An Assessment of Institutional Capacity for Social Sector Reform in Argentina
Author(s)
World BankKeywords
HOSPITALSHOSPITAL ADMINISTRATION
SOCIAL REFORMS
PUBLIC EXPENDITURE
UNEMPLOYMENT
DECISION- MAKING
ACCOUNTABILITY
PHYSICIANS
BUREAUCRACY
MANDATES
ORGANIZATIONAL EFFECTIVENESS
MORTALITY
PROGRAM IMPLEMENTATION
MINISTERS
INSTITUTIONAL DEVELOPMENT
SECONDARY EDUCATION
DEBT
SOCIOECONOMIC CONDITIONS
SOCIAL PROTECTION
QUALITY OF EDUCATION
FEDERAL FINANCE
MANAGERS
REFORM IMPLEMENTATION
TEACHER TRAINING
CENTRAL GOVERNMENT
HEALTH SERVICES
SOCIAL SECTOR
SOCIAL SECTORS
HEALTH REFORM
DESIGN CRITERIA
SOCIAL SECURITY
SERVICE PROVIDERS
PERFORMANCE STANDARDS
TECHNICAL ASSISTANCE
SCHOOLING
CIVIL SERVICE
EMPLOYMENT
ENROLLMENT
EDUCATIONAL REFORM
SOCIAL WELFARE
SOCIAL NORMS
ASSESSMENT METHODS
CAPACITY BUILDING
PUBLIC OFFICIALS
EDUCATIONAL CHANGE
EDUCATION MINISTRIES
EDUCATION REFORM
BUREAUCRACIES
PUBLIC HEALTH EXPENDITURE
RATIONALIZATION
WAGES
NURSES
CONSENSUS
ACHIEVEMENTS
AUTHORITY
SERVICE QUALITY
SERVICE DELIVERY
LEVELS OF GOVERNMENT
DEMOCRACY
LEARNING
FISCAL YEAR
PUBLIC AWARENESS
FINANCIAL ASSISTANCE
DECREE
TECHNOCRATS
SIZE OF GOVERNMENT
FINANCIAL RESOURCES
EXPENDITURE
PATIENTS
PUBLIC POLICY
MUNICIPALITY
CURRICULUM
SCHOOLS
POLITICAL ASPECTS
DECREES
PUBLIC INSTITUTIONS
TEACHING
FISCAL
LEGISLATION
WORKERS SOCIAL SECTOR REFORM
SOCIAL ASSISTANCE
CORRUPTION
FINANCING SOURCES
ADMINISTRATIVE REFORMS
HEALTH CARE
TEST SCORES
DEGREE OF AUTONOMY
PERFORMANCE INCENTIVES
HUMAN RESOURCES
PARENTS
LOCAL GOVERNMENT
FISCAL DEFICITS
REFORM POLICY
TEACHER
IMPLEMENTATION PLANS
SOCIAL SERVICES
MANAGEMENT DEVELOPMENT
ACHIEVEMENT
FEDERAL GOVERNMENT
PRIMARY SCHOOLS
CIVIL LIBERTIES
HUMAN CAPITAL
INSURANCE
INTERVENTION
INSTITUTIONAL FRAMEWORK
FINANCIAL SUPPORT
INTERGOVERNMENTAL RELATIONS
REPETITION
PRIMARY EDUCATION
CONSTITUTION
MUNICIPALITIES
GOVERNMENT'S BUDGET
UNFUNDED MANDATES
PENALTIES
PUBLIC HEALTH
EDUCATIONAL DECISIONS
PUBLIC HEALTH EXPENDITURES
TEACHERS
PUBLIC SECTOR
ORGANIZATIONAL CAPACITY
VIOLENCE
INSTITUTIONAL CAPACITY
DECENTRALIZATION
Full record
Show full item recordOnline Access
http://hdl.handle.net/10986/15458Abstract
The study explores the interactive clash
 resulting from reforms, and institutional capacity at the
 provincial level, as the main element to explain current
 limitations, and to suggest recommendations conducive to
 further social reform. To understand the framework for past
 reforms, the study reviews the economic, political, and
 institutional context within which such reforms were
 implemented, and examines the national government's
 reform policy - within the implementation strategy - and, as
 well, the provincial governments' capacity to manage
 change - i.e., in three provinces, Catamarca, Cordoba and
 Salta. The study focuses mainly on education, and health
 reforms, significantly different in both design, and
 formulation: health reform only introduced administrative
 hospital autonomy, merely a partial aspect of a broad health
 system reform; whereas, the education reform consisted of a
 total educational system change. The result was that the
 health reform was supported basically by interested
 syndicates, who envisaged compensatory benefits, whereas,
 the actual beneficiaries - the patients - were poorly
 informed. Conversely, educational reforms were limited by
 weak capacity at the provincial level, and as well, limited
 information. An improved educational reform implementation
 design is recommended, based on institutional capacity
 building to improve the quality of education, and, suggests
 a broader health reform within a strategic framework based
 on public awareness, but which includes the ministries,
 medical profession, and provincial health workers.Date
2001-09-17Type
Economic & Sector WorkIdentifier
oai:openknowledge.worldbank.org:10986/15458http://hdl.handle.net/10986/15458
Copyright/License
CC BY 3.0 IGOCollections
Related items
Showing items related by title, author, creator and subject.
-
Seychelles - Public Expenditure ReviewWorld Bank (World Bank, 2012-03-19)In 2008, after many years of
 unsustainable fiscal policy and a distorted and overvalued
 foreign exchange regime, the Government of Seychelles
 embarked upon a bold economic reform program. This program
 aims to put the economy on a path toward macroeconomic
 stability, liberalize the economy and to allow the private
 sector to take over from the state as the driving force in
 the economy. Seychelles, a small open, middle-income island
 state with relatively low incidence of poverty and near full
 employment, faced acute economic difficulties in 2008 as a
 result of past economic management exacerbated by the rising
 global oil and food prices and the downturn in the global
 economy. This resulted in missed debt-service payments and
 the subsequent downgrading of its credit rating by standard
 and poor's. Faced with current debt service
 difficulties and a historically poor credit track record,
 the authorities responded quickly by adopting a
 comprehensive reform program supported by a second year
 stand by arrangement with the International Monetary Fund
 (IMF) and commencing negotiations with Paris club and other
 private and official creditors for debt restructuring. The
 government has embarked upon a comprehensive reform strategy
 aimed at restoring internal and external balances with the
 assistance of the international financial institutions and
 development partners. The reform program includes: (i) the
 complete liberalization of the exchange rate regime and
 float of the currency (which was introduced in November
 2008); and (ii) tightened fiscal policy, including improved
 targeting of the comprehensive social safety net and a
 privatization program to deal with the many state-owned
 enterprises. The focus of the public expenditure review
 (PER) reflects the fact that revisiting the role and
 functions of government lie at the heart of the economic
 reforms that need to take place in the next two years. This
 chapter provides a survey of recent developments,
 medium-term macroeconomic developments and their fiscal
 policy implications. Chapter two examines public expenditure
 trends and budget management issues. Chapters three, four,
 and five examine civil service reform, health care, and
 education issues respectively.
-
Governance in the Health Sector : A Strategy for Measuring Determinants and PerformanceSavedoff, William D. (2011-05-01)Many different strategies have been proposed to improve the delivery of health care services, from capacity building to establishing new payment mechanisms. Recent attention has also asked whether improvements in the way health care services are governed could make a difference. These approaches ask which factors -- such as rules and institutions -- influence the behavior of the system in ways that are associated with better performance and outcomes. This paper reviews the concept of governance as it is used in the literature on private firms, public administration, international development and health. It distinguishes between indicators that measure governance determinants from those that measure governance performance in order to propose a framework that is analytically coherent and empirically useful. The framework shows how these indicators can be used to test hypotheses about which governance forms are more useful for improving health system performance. The paper concludes by proposing specific measures of governance determinants and performance and describes the instruments available to collect and interpret them.
-
Ethiopia Public Sector Reform Approach : Building the Developmental State - A Review and Assessment of the Ethiopian Approach to Public Sector ReformWorld Bank (Washington, DC, 2013-09-25)The objective of this report is to review and recommend improvements to Ethiopia's approach to public sector reform in order to advise the Government and executive institutions on the future of its public sector reform. The report also serves as a think piece for the World Bank, other partners, and policy makers. The report provides important basic information about the features of Ethiopia's public sector reform approach and reviews what worked well and what did not. It draws lessons from other countries' experience to help develop ideas and instruments of future public sector reforms in Ethiopia. Ethiopia's system of decentralization process has been credible in devolving power, improving governance and service delivery well as narrowing the per capital differences among Regional Governments and districts. The second phase of decentralization was 'big bang' and brought some gaps on addressing administrative and fiscal decentralization issues associated with: a) detailed clarity of expenditure and revenue assignments, b) shortage of skilled manpower and lack of incentive in remote areas and inadequate budget for recruitment , c) building local government specific purpose fiscal transfer, d) local government mandate on Public Sector Reform (PSR) and capacity building and e) transfers and f)decentralizing more decision making power to regional states on deciding financial resource for PSR and capacity building implementation. In an effort to link the incentive and pay mechanisms to performance in the civil service, the Ministry of Civil Service (MoCS) has prepared a draft incentive guideline and is waiting for its approval by the Council of Ministers; it is an important step to the way forward. In the future, the guideline has to reflect a systematic and comprehensive incentive and pay reform and performance mechanism and rolled out as it is a prerequisite to the PSR.