When Opportunity Beckons: The Impact of the Public Service Accountability Monitor’s Work on Improving Health Budgets in South Africa

By Alta Fölscher (Mokoro, Ltd.) and John Kruger (Oxford Policy Management).

The Eastern Cape Province of South Africa struggles with high poverty, poor public infrastructure, and dysfunctional administrative systems. One result is that the Eastern Cape has the worst health outcomes in the country. This case study illustrates how a South African civil society organization has used its budgetary analysis to advocate for improvements in health service delivery.

The full versionshort summary, and one page summary of this case study are available in English.

Health, Citizenship, and Human Rights Advocacy Initiative: Improving Access to Health Services in Mexico

By Almudena Ocejo (Centro de Contraloría Social y Estudios de la Construcción Democrática).

When it comes to health care in Mexico, “universal” has never meant equal, particularly when it came to the access to adequate care for the country’s 52 million uninsured. Civil society organization Fundar — a research organization with a background in budgetary analysis — developed a successful advocacy strategy on health policy to change this.

The full versionshort summary, and one page summary of this case study are available in English.

Ghana: Budget Monitoring by SEND-Ghana and its Partners Helps Improve Nutrition for Children and Support Local Farmers

By Tony Dogbe (Participatory Development Associates, Ltd.) and Joana Kwabena-Adade (Participatory Development Associates, Ltd.).

Between 2007 and 2010, the Social Enterprise Development (SEND-Ghana) Foundation, one of the IBP’s partners, monitored the performance of the Ghana School Feeding Programme (GSFP, a government program that integrates social protection interventions), engaging with 50 district assemblies, 50 focal civil society organizations (CSOs), and 50 District Highly Indebted Poor Countries (HIPC)/Citizens Monitoring Committees (DCMC) in seven regions across the country. SEND-Ghana used information from this monitoring exercise to promote improvements in the program with district assemblies and officials from collaborating ministries, departments, and agencies directly at the national, regional, and district levels, but also indirectly through the media.

The full versionshort summary, and one page summary of this case study are available in English, and the short summary is also available in Spanish, French, and Arabic.

 

 

Freeing Funds to Meet Priorities and Needs: Sikika’s Campaign to Curb Unnecessary Expenditure in Tanzania

By Peter Bofin (independent researcher). 

In 2008 the Tanzanian Prime Minister, Mizengo Pinda, ordered government ministries to reduce unnecessary expenditure on workshops, allowances, seminars, and luxury vehicles. While populist commitments by leaders are not unusual in Tanzania, this particular one seemed to be a direct response to Sikika’s media and advocacy campaign. This case study shows that a focus on media outreach and raising public awareness may not be enough to bring about changes in contexts where budget allocation processes are closed and there are strong internal pressures to maintain the widespread patronage and rents that can be drawn from recurrent expenditures in the budget. While Sikika has played a important role in ensuring that the Prime Minister’s commitments and the issue of unnecessary expenditure remains in the public eye, this case study also suggests that more persistent issues may require an approach that integrates analysis with targeted advocacy of key decision-makers and public mobilization.

The full version, short summary, and one-page summary of this case study are available in English. The short summary is also available in Spanish, French, and Arabic.

In the Face of Crisis: The Treatment Action Campaign Fights Government Inertia with Budget Advocacy and Litigation

By Neil Overy (Centre for Social Accountability, Rhodes University, South Africa).

At the turn of the millennium the South African government allocated a total of R214 million (US$28.5 million) to the fight against HIV/AIDS, an epidemic that had reached crisis proportions. Less than 10 years later this figure has risen, in inflation-adjusted terms, to R3.96 billion (US$528 million), a real increase of over 1,850 percent. This study looks at how a civil society organization’s ongoing campaigns for treatment access that combined negotiations with the government, mass mobilization of its members (including civil disobedience campaigns), and litigation contributed to this increase.

The full version, short summary, and one page summary of this case study are available in English.  Summaries are also available in: