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In t r o d u c t Io n
T isresearch brief presentsf ndingsof thestudy
on outsourcing of external development assistance
in ...
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Power of partnership conference: Poster: New norms and forms of development: brokerage in maternal and child health service development and delivery in Nepal and Malawi

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New norms and forms of development: brokerage in maternal and child health service development and delivery in Nepal and Malawi

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Power of partnership conference: Poster: New norms and forms of development: brokerage in maternal and child health service development and delivery in Nepal and Malawi

  1. 1. In t r o d u c t Io n T isresearch brief presentsf ndingsof thestudy on outsourcing of external development assistance in maternal and child health (MCH) in Nepal. It outlinestheinstitutional modalitiesand norms guiding thef nancing and delivery of MCH projectsand programmes. First, our mapping of thesocial and political organisation of external development assistancerevealsamessy assemblage of actors, institutional arrangementsand activities informed by thenorms: ‘valuefor money’ and ‘measurableresults’. Second, wefound that for development assistanceto function ef ectively it is not just about thef ow of f nancial resourcesto a project or aprogrammebut also about networks and key personal and institutional relationships. T ird, wefound that thereisincreasing political pressureto show that thedisbursement of resources New Normsand Formsof Development Brokeragein Maternal and Child Health Service Development and Delivery in Nepal R e s e a R c h B R i e f thesenew institutional modalitiesand norms for health outcomesand Statecapacity to deliver ef ectiveMCH services. Br Ief d esc r Ipt Io n o f t h e st u d y Our research ispart of atwo-year project funded by theUK’sEconomic and Social Research Council (ESRC) and theDepartment for International Development (DFID) to beundertaken between May 2014 and October 2016. T eresearch isbeing carried out by theSchool of Social and Political Scienceand theSchool of Health in Social Science at theUniversity of Edinburgh in collaboration with Social ScienceBaha, Nepal, and Kamuzu Collegeof Nursing, Malawi. Ethical clearance wasobtained from theEthicsCommitteeof the School of Social and Political Science, Nepal Health Research Council and theMalawi Collegeof New Norms and Forms of Development Brokerage of Foreign aid in Maternal and Child Health Service Development and Delivery in Nepal and Malawi A Collaborative project of University of Edinburgh (UK), Social Science Baha (Nepal) and University of Malawi (Malawi) May 2014 - August 2016 Research Problematic Implications of changing modality of foreign aid (i.e. shift towards outsourcing, effectiveness, coordination, value for money and achievement of measurable results) for health outcomes and the State capacity Research Method • mapping institutional terrain around external development assistance in Maternal and Child Health (MCH) • ethnographic study of four selected projects Findings • development assistance in MCH is a messy assemblage of actors, institutional arrangements and activities involving ‘providing’, ‘managing’ and ‘spending’ arranged through chains of outsourcing and sub-contracting • preoccupation with metrics and results-based frameworks has reduced the impact to measurable results only; and marginalised and rendered invisible politico-economic and sociocultural dimensions • personal relationships significantly shape the sub-contracting and accountability systems • impact on State capacity in terms of coordination; demoralisation of government staff and aid patronage Outcome Dissemination and publication of research results led to increased debate on the unintended consequences of sub-contracting and result-framework on state capacity and morale of government staff

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