Power of partnership conference: Presentation: New norms and forms of development: Brokerage of foreign aid in maternal and child health service development and delivery in Nepal and Malawi
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Power of partnership conference: Presentation: New norms and forms of development
1. New Norms and Forms of Development
Brokerage of Foreign aid in Maternal and Child Health Service
Development and Delivery in Nepal and Malawi
A Collaborative project of University of Edinburgh (UK), Social Science Baha
(Nepal) and University of Malawi (Malawi)
2. Research aims
• to generate knowledge on the
roles and functions of
development institutions that
broker health and development
projects and programmes
• implications of changing modality
of foreign aid (i.e. shift towards
outsourcing, effectiveness,
coordination, value for money and
achievement of measurable
results) for health outcomes and
the State capacity
3. methods
• Inception workshops
• mapping institutional
terrain around external
development assistance
in Maternal and Child
Health (MCH)
• ethnographic study of
eight selected projects,
including fieldwork,
participant observation,
interviews, archival work
4. Findings
• development assistance in MCH is a messy assemblage of actors,
institutional arrangements and activities involving ‘providing’,
‘managing’ and ‘spending’ arranged through chains of
outsourcing and sub-contracting
• preoccupation with metrics and results-based frameworks has
reduced the impact to measurable results only; and marginalised
and rendered invisible politico-economic and sociocultural
dimensions
• personal relationships significantly shape the sub-contracting and
accountability systems
• impact on State capacity in terms of coordination; demoralisation
of government staff
5. Pathways to impact
• collaboration with long-
term partners
• stakeholders and partners
engagement throughout
the research process
• dissemination through
various mediums (radio,
blog, journal articles, policy
briefs, working papers,
seminars, dissemination
workshops, one-to-one
briefing/meeting with key
stakeholders)
6. Outcomes and impact
• increased research capacity (e.g. SSB emerged as
a premier social science research organisation,
RAs have authored in international journals,
established researchers, request for training in
qualitative research by NHRC and TU) and South-
South networks
• Invited to review USAID’s 25 programme in
Nepal; professionals organisations involvement in
health services delivery in Uganda
• increased debate on the unintended
consequences of sub-contracting and result-
framework on state capacity and morale of
government staff (e.g. BMJ Global, journal
articles, LSE blog, BBC World/radio, local
newspapers)
• facilitated local ethics research governance
system and process
Notes de l'éditeur
Impact plan is shaped by our ongoing long-term engagement with the collaborators and partners
we need to go beyond instrumental impact and view it in the border socio-political context
intended as well as unintended impact