Russian Nonprofits as Contracted Providers of Municipal Social Services: Initial Experience

Abstract

In the Russian Federation the delivery of social services to deserving population groups is mostly the responsibility of municipalities and other local governments. Services are delivered by municipal agencies. One way to inject competition into the delivery system is for local government to hold competitions to contract for social service delivery. The competitions can be open to nonprofit organizations (NPOs), some of which have been providing assistance in recent years to needy individuals and families similar to those that would be contracted. This article reports the results of an assessment of pioneering pilot competitions for the delivery of social services in three municipalities in 2000–2001: Perm, Velikii Novgorod, and Tomsk. The objective of the pilots was to determine if the local governments could hire NPOs to be service providers following a rigorous and fair competitive process and whether the selected NPOs would do an adequate job in delivering services. In general the results of these competitions indicate the extent of the challenge to improving service delivery in Russia. It seems fair to say that the competitions in Perm and Tomsk were essentially a competitive grant process where the winners were more or less free to determine the services actually delivered. On the other hand, the Novgorod competition had much more in common with a contractual procurement of social services—the competition was nominally open to firms of all legal forms and the services were well-defined. In execution, the reality in Novgorod fell far short of this model.     

The oakland hiv/aids planning council: Its organizational form and environment

An observational study of the Oakland Eligible Metropolitan Area and its Ryan White CARE Act Title I HIV health services planning council, officially known as the Alameda/Contra Costa HIV Planning Council, has been in progress since October 1992. Until June 1994, the Oakland planning council had a bifurcated organizational structure, with a component council for Alameda County and a component council for Contra Costa County. This case study focuses primary on the Alameda Component Planning Council (ACPC) and reveals that since its inception, the ACPC has struggled with numerous difficult issues, including volunteer membership, part-time staff support, membership selection and composition, conflict of interest, tensions among competing interest groups, conflicting demands from patientsJconsumers, and tensions among competing service delivery organizations. In spite of the substantial effort required to address these issues, the ACPC managed to fulfill its basic responsibilities of prioritizing the service needs of HIV-infected persons in the community and allocating funds to service providers to meet those needs. Over time, however, dealing with these issues took its toll on the planning council, resulting in a near complete turnover of members within 18 months. One reason that the planning council survived may be due to its unusual organizational form, which fits closely the definition of a minimalist organization. This form of organization is flexible and very efficient at adapting to changes in its environment. Previous studies of such minimalist organizations, however, have examined organizations functioning in stable, non-competitive environments. Whether HIV planning councils with this particular organizational form will be able to survive over a long period of time in turbulent environments is an important question for future research.     

DEVELOPMENTS IN THE PURCHASING PROCESS IN THE NHS: TOWARDS AN EXPLICIT POLITICS OF RATIONING?

The introduction of the internal market to the National Health Service in Britain marks a major change in the form of provision of health care interventions. This article reports the findings of independent research into the development of the purchasing process in eight purchasing authorities (which collectively purchase health care for 5 per cent of the population of Britain), and considers the extent to which this has led to an explicit politics of rationing in British health care. The structure and organization of purchasing organizations is described, along with their relationship with providers of health care. The ability of purchasing organizations to assess the health needs of the populations for which they purchase health care services, and their ability to influence change in the nature of the services provided, is also examined.     

Types of coproduction and differential effects on organizational performance: Evidence from the New York City school system

A growing body of literature explores the process of coproduction by citizens and government employees in providing goods and services, yet research that attempts to link coproduction to organizational performance offers contradictory findings. It is possible that these conflicting results are a consequence of trying to compare distinct categories of coproduction. This study identifies types of coproduction, classified by which organizational tasks citizens can influence during stages of policy design and implementation, and tests whether these types have different effects on student proficiency in Mathematics and English Language Arts using data from New York City schools between 2007 and 2009. This study then tests the degree to which different types of coproduction moderate the negative effect of environmental turbulence on performance. Results confirm that types of coproduction have varying effects on organizational performance and can reduce, and even eliminate, the negative effect of a turbulent environment on student outcomes.     

City management,public administration and the American enlightenment

As the cost and size of government continues to escalate, there is a growing concern over increasing the efficiency and effectiveness in the delivery of public services. Productivity bargaining as one tool has Cained the attention of a small but growing number of public officials who see this technique as one rational method of resolving the conflicting pressures generated by the demand for government services on the one hand and limited resources on the other. The experience of one large metropolitan area with productivity bargaining is reviewed at some length.     

Hybrid accountabilities and managerial agency in the third sector

This article investigates how the dynamics of conflicting accountabilities are managed within the context of the third sector; specifically in organizations providing services for people with learning difficulties. Multiple accountability relationships create organizational settings that are subject to multiple constraints and risks but also offer resources for agency. We analyse how managers take up agency to enable them to enact, resist or reconcile multiple accountabilities. Our study's contribution lies in our elucidation of the far-reaching hybridity of the third sector and the complex forms of actorhood it cultivates, in which managers are able to handle resources with great dexterity, in pursuit of settlements which may only be contingent and temporary.     

Administrative reform in china: Issues and prospects

China's experience of organizational reform is representative of the country's attempts to implement more general administrative reform. Forty years of organizational reform have produced only short-term successes. In the 1988 reforms, however, leaders proposed for the first time to re-define the role of the state in society. In general, the reforms have been undermined by political, economic, and institutional problems. These include conflicting elite priorities, cycles of economic centralization and decentralization, the interdependence of government agencies and economic enterprises, and the lack of incentives to economize. Consequently, the organizational reform management institutions are very weak. Successful implementation of organizational reform in the future depends to a large extent on further economic development.     

Online Pursuit in the Twilight Zone: Cyberstalking Perpetration by College Students

The author provides one of the first empirical examinations of cyberstalking perpetration. The extent and nature of cyberstalking are investigated using a sample of college students from a large university in the Midwest. The results indicate that cyberstalking was perpetrated by 4.9% of research participants. In addition, the findings suggest that persons with low self-control are significantly more likely than their peers to perpetrate cyberstalking. Those who participated in sexting were also more likely to engage in cyberstalking. However, these variable effects differed by sex. In particular, women with low self-control were at higher risk of perpetrating cyberstalking, while low self-control did not affect offending risk for men. These results speak to the potentially gendered nature of cyberstalking, while at the same time finding that the prevalence of offending was essentially the same for men and women.     

NONPROFIT ORGANIZATIONS AND FOR-PROFIT ORGANIZATIONS PROVIDING HOME CARE SERVICES FOR THE ISRAELI FRAIL ELDERLY: A COMPARATIVE ANALYSIS

The article presents a longitudinal study on the behavior and functioning of voluntary nonprofit organizations (VNPOs) and for-profit organizations (FPOs) providing home care services to frail elderly persons in Israel according to the Long Term Care Insurance Law, which was implemented as of 1988. The study examined differences and similarities in the strategic, structural, administrative, and human behavior of VNPOs and FPOs over a 10-year-period. The main findings point to blurring distinctions between organizations in both sectors, which can be attributed to their high dependence on governmental resources, adoption of similar service technologies, and transmission of professional norms. In light of the above, the article seeks to shift the focus of research from the question who provides to how services are provided and what structural and organizational properties may contribute toward improving service effectiveness.     

THE FINAL OUTCOMES OF THE REVIEW OF PUBLIC ADMINISTRATION IN NORTHERN IRELAND. TENSIONS AND COMPATIBILITY WITH DEVOLUTION,PARITY AND MODERNIZATION

In terms of the configuration of structures and the distribution of functions for the delivery of public services, the final decisions on the Review of Public Administration in Northern Ireland encompass significant changes compared to those proposed in 2005. This article places that review in the context of a devolved system of public administration. It identifies four different phases of the review process which have had a differential impact on the predominant themes, principles and structures. A range of tensions are identified, particularly between the proposals for structural change in the final outcomes and earlier recommendations, and also between the final decisions on structural changes and the guiding principles set out as underpinning these changes. The review proposals can be located within the public service reforms of the UK government and a number of perspectives are suggested for evaluating the extent to which the outcomes of the review are compatible with key components of the modernizing and devolution agendas of the UK government.     

Implementation of CRM systems in Portuguese Municipalities

Customer relationship management is a business strategy which dynamically integrates a set of services with the purpose of creating value for the organisation and for their customers. In Portugal, the 2009/2010 edition of ‘Simplex for Municipalities’, the action plan carried by the Portuguese government through the Secretary's Office of State for Administrative Modernisation, makes a commitment to promote a set of initiatives in order to help citizens using the public services. This process intends to reduce costs of context which burden the economic activities, making way for the modernisation of administration. Customer relationship management assumes a central role in this context. This paper presents the main results of a survey that was carried out with Portuguese municipalities, aiming a general characterisation of the adoption of customer relationship management systems, covering several aspects, from the motivations for CRM adoption to the obtained results. The improvement of the relationship with citizens and a higher information quality are some of the most important results obtained by municipalities.     

USER INVOLVEMENT IN COMMUNITY CARE: ORIGINS, PURPOSES AND APPLICATIONS

Whilst the drive towards public sector consumerism is intensifying, it is also evident that somewhat different 'brands' of consumerism are currently being marketed. This article develops a framework to assist in the disaggregation and understanding of the range of approaches to consumerism currently being pursued in the field of health and social care. Its principal elements concern the ideological origins of consumerism in this field; their purposes; and the forms through which consumer preference are expressed. This framework is applied to the Birmingham Community Care Special Action Project, a major developmental initiative which the authors have been studying. An important area for further investigation is the extent to which users and carers seek to exercise greater collective control over services as opposed to influencing the development of services more responsive to their individual needs.     

L’exil et la négociation du manque dans trois romans de Calixthe Beyala

This article takes as its theme the literature of sub-Saharan Africa, and in particular the prolific work of the Cameroonian author Calixthe Beyala, who, since 1987, has published numerous novels in exile. Calixthe Beyala is among those expatriate writers for whom exile, far from being synonymous with banishment, on the contrary represents true salvation. The article examines how Calixthe Beyala speaks of expatriation in three of her novels: Tu t’appelleras Tanga (Your name shall be Tanga) (1988), Les honneurs perdus (1996) and Comment cuisiner son mari à l’africaine (2000). Belonging to three successive decades, these works relate specifically to the theme of exile and plunge to the heart of Cameroon and to the Cameroonian diaspora in Paris, shedding light on the grieving process linked to the loss of one’s own geographic space, and to the loss of self.     

Reforming New Zealand's health care system

In common with many OECD countries, New Zealand has been engaged in a process of reforming the nation's health care system. In New Zealand's case the reforms have been particularly far reaching and effected within a remarkably short time frame. In 1991 the policy framework was made public, and the legislation to underpin the changes enacted in 1993. Shadow bureaucracies anticipating the reforms were set up as early as 1991, however, thus allowing for the changes to be effected in advance of legislation. Thus in the space of a few years, the social security model of health care, which had been in place for over half a century, was transformed into a system characterised by managed competition. This article begins by briefly describing the social security model of health care, and its inherent problems. I go on to analyze the reforms, focusing on the problems of the previous system that the reforms were intended to address. The major planks of the new system are identified, namely the separation of purchasing of health services from provision and creating a competitive market; the distinction between “personal” and “population” health services; establishment of a core of services to which all citizens are entitled; and the integration and capping of funding for health services, and increasing cost-sharing. Of these policies, only the separation of purchasing and provision of health care and the integration of funding for health services have to date been fully implemented, the remainder having been delayed, modified or abandoned. The health care system has arguably been only partially reformed, therefore.     

The Exceptionalism of Housing in the Ideology and Politics of Early Communist Romania (1945–1965)

The article analyses the exceptionalism of housing during the early communist period in Romania, in particular the extent to which the regime's ambivalent policies regarding housing undermined the overall political and ideological goal of dismantling private property. Focusing on appropriations, restitutions and new construction in the city of Timi¸oara and the surrounding region, the article emphasises conflicting and inconsistent policies regarding housing and the consequences of these policies. Housing's double meaning as home and asset further complicated the overall ideological mission of denaturalising bourgeois private property, and provided a basis for the continuing relevance of pre-communist legal ideologies and consciousness of property rights during this period. The article is based on documentary and archival research conducted in the city of Timi¸oara, Romania, in 2007–2008.     

Curbing Corruption in Government Procurement in Southeast Asia: Challenges and Constraints

Corruption in the government procurement of goods, services and public works has been commonplace in Southeast Asian states (with the exception of Singapore) over many years. It has affected the provision of vital services and infrastructure and has been a key factor in undermining standards of governance. In recent years, reforms have been introduced in the region to combat corruption in the procurement process. However, to date their impact in many of the states has been at best limited. The article will consider the nature, types and extent of corruption in government procurement in the various states of Southeast Asia, following which it will discuss the reforms that have been introduced to address the problem. The article will then assess the limited impact of the reforms, and discuss the two reasons for this. The first reason was that the reforms were not sufficiently comprehensive and precise in tackling the entire spectrum of corruption in procurement and in creating the necessary legal powers for watchdog and enforcement bodies when dealing with such practices. Second, there were serious weaknesses in the implementation of these reforms, especially in translating legal provisions into everyday practice. Of particular importance are the limited capacity and status of watchdog and enforcement bodies, and the extent to which they are also compromised through corruption. The conclusion will consider the lessons to be learnt in tackling procurement corruption from the experience of the states of Southeast Asia and the challenges they face in pursuing further reform in the future.     

Terrorism Financing with Virtual Currencies: Can Regulatory Technology Solutions Combat This?

ABSTRACT

This article considers the terrorism financing risk associated with the growth of Financial Technology innovations and in particular, focuses on virtual currency products and services. The ease with which cross-border payments by virtual currencies are facilitated, the anonymity surrounding their usage, and their potential to be converted into the fiat financial system, make them ideal for terrorism financing and therefore calls for a coordinated global regulatory response. This article considers the extent of the risk of terrorism financing through virtual currencies in “high risk” States by focusing on countries that have been recently associated with terrorism activities. It assesses the robustness of their financial regulatory and law enforcement regimes in combating terrorism financing and considers the extent to which Regulatory Technology and its global standardization, can mitigate this risk.     

Planning,Budgeting, and Health Care Performance in Ukraine

Abstract

The Government of Ukraine has not pursued health care reforms now commonplace in the rest of Europe and Central/Eastern Europe that rely less upon centralized, state delivery of services and more on decentralized operational responsibilities and competition for services that increase patient choice. The Ukrainian health sector suffers from personnel overspecialization and facility overcapacity, resulting in high-cost, low productivity services. Budget funds are unavailable for operations and maintenance resulting in poor quality services. The state provides health care as a constitutionally-protected monopoly, relying on the traditional command and control model which ignores cost/quality competition options and responsibilities to patients. Overall, the system which produces these results is over-centralized, requiring achievement of physical service norms without providing sufficient funds. The centralized system does not monitor or evaluate services beyond narrow financial accountability and control requirements. The health care system is paradoxically over-centralized but unable to regulate or control local health care official decisions to ensure compliance with national standards. Needed are reforms in the health care policy and operational areas to produce the supply of services needed for national economic recovery. In the short-term, the budgetary framework can be improved as an operational/management guide through development of comparative information on results. Most of this information can be based on the economic classification consistent with the chart of accounts. Funding stability can be increased to improve expenditure control by implementing a new fiscal transfer formula that provides discretion (i.e., block grants) and performance criteria (i.e., outcome measures). In the medium-term, building on the technical foundation of physical norms and statistical reporting, the health care budgeting and financial management system should shift emphasis to: program planning, policy and management analysis, and public communications. The results of these reforms should lead to decentralized health care operations, service analysis, and delivery responsibilities. At the same time, the reforms should lead to proper centralization of responsibilities for strategic policy decisions, safety regulation, national standards, and program evaluation.     

Privatising Local Public Services: Between Industrial Legacy and Political Ambition

Since the 1980s, research on the privatisation of local services has analysed the factors affecting government's delivery choices; but this research has not given unanimous results, for reasons connected both to the different methodologies adopted and the dynamic nature of privatisation processes. This article introduces the case of Italian water services reform, drawing attention to the economic and political dynamics that make privatisation an extremely complex choice, in which the preferences of politicians have to be balanced with industrial heritage and the strategies of the utilities. By privileging a historical analysis of the conditions in which such choices take place, it is possible to grasp the changing relations between local governments and utilities and to look at the relative power of firms, citizens and governments in the process of service delivery choice.