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Risk

Thinking about stakeholder risk and accountability in pilot experiments

Heather Lanthorn's picture

ACT malaria medicationHeather Lanthorn describes the design of the Affordable Medicines Facility- malaria, a financing mechanism for expanding access to antimalarial medication, as well as some of the questions countries faced as they decided to participate in its pilot, particularly those related to risk and reputation.

I examine, in my never-ending thesis, the political-economy of adopting and implementing a large global health program, the Affordable Medicines Facility – malaria or the “AMFm”. This program was designed at the global level, meaning largely in Washington, DC and Geneva, with tweaking workshops in assorted African capitals. Global actors invited select sub-Saharan African countries to apply to pilot the AMFm for two years before any decision would be made to continue, modify, scale-up, or terminate the program. One key point I make is that implementing stakeholders see pilot experiments with uncertain follow-up plans as risky: they take time and effort to set-up and they often have unclear lines of accountability, presenting risk to personal, organizational, and even national reputations. This can lead to stakeholder resistance to being involved in experimental pilots.

It should be noted from the outset that it was not fully clear what role the evidence from the pilot would play in the board’s decision or how the evidence would be interpreted. As I highlight below, this lack of clarity helped to foster feelings of risk as well as a resistance among some of the national-level stakeholders about participating in the pilot. Several critics have noted that the scale and scope and requisite new systems and relationships involved in the AMFm disqualify it from being considered a ‘pilot,’ though I use that term for continuity with most other AMFm-related writing.
 
In my research, my focus is on the national and sub-national processes of deciding to participate in the initial pilot (‘phase I’) stage, focusing specifically on Ghana. Besides being notable for the project scale and resources mobilized, one thing that stood out about this project is that there was a reasonable amount of resistance to piloting this program among stakeholders in several of the invited countries. I have been lucky and grateful that a set of key informants in Ghana, as well as my committee and other reviewers, have been willing to converse openly with me over several years as I have tried to untangle the reasons behind the support and resistance and to try to get the story ‘right’.

Quote of the Week: Peter Drucker

Sina Odugbemi's picture

"People who don't take risks generally make about two big mistakes a year. People who do take risks generally make about two big mistakes a year."

- Peter Drucker, university professor, writer and business guru. He has written numerous books on management and business and is considered to be the "father of modern management". 
 

Broken Windows: Mending the Cracks

Leonard McCarthy's picture

When the World Bank investigates and sanctions a major corporation for corruption related to one of its project, the deterrent impact is readily apparent. However, not every case the World Bank investigates is a major corruption case. In the past year, the World Bank Integrity Vice Presidency (INT) received many complaints related to fraud, and it is important to demonstrate responsiveness to complainants who report credible allegations as well as fix the weaknesses identified. Sanctioning cases of fraud also sends a strong message about abiding by high integrity standards in World Bank-financed projects. 

Left unchecked, fraud erodes development effectiveness. It often coincides with poor project implementation, which can result in collapsing infrastructure or the distribution of counterfeit drugs. It causes costly delays and can lead to direct financial losses for countries which cannot afford it. Fraud also fosters a negative enabling environment, creating opportunities for more serious and systemic misconduct to occur.

Quote of the Week: Raghuram Rajan

Sina Odugbemi's picture

Central bankers have had enormous responsibilities thrust on them to compensate, essentially, for the failings of the political system. And my worry is we don’t have sufficient tools to do that, but we’re not willing to say it. And, as a result, we push as hard as we can on the existing tools, and they may create more risk in the system.” 

- Raghuram Rajan, Governor of the Reserve Bank of India since 4 September 2013. Prior to his post at the Reserve Bank of India, Rajan was chief economic adviser to India's Ministry of Finance in 2012 and chief economist at the International Monetary Fund from 2003 to 2007.
 

Innovations for Resolving Disputes in Development

Amar Inamdar's picture

As rapid innovation and adoption of new communications technology sweeps across the globe, one thing is certain: the trend for increasing demand from citizens to have a greater say in public projects.  It’s an opportunity and a challenge, depending on how you look at it.  The World Bank can do more to step up to the challenge of managing this kind of complexity more smartly. Typically, we are seeing disputes relating to land, water and governance issues. These trends are not going away. So what can we do about it? Well the short answer is—plenty.
 
“We are witnessing this incredible transformation in the Middle East and North Africa region that is still unfolding,” said Inger Andersen, the World Bank’s vice president for the Middle East and North Africa Region, speaking at an event on innovations for resolving disputes in development in Washington.

“It is a different reality now,” said Andersen. “Hearing the peoples’ voice inside the programs and projects is a major breakthrough for us. The work we are now doing in the region is reaching millions via Twitter, Facebook, and social media outlets. It is a real challenge to ride on the transparency wave across the region while adhering to our policies at the Bank.”

Risk and Accountability: What Role for the Inspection Panel?

Alf Jerve's picture

The World Bank wants to speed up. To meet the needs of clients and find new solutions to development challenges its appetite for taking risks must change. Accountability mechanisms, like the Inspection Panel, are often accused of causing staff to become risk averse – of slowing down the speed. The Panel has been set up to give people affected by Bank-supported projects an avenue for raising their concerns, knowing that the complaint will be handled by a body independent of those who man age the project. We call it citizen-driven accountability. Does this slow down speed or does it allow for speeding up because it improves the braking system? Fast cars need good brakes.

The answer is not simply one or the other. The Panel has stated on several occasions that it recognizes risk-taking is an essential part of development work, and that the Bank needs to be able to take the risks that go along with innovation, and venture into challenging circumstances where risks and potential rewards may be high. Effective safeguard policies provide means to identify and manage risks, which at times may slow down speed and rightly so. At the same time, citizen-driven accountability helps to enable risk-taking by providing a safety net for affected people in the event that risks materialize.

Weekly Wire: the Global Forum

Kalliope Kokolis's picture

These are some of the views and reports relevant to our readers that caught our attention this week.

Nieman Journalism Lab
Deutsche Welle’s trying to use Africa’s mobile-phone boom to spread news by new means

“As the fastest-growing mobile market on the planet, Africa is facing huge opportunities — and distinct challenges — in news dissemination.

By the end of the year, it’s estimated that more than three-quarters of the population will be cell phone subscribers, including in places where literacy rates are low and electricity is unavailable. To better serve that demographic, German media giant Deutsche Welle is using over-the-phone voice technology to deliver news.

No Internet access necessary: Just dial a number to access the program Learning by Ear, an educational show for teenagers that mixes news and explainers having to do with health, politics, the economy, the environment, and social issues.”  READ MORE