Centrally sponsored schemes in Andaman and Nicobar Islands: a governance paradox

Abstract

Purpose – The purpose of this paper is to present the Andaman and Nicobar Islands (ANI) as a case to delineate contextual and often paradoxical challenges in implementing centrally sponsored schemes in a small island economy. Government reports cite ANI's record on health outcomes to be impressive when comparing it with other Union Territories (UTs). However, using examples of two public health and nutrition schemes, the paper argues that unless ANI's development indicators are compared over few years, public policy may fail to identity its development challenges and continue its rhetoric while in reality, health outcomes may be regressing. Design/methodology/approach – The paper used case study research design involving mixed method approach. Quantitative data were secondary in nature, collected from local government departments. Two of the three districts of ANI formed the sample of the study. Main tools used for qualitative analysis were observation and informal interviews with government functionaries and other stakeholders. Findings – The findings point to the paradox of superior public spending and infrastructure in ANI in midst of deteriorating public health and child nutrition outcomes. The paper concluded that any policy making on island's trajectory of development is not only incomplete, but also faulty unless its special context is considered as a starting point. Research limitations/implications – Ethnographic studies on the health-seeking behaviour of ANI communities can reveal trends in access to health services and its reasons, but that was beyond the scope of the paper. Originality/value – The paper is arguably the first to identify development paradoxes in implementation of government health and nutrition programmes in ANI. The paper poses further questions on unpacking the paradox of development in the islands. It urges policy makers and administrators to reconsider the efficacy of centrally sponsored schemes that are implemented without being contextualised for a small island economy like ANI.