A New Social Contract for Peru: An Agenda for Improving Education, Health Care, and the Social Safety Net

By Daniel Cotlear | Go to book overview

CHAPTER 7
Voice in the Accountability
of Social Policy
William Reuben and Leah Belsky
Main Policy Recommendations
This chapter acknowledges the key role that citizen voice plays in the definition and imple- mentation of social policy, and in making decisionmakers accountable for their decisions and actions. It also acknowledges that civic engagement can increase transaction costs and affect the government’s capacity to deliver. The interplay between accountability and deliv- ery depends on a set of factors concerning: (a) the way public decisions are made in a given country, in this case Peru; (b) the way services are delivered; and (c) the way accountabil- ity mechanisms are designed, implemented, and used. This chapter focuses on the third factor, and its recommendations address the issues affecting the design and implementa- tion of voice mechanisms in Peru.The following set of main policy recommendations, and the more specific ones included at the end of the chapter, aim to improve the role of voice in:
Enhancing the accountability of social policy and the effective delivery of social services
Making policy design and service delivery more equitable and inclusive
Developing the local governance framework for decentralized social programs.

The following recommendations build on the overall conclusion of this chapter that Peru’s new approach to increasing accountability in social programs is on track and has the poten- tial to overcome the limits of systems supported by previous administrations; that is, an intricate and overambitious model that the government was unable to fully implement during the 1980s, and a model predominantly based on beneficiary participation in service

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