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Making reform work: institutions, dispositions, and the improving health of Bangladesh

Faguet, Jean-Paul ORCID: 0000-0002-7188-0098 and Ali, Zulfiqar (2009) Making reform work: institutions, dispositions, and the improving health of Bangladesh. World Development, 37 (1). pp. 208-218. ISSN 0305-750X

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Identification Number: 10.1016/j.worlddev.2008.02.011


We examine whether local governance can improve social development empirically, using good and bad cases of public health outcomes in Bangladesh. We explore the institutional underpinnings of service provision, digging down beneath the “rules of the game” to analyze the beliefs, understandings, and dispositions that drive social behavior. Changes in deep social attitudes led to improvements in social indicators. Regional variation in health outcomes is explained by the presence or absence of a dense web of relationships that enmeshed reformers in local systems of authority and legitimacy, strengthening their actions and making local society more susceptible to change.

Item Type: Article
Official URL:
Additional Information: © 2008 Elsevier
Divisions: STICERD
International Development
Subjects: J Political Science > JQ Political institutions Asia
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
J Political Science > JS Local government Municipal government
Date Deposited: 25 Feb 2010 15:13
Last Modified: 16 May 2024 00:54

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