Unintended Consequences of EU External Action

Burlyuk, Olga; Noutcheva, Gergana

doi:10.1080/03932729.2019.1558522

Cited by 9 publications

(4 citation statements)

References 32 publications

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“…This conceptualization is consistent with recent literature suggesting that unintended consequences can be either anticipated or unanticipated as well as desirable or undesirable. [23][24][25] Figure 1 illustrates our framework. Its applicability has been presented elsewhere.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso

Turcotte-Tremblay

Gali²,

Ridde

2020

Int J Health Policy Manag

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Background: Performance-based financing (PBF) is promoted to improve the quality and quantity of healthcare services in low-income countries. Despite the complexity of the intervention, little attention has been given to studying its unintended consequences. Our objective is to increase evidence on the unintended consequences of PBF in Burkina Faso. Methods: Using the diffusion of innovations theory, we conducted a multiple case study. The cases were 6 healthcare facilities in two districts. Between April 2015 and 2016, we collected data through 101 semi-structured interviews, discussions, observations, and documents. We conducted thematic analysis using a hybrid deductive-inductive approach. Secondary data was used to illustrate the evolution of reported services. We conducted a cross-case synthesis to identify the results arising independently from more than 1 case. Results: A desirable unintended consequence of PBF was that 3 facilities limited the sale of non-prescribed medication to encourage patients to consult. Undesirable unintended consequences were found in the majority of facilities including fixation on measures rather than on underlying objectives, the pursuit of narrow and less relevant performance indicators, gaming, and teaching trainees improper practices. Providers in all facilities deliberately manipulated medical registers and documents, such that the reported quantity and quality of care differed from what was actually delivered. While most participants indicated that PBF was more advantageous than previous practices, the long payment delays were a source of dissatisfaction and demotivation across all facilities. Dissatisfaction also emerged in relation to the distribution of subsidies and the non-attribution of quality points for services delivered by certain staff considered "unqualified" in guidelines. Results in many facilities revealed suboptimal planning, a perception of the intervention as "budgetivorous," as well as tensions related to the principle of managerial autonomy. Conclusion: PBF led to numerous unintended consequences that could undermine the intervention’s effectiveness. The findings contribute to a more comprehensive picture of the consequences of implementing PBF. Policy-makers can use the results of this study to devise effective strategies before, during and after the implementation of the intervention to minimize undesirable unintended consequences and promote desirable ones.

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Section: Theoretical Frameworkmentioning

confidence: 99%

An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso

Turcotte-Tremblay

Gali²,

Ridde

2020

Int J Health Policy Manag

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“…Unintended consequences remain understudied in both development and migration studies (notwithstanding sparse exceptions such as Koch & Burlyuk, 2020;Koch & Verholt, 2020). In the few cases that the concept is applied, it is used casually, without much conceptual and methodological rigour (Burlyuk & Noutcheva, 2019;Koch et al, 2021). As mentioned above, studies evaluating to what extent the results of a certain EU migration policy have been achieved are prone to miss the negative impacts these policies may have in a local context, especially if these impacts are unintended (Burlyuk, 2017;Reslow, 2019).…”

Section: Limits To Le Arningmentioning

confidence: 99%

“…Because solely evaluating the degree to which the intended effects have been achieved is insufficient for evaluating development programmes (Ferguson, 1994), this is a problematic omission. Finally, and most pertinent to our analysis, the scholars that do pay attention to unintended effects (see for example Bøås, 2021;Raineri, 2018;Reslow, 2019) focus more on the emergence of unintended effects rather than ways in which organizations (fail to) mitigate unintended effects, i.e., whether and how these unintended effects persist over time (Burlyuk & Noutcheva, 2019). Koch and Verholt (2020) are the first to coin the term "bounded policy learning".…”

Section: Limits To Le Arningmentioning

confidence: 99%

Learning in migration management? Persistent side effects of the EUTF

Boersma

Koch

Kroon³

et al. 2022

International Migration

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This study contributes to the existing literature on the unintended effects of migration management programmes beyond migration. By combining a structured literature review with fifteen in‐depth interviews with diplomats, consultants, and researchers – all involved with the European Union Emergency Trust Fund for Africa (EUTF), the largest migration management programme since 2015 – this study examines why policymakers do not always learn from unintended effects. The paper identifies four unintended effects: increased border guard violence; increased organized crime of smugglers and undermined livelihoods; exacerbation of poor governance in recipient countries; and legitimation of governments with limited legitimacy. While officials involved in the EUTF recognize the occurrence of these unintended effects, the EUTF insufficiently addresses these effects. This study analyses the technical, institutional, and ideological limits to learning that prevent migration management instruments such as the EUTF from effectively mitigating unintended effects.

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“…According to her analysis, the concept can fruitfully advance our understanding of the EU's overall performance when it comes to anticipating and coping with unintended consequences of this sort (Burlyuk, 2017(Burlyuk, : 1022. Similarly, Burlyuk and Noutcheva (2019) underline three basic features of the unintended consequences of EU (in)action: namely, what they manifest, why they occur and how they are managed. Focusing on cases relating to the EU's external affairs, they call for the concept to be integrated further when purposive EU (in)action is being considered, warning against the casual and rather superficial way in which it has been treated thus far.…”

Section: Economic and Policy Cycles: Key Determinants Of The Eu's Uni...mentioning

confidence: 99%

Reformingsuo tempore: Exploring the unintended consequences of the European Union’s ‘reform actorness’

Blavoukos

Oikonomou

2022

The British Journal of Politics and International Relations

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The European Union is broadly considered a benign reform actor, encouraging and supporting reforms in member states and beyond. However, European Union-induced reforms do not only generate the intended effects; they can also trigger unintended consequences for other reforms. These unintended consequences occur primarily through the impact of European Union-induced reforms on the resources available. The scope and size of the unintended effects will be conditioned by the domestic cycles in economic and public policy-making. Here, we apply our analytical framework to study the resilience of governance reforms in Greece during the period of fiscal consolidation (2010–2015), highlighting the unintended consequences of the European Union’s ‘reform actorness’. We find that the distinction between financial and non-financial resources is critical in unpacking the unintended consequences of any exogenously driven reform. Depending on the current stage in the cycles, the impact on non-financial resources can generate positive side-effects that help prevent other ongoing domestic reforms being derailed.

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Unintended Consequences of EU External Action

Cited by 9 publications

References 32 publications

An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso

An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso

Learning in migration management? Persistent side effects of the EUTF

Reformingsuo tempore: Exploring the unintended consequences of the European Union’s ‘reform actorness’

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