An Assessment of Institutional Capacity for Social Sector Reform in Argentina
The study explores the interactive clash resulting from reforms, and institutional capacity at the provincial level, as the main element to explain current limitations, and to suggest recommendations conducive to further social reform. To understan...
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| Language: | English en_US |
| Published: |
Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2001/09/1614820/argentina-evaluacion-de-la-capacidad-institucional-para-reformar-el-sector-social-en-la-argentina http://hdl.handle.net/10986/15458 |
| Summary: | The study explores the interactive clash
resulting from reforms, and institutional capacity at the
provincial level, as the main element to explain current
limitations, and to suggest recommendations conducive to
further social reform. To understand the framework for past
reforms, the study reviews the economic, political, and
institutional context within which such reforms were
implemented, and examines the national government's
reform policy - within the implementation strategy - and, as
well, the provincial governments' capacity to manage
change - i.e., in three provinces, Catamarca, Cordoba and
Salta. The study focuses mainly on education, and health
reforms, significantly different in both design, and
formulation: health reform only introduced administrative
hospital autonomy, merely a partial aspect of a broad health
system reform; whereas, the education reform consisted of a
total educational system change. The result was that the
health reform was supported basically by interested
syndicates, who envisaged compensatory benefits, whereas,
the actual beneficiaries - the patients - were poorly
informed. Conversely, educational reforms were limited by
weak capacity at the provincial level, and as well, limited
information. An improved educational reform implementation
design is recommended, based on institutional capacity
building to improve the quality of education, and, suggests
a broader health reform within a strategic framework based
on public awareness, but which includes the ministries,
medical profession, and provincial health workers. |
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