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Neoliberalisation enacted through development aid: the case of health vouchers in India

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Neoliberalisation enacted through development aid: the case of health vouchers in India. / Hunter, Benjamin; Bisht, Ramila; F Murray, Susan.

In: Critical Public Health, 25.05.2020.

Research output: Contribution to journalArticle

Harvard

Hunter, B, Bisht, R & F Murray, S 2020, 'Neoliberalisation enacted through development aid: the case of health vouchers in India', Critical Public Health. https://doi.org/10.1080/09581596.2020.1770695

APA

Hunter, B., Bisht, R., & F Murray, S. (2020). Neoliberalisation enacted through development aid: the case of health vouchers in India. Critical Public Health. https://doi.org/10.1080/09581596.2020.1770695

Vancouver

Hunter B, Bisht R, F Murray S. Neoliberalisation enacted through development aid: the case of health vouchers in India. Critical Public Health. 2020 May 25. https://doi.org/10.1080/09581596.2020.1770695

Author

Hunter, Benjamin ; Bisht, Ramila ; F Murray, Susan. / Neoliberalisation enacted through development aid: the case of health vouchers in India. In: Critical Public Health. 2020.

Bibtex Download

@article{39df881ea2a94df5bcf40fee749433e5,
title = "Neoliberalisation enacted through development aid: the case of health vouchers in India",
abstract = "Despite a history of critical scholarship on development aid and neoliberalism in public health, very little specific attention has been drawn to how a tripling in aid commitments in the health sector after the Millennium Declaration created new opportunities for the advancement of neoliberal ideas and practices. Here we examine an externally funded aid project in Uttar Pradesh, India that seemed to embrace important public health and access to care concerns but that can also be understood as part of a larger – and damaging – ideological project. We adopt a contextualising and process-oriented understanding of ‘neoliberalisation’ to examine its design and enactment. We also show how these policies were unevenly resisted and advanced by the politicians and civil servants who were expected to guide them through different levels of government on the way to implementation. On the frontline, programme workers and users tactically re-interpreted the notion of ‘choice’ to serve their interests in ways that were not anticipated by programme designers. In the case of the programme workers these reflected the individualised performance targets set up by the programme and an existing culture of clientelism. Our analysis challenges uncritical portrayals of development assistance for health as a beneficent reallocation of resources.",
author = "Benjamin Hunter and Ramila Bisht and {F Murray}, Susan",
year = "2020",
month = "5",
day = "25",
doi = "10.1080/09581596.2020.1770695",
language = "English",
journal = "Critical Public Health",
issn = "0958-1596",
publisher = "Routledge, Taylor & Francis Group",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Neoliberalisation enacted through development aid: the case of health vouchers in India

AU - Hunter, Benjamin

AU - Bisht, Ramila

AU - F Murray, Susan

PY - 2020/5/25

Y1 - 2020/5/25

N2 - Despite a history of critical scholarship on development aid and neoliberalism in public health, very little specific attention has been drawn to how a tripling in aid commitments in the health sector after the Millennium Declaration created new opportunities for the advancement of neoliberal ideas and practices. Here we examine an externally funded aid project in Uttar Pradesh, India that seemed to embrace important public health and access to care concerns but that can also be understood as part of a larger – and damaging – ideological project. We adopt a contextualising and process-oriented understanding of ‘neoliberalisation’ to examine its design and enactment. We also show how these policies were unevenly resisted and advanced by the politicians and civil servants who were expected to guide them through different levels of government on the way to implementation. On the frontline, programme workers and users tactically re-interpreted the notion of ‘choice’ to serve their interests in ways that were not anticipated by programme designers. In the case of the programme workers these reflected the individualised performance targets set up by the programme and an existing culture of clientelism. Our analysis challenges uncritical portrayals of development assistance for health as a beneficent reallocation of resources.

AB - Despite a history of critical scholarship on development aid and neoliberalism in public health, very little specific attention has been drawn to how a tripling in aid commitments in the health sector after the Millennium Declaration created new opportunities for the advancement of neoliberal ideas and practices. Here we examine an externally funded aid project in Uttar Pradesh, India that seemed to embrace important public health and access to care concerns but that can also be understood as part of a larger – and damaging – ideological project. We adopt a contextualising and process-oriented understanding of ‘neoliberalisation’ to examine its design and enactment. We also show how these policies were unevenly resisted and advanced by the politicians and civil servants who were expected to guide them through different levels of government on the way to implementation. On the frontline, programme workers and users tactically re-interpreted the notion of ‘choice’ to serve their interests in ways that were not anticipated by programme designers. In the case of the programme workers these reflected the individualised performance targets set up by the programme and an existing culture of clientelism. Our analysis challenges uncritical portrayals of development assistance for health as a beneficent reallocation of resources.

U2 - 10.1080/09581596.2020.1770695

DO - 10.1080/09581596.2020.1770695

M3 - Article

JO - Critical Public Health

JF - Critical Public Health

SN - 0958-1596

ER -

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