Improving Service Delivery for Children

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Presentation transcript:

Improving Service Delivery for Children

Key areas identified for improving availability and quality of Services: Pre-natal Care Immunization Responsive feeding and caring Pre-school education Primary education Despite improvements during past few decades, many of these services fail to reach the Poorest

Why are services failing to reach the poor ? Demand Knowledge Empowerment Affordability Social Barriers Physical access Human Resources Supply Availability of Consumables Resource Allocation Governance

The Challenges Inadequate program monitoring Weak implementation capacity Inadequate program monitoring Over centralization and lack of flexibility in design Lack of accountability

Services can improve by strengthening accountability mechanisms. Policy Maker Indirect Voice Indirect Compact Client Provider Direct Client Power

But, services can still work by Strengthening Client Power. Empowering the poor to monitor and discipline Citizen’s Report Cards in Bangalore Co-producing health and nutrition services Mid Day Meal Program in Tamil Nadu User associations hire and pay health staff in Mali Co-operative Pharmacies in Haiti, Singapore.

Services can improve by Strengthening incentives to providers to serve the poor Buying Results. The Government as active purchaser of health services thru performance based contracts directly with health providers or with intermediaries Urban Slums Project in 74 municipalites in AP Contracting our nutrition Services in Senegal & Madagascar Incentives for working in underserved areas. Hardship allowances Quota for higher education

Services can improve by sharing information and giving voice to the poor Display of funds devolved to schools in DPEP Publishing education grants to schools in Uganda Sharing information relevant for local context Ma-beti melas in DPEP/Mahila Samakhya Meena by UNICEF Polio Campaign Informing facts and figures to generate informed debate Child labor and Schooling

Services can improve by strengthening accountability mechanisms. Immunization Services in Tamil Nadu Enhancing collective accountability – Madhya Pradesh in education

Services can improve by offering demand side financing Educational scholarships for Girls in Bangladesh Conditional Cash Transfers in PROGRESSA, Mexico

None of these solutions are fast are easy None of these solutions are fast are easy. But, success is clearly possible. “It does not matter how slowly you go so long as you do not stop” Confucius WDR 2004