Human immunodeficiency virus (HIV) is a major global public health issue. In 2019, an estimated 38 million people worldwide were living with HIV. Of these, 2–3 million HIV cases were estimated to be in the South Asia region. In South Asia, India has the largest population (1.366 billion), whereas the Maldives has the smallest (0.54 million) population.
In line with global strategies, most of the countries adapt strategies to end HIV in 2030. The rights-based approach is a guiding principle of HIV policy in most countries. Integrated HIV testing and counseling services are implemented through facility-based and community-based services. The percentage of people who are on Anti-Retroviral Treatment among the diagnosed, is highest (81%) in Nepal. The Maldives and Sri Lanka achieved elimination of mother-to-child transmission of HIV in 2019.
Coverage for preventive programs is low in all the countries. Condom usage is low in all the key population groups in the region except India, Nepal, and Sri Lanka. Sex education is integrated into the school curriculum in Nepal and Sri Lanka. Knowledge of HIV prevention among the young population is low in all the countries. India, Nepal, and Pakistan provide both needle and syringe programs and opioid substitution therapy. A high percentage of people who are injecting drug users (IDUs) have safe injecting practices in all the countries.
The prevalence of HIV is low in all the countries, but concentrated epidemics continue in some countries. A higher prevalence of HIV is reported among IDUs in all the countries except Bhutan. The prevalence of HIV is also higher among transgender people in Nepal and Pakistan. Since 2010, a declining trend in new HIV infections has been observed in Bhutan, India, Nepal, and Sri Lanka, and an increasing trend has been observed in Afghanistan, Bangladesh, and Pakistan.
Some South Asian countries have many punitive laws, while others have introduced legal protection for key populations. Sex work is criminalized in all the countries. In Bhutan, when men who have sex with men and IDUs seek health services, the health worker is obliged to report them to the police. Nepal became the first South Asian country to identify the existence of “sexual and gender minorities” in its constitution. There is a protective legal environment for homosexuality in Nepal. India also has several laws protecting homosexuals, transgender people, and IDUs, and laws against sexual harassment in the workplace. India has become the first South Asian country to implement special protective laws on HIV/AIDS. India has criminalized discrimination against people living with HIV/AIDS.
The presence of stigma and discrimination is a major critical factor for the national approach to HIV prevention in all South Asian countries. Stigma and discrimination are observed in healthcare facilities, within families, in employment, and in educational institutions, and many countries have developed antidiscrimination policies in response.
Throughout the region, poverty, low literacy, outbound migration, tourism, internal displacement, disasters, poor infrastructure of healthcare systems, population size, and social and cultural values have hampered the response to HIV.
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HIV/AIDS Politics and Policy in South Asia
Nayani Rajapaksha and Chrishantha Abeysena
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HIV/AIDS Politics and Policy in Eastern Europe and Central Asia
Ulla Pape
Eastern Europe and Central Asia (EECA) is the only region in the world where annual HIV infection rates continue to grow. According to the Joint United Nations Program on HIV/AIDS (UNAIDS), in 2019 approximately 1.4 million people in the region were living with HIV. The main factors that have contributed to the spread of the epidemic over the past two decades include injecting drug use, the stigmatization and marginalization of vulnerable groups, the increasing spread of HIV into the general population, and the lack of evidence-based prevention and treatment programs necessary for controlling the epidemic. Limited access to life-saving antiretroviral treatment has intensified the impact of the epidemic in EECA and increased mortality rates among people living with HIV (PLWH).
In the post-Soviet space, Russia is experiencing by far the biggest HIV/AIDS epidemic. This can be attributed largely to the government’s failure to introduce evidence-based prevention measures for vulnerable groups, e.g., harm reduction programs, which are recommended by international health organizations. Other countries in the region have been more pragmatic in their approach and introduced harm reductions programs on a broader scale. In Ukraine, the efforts to combat HIV, which led to an initial stabilization of the epidemic in 2012, have been endangered by the military conflict in the eastern part of the country and subsequent internal displacement, which has increased HIV vulnerability. In comparison with Russia and Ukraine, the countries of the South Caucasus and Central Asia are less affected by HIV. However, labor migration to Russia constitutes a persistent risk factor for HIV transmission from higher-prevalence Russia to lower-prevalence South Caucasus and Central Asia.
Although initially the HIV/AIDS epidemic has been mainly driven by injecting drug use, it is also clearly linked to lesbian, gay, bisexual, and transgender (LGBT) politics and policies in EECA. Because of widespread stigmatization and marginalization, the spread of HIV within LGBT communities remains underreported and is barely visible in official HIV statistics. This makes it difficult for prevention programs to reach out to vulnerable groups. In all countries in the region, prevention efforts among LGBT communities remain inadequate and largely depend on local civil society organizations (CSOs), which lack the capacities to provide nationwide information campaigns and other prevention programs for the LGBT community. In addition, the work of CSOs that advocate for HIV prevention among LGBT groups is further undermined by repressive laws, e.g., the 2013 “gay propaganda law” in Russia, which has increased the stigmatization of LGBT people and has made prevention outreach more difficult. Research has contributed to our understanding of HIV vulnerability and its impact in EECA. Further research is needed, however, into the social and political factors that explain the persistent failure of regional decisionmakers to adequately address the growing HIV epidemic.
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HIV/AIDS Politics and Policy in Sub-Saharan Africa
Catherine van de Ruit
Sub-Saharan Africa has the world largest proportion of adults and children living with AIDS. To mitigate the multiple consequences of the epidemic, novel forms of governance arose as international organizations usurped the roles traditionally played by states; new funding streams emerged that led to asymmetries in biomedical resource allocation; and diverse partnerships among international agencies, nation-states, and local and international nongovernmental organizations emerged. Global health actors attempted to define AIDS policy and programming as an apolitical biomedical intervention. However, political dynamics were evident in the negotiations between international donors and African state bureaucracies in setting AIDS policy agendas and the contestations between African and international social movements and global health agencies over AIDS treatment drug prices and access to treatment interventions across the continent.
During the first two decades of the African AIDS epidemic (1980–2005) the dominant approach to AIDS disease mitigation was the focus on AIDS prevention, and across sub-Saharan Africa standardized prevention interventions were introduced. These interventions were founded upon limited evidence and ultimately these programs failed to stem rates of new HIV infections. Social movements comprising coalitions of local and international activists and scientists brought extensive pressure on global health institutions and nation-states to reform their approach to AIDS and introduce antiretroviral therapy. Yet the path toward universal provision of antiretroviral treatment has been slow and politically contentious. By the second decade of the 21st century, antiretroviral therapy interventions together with AIDS prevention became the dominant policy approach. The introduction of these initiatives led to a significant decline in AIDS-related mortality and slowed rates of transmission. However, health disparities in treatment access remain, highlighting ongoing shortcomings in the political strategies of global health agencies and the public health bureaucracies of African states.
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HIV Law and Policy in the United States: A Tipping Point
Scott Skinner-Thompson
The fight to effectively treat and stop the spread of the human immunodeficiency virus (HIV) has made meaningful progress both in the United States and globally. But within the United States that progress has been uneven across various demographic groups and geographic areas, and has plateaued. While scientific advances have led to the development of medicine capable of both treating and preventing HIV, law and policy dictate who will have ready access to these medicines and other prevention techniques, and who will not. Law and policy also play a crucial role in determining whether HIV will be stigmatized, discouraging people from being tested and treated, or will be identified for what it is—a preventable and treatable disease. To make further progress against HIV, the United States must address healthcare disparities, end the criminalization of HIV, and devote additional resources toward combatting HIV stigma and discrimination.
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Honduras: All-Purpose Militarization
Kristina Mani
The Honduran military has a long history of established roles oriented toward both external defense and internal security and civic action. Since the end of military rule in 1982, the military has remained a key political, economic, and social actor. Politically, the military retains a constitutional mandate as guarantor of the political system and enforcer of electoral rules. Economically, its officers direct state enterprises and manage a massive pension fund obscured from public audit. Socially, the military takes on numerous civic action tasks—building infrastructure, conserving forests, providing healthcare, and policing crime—that make the state appear to be useful to its people and bring the military into direct contact with the public almost daily. As a result, the military has ranked high in public trust in comparison with other institutions of the state. Most significantly, the military has retained the role of arbiter in the Honduran political system. This became brutally clear in the coup of 2009 that removed the elected president, Manuel Zelaya. Although new rules enhancing civilian control of the military had been instituted during the 1990s, the military’s authority in politics was restored through the coup that ousted Zelaya. As no civilian politician can succeed without support for and from the military, the missions of the armed forces have expanded substantially so that the military is an “all-purpose” institution within a remarkably weak and increasingly corrupt state.
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How Effective are Political Appointees?
Gary E. Hollibaugh Jr.
Research in public administration and political science in the late 20th century and early 21st century has identified several factors influencing the effectiveness of political appointees, with a particular emphasis on the United States (given the outsized role of political appointees in the American system relative to those of other industrialized democracies). Within the American system, the advice and consent process means that acting and interim officials often run agencies and departments while nominees await Senate confirmation; however, that these individuals lack the perceived legitimacy that accompanies Senate confirmation means they are (often) less effective at ensuring bureaucratic acquiescence to the preferences of the president. Additionally, confirmed nominees can also run into trouble, as many are often appointed by presidents to “rein in” the departments or agencies they are chosen to oversee; this can result in deterioration in the relationship between themselves and careerists, which ultimately reduces the effectiveness of appointees. Individual variations in the leadership style of appointees in the United States can also affect their effectiveness and abilities to work with careerists. And scholars should spend time and effort considering the theoretical foundations of what it means to be “effective” and perhaps consider the development of new empirical operationalizations thereof. Accordingly, there is merit in assessing pertinent experience in other jurisdictions, including in Britain and South Korea to which brief reference is made in the discussion.
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Human Resource Management in Public Administration: Key Challenges
John P. Burns
Human resource management in public administration considers the civil service broadly to include all those employed in mostly noncommercial entities funded by the state. These entities may range from government bureaus and departments to agencies and authorities with varying degrees of uniformity, at both the central and local levels, and include those in such nonprofit services as health and education that are completely or mostly publicly funded. The terms civil servants, government employees, and public servants are used interchangeably. Human resource management may include such functions as planning, recruitment and selection, performance management, training, compensation, and labor relations. Key challenges of managing human resource functions include motivating and compensating public employees to reward passion for public service, managing the political roles of civil servants and their political responsiveness, selecting for salient identities to achieve representation and diversity, and reforming the civil service. These challenges impact individual and organizational performance.
Motivation and compensation focus on what binds individuals to organizations and energizes those individuals. One approach, inspired by rational choice, identifies self-interest and extrinsic incentives, including performance-based pay, monitoring and surveillance to manage employees. A second approach, inspired by self-determination theory, focuses on altruism and prosocial values, and prioritizes intrinsic incentives, job design, and careful selection to nurture a passion for public service. A key challenge is to identify and nurture those with public service motivation, and reward competence and passion for public service. Selecting and nurturing those with a passion for public service includes taking care that compensation policies and practices do not crowd out public service motivation.
An additional challenge focuses on the political roles civil servants play in government and the extent to which civil servants are politically responsive. Selecting civil servants based on merit, with separate career structures for politicians and civil servants, is generally associated with more effective governance and economic growth, with some important exceptions. The tasks, role perceptions, and behavior of the senior civil service are dependent on historical tradition and political culture, and on structural characteristics, such as the presence or absence of political advisors, and the support civil servants receive or need beyond government from clients and interest groups. The role of senior civil servants also depends on their specialization and the capacity of political appointees. Systems that encourage more explicit political roles for senior civil servants do not appear to sacrifice public interest. Preparing senior civil servants for these roles is a critical human management resource challenge. Authorities also use human resource tools to increase political responsiveness, including training, discipline, and changes to civil servants’ security of tenure.
As identities such as race and gender become politically salient, representation becomes another key challenge for human resource management in public administration. Passive representation has had wide currency in both Western-style democracies and in the developing world. Passive representation has symbolic effects and may increase citizen trust in the bureaucracy, making bureaucratic action more legitimate in the eyes of minority communities. Moreover, minority civil servants may affect outcomes directly—for example, by influencing the implementation of a policy—or indirectly—for example, by influencing minority clients to change their behavior, or influencing nonminority bureaucratic colleagues to change their behavior or influencing organizational policy. Active representation may thus affect overall public service performance. Representation is mediated by a number of variables including discretion, salience of identity, agency mission, socialization, professionalism, and administrative level among others. Human resource managers also need to manage diversity training, which can improve outcomes.
The final challenge, civil service reform, cuts across public human resource functions and themes. Civil service reform is a fraught domain, littered with experiments and not amenable to evaluation, which is a long-term enterprise. Still, some radical reforms have fundamentally altered the terms of the public service bargains between politicians and civil servants. Introducing “radical” reform, such as at-will employment, undermines commitment and fails to produce the expected performance payoffs.
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Hurricane Katrina: Analyzing a Mega-Disaster
Arjen Boin, Christer Brown, and James A. Richardson
The response to Hurricane Katrina in 2005 has been widely described as a disaster in itself. Politicians, media, academics, survivors, and the public at large have slammed the federal, state, and local response to this mega disaster. According to the critics, the response was late, ineffective, politically charged, and even influenced by racist motives. But is this criticism true? Was the response really that poor? This article offers a framework for the analysis and assessment of a large-scale response to a mega disaster, which is then applied to the Katrina response (with an emphasis on New Orleans). The article identifies some failings (where the response could and should have been better) but also points to successes that somehow got lost in the politicized aftermath of this disaster. The article demonstrates the importance of a proper framework based on insights from crisis management studies.
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Hurricane Maria: Disaster Response in Puerto Rico
Havidán Rodriguez and Marie T. Mora
On September 20, 2017, Hurricane Maria struck the island of Puerto Rico with great ferocity. The impact and outcomes of this event were devastating for the population of over three million American citizens. The electrical grid was decimated, the transportation infrastructure was significantly impacted, and an already deteriorating healthcare system was further eroded. Furthermore, the local, islandwide, and especially the federal response to Hurricane Maria failed to meet the emerging and critical needs of those impacted by the catastrophic event and left island residents and isolated communities on their own. Official estimates placed the death toll close to 3,000. Hurricane Maria also accelerated the largest migratory movement in Puerto Rico’s history from the island to the continental United States and decimated an already weak and deteriorating economy after more than a decade of a severe economic crisis. Recovery efforts remained slow in many parts of the island, and the social, economic, and healthcare impacts of the hurricane will be felt for decades to come.
The disaster research literature shows the disasters are not “natural,” but socially constructed or produced events. Indeed, a number of preexisting factors contributed to the disaster situation in Puerto Rico, including the severe economic crisis, which was also reflected in high levels of unemployment and poverty; the island’s complicated relationship with the U.S. mainland; massive net outmigration; and a frail and deteriorating healthcare system. Furthermore, the political relationship between Puerto Rico and the mainland affected federal-level disaster response and recovery efforts after Hurricane Maria.
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Hurricane Sandy: A Crisis Analysis Case Study
Sara Bondesson
Spontaneous, so-called emergent groups often arise in response to emergencies, disasters, and crises where citizens and relief workers find that pre-established norms of behavior, roles, and practices come into flux because of the severity and uncertainty of the situation. The scholarship on emergent groups dates to 1950s sociological theory on emergence and convergence, whereas contemporary research forms part of the wider disaster scholarship field. Emergent groups have been conceptualized and theorized from various angles, ranging from discussions around their effectiveness, to their possibilities as channels for the positive forces of citizen’s altruism, as well as to more skeptical accounts detailing the challenges emergent groups may pose for established emergency management organizations in relief situations. Scarce scholarly attention, however, is paid to the role of emergent groups when it comes to empowering marginalized and vulnerable communities. The few empirical studies that exist suggest linkages between active participation in emergent groups and empowerment of otherwise marginalized communities, as shown in an ethnographic study of the work of Occupy Sandy that emerged in the aftermath of Hurricane Sandy that struck New York City in 2012. Although more systematic research is warranted, such empirical examples show potential in terms of shifting emergency and disaster management toward more inclusionary, participatory, and empowering practices. As low-income communities, often of color, experience the increasingly harsh effects of climate change, important issues to ponder are inclusion, participation, and empowerment.
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Iceland and European Integration
Baldur Thorhallsson
Iceland’s European policy is a puzzle. Iceland is deeply embedded in the European project despite its non-EU membership status. Iceland is a member of the European Free Trade Area (EFTA) (1970), the European Economic Area (EEA) (1994), and Schengen (2001). Moreover, Iceland applied for membership in the European Union (EU) in 2009. Nonetheless, the Icelandic political elite have been reluctant to partake in the European integration process. They have hesitated to take any moves toward closer engagement with Europe unless such a move is seen as necessary to deal with a crisis situation. Decisions to engage with the European project have not been made based on outright economic and political preferences. They have primarily been based on economic or political necessity at times when the country has faced a deep economic downturn or its close neighboring states have decided to take part in European integration. The country has essentially been forced to take part in the project in order to prevent crises from emerging or to cope with a current crisis situation. For instance, in 2009, Iceland unexpectedly applied for membership in the EU after the collapse of its economy nine months earlier. However, four years later, after a swift economic recovery and after Iceland having been “betrayed” by the EU in the so-called Ice-save dispute with the United Kingdom and the Netherlands, the accession process was put on hold. The EU was no longer seen as an economic and political savior. Iceland’s close relationships with its powerful neighboring states, the United States and the United Kingdom, have also had considerable influence on the country’s European policy. Iceland’s membership in the EFTA, the EEA, and Schengen was largely dictated by the Nordic states’ decisions to join the organizations and because of crisis situations their lack of membership would have meant for Iceland were it to be left out. Moreover, the decision by the United Kingdom to leave the Union has firmly frozen Iceland’s accession process and contributed to increased criticism of the transfer of autonomy from Reykjavik to Brussels that takes place with the EEA Agreement. Furthermore, many at the right of center in Icelandic politics do not see any security reasons for joining the EU, as Iceland’s defense is guaranteed by a bilateral defense treaty with the United States and membership in the North Atlantic Treaty Organization (NATO).
European debates about partial and full participation in the European project have led to harsh opposition in Althingi (the National Parliament), deep divisions in society at large, and public protests. Opposition has been driven by an overwhelming focus on sovereignty concerns. The political discourse on sovereignty and self-determination prevails except when the country is faced with a crisis situation. To prevent a crisis from emerging or to deal with a current crisis, Icelandic politicians reluctantly decide to take partial part in the European project. They are determined to keep autonomy over sectors of primary political importance, sectors that are close to the heart of the nation, those of agriculture and fisheries.
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Immigration Policy and European Union Politics
Natascha Zaun and Christof Roos
EU immigration policies have incrementally evolved from a purely intergovernmental to a deeply integrated EU policy area. In practice, EU immigration policies and EU secondary legislation still leave significant discretion to the Member States, as witnessed by key developments in the various subfields of immigration policies—including policies on border protection, return and irregular migration, as well as labor migration and family migration policies. The key academic debates on EU immigration policies have mainly focused on explaining the decision-making processes behind the adoption of EU policies as well as their impact on national policies. While scholars find that these EU policies have led to liberalizations in the areas of family migration or labor migration, the irregular migration and border policies of the EU have gradually produced more restrictive outcomes. Policy liberalizations are usually based on the impact of EU institutions, which tend to have more liberal positions than Member States. Lowest common denominator output at the EU level, such as on the Blue Card Directive, is usually due to a resistance of individual Member States. With deeper integration of the policy area over time and qualified majority voting, however, resistant minorities have been increasingly outvoted. The stronger politicization of some areas of immigration, such as family migration, has also led the European Commission to curb its legislative proposals, as it would be much harder to adopt a piece of legislation today (2019) that provides adequate protection standards.
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Implementation Capacity and Evaluation Capacity
Adrian Kay
The study of policy implementation and evaluation is the subject of a conflict between the viewpoint that the quality of public administration is defined by its capacity to implement policy faithfully and accurately, as it has been designed and promulgated, and the viewpoint that policy as it is practiced and delivered on the ground to citizens will only ever bear a passing similarity to policy as the purposeful design of central policymakers. As elsewhere in public administration, this conflict is far from a creative engagement and lacks a definitive resolution between the main schools of policy implementation that stress, in turn, top-down or bottom-up approaches. Progress has been made in the recognition that policy implementation and policy evaluation have become increasingly, in theory and practice, less distinct from one another and are best understood as different values of the same thing—policy feedback—rather than analytically different things. In this line of inquiry, the contextual analysis of implementation and evaluation is critical, and recent work has begun to uncover important success factors not conventionally labeled as implementation and evaluation. Connections between the study of implementation capacity and evaluation are now able to be made with prominent public administration debates on scale, complexity, and participation. These connections hold promise for future research.
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Implementation Structures: The Use of Top-Down and Bottom-Up Approaches to Policy Implementation
Mark T. Imperial
Implementation research emerged as an effort to understand the “missing link” between the expression of a governmental intention and the world of action and results. In many policy settings, this requires implementation structures or networks comprised of parts of organizations both within (vertically) and across (horizontally) levels of government. Increasingly, this involves structures that incorporate organizations from the private and nonprofit sectors. Therefore, effective interorganizational policy implementation requires building networks with the correct balance of federal, state, and local control to achieve the collective objectives of these actors. Consequently, the challenge of managing within these networked implementation structures is quite different than what is found in a typical hierarchical organization.
There are three stages of intellectual development in implementation research. Early scholarship typically used case studies to examine detailed episodes of policy implementation to identify problems and challenges. A more sophisticated approach to research soon emerged that emphasized identifying variables crucial to implementation “success.” Two competing perspectives soon characterized this stage of intellectual development. The top-down approach argued that implementation problems are minimized through careful specification of procedures. From their perspective, implementation was largely an administrative challenge. Conversely, the bottom-up perspective argued that effective implementation allows policy to be adapted based on the interaction of a policy with the local institutional setting. For bottom-uppers, context matters, and implementation involves bargaining rather than the explicit control of higher-level decision makers. Some of the notable efforts to synthesize these perspectives are then examined. However, these efforts were hindered by obstacles such as different philosophical perspectives and pragmatic realities about how a polycentric governmental system functions, the failure to embrace a longitudinal perspective, and the improper specification of the unit of analysis. While the volume of research has declined since its heyday in the 1980s, the so-called “third generation” of research that succeeded it has become much more rigorous. However, a generally agreed upon theory of implementation remains lacking.
A competing approach to implementation scholarship emerged during the top-down and bottom-up debate. It argued that the choice between these two approaches was a false one. Instead, the core implementation challenge is one of governance and crafting implementation structures that deliver services. This stream of research grew largely out of the bottom-up approach but argued that the proper unit of analysis is the “network” rather than a policy or statute. This proved to be a useful methodological approach for identifying the networks used to “implement” policies and programs. A variety of new perspectives on “networked” policy implementation soon emerged out of this implementation structure tradition. Research on implementation networks was soon joined by the growth of new literatures in areas such as intergovernmental management (IGM), network governance, collaboration, and institutional analysis and development that also provide useful insights about the challenge of “managing” within implementation structures. Moving forward, there is much that implementation scholars can draw upon and contribute to advance the collective understanding of how to “manage” within networks.
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Incrementalism and Public Policy-Making
Michael Hayes
Incrementalism is a model of the policy process advanced by Charles Lindblom, who views rational decision making as impossible for most issues due to a combination of disagreement over objectives and an inadequate knowledge base. Policies are made instead through a pluralistic process of partisan mutual adjustment in which a multiplicity of participants focus on proposals differing only incrementally from the status quo. Significant policy change occurs, if at all, through a gradual accumulation of small changes, a process Lindblom calls seriality.
While Lindblom sees nonincremental policy departures as extremely rare, subsequent research suggests that major policy departures may occur in response to crises or mass public arousal, through the development of a rationalizing breakthrough after many years of experience with policy implementation, or through a process of punctuated equilibrium. While many scholars and policymakers have argued that nonincremental alternatives may at times be superior to incremental ones, implementing nonincremental policy departures poses special problems and often gives way to incrementalism in the administrative process as public attention and support for strong action wane. Nonincremental policy departures are more likely to be both enduring and effective where long experience with an issue leads to consensus on values and an adequate knowledge base, giving rise to a rationalizing breakthrough.
Properly understood, incrementalism is a form of what Sowell termed systemic rationality. The policy process would work more efficiently if all participants recognized the superiority of systemic rationality over what Sowell calls articulated rationality, just as Lindblom does in arguing the superiority of incrementalism over the synoptic ideal. For all its problems, our current system of polarized parties fails to eliminate the need for incrementalism. To the contrary, conditional party government makes possible a new form of partisan incrementalism that offers some advantages over traditional incrementalism.
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Inducements in Interstate Relations
Paige Cone and Rupal N. Mehta
What has the academic scholarship found to date on the role of inducements, external incentives, or punishments to change the behavior of states in the international system? To understand the role of inducements in international relations, it is imperative to explore the full package of options, often referred to as “carrots and sticks” that are available in foreign policy decision-making to best understand when and why certain inducements are successful and why some may be more so than others. There are two big debates of policy importance to note here: Can nuclear decision-making be influenced by external actors, such as the United States? And, second, which set of tools are most helpful to the state seeking to change the behavior of another: carrots, sticks, or some combination of both? Although both incentives and punishments are generally used to change behavior in interstate relations, there are unique policy levers in the nuclear arena that scholars have recently begun to explore. The literature on inducements directly impacts ongoing policy debates, which in turn ultimately highlights the need for more research on nuclear-specific inducements. This article offers the first in-depth, systematic analysis of these inducement options, starting with their general use and then focusing specifically on inducements in the nuclear proliferation arena.
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Information Processing and Digitalization in Bureaucracies
Tero Erkkilä
Bureaucracies and their processing of information have evolved along with the formation of states, from absolutist to welfare state and beyond. Digitalization has both reflected and expedited these changes, but it is important to keep in mind that digital-era governance is also conditioned by existing information resources as well as institutional practices and administrative culture. To understand the digital transformations of states, one needs to engage in contextual analysis of the actual changes that might show even paradoxical and unintended effects. Initially, the studies on the effects of information systems on bureaucracies focused on single organizations. But the focus has since shifted toward digitally enhanced interaction with the society in terms of service provision, responsiveness, participatory governance, and deliberation, as well as economic exploitation of public data. Indeed, the history of digitalization in bureaucracies also reads as an account of its opening. But there are also contradictory developments concerning the use of big data, learning systems, and digital surveillance technologies that have created new confidential or secretive domains of information processing in bureaucracies. Another pressing topic is automation of decision making, which can range from rules-based decisions to learning systems. This has created new demands for control, both in terms of citizen information rights as well as accountability systems. While one should be cautious about claims of revolutionary changes, the increasing tempo and interconnectedness characterizing digitalization of bureaucratic activities pose major challenges for public accountability. The historical roots of state information are important in understanding changes of information processing in public administration through digitalization, highlighting the transformations of states and new stakeholders and forms of collaboration, as well as the emerging questions of accountability. But instead of readily assuming structural changes, one should engage in contextualized analysis of the actual effects of digitalization to fully understand them.
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Inside Activism: Political Agency and Institutional Change
Jan Olsson and Erik Hysing
The theoretical concept of inside activism brings fresh light on institutional change by upgrading the importance of political agency within public organizations. Inside activism captures a specific empirical phenomenon, namely, public officials being committed to the agendas of civil society networks and organizations, and acting from inside public organizations to induce policy and institutional change. Inside activism upgrades political aspects of public organizations, recognizing the importance of authority, power, and combative action. Public organizations are institutionally shaped by continuous processes of consolidation and fragmentation. This means opportunities for inside activists to act politically, preferably in secret and subversive ways, and to further strengthen the fragmented nature of public organizations. Strategically, inside activists can work for institutional change by expanding their agency through the development of collective power and networking, using combative subversive strategy, working for cumulative effects and combinative solutions as well as to bend and break constraints on their actions (the 5C model). To induce change, they further exploit institutional ambiguities like “weak spots” of institutions and discrepancies between institutional rules and practices on the ground. The neglect of inside activism within institutional theory likely means that the possibility of institutional change has been underestimated and there is thus a need for a comprehensive research agenda on inside activism, political agency, and institutional change, which in this article is termed “new political institutionalism.”
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Institutional Amnesia and Crisis Management Analysis
Alastair Stark
Institutional amnesia can be defined in simple terms as an organization’s inability to recall and use historical knowledge for present-day purposes. However, the concept requires to be defined more expansively so that its causes and effects can be fully understood in relation to crises and crisis management. This means conceptualizing institutional amnesia in broader terms as something that influences individual crisis managers, the formal institutional aspects of crisis management agencies, the cultural dimensions of those agencies, and the wider systemic location within which both actors and agencies reside. The analysis of the effects of amnesia in each of these areas reveals the profound effects that it can have on various aspects of crisis management.
Institutional amnesia can affect the performance of crisis management policies and the politics of crises more generally. In particular, memory loss can be seen to influence crisis decision-making that relies upon historical analogy, crisis learning which demands that learned lessons are formally institutionalized across time, and meaning-making efforts, which draw upon recollections of the past to justify political projects in the present. The effects that institutional amnesia has on these three important areas illuminate its relevance to crisis analysis. Yet amnesia, and to some extent memory, continue to be concepts that are neglected, or referred to tangentially, by mainstream crisis scholars.
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Institutionalism and Public Administration
Jan Olsson
Institutions have always been of great concern to public administration, in both a practical and an analytical sense. The new institutionalism, developing in different versions from the early 1980s, has contributed new and varied insights on how institutional factors shape the life of public administrations. Instead of mainly focusing on formal rules and organizations, as in traditional (“old”) institutionalism, new institutionalism perceives of institutions in a broader sense, as patterned behavior also following from informal rules, norms, and habits. Different institutional perspectives continue to develop with some mutual borrowing of ideas, but they also specialize, which help us understand how public administrations are shaped by the historical legacies of institutions, institutional rules and norms that socialize organization members; institutions as incentive structures designed to increase trust and compliance; organizational adaption to major institutional trends, and institutions as cultures of communication. These perspectives are specific lenses that bring valuable, complementary insights, particularly when it comes to their varied conceptualizations of agency: strategic calculation, social adaption and imitation as well as social construction in communicative settings. However, it is argued that institutionalism has largely neglected political aspects in the interaction between institution and agency, which needs to be explored and elaborated on in future empirical research and theoretical development. The political character of public administrations is very complex and varies from individual preference falsification in order to adapt to institutions, to subversive actions for trying to undermine or to secure existing institutions when important values are at stake in public administrations.
