Effective States and Inclusive Development

The political path to universal health coverage: Elite commitment to community-based health insurance in Rwanda

Working paper 72 Download pdf Benjamin Chemouni Rwanda is the country with the highest enrolment in health insurance in Sub-Saharan Africa. Pivotal in setting Rwanda on the path to universal health coverage is the community-based health insurance (CBHI), which covers three-quarters of

Social protection in an aspiring ‘developmental state’: The political drivers of community-based health insurance in Ethiopia

Working paper 71 Download pdf Tom Lavers Ethiopia has been piloting and scaling up a community-based health insurance scheme for the informal sector since 2011, alongside preparations for the launch of a social health insurance scheme for the formal sector. This paper examines the pol

Democracy versus dictatorship? The political determinants of growth episodes

Working paper 70 Download pdf Kunal Sen, Lant Pritchett, Sabyasachi Kar and Selim Raihan In contrast to previous literature, which looks at the effect of democracy on long-run growth or short-run volatility of growth, we examine the effect of political institutions on medium-term grow

The politics of promoting social cash transfers in Uganda

Working paper 69 Download pdf Sam Hickey and Badru Bukenya In 2015 the Government of Uganda agreed to start rolling out a social pension programme across the country and to increase its own financial contribution to this. This outcome was largely driven by the decade-long and highly p

Understanding elite commitment to social protection: Rwanda’s Vision 2020 Umurenge Programme

Working paper 68 Download pdf Tom Lavers This paper examines the political economy of Rwanda’s Vision 2020 Umurenge Programme (VUP) and argues that strong government commitment to the VUP has been shaped by the specific characteristics of the political settlement that was established

The politics and governance of basic education: A tale of two South African provinces

Working paper 67 Download pdf Brian Levy, Robert Cameron, Ursula Hoadley and Vinothan Naidoo This paper synthesises the findings of research on the politics and governance in South Africa, undertaken at multiple levels, and using multiple methods. The research explored two core questi

Public sector reform in Uganda: behind the façade

Briefing No. 23 While reforms in Uganda in the 1980s and 1990s aimed at achieving public sector efficiency, those in the 2000s focused on achieving effectiveness through public financial management initiatives and modern management practices. The latter have yielded limited fruits, an

The politics of promoting social cash transfers in Uganda

Briefing No. 22 The promotion of social protection in Uganda has been a highly political affair, closely shaped by political dynamics involving the perceived interests of the ruling coalition in securing its stability and legitimacy. The government’s shift away from the poverty

Governing health care in Uganda: explaining the mixed record on delivering rural maternal health services

Briefing No. 21 Maternal and child health conditions account for over 20 percent of the total disease burden in Uganda. The persistent poor maternal health outcomes stem from poor quality provision and low utilisation of health services at all stages. Despite having a roadmap for acce

From schooling to learning: Is Uganda committed to increasing the quality of basic education?

Briefing No. 20 Developments in the Ugandan education sector since 1996 paint a picture of increased enrolments, but little or no improvement in quality, despite several policy initiatives and an apparent policy consensus that initiatives to improve quality are important. Studies on e