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DECENTRALIZATION IN ALBANIA. TOPICS. Context Country Situation Current Status of Decentralization Political Economy Governance and Corruption Capacity of Government Technical Issues in Social Sectors Education Health Social Protection Accountability. CONTEXT.
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TOPICS • Context • Country Situation • Current Status of Decentralization • Political Economy • Governance and Corruption • Capacity of Government • Technical Issues in Social Sectors • Education • Health • Social Protection • Accountability
CONTEXT • Albania meets none of Bahl’s correlates of decentralization—e.g., size of Maryland, 3 million people; ethnically homogeneous (small Greek minority) • EU sees decentralization as indicator of political reform. Albania wants to join EU. Objectives otherwise unclear. • Weak state, weak civil society • Elected councils for 448 cities, municipalities, communes • Regional level: voluntary association of council leaders • Deconcentrated elements—e.g., 36 district education offices • Decentralization process like Indonesia’s: went to laws
IT’S THE POLITICS, STUPID • Ranking on Transparency International corruption scale deteriorating • Prior to last election, opposition party dominated local elections • Minister of Local Government and Decentralization = relative of current PM • Huge rush to decentralize before next elections • Deals cut in dead of the night, abrogating agreements on process • “This is a fight over who gets the 10 percent”—and over political patronage to control outcomes of local elections
EDUCATION • How expenditure responsibilities should be assigned fairly clear (see handout) • Wholesale decentralization of sector a bad idea • HUGE problem of getting from A to B • Political consensus about allocation of responsibilities among levels of government (regional problem) • Financing and broader incentive framework • Identifying and targeting limited # of capacity deficits
HEALTH: Three Current Issues for Decentralization Policy • Defining the Role of Health Insurance Institute in Decentralization Process • Defining Planning, Management and Ownership of Primary Health Care Services • Defining the Roles and Functions of Local Government in Public Health
Social Protection Main social safety net programs: • Cash assistance • Pensions • Social care services
CASH ASSISTANCE: Structure • Means-tested • Nationally funded by conditional grants • Locally administered • Designed to accomplish nationally specified objectives
CASH ASSISTANCE: Performance • Targeting less effective than it should be • Reason: No effective accountability process to check if local allocation of funds matches national criteria
CASH ASSISTANCE: Policy Options • Introduce new evaluation and compliance processes • Tension with new decentralization policy • Devolve responsibility for goal-setting as well as for program administration • No longer a national anti-poverty program
PENSIONS A Complication • Pensions might play as large a safety-net role as cash assistance in rural areas. • But administered at national level. • Not targeted by income level.
HOLDING ALL PLAYERS ACCOUNTABLE • Using acceptable process for assigning expenditure responsibilities? • Clear understanding of assignments by all levels of government and among citizens? • Responsibilities and resources fiscally aligned? (empirical studies to estimate operating costs) • Published performance audits (e.g., PETS): • Who got the money • What did they do with it? • How do resources vary between service delivery areas? • Report cards on dimensions of service delivery hard to observe (e.g., learning outcomes)