This volume analyzes the merits and limitations of both welfarist and neoliberal approaches to the provision of key social services in terms of the outcomes and sustainability of the two approaches. It proposes an alternative model of social provision, characterized by multiplicity in service delivery and financing. The strengths of this new approach are illustrated with case studies from Chile, China, Tanzania and Zimbabwe.
Introduction: Context and Scope,Germano Mwabu, Reino Hjerppe, Cecilia Ugaz, and Gordon White I. Theoretical Background 1. The Process of Economic Change,Douglass C. North 2. Alternative Approaches to Welfare Policy Analysis: New Institutional Economics, Politics, and Political Economy,Sarah Cook and Gordon White 3. Provision of Social Services: Civil Economy, Cultural Evolution, and Participatory Development,Pier Luigi Sacco and Stefano Zamagni II. Patterns of Social Provision 4. The Role of Civic Organizations in the Provision of Social Services: Towards Synergy,Mark Robinson and Gordon White 5. Strategies of Social Provision: Key Design Issues,Sanjay Reddy 6. Contexts of Caretaking: Privatism, Diversity, and Households in Social Provision,Nanneke Redclift 7. The Role of State in the Provision of Social Services: Decentralization and Regulation,Cecilia Ugaz III. Financial Issues 8. User Fees, Expenditure Restructuring, and Voucher Systems in Education,Simon Appleton 9. User Charges for Health Care: A Review of the Underlying Theory,Germano Mwabu IV. Case Studies 10. Provision of Social Services in Chile: A Search for a New Model,Dagmar Raczynski 11. Cost Recovery and Equity in the Health Sector: The Experience of Zimbabwe,Kevin Watkins 12. Village-based Provision of Key Social Services: The Case of Tanzania,Marja l“Y