Street-level bureaucrats and the (in)effectiveness of malaria control in Punjab

International Review of Public Administration Pub Date : 2020-11-26 DOI:10.1080/12294659.2020.1846879

Mohsin Bashir, Kainat Shakil

引用次数: 0

Abstract

ABSTRACT This research sheds light on various environmental factors that lead to different decisions regarding the implementation of health policy by street-level bureaucrats (SLBs) in similar districts. The paper explores the factors behind different incidence of malaria in two districts of South Punjab-Pakistan that possessed similar characteristics, focusing on the actions of frontline workers and policymakers. Based on semi-structured interviews with frontend workers, observation of health units from the two districts and review of policy documents on epidemic control programs, we find that SLBs practice lesser discretion when they perceive the policy issue as grave and as policymakers increase surveillance of SLBs, their discretion decreases. We also find that when SLBs have higher room for discretion, they choose convenient behaviors that provide them quicker results.

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旁遮普的基层官僚和控制疟疾的有效性

摘要本研究揭示了不同的环境因素，这些因素导致类似地区的街道级官员在执行卫生政策方面做出不同的决定。本文探讨了巴基斯坦南旁遮普省两个具有相似特征的地区疟疾发病率不同背后的因素，重点关注一线工作者和政策制定者的行动。基于对一线工作人员的半结构化访谈、对两个地区卫生单位的观察以及对疫情控制计划政策文件的审查，我们发现，当SLB认为政策问题严重时，他们的自由裁量权较小，而随着政策制定者加强对SLB的监督，他们的自主裁量权也会减少。我们还发现，当SLB有更大的自由裁量空间时，他们会选择方便的行为，为他们提供更快的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Review of Public Administration Social Sciences-Public Administration

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The International Review of Public Administration (ISSN 1229-4659) is published biannually by the Korean Association for Public Administration (KAPA) to provide a worldwide audience with the opportunity for communication and further understanding on issues of public administration and policy. There will be a triple-blind peer review process for all submissions of articles of general interest. There are no particular limitations on subject areas as long as they are related to the field of public administration and policy or deal with public employees. Articles should be analytic and demonstrate the highest standards of excellence in conceptualization, craftsmanship, and methodology.