Achieving the Millennium Development Goals: What’S Wrong with Existing Analytical Models?

Total Page:16

File Type:pdf, Size:1020Kb

Achieving the Millennium Development Goals: What’S Wrong with Existing Analytical Models? Economic & Social Affairs DESA Working Paper No. 30 ST/ESA/2006/DWP/30 September 2006 Achieving the Millennium Development Goals: What’s wrong with existing analytical models? Sanjay G. Reddy and Antoine Heuty Abstract Th is study critically evaluates analytical models presently used to estimate the cost of achieving the Millennium Development Goals (MDGs) from sources including the UN Millennium Project, the UN Development Programme, the World Bank and the Zedillo Commission. Eff ective strategic choices for achieving the MDGs must be based on sound assessments of the costs and benefi ts of alternative policies. However, the existing approaches are unreliable. Th ey derive from implausible and restrictive assumptions, depend on poor quality data, and are undermined by the presence of large uncertainties concerning the future. An alternative and less technocratic approach to planning is required. JEL Classifi cation: O11, O21 Keywords: Poverty, Development, Millennium Development Goals Sanjay G. Reddy is an Assistant Professor in the Department of Economics, Barnard College, Columbia University. Tel: 1212 854 3790, Fax: 1212 854 8947. Email: [email protected] Antoine Heuty is a Public Finance Economist, United Nations Development Programme, 304 East 45th Street, 11th fl oor. New York, USA 10017. Tel: 1212-906-3665. Email: [email protected] Comments should be addressed by email to the authors. Contents MDG Cost Estimates ................................................................................................................... 1 Th e Millennium Development Goals ................................................................................. 1 Global cost estimates .......................................................................................................... 2 Country-level cost estimates ............................................................................................... 3 Importance of cost estimates in the choice of strategies ................................................................ 4 Th e role of aggregate cost estimates in informing the choice between objectives ................. 4 Th e role of aggregate cost estimates in planning to achieve an objective .............................. 4 Th e role of disaggregated cost estimates in planning to achieve an objective ....................... 5 Analytical Requirements of a Cost Estimate ................................................................................. 6 Identify the cost concept .................................................................................................... 6 Accurately identify the baseline scenario ............................................................................. 6 Accurately identify the cost function .................................................................................. 6 Identifi cation of unit costs .................................................................................................. 6 Projection of unit costs over the coverage range .................................................................. 6 Main Methodological Problems ................................................................................................... 7 Unjustifi ed assumptions ..................................................................................................... 7 Weaknesses in Data ............................................................................................................ 14 Unpredictable Future Shocks .............................................................................................. 15 Conclusions ................................................................................................................................. 16 Principles underlying an alternative approach ..................................................................... 17 References .................................................................................................................................... 18 Appendix ...................................................................................................................................... 21 UN/DESA Working Papers are preliminary documents circulated in a limited number of copies and posted on the DESA website at http://www.un.org/esa/desa/papers to stimulate discussion and critical comment. Th e views and opinions expressed herein are those of the author and do not necessarily refl ect those of United Nations the United Nations Secretariat. Th e designations Department of Economic and Social Aff airs and terminology employed may not conform to 2 United Nations Plaza, Room DC2-1428 United Nations practice and do not imply the New York, N.Y. 10017, USA expression of any opinion whatsoever on the part Tel: (1-212) 963-4761 • Fax: (1-212) 963-4444 of the Organization. e-mail: [email protected] Typesetter: Valerian Monteiro http://www.un.org/esa/desa/papers Achieving the Millennium Development Goals: What’s wrong with existing analytical models? 1 Sanjay Reddy and Antoine Heuty Th is study critically evaluates existing analytical models used to estimate the cost of achieving the Millenni- um Development Goals (MDGs)—from sources including the UN Millennium Project, UN Development Programme, the World Bank and the Zedillo Commission. Eff ective strategic choice requires the comparison of the costs and benefi ts of alternative strategies. However, existing approaches to identifying the costs and benefi ts of alternative strategies for achieving the MDGs are unreliable. A practical alternative to these exist- ing approaches exists. Th e alternative approach to strategic choice rejects heavy reliance upon “technocratic” models conjectured to describe the reality, and substitutes informed decision-making that is periodically up- dated on the basis of new information and collective deliberation. Th e alternative diminishes the likelihood of costly errors that arise from faulty analytical models. In the next section, we introduce the MDGs. In the section that follows it, we discuss the impor- tance of cost estimates in the choice of strategies, establishing the rationale for estimating the costs of achiev- ing the MDGs—whether taken together or separately, and whether considered globally or in individual countries. Th e main -- conceptual and practical -- requirements of a cost estimate are studied next. Th e problems that beset the analytical models surveyed are examined in the following section. In the conclusion, we suggest an alternative to the technocratic approach to MDG strategy. MDG Cost Estimates Th e Millennium Development Goals Th e Millennium Development Goals (MDGs) are a set of eight specifi c (in many instances, quantitative) ob- jectives for the betterment of the human condition, including goals of poverty reduction and improvement in education, gender equality, health, and environmental quality2. Th e MDGs replace various previous UN initiatives to provide time-bound and quantitative global goals to guide and infl uence national and international strategies for development. Since its creation, the United Nations system has defi ned a wide variety of global goals with specifi c outcome targets, including, among others, ending colonialism (a focus especially in the period from the 1940s to the 1960s), accelerating economic growth through increased international assistance (a focus during the UN Development Decade in the 1960s and the three subsequent decades) and eradicating smallpox, malaria and other communicable diseases (a focus from the 1950s onward).3 1 We are grateful for the research assistance of Camelia Minoiu. We would like to off er our thanks to Diane Elson, Laura Reichenbach, Michael Ward, Jacques Loup, Kamal Malhotra, Joseph Lim and Mathieu Brossard for their detailed comments on the paper. We thank Chandrika Bahadur, David Grewal, Lynn McDonald, and Guido Schmidt-Traub for helpful conversations. We are especially grateful for the intellectual and practical advice of Rathin Roy and Jan Vandemoortele., Finally, the thoughtful comments provided by Sudhir Anand, Tony Addison, Santosh Mehrotra, Ann Pettifor, and David Sahn at a workshop in Florence have been of tremendous value in extending and revising the paper, as have comments by Michael Reich and Norman Daniels at a presentation at the Harvard Center for Population and Development Studies. 2 Each goal is associated with specifi c targets, eighteen in total; and each target is related to quantifi able indicators, forty- eight in total. Th e diff erent goals, targets and indicators are presented in Appendix 1. 3 For more detailed information on the history of UN global goals, see Jolly, R., 2003. 2 DESA Working Paper No. 30 In 1995, the OECD Development Assistance Committee (DAC) engaged in a year long process of reviewing past experiences and of planning long-term policies. Th is initiative resulted in the report Shaping the 21st Century: Th e Contribution of Development Co-operation, published in May 1996, which formulated seven goals extracted from the resolutions of UN conferences and meetings.4 Subsequent expert meetings led to the defi nition of quantifi ed International Development Targets (IDTs) (measured by 21 indicators) to be achieved by 2015 (United Nations, 2000). Th e MDGs are a synthesis of the International Development Goals agreed upon at the UN social development conferences and global summit meetings of the 1990s, and the Millennium Declaration adopted by heads of state at the Millennium Summit in New York in September 2000
Recommended publications
  • Michael Ward at the 30Th IARIW General Conference, Portoroz, Slovenia, August 2008
    Review of Income and Wealth Series 55, Number 1, March 2009 Michael Ward at the 30th IARIW General Conference, Portoroz, Slovenia, August 2008 © 2009 The Author Journal compilation © 2009 International Association for Research in Income and Wealth Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main St, Malden, MA, 02148, USA. 186 Review of Income and Wealth, Series 55, Number 1, March 2009 MICHAEL WARD (1939–2008): IN MEMORIAM A few years ago I was sitting on a beach in Vietnam when a gust blew away a page of my Herald Tribune. I chased after it and was glad I did so because there on the centre page was an article by Michael Ward. He was proposing a develop- ment tax to be paid by the richer countries to finance development in poorer ones. What struck me was how typical it was of Michael to turn up in a remote part of the world, often unexpectedly but always with good intentions and sound ideas. Michael, a long time member and past chairman (2000–2002) of the IARIW, died of a heart attack in October 2008 at his home in Cambridge. He was 69 and leaves his wife Rosemary, a son and two daughters and six grandchildren. His death was a great loss to his many friends and colleagues throughout the world. It was also a great shock because right up to the end Michael was his usual busy self. He was Chair of the Program Committee for the Special IARIW Conference in Kathmandu; he was a session organizer for the 2009 ISI meeting in Durban; he was finalizing details of a lecture tour in China and was working with the Indian statistical office on a project to improve their price statistics.
    [Show full text]
  • 04408-9781455245659.Pdf
    Macroeconotnics and the Environtnent ©International Monetary Fund. Not for Redistribution This page intentionally left blank ©International Monetary Fund. Not for Redistribution Macroeconon1ics and the Environn1ent Proceedings of a Seminar May 1995 editor Ved P. Gandhi International Monetary Fund ©International Monetary Fund. Not for Redistribution © 1996 International Monetary Fund Design and production: IMF Graphics Section Library of Congress Cataloging-in Publication Data Macroeconomics and the enviroment I edited by Ved P. Gandhi p. em. Includes bibiographical references. ISBN 1-55775-536-1 I. Enviromental economics-Congresses. 2. Macroeconomics-Congresses. 3. Economic policy-Congresses. I. Gandhi, Ved P. (Ved Parkash) II. International Monetary Fund. HC79.E5M323 1996 333.7-dc20 96-8789 CIP Price: $22.50 Address orders to: External Relations Depm1ment, Publication Services International Monetary Fund, Washington D.C. 20431 Telephone: (202) 623-7430: Telefax: (202) 623-720 I Internet: [email protected] ©International Monetary Fund. Not for Redistribution Contents Page Preface v 1. Macroeconomics and the Environment: Summary and Conclusions . 1 Ved P. Gandhi 2. Welcoming Remarks . 23 Margaret Kellj' Session 1. Analytics 3. How Macroeconomic Policies Affect the Environment: What Do We Know? . 29 Ved P. Gandhi and Ronald T. McMorran 4. Macroeconomic Policies and the Environment . 44 Stein Hansen Discussion Discussant's Comments . 65 A ndnrw Steer Other Discussion . 68 5. How the Environment Affects the Macroeconomy . 76 David Pearce and Kirh H arnilton Discussion Discussant's Comments ........ ................... 95 Kirit Parihh Other Discussion ................................ 100 Session 2. Integration of Economic and Environmental Accounts 6. Environmental Accounting: A Framework for Assessment and Policy Integration .... ..... .... ........... ... ..107 Peter Bartelmus I' ©International Monetary Fund.
    [Show full text]
  • A REVIEW of PUBLIC SPENDING and the POOR Dominique Van De
    Rcview of lncomc and Wealth Series 44, Number 2, June 1998 A REVIEW OF PUBLIC SPENDING AND THE POOR Dominique van de Walle and Kimberly Nead (eds.), The Johns Hopkins University Press, Baltimore, 1995 It is increasingly recognized that a main function of government policy in indus- trialized countries is directed towards redistributive objectives, where redistribu- tion is broadly interpreted to include not only redistribution of outcomes but also social insurance and equalization of opportunities. Moreover, a good deal of redistribution is accomplished on the expenditure side of the public budget. Despite the conventional view that a progressive tax system is the appropriate policy instrument for addressing inequality, tax systems are not all that progress- ive. Thus, programs in areas like education, health, social services, unemployment insurance, child care and pensions can all be interpreted as fulfilling, among other things, redistributive roles. Even pure transfer programs such as welfare payments are typically delivered separately from the tax system. The sheer magnitude of these various social programs and the size of the entitled population are respon- sible for the large share of GDP devoted to public expenditures in OECD countries. In the developing world, the imperative of redistribution is as much a concern as in industrialized countries, yet the extent of government policies aimed at redistribution is much less. This, in itself, accounts for the considerably lower share of government spending in GDP. Few of them have the extensive social programs that characterize the welfare state, such as universal health insurance, unemployment insurance, welfare and public pensions. Moreover, tax-transfer systems in developing countries seem ill-equipped to deliver significant amounts of redistribution, given their reliance on consumption and trade taxes.
    [Show full text]
  • Education Reform in Uganda – 1997 to 2004
    Researching the Issues 2006 60 Education Reform in Uganda – 1997 to 2004. Reflections on Policy, Partnership, Strategy and Implementation by Michael Ward, Alan Penny and Tony Read Education Reform in Uganda – 1997 to 2004. Reflections on Policy, Partnership, Strategy and Implementation by Michael Ward, Alan Penny and Tony Read 2006 Education Reform In Uganda 1997 to 2004 Reflections on Policy, Partnership, Strategy and Implementation Educational Papers Department for International Development: Educational Papers This is one of a series of Education Papers issued by the Central Research Department of the Department For International Development. Each paper represents a study or piece of commissioned research on some aspect of education and training in developing countries. Most of the studies were undertaken in order to provide informed judgements from which policy decisions could be drawn, but in each case it has become apparent that the material produced would be of interest to a wider audience, particularly those whose work focuses on developing countries. Each paper is numbered serially. Further copies can be obtained through DFID Publications - subject to availability. A full list of previous Education books and papers can be found on the following pages, along with information on how to order copies. Although these papers are issued by DFID, the views expressed in them are entirely those of the authors and do not necessarily represent DFID’s own policies or views. Any discussion of their content should therefore be addressed to the
    [Show full text]
  • Experimental Evidence on Adoption and Impact of the System of Rice Intensification*
    Experimental Evidence on Adoption and Impact of the System of Rice Intensification* Christopher B. Barrett (Cornell University) Asad Islam (Monash University) Abdul Malek (University of Tsukuba) Debayan Pakrashi (IIT Kanpur) Ummul Ruthbah (Dhaka University) January 2021 Abstract We report the results of a large-scale, multi-year experimental evaluation of the System of Rice Intensification (SRI), an innovation that first emerged in Madagascar in the 1980s and has now diffused to more than 50 countries. Using a randomized training saturation design, we find that greater cross-sectional or intertemporal intensity of direct or indirect training exposure to SRI has a sizable, positive effect on Bangladeshi farmers’ propensity to adopt (and not to disadopt) SRI. We find large, positive and significant impacts of SRI training on rice yields and profits, as well as multiple household well-being indicators, for both trained and untrained farmers in training villages. Despite the significant farm-level impacts on rice productivity and labor costs, we find no evidence of significant general equilibrium effects on rice prices or wage rates. We also find high rates of disadoption, and clear indications of non-random selection into technology adoption conditional on randomized exposure to training, such that adopters and non-adopters within the same treatment arm experience similar outcomes. Rice yields, profits and household well-being outcomes do not, however, vary at the intensive margin with intensity of training exposure, a finding consistent with multi-object learning models. Keywords: agricultural development, Bangladesh, BRAC, diffusion, innovation, learning, technology adoption * We are grateful to Marcel Fafchamps and Sisira Jayasuriya for detailed discussions on many aspects of the project and to the International Growth Centre (IGC) for financial support.
    [Show full text]
  • Commentaries on the Discussion Paper: Will SDG4 Achieve Environmental Sustainability?
    Commentaries on the discussion paper: Will SDG4 achieve environmental sustainability? by Hikaru Komatsu and Jeremy Rappleye Kyoto University Commentaries by Mary Metcalfe, Programme to Improve Learning Outcomes and University of Johannesburg Michael Ward, Organisation for Economic Co-operation and Development Aaron Benavot, University at Albany-State University of New York Oren Pizmony-Levy, Teachers College, Columbia University The research reported here was made possible (in part) by a grant from the Spencer Foundation Grant #201800045. The views expressed are those of the authors and do not necessarily reflect the views of the Spencer Foundation. The views also do not reflect the views of the Center for Advanced Studies in Global Education. Will SDG4 achieve environmental sustainability? http://dx.doi.org/10.14507/casge4.2018 CASGE working papers are circulated for discussion and comment purposes. They have not been peer-reviewed. Copyright notice Readers are free to copy, display, distribute, and adapt this article, as long as the work is attributed to the author(s) and Center for Advanced Studies in Education, the changes are identified, and the same license applies to the derivative work. More details of this Creative Commons license are available at https:// creativecommons.org/licenses/by-sa/2.0/. Commentary 1 Will SDG4 achieve environmental sustainability? Some Thoughts and Suggestions Mary Metcalfe University of Johannesburg I welcome the robust challenge made by Komatsu and Rappleye to the promotion of individualism over the conscious development of a selfhood that is deeply rooted in mutual-interdependence. In South Africa, this debate takes as its starting point the concept of Ubuntu: the promotion of African Communalism as opposed to Western Individualism.
    [Show full text]
  • TESTING the VALUE of the Postwar International Order
    BUILDING A SUSTAINABLE INTERNATIONAL ORDER A RAND Project to Explore U.S. Strategy in a Changing World TESTING THE VALUE OF THE Postwar International Order C O R P O R A T I O N Michael J. Mazarr Ashley L. Rhoades For more information on this publication, visit www.rand.org/t/RR2226 Library of Congress Cataloging-in-Publication Data is available for this publication. ISBN: 978-0-8330-9977-8 Published by the RAND Corporation, Santa Monica, Calif. © Copyright 2018 RAND Corporation R® is a registered trademark. Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org Preface This project was sponsored by the Office of Net Assessment, Office of the Secretary of Defense, and conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute, a federally funded research and development center sponsored by the Office of the Secretary of Defense, the Joint Staff, the Unified Combatant Commands, the Navy, the Marine Corps, the defense agencies, and the defense Intelligence Community.
    [Show full text]
  • International Price Levels and Global Inflation
    Organisation de Coopération et de Développement Economiques Organisation for Economic Co-operation and Development International price levels and global inflation Michael WARD, Cambridge - England Agenda item n° 11 JOINT WORLD BANK – OECD SEMINAR ON PURCHASING POWER PARITIES Recent Advances in Methods and Applications WASHINGTON D.C. 30 January – 2 February 2001 INTERNATIONAL PRICE LEVELS AND GLOBAL INFLATION 1 Introduction and Issues 1. What is global inflation? And why does it matter? To date, little interest has been shown in this topic and answers to these apparently simple questions are not entirely straightforward. Although much depends on the particular perspective taken by the individual investigator and the objective of enquiry, global inflation in its simplest term measures the average aggregate rate of increase of national prices across all countries. 2. In itself, however, a country’s rate of inflation is of key interest to that nation’s policy makers. But it is not solely a matter of domestic concern nor only a question of the extent of imported inflation as traditionally perceived, i.e. the country’s dependency on international trade in commodities. Over and above this, there has been an inexorable rise in prices, on average, in all countries over the whole of the 20th Century. No research has been carried out to try and determine what are the fundamental forces at work that have brought about these global price rises. Clearly, some core but as yet unidentified real behavioral factors have influenced the overall increase in world prices. It is possible that a continuing global imbalance between the demand and supply of resources as an invariable accompaniment of growth may have pushed up prices.
    [Show full text]
  • Sensitivity of PPP-Based Income Estimates to Choice of Aggregation Procedures
    Sensitivity of PPP-Based Income Estimates to Choice of Aggregation Procedures by Yuri Dikhanov Development Data Group International Economics Department The World Bank Washington, D.C. January, 1997 Sensitivity of PPP-Based Income Estimates 1 Yuri Dikhanov The World Bank 08/17/99 Sensitivity of PPP-Based Income Estimates to Choice of Aggregation Procedures1 The choice of aggregation method significantly influences the results of international comparisons (both real incomes and rankings). The two most widely used methods of aggregating detailed data to get GDP in international prices -- the EKS and Geary-Khamis (GK) -- are discussed and contrasted here with the other additive and non-additive indexes (altogether 11 indexes discussed). The additivity issue, Paasche-Laspeyres spread and Gerschenkron effect are discussed in more detail. Special attention is paid to the Ikle index which while being additive minimizes the Gerschenkron effect (in contrast to the EKS and GK, the first of which is not additive and the second manifests significant Gerschenkron effect), and which is recommended for use in analytical work involving comparisons of the GDP structures as well as levels. Some of the results of this investigation include the following: (i) the system of international prices corresponding to the Iklé system is developed; (ii) a generalized Geary-Khamis system (GGK) is introduced; (iii) iteration procedures for solving the Iklé, Geary-Khamis and other systems were developed and implemented in a Microsoft Excel environment; (iv) existence and uniqueness of the Ikle solution is shown. The indexes were used to aggregate the 1985 ICP results, which are discussed as well. 1 I would like to thank Erwin Diewert (University of British Columbia) who kindly agreed to be the discussant of this paper at the Twenty-Third General Conference of the International Association for Research in Income and Wealth held at St.
    [Show full text]
  • The Economic Impacts of Learning Losses
    The Economic Impacts of Learning Losses Eric A. Hanushek Ludger Woessmann September 2020 Acknowledgements This paper benefitted from the encouragement and support of Andreas Schleicher and from his comments along with those of Macke Raymond, Michael Ward, and Francesco Avvisati. Foreword The worldwide school closures in early 2020 led to losses in learning that will not easily be made up for even if schools quickly return to their prior performance levels. These losses will have lasting economic impacts both on the affected students and on each nation unless they are effectively remediated. While the precise learning losses are not yet known, existing research suggests that the students in grades 1-12 affected by the closures might expect some 3 percent lower income over their entire lifetimes. For nations, the lower long-term growth related to such losses might yield an average of 1.5 percent lower annual GDP for the remainder of the century. These economic losses would grow if schools are unable to re-start quickly. The economic losses will be more deeply felt by disadvantaged students. All indications are that students whose families are less able to support out-of-school learning will face larger learning losses than their more advantaged peers, which in turn will translate into deeper losses of lifetime earnings. The present value of the economic losses to nations reach huge proportions. Just returning schools to where they were in 2019 will not avoid such losses. Only making them better can. While a variety of approaches might be attempted, existing research indicates that close attention to the modified re-opening of schools offers strategies that could ameliorate the losses.
    [Show full text]
  • Publications for Michael Ward 2021
    Publications for Michael Ward 2021 647108-1-647108-23. <a Ward, M. (2021). A new framework to address disease spillover href="http://dx.doi.org/10.3389/fvets.2021.647108">[More risk at the wild&#8722;domestic animal interface is needed. Information]</a> Transboundary and Emerging Diseases, 68(4), 1709-1710. <a Singh, B., Ward, M., Dhand, N. (2021). Geodemography, href="http://dx.doi.org/10.1111/tbed.14156">[More environment and societal characteristics Information]</a> drive the global diversity of emerging, zoonotic and human Kirkeby, C., Brookes, V., Ward, M., Durr, S., Halasa, T. pathogens. Transboundary and Emerging Diseases, , 1-13. <a (2021). A Practical Introduction to Mechanistic Modeling of href="http://dx.doi.org/10.1111/tbed.14072">[More Disease Transmission in Veterinary Science. Frontiers in Information]</a> Veterinary Science, 7, 1-13. <a Gabriele-Rivet, V., Brookes, V., Stephens, D., Arsenault, J., href="http://dx.doi.org/10.3389/fvets.2020.546651">[More Ward, M. (2021). Hybridisation between dingoes and domestic Information]</a> dogs in proximity to Indigenous communities in northern Brookes, V., Barrett, T., Ward, M., Roby, J., Hernandez-Jover, Australia. Australian Veterinary Journal, 99(9), 388-391. <a M., Cross, E., Donnelly, C., Tamsin S. Barnes, T., Wilson, C., href="http://dx.doi.org/10.1111/avj.13095">[More Khalfan, S. (2021). A scoping review of African swine fever Information]</a> virus spread between Lacasse, C., Rose, K., Allen, M., Ward, M., Pulscher, L., Giles, domestic and free-living pigs. Transboundary and Emerging A., Hall, J., Phalen, D. (2021). Investigation into Diseases, 68(5), 2643-2656.
    [Show full text]
  • Peter Michael Ward 1263770 Thesis
    A Thesis Submitted for the Degree of PhD at the University of Warwick Permanent WRAP URL: http://wrap.warwick.ac.uk/93942 Copyright and reuse: This thesis is made available online and is protected by original copyright. Please scroll down to view the document itself. Please refer to the repository record for this item for information to help you to cite it. Our policy information is available from the repository home page. For more information, please contact the WRAP Team at: [email protected] warwick.ac.uk/lib-publications Towards a Process View of Adherence by Peter Michael Ward A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy in Service Systems University of Warwick, WMG May 2017 Table of Contents Table of Contents ................................................................................................. i List of Figures ..................................................................................................... v List of Tables..................................................................................................... vii Acknowledgements .......................................................................................... viii Declaration ......................................................................................................... ix Abstract ............................................................................................................... x List of Abbreviations ..........................................................................................
    [Show full text]