Parallel Systems and Human Resource Management in India's Public Health Services: A View from the Front Lines

There is building evidence in India that the delivery of health services suffers both from an actual shortfall in trained health professionals and from unsatisfactory results of existing service providers working in the public and private sectors. This study focuses on the public sector and examines de facto institutional and governance arrangements that may give rise to well‐documented provider behaviors such as absenteeism that can adversely affect service delivery processes and outcomes. We analyze four human resource management (HRM) subsystems: postings, transfers, promotions and disciplinary practices from the perspective of front‐line workers—physicians working in rural healthcare facilities operated by two state governments. We sampled physicians in one “post‐reform” state that has instituted HRM reforms and one “pre‐reform” state that has not. The findings are based on both quantitative and qualitative measurements. The results show that formal rules are undermined by a parallel modus operandi in which desirable posts are often determined by political connections and side payments. The evidence suggests an institutional environment in which formal rules of accountability are trumped by a parallel set of accountabilities. These systems appear so entrenched that reforms have borne no significant effect. Copyright © 2015 John Wiley & Sons, Ltd.     

Decentralising to Villages in Indonesia: Money (and Other) Mistakes

Nearly 15 years after embarking on its large‐scale decentralisation programme, Indonesia has decided to extend its efforts to the village level. Decentralising to villages is intended to improve service delivery performance at the lowest administrative tier and reduce social inequality and poverty. A number of potential difficulties with the design of Indonesia's nascent village decentralisation initiative have already become apparent. Methods used to allocate funds to villages are particularly problematic. Oddly, fund distribution procedures insist to a large extent on equal per village allocations, despite the significant heterogeneity of villages. And they ignore other sources of revenue to which villages have access. In the event, village revenues will be very inequitably distributed: villages with high levels of poverty will receive less money than they need and villages with access to significant funding from oil and gas revenues will receive more than required. Also, village service responsibilities are unclearly defined, village financial management systems are inadequately prepared to handle large increases in funding, and mechanisms to monitor and control village spending are underdeveloped. These difficulties will severely constrain the achievement of official objectives and create further challenges for reformers in their attempts to combat corruption at the subnational level. Copyright © 2015 John Wiley & Sons, Ltd.     

Basic education clusters in Cambodia: looking at the future while learning from the past

School clusters have been adopted as an education policy by most Asian countries since the 1960s. In Cambodia, primary schools have been organised in clusters since 1993. Clusters were considered a mechanism for quality improvements of education and a way to facilitate sharing and interaction between schools. Primary school clusters have been partially successful. Today there is a growing interest among Cambodian policymakers for integrating primary schools (Grades 1–6) and lower secondary schools (Grades 7–9). This article provides a policy suggestion by arguing for extending the cluster mechanism to these integrated basic education schools with all grades from 1 to 9.     

Livelihood recovery after disaster

A lack of monitoring and evaluation on the outcomes of livelihood recovery programming has typified many post-disaster recovery initiatives. This article uses a case study of the 2006 Yogyakarta, Indonesia earthquake to analyse longer-term impacts of livelihood programming after disaster. The article includes an overview of the programming implemented in five case study villages and the perspectives of impacted populations on the livelihood interventions. Results indicate the importance of longer-term programming, early interventions, local leadership, and an integrative strategy focusing on replacing assets, providing capital and credit to jumpstart entrepreneurial activities, capacity and skills building, and developing markets and networks.     

Practical lessons from gender audit of an education sector plan in Lao PDR

In 2013, the Laos Ministry of Education and Sports (MoES) commissioned a mid-term review of the Education Sector Development Plan 2011–2015 (ESDP, Lao People's Democratic Republic, Ministry of Education and Sports 2010). Plan International, a United Nations Girls Education Initiative partner, worked with MoES to lead a gender audit for the mid-term review. The gender audit strengthened the mid-term review and contributed to the design of the new ESDP. A MoES gender and inclusion working group was established, providing an institutional structure to support focused policy dialogue and address recommendations. This note recommends the inclusion of gender audits within mid-term reviews and final evaluations of sectoral plans to ensure that investments adequately address gender equality.     

Can top-down community enterprise development reduce poverty and out-migration? Evidence from Thailand

This article examines the performance of a poverty alleviation policy in Thailand known as the Small and Micro Community Enterprises (SMCEs) programme. It investigates provincial determinants affecting the establishments of the SMCEs and assesses the effects of the programme on household income and out-migration by using panel data analysis and propensity score matching model. The research findings indicated that such enterprises have spread widely. Average household expenditure, the rate of poverty, and agricultural output were significant predictors of SMCE establishments. However, the research did not find any concrete evidence to support the claim that this policy helped reduce poverty or out-migration.     

Voluntary and involuntary resettlement in China: a false dichotomy?

The success of involuntary resettlement is contingent on recasting the involuntary as voluntary. To explore this proposition, this article presents two projects in China – one “voluntary” (Poverty Alleviation Resettlement or PAR) and relatively “successful” and one “involuntary” (Three Gorges Project Resettlement or TGPR) and less so. The research finds the voluntary–involuntary dichotomy a false one. It is not volition that leads to better outcomes, but people-centred practices that are embedded in policy, planning, and implementation of PAR. Perhaps the most important lesson drawn is that all resettlements should be based on a commitment to settlement and not just resettlement.     

Dealing with the Ambivalent Dragon: Can Engagement Moderate China’s Strategic Competition with America?

Can US engagement moderate China’s strategic competition with America? This study indicates that the answer is a qualified yes. Under unipolarity, a rising state may face both incentives to reach an accommodation with the hegemon and to expand its own stature and influence against the hegemonic dominance. The ambivalence of its intentions is structurally induced and reflects its uncertain stake in the hegemonic order. Consequently, a strategy of engagement may help the hegemon to promote cooperation over competition in dealing with an ascending power, but it does not necessarily eliminate the structural incentives for the competition. Against this theoretical backdrop, this study utilizes both qualitative and quantitative research to demonstrate that China’s reaction to American preeminence has long been marked by a profound ambivalence. Specifically, the findings suggest that while US engagement has some restraining impact on China’s competitive propensity, Beijing will continue to hedge against American hegemony, as its capabilities grow, by solidifying its diplomatic and strategic association with the developing world.     

Erstwhile villages in urban India

In the process of urbanisation villages are becoming parts of cities or towns, and are becoming almost irreversibly transformed as a result. Erstwhile villages, now parts of cities and towns, are on the margins of an urbanising India. They are lagging behind other parts of the cities in terms of receiving basic urban services and infrastructures. Urban development processes should look at the specific issues and concerns of these villages independently from the need and scope of planning for the city at large. This would make the transition from rural to urban status fair and inclusive for erstwhile villagers.     

Social and economic inclusion of people with disabilities: practical lessons from Bangladesh

People with disabilities remain one of the most excluded minorities, often deprived of the benefits of mainstream development programmes. This practical note reports on lessons learnt in delivering a programme combining a community based rehabilitation (CBR) and self-help group approach with disabled persons in rural Bangladesh. Our findings demonstrate how targeted programmes can bring about the social and economic inclusion of disabled persons. We also highlight the greater effectiveness of CBR programmes when targeting a more diverse client base, when not based on debt recovery, and how targeted programmes can even benefit the wider community.