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Argentina - Evaluacion de la capacidad institucional para reformar el sector social en la Argentina (Inglês)

The study explores the interactive clash resulting from reforms, and institutional capacity at the provincial level, as the main element to explain current limitations, and to suggest recommendations conducive to further social reform. To understand the framework for past reforms, the study reviews the economic, political, and institutional context within which such reforms were implemented, and examines the national government's reform policy - within the implementation strategy - and, as well, the provincial governments' capacity to manage change - i.e., in three provinces, Catamarca, Cordoba and Salta. The study focuses mainly on education, and health reforms, significantly different in both design, and formulation: health reform only introduced administrative hospital autonomy, merely a partial aspect of a broad health system reform; whereas, the education reform consisted of a total educational system change. The result was that the health reform was supported basically by interested syndicates, who envisaged compensatory benefits, whereas, the actual beneficiaries - the patients - were poorly informed. Conversely, educational reforms were limited by weak capacity at the provincial level, and as well, limited information. An improved educational reform implementation design is recommended, based on institutional capacity building to improve the quality of education, and, suggests a broader health reform within a strategic framework based on public awareness, but which includes the ministries, medical profession, and provincial health workers.


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  • TIpo de documento

    Relatório Econômico ou Setorial Pré-2003

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  • Região

    América Latina e Caribe,

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  • Nome do documento

    Argentina - Evaluacion de la capacidad institucional para reformar el sector social en la Argentina

  • Palavras-chave

    national health insurance;social sector reform;Province of Buenos Aires;national social security fund;Primary and Secondary Education;per capita income;implementation of reform;education and health;access to telephone;public health expenditure;stock of debt;social welfare program;civil service staff;asian financial crisis;incentives for performance;school enrollment rate;state of siege;case of health;involvement of parents;public sector spending;public sector expenditure;delegation of responsibility;sense of ownership;quality of education;per capita health;lack of participation;corruption in government;local service provider;health care system;delivery of education;civil service salary;revenue from privatization;increase tax collection;world development indicator;focus group interview;hierarchical decision making;control of corruption;social assistance expenditures;lack of commitment;public policy reform;high profile criminal;per capita basis;design of policy;public health service;infant mortality rate;design of reforms;fiscal deficit;hospital reform;reform effort;financial resource;institutional context;Public Employment;political party;provincial official;small sample;political context;public official;political parties;survey instrument;public hospital;hospital autonomy;school inspector;federal revenue;paved road;own-source revenue;internet host;Health ministries;executive decree;career advancement;social indicator;salary arrears;federal money;political influence;political indicators;federal republic;federal law;federal transfer;research literature;civil liberty;hospital management;government effectiveness;Performance Standards;health reform;clear accountability;economic shock;provincial reform;project finance;political science;communications infrastructure;fiscal balance;institutional rule;labor opposition;total debt;government expenditure;provincial debt;social reform;severely limits;fiscal surplus;capital spending;political support;debt arrears;labor regulation;education budget;federal level;unfunded mandate;political constituencies;organizational goal;recruitment practice;designing policy;labor relation;Mission objective;national politics;regulatory power;legislative authority;electoral law;party discipline;election result;popular participation;organizational capacity;provincial revenue;national transfer;financial dependence;tequila crisis;external shock;financial situation;Political Economy;telephone mainline;Basic Education;conceptual framework;fiscal difficulties;fiscal management;political turmoil;government body;political affiliation;federal bureaucracy;government strategy;Contracting Out;union support;social agenda;support hospital;high wage;Social Protection;parent association;national debate;reform education;educational change;internal change;compulsory schooling;dropout rate;human capital;empirical literature;inefficient delivery;provincial finance;Higher Education;university autonomy;public good;agency problem;Public Goods;financing source;federal sector;transparent information;school official;information strategy;dilemma facing;improved service;Curriculum Reform;provincial minister;school outcome;federal assistance;legal mandate;provincial spending;parental participation;federal finance;adequate transportation;educational decision;democratic institution;management autonomy;health insurer;international finance;budget priority;financial consequence;federal officials;public expenditure;national administration;enabling environment;international index;information flow;Capital Investments;health ministers;educational level;information campaign;Health Workers;reform design;personnel expenditure;empirical evidence;government's budget;debt service;delivering services;increase poverty;beneficiary participation;parliamentary majority;social context;public bureaucracy;intergovernmental relation;fiscal performance;average responses;union official;organizational effectiveness;sector ministers;education expert;veto power



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