Welcome to the InfoSci Platform
Policy Transfer and Bureaucratic Politics: Insights from Hospital Autonomy Reforms in Malawi

Policy Transfer and Bureaucratic Politics: Insights from Hospital Autonomy Reforms in Malawi

Richard I. C. Tambulasi
Copyright: © 2012 |Volume: 2 |Issue: 1 |Pages: 15
ISSN: 2155-6423|EISSN: 2155-6431|EISBN13: 9781466613911|DOI: 10.4018/ijpphme.2012010103
Cite Article Cite Article

MLA

Tambulasi, Richard I. C. "Policy Transfer and Bureaucratic Politics: Insights from Hospital Autonomy Reforms in Malawi." IJPPHME vol.2, no.1 2012: pp.22-36. http://doi.org/10.4018/ijpphme.2012010103

APA

Tambulasi, R. I. (2012). Policy Transfer and Bureaucratic Politics: Insights from Hospital Autonomy Reforms in Malawi. International Journal of Public and Private Healthcare Management and Economics (IJPPHME), 2(1), 22-36. http://doi.org/10.4018/ijpphme.2012010103

Chicago

Tambulasi, Richard I. C. "Policy Transfer and Bureaucratic Politics: Insights from Hospital Autonomy Reforms in Malawi," International Journal of Public and Private Healthcare Management and Economics (IJPPHME) 2, no.1: 22-36. http://doi.org/10.4018/ijpphme.2012010103

Export Reference

Mendeley
Favorite Full-Issue Download

Abstract

The paper argues that the implementation of health sector reforms modelled on private sector based modularity approaches is mediated by country specific contextual factors. One of such factors is bureaucratic politics. To this end, paper advances that bureaucratic politics have a role to play in the effective implementation of reforms advocated within the international transfer of private sector-based health sector management models. Although, politicians are ultimately the decision makers in terms of which reforms are politically viable, bureaucrats have an input in the process and their behaviours can affect reform implementation. This is true even in the context of coercive transfer to developing countries. Using the case of Malawi’s hospital autonomy reforms, the paper demonstrates that although the failure of hospital autonomy in Malawi has been attributed to political undesirability, bureaucratic politics has also played a pivotal role which cannot be ignored.

Request Access

You do not own this content. Please login to recommend this title to your institution's librarian or purchase it from the IGI Global bookstore.