Book contents
- Frontmatter
- Dedication
- Contents
- Figures
- Tables
- Acknowledgments
- 1 International Institutions and the Performance Puzzle
- 2 A Theory of Institutional Performance
- 3 Learning from Assessment
- 4 Performing for Scraps
- 5 The Performance of Life
- 6 Effective but Unaccountable?
- 7 The Politics of Performance
- Appendix A Formalizing the Argument
- Appendix B Empirical Details
- Appendix C Interview Methods and List
- Appendix D Survey of International Bureaucrats
- Bibliography
- Index
5 - The Performance of Life
Comparing the WHO, UNAIDS, Gavi, and GFATM
Published online by Cambridge University Press: 16 February 2023
- Frontmatter
- Dedication
- Contents
- Figures
- Tables
- Acknowledgments
- 1 International Institutions and the Performance Puzzle
- 2 A Theory of Institutional Performance
- 3 Learning from Assessment
- 4 Performing for Scraps
- 5 The Performance of Life
- 6 Effective but Unaccountable?
- 7 The Politics of Performance
- Appendix A Formalizing the Argument
- Appendix B Empirical Details
- Appendix C Interview Methods and List
- Appendix D Survey of International Bureaucrats
- Bibliography
- Index
Summary
Chapter 5 presents the book’s second comparative case study, which examines four major global health agencies: the World Health Organization (WHO); the Joint United Nations Programme on HIV/AIDS (UNAIDS); Gavi, the Vaccine Alliance; and the Global Fund to Fight Aids, Tuberculosis and Malaria (GFATM). The structure of the examination is analogous to Chapter 4’s. After enumerating the characteristics on which the four institutions are matched, I chronicle how differences in their de facto policy autonomy have given rise to disparate performance outcomes: The WHO and UNAIDS have been characterized by relentlessly declining autonomy and performance over their life cycles, Gavi and GFATM by the opposite trends. I then delve into the operational origins of these differences, which, once again, defy a purely design-based explanation. Like Chapter 4, the case study draws on extensive interviews and archival material.
Keywords
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- Information
- Making International Institutions WorkThe Politics of Performance, pp. 167 - 236Publisher: Cambridge University PressPrint publication year: 2023