Norms in tension: Democracy and efficiency in Bangladeshi health and population sector reform

Jeremy Shiffman, Yonghong Wu

Research output: Contribution to journalArticlepeer-review

Abstract

Spurred on by donors, a number of developing countries are in the midst of fundamental health and population sector reform. Focused on the performance-oriented norms of efficiency and effectiveness, reformers have paid insufficient attention to the process-oriented norms of sovereignty and democracy. As a result, citizens of sovereign states have been largely excluded from the deliberative process. This paper draws on political science and public administration theory to evaluate the Bangladeshi reform experience. It does so with reference to the norms of efficiency, effectiveness, sovereignty and democracy as a means of making explicit the values that need to be considered in order to make health and population sector reform a fair process.

Original languageEnglish (US)
Pages (from-to)1547-1557
Number of pages11
JournalSocial Science and Medicine
Volume57
Issue number9
DOIs
StatePublished - Nov 2003
Externally publishedYes

Keywords

  • Asia
  • Bangladesh
  • Democracy
  • Health policy
  • Population policy
  • Sovereignty

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

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