The underpinning assumption of public management in the developing world as a process of planned change is increasingly being recognized as unrealistic. In reality, the practice of development management is characterized by processes of mutual adjustment among individuals, agencies, and interest groups that can constrain behaviour, as well as provide incentives for collaborative action. Paradoxes inevitably emerge in policy network practice and design. The ability to manage government departments and operations has become less important than the ability to navigate the complex world of interconnected policy implementation processes. Public sector reform policies and programmes, as a consequence, are a study in the complexities of the institutional and environmental context in which these reforms are pursued. Building on theory and practice, this book argues that advancing the theoretical frontlines of development management research and practice can benefit from developing models based on innovation, collaboration and governance. The themes addressed in Public Sector Reforms in Developing Countries will enable public managers in developing countries cope in uncertain and turbulent environments as they seek optimal fits between their institutional goals and environmental contingencies.

This book provides a research-based analysis of public sector reforms in Pakistan. It offers a broad overview of reforms at different levels of government – including federal, provincial and local – and examines decentralization and devolution reforms in various policy sectors. It also reflects on market-oriented reforms and the steps taken to involve the private sector to build a better-governed public sector, and explores new trends in the public sector in the areas of digitalisation and disaster management. Bringing together young researchers, academics, and practitioners, the book sets a new milestone in the movement towards context-specific reform studies in both academia and the professional practice of public administration, particularly in South Asia.

The effectiveness and efficiency of a country's public sector is vital to the success of development activities, including those the World Bank supports. Sound financial management, an efficient civil service and administrative policy, efficient and fair collection of taxes, and transparent operations that are relatively free of corruption all contribute to good delivery of public services. The Bank has devoted an increasing share of its lending and advisory support to the reform of central governments, so it is important to understand what is working, what needs improvement, and what is missing. IEG has examined lending and other kinds of Bank support in 1999-2006 for public sector reform in four areas: public financial management, administrative and civil service, revenue administration, and anticorruption and transparency. Although a majority of countries that borrowed to support public sector reform experienced improved performance in some dimensions, there were shortcomings in important areas and in overall coordination. - The frequency of improvement was higher among IBRD borrowers than among IDA borrowers. - Performance usually improved for public financial management, tax administration, and transparency, but did not usually with respect to civil service. - Direct measures to reduce corruption-- such as anticorruption laws and commissions-- rarely succeeded.

Choked Pipes is the first consolidated review of Pakistan's health system, which analyzes impediments and offers a phased implementation roadmap for reform. It outlines the existing configuration of the country's health system, presents a brief overview of the factors responsible for poorhealth status, and outlines weaknesses of 'reform' approaches adopted in the past. By describing the Mixed Health Systems Syndrome, the book has drawn attention to the systemic challenges in an environment where publicly-funded government health delivery coexists with privately-financed marketdelivery. The direction of reform proposed in the book draws attention to a number of structural factors, both within and outside of the healthcare system and lay emphasis on reform of governance and social welfare as an important adjunct to reform within the healthcare system. The reform roadmapis relevant to current efforts aimed at achieving development goals in today's macro-economically constrained environment and meeting broader development objectives in the context of Pakistan's prevailing geo-strategic challenges. The reform agenda proposed herein comes at a critical time in theevolution of interest in global health from 'diseases' to 'systems' and therefore has a bearing on health systems in other developing countries, most of which have mixed health systems. As such, the normative framework is envisaged to be a useful contribution in the space of global health.

The book critically examines some of the most topical and challenging issues confronting the public sector in developing countries in an era of globalization. The contributors examine the potential and limits of managerial, fiscal and decentralization reforms and highlight cases where selective use of some of the new management reforms has delivered positive results. Looking into the future, the book provides lessons from the experience of implementing public sector reforms in developing countries.

Key Principles of Public Sector Reforms contains case studies from Cameroon, Ghana, Grenada, India, Kenya, Rwanda, St Vincent and the Grenadines, Saint Lucia, Seychelles, South Africa, Tanzania and Trinidad and Tobago on the policy reforms, strategies and methodologies that support national priorities and greater policy coherence for sustained development and growth.

A country-by-country synopsis of the public sector reform programmes in 40 Commonwealth developing countries, with a profile of each country and an outline of the reform initiatives, implementation processes, achievements and problems encountered.