There are increasing criticisms of dominant models for scaling up health systems in developing countries and a recognition that approaches are needed that better take into account the complexity of health interventions. Since Reform and Opening in the late 1970s, Chinese government has managed complex, rapid and intersecting reforms across many policy areas. As with reforms in other policy area...

The regulatory environment in a country is an important factor that affects firm performance. This study investigates the impact of particular regulation—license requirements for certain activities—on innovation performance Indian firms 1990s. Using unique firm-level panel data set, it shows removal license led to eight percentage points higher rate within two years following reform. We measure...

Recent policy debates on the reform of social service delivery systems focus on the decentralization of services and the introduction of competition in order to improve the quality of services. Despite the common assumption that public sector unions oppose these reforms, their responses were diverse. This variation has an important impact on the passage and the final design of the reforms. This...

There is more to Cuba than fabulous cigars, 1950s cars, cheap rum, and music so infectious that even a Norwegian bachelor farmer will get up and dance to it. It also happens to be a showcase for policy transformation from industrialized agriculture to a greener, sustainable agriculture. Cuba has transformed its agriculture from a low productivity, highly subsidized, high input system to one tha...

This study takes the limits and failures of policy reforms based on the so-called Washington Consensus as a starting point and argues that effective and feasible economic reforms need a politico-institutional foundation. Since failures in policy reform, poor public management, and rent seeking are interpreted as instances of institutional failure, effective governance structures are required, w...

Recent policy debates on the reform of social service delivery systems focus on the decentralization of services and the introduction of competition in order to improve the quality of services. Despite the common assumption that public sector unions oppose these reforms, their responses were diverse. This variation has an important impact on the passage and the final design of the reforms. This...

The underlying vision for health developments and reforms in Kenya as detailed in the ongoing 1994 Kenya Health Policy Framework Paper is to provide “quality health care that is acceptable, affordable and accessible to all”. This paper discusses the reforms in the healthcare policy in Kenya by evaluating the health sector developments in the post-colonial era. Key issues, trends, challenges and...