Citizens, Politicians, and Providers : The Latin American Experience with Service Delivery Reform

Fiszbein, Ariel

Washington, DC:World Bank

关键词: ACCOUNTABILITY;    ACCOUNTABILITY MECHANISMS;    ACCOUNTABILITY RELATIONSHIP;    ACCOUNTABILITY RELATIONSHIPS;    BASIC INFRASTRUCTURE;   

DOI  :  10.1596/0-8213-6089-2
RP-ID  :  34390

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Children regularly receiving healthvisits and education, the sick receiving proper and timelyhealth care, safe water flowing out of the tap, electricityreliably reaching homes and businesses-these apparentlysimple events are taken for granted in developed countries.In Latin America, despite two decades of social andinfrastructure improvements, the poor and many of the middleclass make do with low-quality services. Far too many of thepoor receive no services. Improving service delivery to thepoor is both a widespread political demand, and central tothe realization of the Millennium Development Goals (MDGs).This book interprets service delivery successes, andfailures in Latin America and provides guidance topolicymakers, and development practitioners on shapingpublic action to provide better-quality services for all.Its analysis builds on the accountability frameworkdeveloped in the Bank's World Development Report 2004:Making Services Work for Poor People, which emphasizes thebehavior of people-from teachers to administrators,politicians, and rich and poor citizens-within the chain ofinteractions, from demand to actual service delivery. Thereport seeks to answer an essential question: Ifaccountability relationships among citizens, policymakers,and service providers are key to effective service delivery,and there have been both systemic reforms (expandingnational and local democracy), and an array of specificexperiments (privatization, increased choice), why isservice delivery in Latin America still so inequitable, andoften of low quality?