Managing Public Finance and Procurement in Fragile and Conflicted Settings

Porter, Doug; Andrews, Matt; Turkewitz, Joel; Wescott, Clay G.

doi:10.1080/10967494.2011.656049

Cited by 23 publications

(18 citation statements)

References 34 publications

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“…Implementation is further hampered by inadequate administrative systems which, as for other fragile states, perform better centrally than at the periphery creating problems as "national elites, … short on technical knowledge of how to specify and administer what is needed in globally acceptable terms, will tend to adopt procedural short cuts or observe practices downstream -in certification, payments and reporting -which … draw the ire of their international partners concerned with fiduciary risk and corruption". [22] The Delphi panel was silent about workforce issues. This probably reflects that these are still perceived as 'too politically sensitive to tackle in the open'.…”

Section: Discussionmentioning

confidence: 99%

Barriers to immunization coverage in DRC: An analysis of the GAVI-Alliance cash-based support

Ferrinho¹,

Dramé²

2013

Ann Trop Med Public Health

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Context: Although many countries have improved their vaccination coverage in recent years, the Democratic Republic of Congo (DRC) remains with unsatisfactory levels. Aims: The objective of this study is to document the relative importance of the factors that have in luenced the immunization coverage in DRC and to understand the extent to which cash support to the DRC by the Global Alliance for Vaccines and Immunisation (GAVI) addresses these issues. Materials and Methods: Data were collected using a modi ied Delphi and by the analysis of grants and annual progress reports submitted to GAVI. Results and Conclusions: The GAVI health systems strengthening (HSS) proposal is quite strategic. Therefore it should be complementary to other GAVI grants received by the DRC. This is not always so because the different GAVI windows [immunisation services strengthening (ISS), new and underused vaccines, HSS, and civil society support] do not overlap geographically and in the calendar. This is further aggravated by the narrow time horizon of all grants. Apparently, not enough thinking was done at the outset about how the GAVI HSS proposal was going to be implemented. Hence, the acknowledgement by the Delphi panelists that the major barrier to the effectuation of the GAVI HSS grants was in their implementation. The Delphi panel was silent about HR issues but the importance of these issues is captured in the 2006 GAVI HSS grant application. Signi icant delay in the implementation of the HSS proposal is associated with the lack of a reliable inancial management system. GAVI HSS has been catalytic in uniting key stakeholders in the health sector around the HSS strategy, including the DRC government itself.

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Section: Discussionmentioning

confidence: 99%

Barriers to immunization coverage in DRC: An analysis of the GAVI-Alliance cash-based support

Ferrinho¹,

Dramé²

2013

Ann Trop Med Public Health

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“…No one building block category was considered to be uniquely systemic or operational. To these we added an additional category, community orientation [39, 41]. …”

Section: Methodsmentioning

confidence: 99%

Perceptions of the usefulness of external support to immunization coverage in Chad: an analysis of the GAVI-Alliance cash-based support

Ferrinho¹,

Dramé²,

Tumusiime³

2013

Pan Afr Med J

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IntroductionChad is one of the countries supported by the GAVI-Alliance that remains with unsatisfactory vaccination coverage. This paper tries to understand the main barriers to better coverage.MethodsThese barriers were categorised as up or downstream against the health system building blocks as proposed by WHO and compared with barriers and activities identified by the country in its health system's strengthening grant proposal as approved by the GAVI Alliance in 2007. Data were collected using a modified Delphi system and by analysis of grant and annual report documents.ResultsMost of the activities anticipated under the GAVI health system's strengthening proposal are activities targeting downstream barriers (the neglect of upstream issues is of major importance in a decentralised state like Chad) and aligned with, not complementary to, immunization services strengthening activities. Further, both set of cash grants are blind to important recommendations such as the need to address barriers at the level of leadership and governance and at the level of the financing system and also about initiatives to promote community demand of vaccination services.ConclusionIn Chad slow vaccination progress is aggravated by several contextual barriers: the size of the country, the low population density, the nomadic nature of a significant part of its peoples, the recent civil war, associated with civil unrest and political instability and its geographical localization. In this situation it would be important to sustain downstream operations (the major focus of the ISS grant) while taking a long term view of the needs of the health system. The GAVI effectively supports downstream operations, but neglects the long term view.

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“…In the context of budget transparency, a high degree of transparency does not automatically translate into effective fiscal management. There is a gap between fragile and nonfragile states when it comes to public financial management (see Porter et al ). Even when a fragile state appears to be making progress in governance by putting into place what look like appropriate institutions and processes, they may be more form than substance (Pritchett ).…”

Section: Putting Modest Progress In Its Conceptual Placementioning

confidence: 99%

Section: Putting Modest Progress In Its Conceptual Placementioning

confidence: 99%

Improving the Budget Process in Fragile and Conflict‐Ridden States: Two Modest Lessons from Afghanistan

Guinn

Straussman

2015

Public Administration Review

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David E. Guinn is senior associate and research professor of international law and human rights in the Center for International Development in the Rockefeller College of Public Affairs and Policy, University at Albany. He has directed international governance and rule of law projects in Afghanistan, Côte d'Ivoire, Iraq, Lebanon, and Mexico. His writings cover topics including international development, governance, rule of law, human rights, religion, and violence. Abstract: Both the donor community and scholars have created a cottage industry studying "fragile" states. International nongovernmental organizations that have developed indexes measuring corruption or governance have been unkind to Afghanistan. One index suggests a different and more optimistic story. The International Budget Partnership measures transparency every two years with its Open Budget Index. Afghanistan demonstrated dramatic improvement on this index between 2008 and 2012. The authors use the improvement in Afghanistan's transparency score as an entry point to explore how donors try to intervene and promote transparency as part of broader efforts in public financial management development and how legislative strengthening has also contributed to budget reform. The analysis offers a modest corrective to the overly pessimistic assessments of fragile states by showing that a fragile state can improve its budgetary transparency and enhance governance by strengthening the legislature's involvement in the budget process. Practitioner Points• Donors may encourage governments to be more transparent by complying with the Open Budget Index or other standards; however, transparency may be more effectively enhanced when coordinate branches of the government (i.e., the legislature) and civil society organizations are convinced that it is in their interest to obtain public budgeting and finance information. • Public managers promoting institutional reform in fragile states need to consider the interplay between multiple actors within the host ministry (such as the ministry of finance) and other governmental and nongovernmental players that interact with the host ministry. • Although many are skeptical about the potential for improving governance in fragile states, modest reforms can be achieved, but they require sustained efforts by donors and international nongovernmental advocacy organizations.

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Managing Public Finance and Procurement in Fragile and Conflicted Settings

Cited by 23 publications

References 34 publications

Barriers to immunization coverage in DRC: An analysis of the GAVI-Alliance cash-based support

Barriers to immunization coverage in DRC: An analysis of the GAVI-Alliance cash-based support

Perceptions of the usefulness of external support to immunization coverage in Chad: an analysis of the GAVI-Alliance cash-based support

Improving the Budget Process in Fragile and Conflict‐Ridden States: Two Modest Lessons from Afghanistan

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