Subnational Variation in Service Delivery Performance

Abstract

No AccessMay 2015Subnational Variation in Service Delivery PerformanceAuthors/Editors: Hana Brixi, Ellen Lust, Michael WoolcockHana BrixiSearch for more papers by this author, Ellen LustSearch for more papers by this author, Michael WoolcockSearch for more papers by this authorhttps://doi.org/10.1596/978-1-4648-0456-4_ch7AboutView ChaptersFull TextPDF (1.6 MB) ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinked In Abstract: Describes the extent and nature of performance variation at the point of service delivery primarily in the area of health services and education within countries in the Middle East and North Africa (MENA) region, and illustrates the importance of looking beyond averages in examining service delivery challenges and their institutional drivers. Service delivery performance varies widely within countries, even as service delivery systems are centralized in countries in MENA. Even where the political and administrative accountability mechanisms are weak, some communities are able to motivate providers to adhere to standards and deliver quality services; besides familiar local factors such as wealth, it matters how local leaders and local institutions fill the institutional gaps penetrating service delivery systems from the national level. The Republic of Yemen provides an example of considerable subnational variation in the provision of infrastructure such as electricity, beds, and water. Two key factors thought to shape the delivery of health services include geographic accessibility and culture. ReferenceDuret, E, H Abdulmalik, and S Jones. 2010. “Country Case Study: Yemen: Mid-term Evaluation of the EFA Fast Track Initiative.” http://www.camb-ed.com/fasttrackinitiative/download/FTI_Yemen_CR(Feb2010y).pdf. Google ScholarData sourcesEHGS (Egypt Health and Governance Study), World Bank http://documents.worldbank.org/curated/en/2010/06/16332545/​egypt-management-service-quality-primary-health-care-facilities-alexandria-menoufia-governorates Google ScholarPETS (Public Expenditure Tracking Survey), World Bank http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTSOCIALDEVELOPMENT/EXTPCENG/​0,,contentMDK:20507700~pagePK:148956~piPK:216618~theSitePK:410306,00.html Google ScholarQSDS (Quantitative Service Delivery Survey), World Bank http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTPOVERTY/EXTPSIA/​0,,contentMDK:20467190~isCURL:Y~menuPK:1108016~pagePK:148956~piPK:216618~theSitePK:490130,00.html Google ScholarTIMSS (Trends in International Mathematics and Science Study), Boston College http://timssandpirls.bc.edu/ Google ScholarTransitional Governance Project http://transitionalgovernanceproject.org/ Google Scholar Previous chapterNext chapter FiguresreferencesRecommendeddetailsCited byEnhancing Public Health Outcomes in Developing Countries: From Good Policies and Best Practices to Better ImplementationSSRN Electronic Journal View Published: May 2015ISBN: 978-1-4648-0456-4e-ISBN: 978-1-4648-0457-1 Copyright & Permissions Related RegionsMiddle East and North AfricaRelated CountriesYemen, Republic ofRelated TopicsMacroeconomics and Economic GrowthPoverty ReductionSocial Development KeywordsCASE STUDYPUBLIC SERVICE DELIVERYSOCIAL SERVICE DELIVERYCOMMUNITY INVOLVEMENTACCESS TO HEALTH SERVICESACCESS TO EDUCATIONACCOUNTABILITYQUALITY OF HEALTH CAREQUALITY OF EDUCATIONINFRASTRUCTURE PDF DownloadLoading ...