Enhancing Public Sector Accountability

1
Enhancing Public Sector Accountability

• The Role of Civil Society

Presented to MeTA Meeting The Royal
Society London, United Kingdom April 18, 2007
Presented by Ed Campos Poverty Reduction
Economic Management The World Bank
2
Why the increasing engagement of CSOs in public
sector decision making and program
implementation?
Governance and Development
Accountability at the core of Governance
Public sector accountability has a long gestation
period
CSOs ? culture of accountability
3
The Accountability Triad
Politicians/ Policymakers
Citizens
Bureaucrats
4
Engaging CSOs Examples from the Field
Politicians/ Policymakers
Delegation of Implementation
Delegation and Voice
Political Accountability
Managerial Accountability
Public Goods and Services
Citizens
Bureaucrats
Social Accountability
5
Linking demand side approaches with supply
side interventions
Information Disclosure Right to Information law
Asset and Income Disclosure Records Management
6
Asset Disclosure and Investigative Journalism
Owner Regional Director in the Bureau of
Internal Revenue forced to resign currently
facing corruption charges other officials
suspended, also facing charges
Source Philippine Center for Investigative
Journalism
7
Civil Society Partnership in improving public
procurement DOH-Procurement Watch

• Advice and feedback on the formulation of a new
  law and its implementing rules and regulations
• Coalition building to support reformers in
  government get the law passed
• Case studies on bidding schemes prices of
  homogeneous medicines
• Differential Expenditure Efficiency Measurement
  (DEEM) Tool to identify where hospitals are
  paying excessive prices or wasting drugs and
  supplies
• Good Governance in the Pharmaceutical Sector
  (with WHO) measuring vulnerability to
  corruption building ethical infrastructure

8
Health Sector Delivery of Essential Drugs
Tackling decision points vulnerable to corruption
Manufacturing
Registration
Selection
Procurement
Distribution
Prescription Disbursement
9
Mapping Demand to Supply Roads Projects
10
Mapping Demand to Supply Roads Projects
11
Mapping Demand to Supply Roads Projects
12
Mapping Demand to Supply Roads Projects
13
Challenges for CSOs

• Sustainable funding

Linking with government
Need for technical expertise