Decentralizing supervision to attain higher productivity: the case of the ecuadorian health system

There is growing interest in developed and developing countries about how to best administer public programs in order to maximize the return on invested resources. This paper examines the extent to which decentralized supervision can help improve health worker productivity. Data on health workers in Ecuador are analyzed. The results suggest that local (or decentralized) supervision is conducive to higher productivity and more hours worked per day by Ecuador's health promoters. The implications for higher health status, and for improving health care in other developing countries are discussed.     

The UK response to the Soviet invasion of Afghanistan: proposals for a neutral and non-aligned Afghanistan, 1980–1981

Although not unexpected, the Soviet invasion of Afghanistan was still largely a shock to the West. It was the first time since the Second World War that the Soviets had directly intervened in a country outside the Warsaw Pact. Despite the intervention eventually being seen as Moscow's ‘Vietnam’ the West was initially unsure about what the invasion meant for stability in the region or the future conduct of East–West relations. In response to the crisis the UK Foreign & Commonwealth Office (FCO) proposed that Afghanistan revert to a neutral and non-aligned status in an attempt to create the basis for a viable political settlement, one that would allow the Soviet Union to withdraw troops without losing face. It launched the proposal in early 1980, lobbying other countries to support and champion the idea, culminating in a visit to Moscow by the Foreign Secretary, Lord Carrington, in July 1981. In this early phase of Soviet intervention the British proposals were premature but not without merit. They anticipated the strategy the Soviets would eventually adopt in their attempt to achieve an orderly withdrawal.     

Letter to the Committee on Fellowships

Abstract

Thailand has historically been important to the West, especially the United States, as a stable capitalist link in the Pacific rim area of economic activity. When the political stability of the area was upset in the late 1940s and early 1950s, private and public American organizations responded with new techniques known as the green revolution, whose objective was to increase agricultural production and thus decrease the chances of revolution. It is important to stress that at this stage the long-term dangers of regional instability were more important to the development of the green revolution as a policy than were any specific American economic interests in Thailand.     

Budgetary Politics and Veto Players

In this article we examine whether and how the policy‐oriented coalition building and the gridlock model of legislative choice explain changes in the allocation of German budgetary items between 1961 and 1994. The policy‐oriented coalition‐building approach suggests that only policy‐connected budgetary actors can make changes in the budgetary composition, while the location of the status quo is essential for budgetary modifications according to the gridlock model. We also draw the attention to the identification of the set of relevant budgetary veto players and their preferences by distinguishing between models of the government, the political parties of the Bundestag, and the two of them. We test the predictive power of these approaches and conceptions in a competitive manner and control for macroeconomic and other political factors that might influence changes in the budgetary allocation. Our findings show that the gridlock model better explains budgetary changes, and that the government is responsible for decreasing, but the political parties of the Bundestag majority are decisive for increasing the size of budgetary items. We conclude that identifying the relevant veto players and using these more sophisticated approaches on budgetary decision making provide significant insights into the political reasons for changing the allocation of the German budget.