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Structuring decentralization: Hybrid institutions in Tanzanian public health and financial management interventions.

机译:加强权力下放:坦桑尼亚公共卫生和财务管理干预措施中的混合机构。

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摘要

Tanzania represents a Sub-Saharan African leader in various good governance reforms, including that of decentralization. Despite extensive efforts on the part of both government and international donor agencies, the decentralization process initiated in the 1980s and reinvigorated with devolution measures in 1998 is stalled if not shifting to recentralization. The divergence between the discursive portrayal of decentralization and the actual implementation of pro-decentralization activities at the local level can be explained by the emergence of a new category of institutions lying between the authority of donors and the state. Specifically, donor interventions created to realize the government's discourses of decentralization led to the emergence of new institutions---or hybrid institutions---to assist local government authorities in essential service delivery, technical advice, and policy formation.;This dissertation hypothesizes that the presence of these hybrids affects the distribution of power and authority between national and local government authorities. They do so by means of the structural relationships (integration, interface, and hub) they establish between the primary decentralization stakeholder institutions: the national government, donor agencies, and local government authorities. The dissertation argues that the hybrid's institutional characteristics determine the type of structure it supports between the primary decentralization institutional stakeholders. It also argues that these hybrids support the emergence of a new Tanzanian technocratic elite cadre that affect the extent to which their institutions exercise voice or exit in regards to ideational and discursive interactions influencing Tanzanian decentralization.;The dissertation applies the method of difference in association with historical and discursive new institutionalism to four sets of hybrid case studies maintaining health sector strengthening (HSS) and public financial management (PFM) initiatives. The analysis contributes to the literature in two ways. First, it offers an alternative explanation for the failure of the process of decentralization in Tanzania. Second, it contributes to the political development literature's explanation of institutional change in least developed countries, especially in regards to discursive elements supported in part by the new technocratic elite that conceal these institutions' political influence.
机译:坦桑尼亚是撒哈拉以南非洲在各种善政改革(包括权力下放改革)中的领导者。尽管政府和国际捐助机构付出了巨大的努力,但权力下放进程始于1980年代,1998年采取了权力下放措施,但如果不转向新的权力下放,便会停滞不前。权力下放的话语描述与地方一级的权力下放活动的实际执行之间的差异可以通过出现在捐助者权力与国家之间的一类新机构来解释。具体来说,为实现政府权力下放而进行的捐助者干预导致了新机构(或混合机构)的出现,以协助地方政府当局提供基本服务,提供技术咨询和制定政策。这些混合动力的存在会影响国家和地方政府当局之间的权力和权力分配。他们通过在主要权力下放的利益相关者机构(国家政府,捐助机构和地方政府当局)之间建立的结构关系(集成,接口和中心)来做到这一点。论文认为,混合动力的制度特征决定了主要权力下放制度利益相关者之间支持的结构类型。它还认为,这些杂种人支持坦桑尼亚新的技术官僚精英干部的出现,这些干部影响其机构在影响坦桑尼亚权力下放的思想和话语互动方面行使发言权或退出的程度。具有历史性和讨论性的新制度主义,对四套混合案例研究进行了研究,以维持卫生部门加强(HSS)和公共财务管理(PFM)计划。该分析通过两种方式为文献做出了贡献。首先,它为坦桑尼亚权力下放进程的失败提供了另一种解释。其次,它有助于政治发展文献对最不发达国家制度变迁的解释,特别是关于话语因素的部分支持,这些话语部分被隐藏了这些制度政治影响力的新技术官僚精英所支持。

著录项

  • 作者

    Long, Catherine Anne.;

  • 作者单位

    Boston University.;

  • 授予单位 Boston University.;
  • 学科 Health Sciences Public Health.;Sub Saharan Africa Studies.;Health Sciences Health Care Management.;Political Science General.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 325 p.
  • 总页数 325
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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