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Social Provision in Low-Income Countries
New Patterns and Emerging Trends
Edited by Germano Mwabu, Cecilia Ugaz, and Gordon White
320 pages
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9 figures
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234x156mm
978-0-19-924219-1
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Hardback
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26 April 2001
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This item is printed to order and supplied on a firm sale basis. Items which are printed to order are normally despatched and charged within 5-10 days.
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- Adopts a multidisciplinary approach to an issue of interest to all countries
- Presents policy conclusions which are based on sound theories of social provision and well documented case studies
During recent years, provision of key social services in low-income countries has been affected by adverse macroeconomic conditions and by radical changes in economic thinking. For example, the welfarist approach, which gives prominence to the state in delivering and financing social services, has been challenged by the neoliberal approach, which limits the role of the government to that of residual provider for the very poor. According to the neoliberal approach, the private sector could, by relying on price mechanisms, achieve more efficient provision. However, this approach relies on a rather narrow
definition of efficiency which ignores social externalities in the delivery and use of services.
"Social Provision in Low-Income Countries" analyses the merits and limitations of both welfarist and neoliberal approaches to the provision of key social services in terms of the outcomes and sustainability of the two approaches. The volume proposes an alternative model of social provision, characterized by multiplicity in service delivery and financing.
The new model, in which households, civil society, and government play important roles, avoids the inefficiencies of state provision and the exclusion and fragmentation of market-based systems. The authors argue for an integrative approach which encourages the equity and efficiency gained from a
synergistic relationship between various service providers. They further argue that the well-known market and government failures in social provision are due to undesirable extremes in policy design, rather than to inherent characteristics of market or government institutions.
The strengths of this new approach are illustrated with case studies from Chile, China, Tanzania, and Zimbabwe. The volume also describes how social services in Finland were organized in the early stages, and draws policy lessons for present day developing countries.
Readership: Academics and advanced level students in the field of development economics; social service theoreticians and practitioners; policy
makers.
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Edited by Germano Mwabu, Associate Professor of Economics, University of Nairobi, Kenya, Cecilia Ugaz, Research Fellow, WIDER, United Nations University, Finland, and Gordon White, late Professorial Fellow, University of Sussex, UK Contributors:
Germano Mwabu, Reino Hjerppe, Cecilia Ugaz, and Gordon White
Douglass C. North
Sarah Cook and Gordon White
Pier Luigi Sacco and Stefano Zamagni
Mark Robinson and Gordon White
Sanjay Reddy
Nanneke Redclift
Cecilia Ugaz
Simon Appleton
Germano Mwabu
Dagmar
Raczynski
Kevin Watkins
Marja Liisa Swantz
Dezhi Yu
A. Sakari Härö and Esko Kalimo
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"... an extraordinarily rich and scholarly contribution with a strong policy flavour." - Development and Change "Often such collections suffer from weak and arbitrarily chosen analytical frameworks, unevenness in addressing key analytical and policy questions, and a general lack of coherence. This volume is a refreshing exception, and makes an important contribution to the development literature." - Development and Change
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Germano Mwabu, Reino Hjerppe, Cecilia Ugaz, and Gordon White: Introduction: Context and Scope
I. Theoretical Background
1: Douglass C. North: The Process of Economic Change
2: Sarah Cook and Gordon White: Alternative Approaches to Welfare Policy Analysis: New Institutional Economics, Politics, and Political Economy
3: Pier Luigi Sacco and Stefano Zamagni: Provision of Social Services: Civil Economy, Cultural Evolution, and Participatory Development
II. Patterns of Social Provision
4: Mark Robinson and Gordon White: The Role of Civic Organizations in the Provision of Social Services: Towards Synergy
5: Sanjay Reddy: Strategies of Social Provision: Key Design Issues
6: Nanneke Redclift: Contexts of Caretaking: Privatism, Diversity, and Households in Social Provision
7: Cecilia Ugaz: The Role of State in the Provision of Social Services: Decentralization and Regulation
III. Financial Issues
8: Simon Appleton: User Fees, Expenditure Restructuring, and Voucher Systems in Education
9: Germano Mwabu: User Charges for Health Care: A Review of the Underlying Theory
IV. Case Studies
10: Dagmar Raczynski: Provision of Social Services in Chile: A Search for a New Model
11: Kevin Watkins: Cost Recovery and Equity in the Health Sector: The Experience of Zimbabwe
12: Marja Liisa Swantz: Village-based Provision of Key Social Services: The Case of Tanzania
13: Dezhi Yu: Market-based Reforms and Changes in China's Health Care System
14: A. Sakari Härö and Esko Kalimo: Social Provision in Finland: A Historical Perspective
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