Implementation ups and downs: Monitoring attendance to improve publiciaImplementation ups and downs: Monitoring attendance to improve public services for the poor in India:
"So, why did monitoring have such encouraging effects in Rajasthan’s schools and such lacklustre ones in Karnataka’s health centres?
With the school study, you had one stakeholder (and NGO) that could more easily institute the contracts with the teachers. But, with the government, many different stakeholders needed to have buy-in to really change the system as a whole, including changing or simplifying complementary rules that prevented the data from being fully used. And, stakeholder demand in the end was low, since they were balancing different factors—doctor attendance versus the risk of losing limited doctors to private health sector.
In short, this comparison shows the importance of thinking of the broader system in which incentives will function, or they will simply never be implemented. Tools are great, but they will always be used by humans and come up against human behaviours and limitations."
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