Social Provision in Low-Income Countries: New Patterns and Emerging Trends by Germano MwabuSocial Provision in Low-Income Countries: New Patterns and Emerging Trends by Germano Mwabu

Social Provision in Low-Income Countries: New Patterns and Emerging Trends

EditorGermano Mwabu, Cecilia Ugaz, Gordon White

Hardcover | April 1, 2001

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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 ona 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 asynergistic 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.
Germano Mwabu is Associate Professor of Economics at the University of Nairobi. Cecilia Ugaz is Research Fellow at UNU/WIDER, Helsinki, Finland. Before his death, Gordon White was Professorial Fellow at the Institute of Development Studies, University of Sussex.
Title:Social Provision in Low-Income Countries: New Patterns and Emerging TrendsFormat:HardcoverDimensions:320 pages, 9.21 × 6.14 × 0.87 inPublished:April 1, 2001Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199242194

ISBN - 13:9780199242191


Table of Contents

Germano Mwabu, Reino Hjerppe, Cecilia Ugaz, and Gordon White: Introduction: Context and ScopeI. Theoretical Background1. Douglass C. North: The Process of Economic Change2. Sarah Cook and Gordon White: Alternative Approaches to Welfare Policy Analysis: New Institutional Economics, Politics, and Political Economy3. Pier Luigi Sacco and Stefano Zamagni: Provision of Social Services: Civil Economy, Cultural Evolution, and Participatory DevelopmentII. Patterns of Social Provision4. Mark Robinson and Gordon White: The Role of Civic Organizations in the Provision of Social Services: Towards Synergy5. Sanjay Reddy: Strategies of Social Provision: Key Design Issues6. Nanneke Redclift: Contexts of Caretaking: Privatism, Diversity, and Households in Social Provision7. Cecilia Ugaz: The Role of State in the Provision of Social Services: Decentralization and RegulationIII. Financial Issues8. Simon Appleton: User Fees, Expenditure Restructuring, and Voucher Systems in Education9. Germano Mwabu: User Charges for Health Care: A Review of the Underlying TheoryIV. Case Studies10. Dagmar Raczynski: Provision of Social Services in Chile: A Search for a New Model11. Kevin Watkins: Cost Recovery and Equity in the Health Sector: The Experience of Zimbabwe12. Marja Liisa Swantz: Village-based Provision of Key Social Services: The Case of Tanzania13. Dezhi Yu: Market-based Reforms and Changes in China's Health Care System14. A. Sakari Haro and Esko Kalimo: Social Provision in Finland: A Historical Perspective