Shiffman Jeremy, Wu Yonghong
Department of Public Administration, The Maxwell School of Syracuse University, 306 Eggers Hall, Syracuse, NY 13244-1090, USA.
Soc Sci Med. 2003 Nov;57(9):1547-57. doi: 10.1016/s0277-9536(02)00547-6.
Spurred on by donors, a number of developing countries are in the midst of fundamental health and population sector reform. Focused on the performance-oriented norms of efficiency and effectiveness, reformers have paid insufficient attention to the process-oriented norms of sovereignty and democracy. As a result, citizens of sovereign states have been largely excluded from the deliberative process. This paper draws on political science and public administration theory to evaluate the Bangladeshi reform experience. It does so with reference to the norms of efficiency, effectiveness, sovereignty and democracy as a means of making explicit the values that need to be considered in order to make health and population sector reform a fair process.
在捐助者的推动下，一些发展中国家正在进行根本性的卫生和人口部门改革。改革者们专注于以绩效为导向的效率和效力规范，却对以过程为导向的主权和民主规范关注不足。结果，主权国家的公民在很大程度上被排除在审议过程之外。本文借鉴政治学和公共行政理论来评估孟加拉国的改革经验。它参照效率、效力、主权和民主规范进行评估，以此明确为使卫生和人口部门改革成为一个公平过程而需要考虑的价值观。
