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Approaches to Improving the Delivery of Social Services in Difficult ...

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<strong>Approaches</strong> <strong>to</strong> <strong>Improv<strong>in</strong>g</strong> <strong>the</strong> <strong>Delivery</strong> <strong>of</strong> <strong>Social</strong> <strong>Services</strong> <strong>in</strong> <strong>Difficult</strong> EnvironmentsWork<strong>in</strong>gthrough nonstatecoord<strong>in</strong>ationmechanismsQuickw<strong>in</strong>s/quickimpact projectsMulti donorfund<strong>in</strong>garrangementsGlobal FundsProject supportCan be effective atreach<strong>in</strong>g <strong>the</strong> poorCan reach down <strong>to</strong>pockets <strong>of</strong> <strong>the</strong> poor, buttends not <strong>to</strong> be systematicand difficult <strong>to</strong> scale upF<strong>in</strong>anc<strong>in</strong>g bypasses <strong>the</strong>state and may underm<strong>in</strong>e it<strong>in</strong> <strong>the</strong> longer termMeans <strong>of</strong> demonstrat<strong>in</strong>gpolitical will<strong>in</strong>gness <strong>in</strong>difficult environments?Build<strong>in</strong>gcapacity <strong>of</strong> nonstate ac<strong>to</strong>rsHumanitarian<strong>in</strong>terventionsCommunitybasedapproachesVoice only<strong>in</strong>itiativesContract<strong>in</strong>gConsolidatedAppealsProcess<strong>Social</strong> fundsUmbrellagrantsCivil societyfundsEffective and efficient way<strong>to</strong> provide services <strong>in</strong> lowcapacity environmentsProvides a framework formoni<strong>to</strong>r<strong>in</strong>g outcomesEffective at meet<strong>in</strong>gimmediate needs <strong>of</strong>affected populationsEffective way <strong>to</strong> moveresources down <strong>to</strong>community levelPuts power <strong>in</strong><strong>to</strong> <strong>the</strong> hands<strong>of</strong> <strong>the</strong> communityRisk <strong>of</strong> backlash from arepressive regimeNo immediate return withrespect <strong>to</strong> access <strong>to</strong>servicesState legitimacy may beunderm<strong>in</strong>edRisk <strong>of</strong> elite capture <strong>of</strong>resourcesBypasses governmentsystems and may not buildcapacity for <strong>the</strong> futureResponse can be becomefragmented <strong>in</strong> <strong>the</strong> absence<strong>of</strong> strong coord<strong>in</strong>ationRisk <strong>of</strong> elite capture <strong>of</strong>resourcesScal<strong>in</strong>g up can be difficultL<strong>in</strong>ks <strong>to</strong> sec<strong>to</strong>rs may beproblematicBuilds social cohesion andputs power <strong>in</strong> <strong>the</strong> ands <strong>of</strong><strong>the</strong> poorPowerful <strong>to</strong>ol for promot<strong>in</strong>gsocial, political andeconomic change57. The current range <strong>of</strong> <strong>in</strong>struments may not be sufficient <strong>to</strong> deal effectivelywith difficult environments. Current aid <strong>in</strong>struments may not be optimallyeffective. For example, <strong>the</strong> World Bank has recently established a TrustFund that enables <strong>the</strong> Bank <strong>to</strong> provide grants f<strong>in</strong>ance <strong>to</strong> LICUS countries<strong>in</strong>clud<strong>in</strong>g <strong>in</strong> arrears). Activities that assist <strong>in</strong> deliver<strong>in</strong>g essential services <strong>to</strong><strong>the</strong> poor, especially regard<strong>in</strong>g HIV/AIDS are among <strong>the</strong> eligible activities.Though <strong>the</strong> <strong>to</strong>tal size <strong>of</strong> <strong>the</strong> Trust fund is relatively small ($25 million FY05-FY07), this <strong>in</strong>strument has enhanced <strong>the</strong> Bank’s ability <strong>to</strong> help meet someneeds <strong>in</strong> <strong>the</strong> most difficult environments. 61 . There are likely <strong>to</strong> be o<strong>the</strong>rs,<strong>in</strong>clud<strong>in</strong>g <strong>in</strong>struments <strong>to</strong> support <strong>in</strong>terventions that fall somewhere betweenhumanitarian and development responses 62 .58. The <strong>in</strong>ternational community, fund<strong>in</strong>g agencies and implement<strong>in</strong>gagencies alike, have very limited evidence as <strong>to</strong> <strong>the</strong> impact <strong>of</strong> <strong>the</strong>ir servicedelivery <strong>in</strong>terventions <strong>in</strong> difficult environments. It has proved extremelydifficult <strong>to</strong> f<strong>in</strong>d empirical support <strong>in</strong> <strong>the</strong> exist<strong>in</strong>g literature for <strong>the</strong> extent <strong>to</strong>which service delivery <strong>in</strong>terventions impact on human developmen<strong>to</strong>utcomes or promote longer-term social and political change. Rigorousevaluation <strong>of</strong> exist<strong>in</strong>g <strong>in</strong>struments and approaches will assist <strong>in</strong> arriv<strong>in</strong>g at61 World Bank (December 2003).62 Randel, J. (2004)This work<strong>in</strong>g paper is <strong>in</strong>tended <strong>to</strong> stimulate public discussion. It is not necessarily DFID orUK Government policy28

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