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The devil is in the details: The successes and limitations of bureaucratic reform in India

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  • Dhaliwal, Iqbal
  • Hanna, Rema

Abstract

Using a biometric technology to monitor the attendance of public health workers in India resulted in a 15 percent increase in staff presence, particularly for lower-level staff. The monitoring program led to a reduction in low-birth weight babies, highlighting the importance of improving provider presence. But, despite the government initiating this reform, there was ultimately a low demand by the government to use the higher quality attendance data available in real time to enforce their existing human resource policies (e.g. leave or salary deductions) due to logistical challenges and a not unrealistic fear of generating staff discord or increase in staff attrition, especially among doctors, who showed the least improvement in attendance. While we observed some gains from this type of monitoring program, technological solutions by themselves will not improve attendance of government staff without a willingness to use the data generated to enforce existing penalties.

Suggested Citation

  • Dhaliwal, Iqbal & Hanna, Rema, 2017. "The devil is in the details: The successes and limitations of bureaucratic reform in India," Journal of Development Economics, Elsevier, vol. 124(C), pages 1-21.
    • Handle: RePEc:eee:deveco:v:124:y:2017:i:c:p:1-21
    DOI: 10.1016/j.jdeveco.2016.08.008
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    1. Abhijit Banerjee & Rema Hanna & Jordan C. Kyle & Benjamin A. Olken & Sudarno Sumarto, 2015. "Contracting out the Last-Mile of Service Delivery: Subsidized Food Distribution in Indonesia," NBER Working Papers 21837, National Bureau of Economic Research, Inc.
    2. Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
    3. Jean Tirole & Roland Bénabou, 2006. "Incentives and Prosocial Behavior," American Economic Review, American Economic Association, vol. 96(5), pages 1652-1678, December.
    4. Das, Jishnu & Hammer, Jeffrey, 2005. "Which doctor? Combining vignettes and item response to measure clinical competence," Journal of Development Economics, Elsevier, vol. 78(2), pages 348-383, December.
    5. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Wealth, Health, and Health Services in Rural Rajasthan," American Economic Review, American Economic Association, vol. 94(2), pages 326-330, May.
    6. Deininger, Klaus & Goyal, Aparajita, 2012. "Going digital: Credit effects of land registry computerization in India," Journal of Development Economics, Elsevier, vol. 99(2), pages 236-243.
    7. Esther Duflo & Rema Hanna & Stephen P. Ryan, 2012. "Incentives Work: Getting Teachers to Come to School," American Economic Review, American Economic Association, vol. 102(4), pages 1241-1278, June.
    8. Holmstrom, Bengt & Milgrom, Paul, 1991. "Multitask Principal-Agent Analyses: Incentive Contracts, Asset Ownership, and Job Design," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 7(0), pages 24-52, Special I.
    9. Michael Callen & Saad Gulzar & Syed Ali Hasanain & Muhammad Yasir Khan, 2016. "The Political Economy of Public Sector Absence: Experimental Evidence from Pakistan," NBER Working Papers 22340, National Bureau of Economic Research, Inc.
    10. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    11. Abhijit V. Banerjee & Esther Duflo & Rachel Glennerster, 2008. "Putting a Band-Aid on a Corpse: Incentives for Nurses in the Indian Public Health Care System," Journal of the European Economic Association, MIT Press, vol. 6(2-3), pages 487-500, 04-05.
    12. Thomas Fujiwara, 2015. "Voting Technology, Political Responsiveness, and Infant Health: Evidence From Brazil," Econometrica, Econometric Society, vol. 83, pages 423-464, March.
    13. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
    14. Martina Björkman & Jakob Svensson, 2009. "Power to the People: Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 735-769.
    15. Daron Acemoglu & Simon Johnson & James A. Robinson, 2001. "The Colonial Origins of Comparative Development: An Empirical Investigation," American Economic Review, American Economic Association, vol. 91(5), pages 1369-1401, December.
    16. Farooq, Abdul & Shahbaz, Muhammad & Arouri, Mohamed & Teulon, Frédéric, 2013. "Does corruption impede economic growth in Pakistan?," Economic Modelling, Elsevier, vol. 35(C), pages 622-633.
    17. Daron Acemoglu, 2006. "A Simple Model of Inefficient Institutions," Scandinavian Journal of Economics, Wiley Blackwell, vol. 108(4), pages 515-546, December.
    18. Banerjee, Abhijit & Duflo, Esther & , & Keniston, Daniel & Singh, Nina, 2012. "Can Institutions Be Reformed from Within? Evidence from a Randomized Experiment with the Rajasthan Police," CEPR Discussion Papers 8869, C.E.P.R. Discussion Papers.
    Full references (including those not matched with items on IDEAS)

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