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This presentation explores the importance of accountability structures and feedback mechanisms in improving efficiency in public service delivery. It discusses the need to strengthen weak accountability relationships and set appropriate incentives. The impact of government policies on income distribution and the role of institutions and incentive structures are also examined.
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Human development and public finances Servaas van der Berg Dept of Economics, University of Stellenbosch Presentation to first ERSA Public Economics Workshop, Cape Town, 12 August 2009
Social delivery & accountability • Market process benefits from feedback mechanisms: “Wrong” decisions punished, “right” decisions rewarded – this automatically enhances efficiency • Public process lacks feedback mechanisms – efficiency is thus difficult to attain: • Political feedback mechanisms are often weak • Information asymmetry is usual condition, and measurement difficult: • In market, aggregation of outcomes takes place through prices • Even measurable outcomes of public services impossible to aggregate (e.g. vaccinations, Aids information campaigns, heart transplants, ante-natal care) • Thus need for accountability structures
Accountability in service delivery Need to strengthen weak accountability relationships, set appropriate incentives (principal-agent problem) • Accountability between clients and providers (“short-route”) • Accountability between citizens and policymakers, and policymakers and providers (“long-route”)` Based on: World Development Report 2003
Public spending health outcomes Public spending on health Composition of spending Public provision of effective health services Total consumption of effective health services Health outcomes Strength of all links combined determine whether inputs translate into outputs Similar in all social services Based on: Filmer, Hammer & Pritchet
Bromberger, Government policies affecting the distribution of income, 1940-80, p.167: “...those distributions of income in which we are primarily interested are determined by immensely complex processes in which government activity interacts with relatively autonomous initiatives and adjustments by 'the myriad forces of the market'. There does not exist a well-tested, widely-endorsed body of theory to model all of these processes. But it is clear that governments cannot readily control all of them, and there are limits to what governments may be able to do to change distributions. We must avoid assuming that if there is a change, or no change, government policy is responsible. Nor should we assume that government policies are either coherent or necessarily successful.”
SACMEQ Grade 6 Reading scores(SACMEQ mean 500, standard deviation 100)
Lowess regression on schools’ average maths score, SA & other SACMEQ countries
Lowess regression on schools’ average maths score, SA vs. other SACMEQ countries • Poor SA children fare worse than equally poor children in other African countries in this sample • Moloi (DoE) finds most SA Grade 6 children’s Maths competency to be at Grade 3 level or below
Literacy score in PIRLS 2006 Only 22% of SA students reach low international benchmark (400)
% of Grade 4 (in SA, Grade 5) students below the low international benchmark (400) in PIRLS 2006 These are “very low reading achievers”, “at serious risk of not learning how to read” (Trong 2009)
Lowess regressions & scatterplot Not a single school tested in one of the African languages reached the low international benchmark of 400 Random guessing?
“Belgium” “Indonesia” Gap 232 Gap 168 Gap 104 This gap explains middle class black flight to historically white schools
Black matriculants, 1982 to 2007 (’000) Potentially holds back economic growth and black social mobility
Improving school quality More resources are less important than using existing resources better, i.e. improving school efficiency • Adding more teachers to dysfunctional schools would not improve learning • Must overcome inefficiency of poor schools to really address poverty and educational inequality • Institutions and incentive structures are centrally important to this
Some public finance issues • Principal-agent problem & teacher pay • Public spending incidence versus benefit incidence • Accountability & discretion of schools and districts • Testing, terminal exams in primary schools • Appropriate institutions • Provider absence & incentives (cf. Duflo) • Costing of public hospitals • Perceptions about health quality