Background The involvement of consumers and the general public in improving cancer services is an important component of health services. However, consumer involvement in cancer research is relatively unexplored. The objective of this study was to explore different ways of involving consumers in cancer research in one regional network.
This article reviews the efforts of the Government of Bangladesh aimed at reforming the public sector financial management system as part of overall public administration reforms through a technical assistance project jointly sponsored by the government and the Department for International Development, Government of the UK. It has evolved through initial setbacks into a highly successful project delivering tangible outputs over the last three years, with prospects for future extension until reforms are internalized and become self‐sustaining. Attempts have been made in this article to analyse and evaluate the underlying reasons for the problems in the first year of implementation as well as the factors that contributed to the recovery of the image of the project and its continuing successes in successive phases. The article highlights the lessons learned from the project in its bad as well as good times and suggests that this experience can be of great value to those undergoing the same type of reform experiment. Copyright © 2000 John Wiley & Sons, Ltd.
F ive years ago, the international development community adopted a major shift in how it relates to low-income countries by putting developing countries in the driver's seat and promising to align its support behind national poverty reduction strategies. This shift in how aid is delivered relies heavily upon the ability of governments to design, execute, and monitor national strategies with prioritized goals and policy interventions that are well integrated into national processes and budget frameworks. This book concentrates on one of the cornerstones underpinning this new relationship: a monitoring system that guides the elaboration of the poverty reduction strategy, the design of policies, and the evaluation of the impacts. It focuses specifically on what has proven to be one of the most difficult aspects in the design and implementation of monitoring systems: the institutional arrangements, that is, the formal and informal processes, procedures, rules, and mechanisms that bring monitoring activities into a coherent framework. By drawing out the lessons and good practice from an analysis of 12 countries and proposing a diagnostic tool to assess country systems, this book equips policy makers and practitioners who struggle to design and run such systems and makes an important contribution to strengthening the effectiveness of development assistance and the quality of poverty reduction strategies.
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