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Rebecca Toole | Ideas for India

Articles By Rebecca Toole
The devil is in the details: Successes and limitations of bureaucratic reform
Posted On: 09 Dec 2016

Topics:   Health

To address absenteeism among staff at public healthcare facilities, the government of Karnataka introduced an innovative biometric device to monitor and enforce attendance rules. This column presents findings of a large randomised evaluation of the programme. While some health gains were achieved, imperfect enforcement illustrates the limits of monitoring solutions if there are constraints on full implementation in practice.
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