

We investigate how external social ties, that is, social ties with individuals outside the borrowing group, determine loan repayments of individual borrowers in joint liability group lending. We measure the resources in external ties in terms of the informal risk insurance arrangement they embed. The ties borrowers have with individuals outside the group and the informal risk insurance arrangement they represent, help to survive in general, and repay their loans in particular. The risk of losing these ties increases the willingness to repay loans, that is, these ties can be regarded as a form of collateral to stimulate loan repayment. The extent to which these external ties are effectively pledged as collateral depends on the extent to which social networks of group members are overlapping: the more borrowers’ networks of external ties overlap (referred to as information channels), the higher the risk of losing the informal risk insurance arrangement in case of non-repayment. We use data from 802 mapped social networks of borrowers’ internal and external ties from a microfinance institution in Mexico. We find that group borrowers with external ties, representing a strong informal risk insurance arrangement while at the same time being information channels, have lower repayment problems     

State–Community Synergies in Community-Driven Development

States can do much to tap community-level energies and resources for development if they seek to interact more synergistically with local communities. The broader spin-off is the creation of a developmental society and polity. Using case studies from Asia and Latin America, we illustrate how: (1) state efforts to bring about land reform, tenancy reform, and expanding non-crop sources of income can broaden the distribution of power in rural communities, laying the basis for more effective community-driven collective action; and (2) higher levels of government can form alliances with communities, putting pressure on local authorities from above and below to improve development outcomes at the local level. These alliances can also be very effective in catalysing collective action at community level, and reducing ‘local capture’ by vested interests. There are several encouraging points that emerge from these case studies. First, powerful institutional changes do not necessarily take long to generate. Second, they can be achieved in a diversity of settings: tightly knit or open communities; war-ravaged or relatively stable; democratic or authoritarian; with land reform or (if carefully managed) even without. Third, there are strong political pay-offs in terms of legitimacy and popular support for those who support such developmental action.     

Child participation in disaster risk reduction: the case of flood-affected children in Bangladesh

Children are particularly vulnerable to the effects of natural disasters. This article aims to gain a deeper understanding of the specific effects of natural disasters on children and how they could better be involved in the disaster risk reduction (DRR) process. The article begins with a review of the literature published on the Child-led Disaster Risk Reduction (CLDRR) approach and describes the key issues. Then it identifies the effects of floods on children in Bangladesh and analyses the traditional coping mechanisms developed by communities, highlighting where they could be improved. Finally, it analyses how DRR stakeholders involve children in the DRR process and identifies the opportunities and gaps for the mainstreaming of a CLDRR approach in Bangladesh. This should contribute to a better understanding of how key DRR stakeholders can protect children during natural disasters. Encouraging the building of long-term, child-sensitive DRR strategies is an essential part of this process.     

McIntosh on governance and accountability

Overview and scrutiny committees have been introduced in England and Wales as part of constitutional arrangements designed to improve local accountability. This article presents a conceptual framework for the evaluation of scrutiny arrangements based on five variables which have been identified as impediments to parliamentary scrutiny. A survey of Welsh councillors suggests that they perceive ‘resources and technical support’, ‘one-party dominance’, and ‘the relationship between scrutiny and the executive’ as factors which may influence the effectiveness of local scrutiny. The paper concludes that these findings have important implications for the extent to which political management reforms can enhance local accountability.     

Cacophonies of Aid,Failed State Building and NGOs in Haiti: setting the stage for disaster,envisioning the future

The January 2010 earthquake in Haiti was a catastrophe not only for the loss of life it caused, but also because it destroyed the very thin layer of state administrative capacity that was in place in the country. This article argues that the fragility of the Haitian state institutions was exacerbated by international strategies that promoted NGOs as substitutes for the state. These strategies have generated a vicious circle that, while solving immediate logistical problems, ended up weakening Haiti's institutions. However, the article does not call for an overarching condemnation of NGOs. Instead, it explores two cases of community-based NGOs, Partners In Health and Fonkoze, that have contributed to creating durable social capital, generated employment and provided functioning services to the communities where they operated. The article shows that organisations that are financially independent and internationally connected, embrace a needs-based approach to their activities and share a long-term commitment to the communities within which they operate can contribute to bringing about substantial improvement for people living in situations of extreme poverty. It concludes that in the aftermath of a crisis of the dimension of the January earthquake it is crucial to channel support towards organisations that show this type of commitment.     

ONE AND MANY - THE OFFICE OF SECRETARY OF STATE

This article seeks to explain the nature of the office of Secretary of State in the United Kingdom, and how these arrangements have come about. It traces the office from its mediaeval origins, and finds the explanation partly in the development of Tudor government, and partly in the politics of the eighteenth century. It then traces the modem development of this doctrine and some of the ramifications to which it has given rise. Fourteen out of the twenty-two members of the British Cabinet hold the same office. Yet simultaneously they are described by fourteen different titles. The office that they share is that of 'Secretary of State': their various titles are the 'Secretary of State for Foreign and Commonwealth Affairs', the 'Secretary of State for the Home Department' and so on. The purpose of this article is to explain these curious arrangements, which rival in complexity the Athanasian doctrine of the Trinity, and to show how they have come about.