Public management reform

Isaac Adewole

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Focus Area(s)
Ref Batch Number
1
Critical Tasks
Country of Reform
Interviewers
Leon Schreiber
Name
Isaac Adewole
Interviewee's Position
Former Prime Minister of Health, Nigeria
Language
Emglish
Nationality of Interviewee
Nigerian
Town/City
Abuja
Country
Date of Interview
Reform Profile
No
Abstract

In his interview with ISS, Issac Adewole discusses his term as Nigeria’s health minister (November 2015-May 2019), especially his role in the Basic Health Care Provision Fund. He explains how his ministry worked with others to create a transparent financial management system. He also discusses how the project was implemented throughout Nigeria and the challenges of designing a program involving many central government and state agencies in Nigeria’s federal system of government.

Profile

Dr. Isaac Adewole is a professor of gynecology and obstetrics at the University of Ibadan and the former minister of health of Nigeria. He served as part of the Cabinet of President Muhammadu Buhari from 2015 to 2019. As minister of health, he took a leading role in the implementation of the Basic Health Care Provision Fund. Prior to his appointment, he served as vice chancellor of the University of Ibadan.

Redesigning a Public Agency: Social Security in Morocco, 2001-2010

Author
Romain Ferrali
Focus Area(s)
Country of Reform
Abstract
Until 2001, Morocco’s Caisse Nationale de Sécurité Sociale (CNSS, or National Social Security Fund) did its job unevenly, inefficiently, and, critics said, often unfairly. Although the fund was meant to provide insurance for all private sector employees, it covered only about half of them. It had no proper accounting and was mismanaged and corrupt to the extent that it had lost the trust of companies, workers, and politicians. In 2001, the CNSS’s new director general, Mounir Chraïbi, moved to improve service delivery and increase enrollment in response to a parliamentary investigation committee report that had revealed the agency’s shortcomings. Chraïbi and his successor, Saïd Ahmidouch, reorganized the CNSS to enhance accountability and efficiency, rebuilt the staff to raise skill levels, introduced an electronic system for handling many of the fund’s interactions with businesses, and changed the design of the auditing process. By 2010, when Ahmidouch implemented the final measures of the reform plan, the agency had sharply increased its enrollment of private sector companies and their employees and regained the trust of its partners.
 
Romain Ferrali drafted this case study based on interviews conducted in Casablanca and Rabat, Morocco, in June and July 2013. Case published October 2013.

A Second Life For One-Stop Shops: Citizen Services In Minas Gerais, Brazil, 2003-2013

Author
Rushda Majeed
Country of Reform
Internal Notes
posted JRG 1/29/2014 10:30am
Abstract
In 2003, the new governor of Minas Gerais, Brazil, pledged to improve government efficiency and serve citizens better. Residents of Minas Gerais, Brazil’s fourth-largest state by area and second largest by population, had long bemoaned the difficulty of obtaining such vital documents as work permits, passports, and driver’s licenses, which are issued by a variety of federal, state, and local agencies. In 1996, the state government tried to solve the problem by experimenting with 26 one-stop shops that integrated related citizen services under a single roof, but the shops failed to reduce delay and confusion. From 2007 to 2010, the governor and his reform team restructured and expanded the one-stop shops. The reform team persuaded multiple levels of the government to cooperate more closely, revamped management practices, improved the physical appearance and organization of facilities, streamlined procedures, and installed an electronic monitoring system. Renamed integrated citizen assistance units (unidades de atendimento integrado), the new one-stop shops improved services, reduced delays, and sharply increased processing volume. In 2011, the team outsourced the management of six of the one-stop shops to a private company monitored by the state. The public-private experiment cut per-unit operating costs by 31%. By 2012, 30 one-stop shops were handling more than 6 million citizen transactions annually—more than seven times the annual volume in 2009. By bringing together diverse agencies from multiple levels of government, Minas Gerais was able to greatly improve the reach and efficiency of its citizen services.
 
Rushda Majeed drafted this case study based on interviews conducted in Belo Horizonte, Minas Gerais, Brazil, in May 2013. The case was prepared by ISS in partnership with the World Bank as a part of the Bank's Science of Delivery initiative. Case published January 2014. 
 

Ingraining Honesty, Changing Norms: Government Ethics in Brazil, 1995-2004

Author
Deepa Iyer
Country of Reform
Abstract
During the 1990s, conflict of interest scandals in Brazil weakened public trust in civil servants and rendered many competitive processes like procurement, privatization and employment inefficient and ineffective. In 1999, President Fernando Henrique Cardoso created a Public Ethics Commission to confront these problems. Led by João Geraldo Piquet Carneiro, a Brazilian lawyer, the commission developed and implemented the Code of Conduct for Senior Government Officials. Piquet first focused on the upper echelons of the civil service— public sector managers and highly visible presidential appointees. For the first time in Brazilian politics, specific rules set public standards on conflicts of interest. Within 10 days of taking office, senior civil servants had to agree in writing to adhere to the code and submit forms detailing personal and family assets. Piquet and his team developed procedures for detecting and addressing violations. The commission avoided a backlash by walking a tightrope between being a watchdog and working with senior civil servants to help separate personal and public interests. By the end of Piquet’s tenure in 2004, the commission had set a precedent. According to interviewees, norms in the upper echelons of Brazil’s federal government had changed, and senior government officials no longer had an assumed impunity. However, critics noted that the commission’s success hinged on presidential support, as the commission lost much of its momentum under the administration of Cardoso’s successor, President Luiz Inácio Lula da Silva.
 
Deepa Iyer drafted this case study based on interviews conducted in Brasilia and São Paulo, Brazil, in September 2010. Case published March 2011. Case revised and republished in March 2013.
 

Creating an Affordable Public Service: Tanzania, 1995-1998

Author
Andrew Schalkwyk and Jennifer Widner
Focus Area(s)
Country of Reform
Abstract

In the early 1990s, Tanzania launched one of the most wide-ranging civil service reform programs ever undertaken in a low-income country. Over a period of 15 years, reform leaders worked to create a government the country could afford and that would deliver services more effectively. They reduced the size of the civil service, reorganized some functions into separate agencies, changed recruitment practices, adjusted pay scales, and launched initiatives to improve performance. Reform leaders scored some notable successes, reducing the size of the civil service by more than 25% and dramatically improving some core economic services such as business licensing. They also encountered obstacles and made slow progress in some aspects of their program, particularly performance management. This case focuses mainly on the period 1995-1998.

 
Andrew Schalkwyk and Jennifer Widner wrote this case study on the basis of interviews conducted in Tanzania in 2008 and 2009. This case is part one of a series. Case published August 2012.