To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Freedom of Information (FOI) laws are widely adopted to promote transparency, yet their implementation diverges from formal legal expectations. This article examines how variations in FOI requests shape administrative responses and what these patterns reveal about bureaucratic behavior in municipal administrations. Drawing on a randomized field experiment across Belgian municipalities, the study analyzes how public officials respond to identical FOI requests varying by requester identity and legal framing. The findings show that responsiveness is not neutral but varies systematically across request characteristics and contexts. Ordinary citizens receive higher disclosure rates than institutional or advocacy actors, and invoking FOI law increases compliance for some requesters while reducing it for others. These patterns suggest that administrative responses – understood as observable expressions of bureaucratic behavior – are shaped by how officials interpret implications of requests, including perceived risk and accountability. The article advances a behavioral interpretation of FOI implementation as an embedded administrative practice.
Sugar-sweetened beverage (SSB) consumption is increasing across South Asia, alongside a growing burden of diet-related non-communicable diseases. Although countries in the region have introduced measures including taxation, nutrition labelling and restrictions in institutional settings, policies remain fragmented and implementation is uneven. Drawing on lessons from tobacco control, we propose Surveil, Protect, Offer, Warn, Enforce, and Raise (S-POWER) as an implementation framework to strengthen SSB regulation in South Asia. S-POWER brings together six complementary policy domains: surveillance of consumption and policy impact; protection of children from unhealthy food environments; provision of healthier alternatives; front-of-pack nutrition labelling; restrictions on marketing and promotion and health-oriented taxation. Rather than proposing new policy instruments, the framework seeks to connect existing evidence-based measures within a coherent regulatory approach. S-POWER may provide a practical basis for strengthening policy implementation in South Asia and other settings facing similar nutrition transitions and commercial pressures.
This study examined the factors influencing the process underlying the implementation of social impact bonds (SIBs). While early research primarily emphasised the technical challenges, limited recent research has suggested that political and historical factors also influence a region’s SIB development. This paper augments the SIB literature by documenting an empirical case of SIB development in Hong Kong. Using the advocacy coalition framework, we uncovered that SIB’s development involved tension and contestation between two competing coalitions driving the discourse and how discreet coordination among the dominant coalition opposing the SIB agenda helped constrain the development. The findings underscore that a region’s SIB development likely involves power dynamics between opposing actors favouring and resisting the idea. The conceptual fluidity of SIBs enables actors to narrate what SIBs per se represent and to pursue their own coalition’s agendas.
China’s ‘Four Frees and One Care’ policy provides people living with HIV (PLHIV) with free antiretroviral drugs (ARVs), while the recent inclusion of new ARVs in medical insurance policy has created policy overlap. Guided by the Institutional Analysis and Development (IAD) framework, this qualitative study used semi-structured interviews with 42 Centers for Disease Control and Prevention (CDC) and medical staff across China to examine institutional interactions and tensions in implementing the ‘Four Frees and One Care’ policy under policy overlap. The findings indicate that CDC and medical institutions exhibit divergent perceptions regarding the scope of beneficiaries for free ARVs, the allocation of responsibilities during implementation, and preferences in ARVs recommendations. CDC staff place greater emphasis on expanding antiretroviral therapy (ART) coverage to achieve public health goals for HIV control at the population level, whereas medical institutions focus more on individual treatment outcomes and the healthcare service performance. This divergence results in CDC favouring the free ARVs policy in practice, while medical institutions are more inclined toward ARVs accessed through medical insurance. Such tensions not only affect the coordination of policy implementation but may also have potential adverse impacts on PLHIV access to ART services, ART adherence, and public health outcomes.
This chapter highlights the relevance of studying healthcare reform in Latin America’s new democracies. It identifies the empirical puzzle of this study and the gaps in the literature that it seeks to fill. It examines why healthcare reform outcomes vary so significantly across Latin American democracies. While many countries in the region have pursued policies to expand access and address healthcare inequality, the quality and sustainability of these reforms vary. The chapter then introduces the novel argument about political parties’ programmatic commitment and policymaking. It provides key findings from a comparative analysis of reforms in Chile, Mexico, and Peru, explaining that reforms are most successful when parties’ core values align directly with the policy, leading to greater engagement during policymaking and implementation. In settings where parties lack programmatic commitment, technocrats or external actors often dominate the process, resulting in reforms that may expand formal coverage but lack sustainable funding, infrastructure development, and effective access. The chapter thus emphasizes that it is not simply the presence of strong or programmatic parties, but their programmatic commitment to the policy area, that predicts the quality and feasibility of social policy reform, with broader implications for democratizing societies and policymakers globally.
This chapter examines how conditional tenure as a contract feature shapes bureaucratic behavior, focusing on the distribution of trade compensation by the Department of Labor. The analysis centers on the implementation of Trade Adjustment Assistance (TAA), a program consistently supported by the Democratic Party to help American workers displaced by international trade. The TAA program is administered by bureaucrats who must demonstrate three years of high-quality service before securing permanent appointments. Using daily TAA petition records from 1975 to 2020, the chapter shows that TAA petitions were less likely to be certified and more likely to face delays under Republican presidencies than under Democratic ones – but only when handled by investigators who had not yet attained tenure. These findings demonstrate that even career bureaucrats, though not directly appointed by the president, can be susceptible to partisan pressure when their job protections are limited.
This chapter examines how renewal as a contract feature influences bureaucratic behavior, focusing on the decision-making of commissioners at the International Trade Commission in trade remedy cases. It leverages the institutional change created by the Trade Act of 1974, which eliminated the possibility of commissioner reappointment and thus shifted their contracts from renewable to nonrenewable terms. The analysis shows that, after the reform, commissioners were more likely to cast votes that reflected their own judgments rather than aligning with the chairperson's preferences. These individual-level dissenting votes contributed to ITC rulings that were less tied to the orientation of the chairperson’s political party.
This chapter introduces contract design as a mechanism through which presidents can influence bureaucratic behavior, distinguishing it from other established tools of bureaucratic control. It elaborates on the carrot-and-stick framework and explains how removal, renewal, and conditional tenure function within that structure. Drawing on this framework, the chapter derives three empirical expectations and outlines how they will be examined in subsequent chapters. Because Taming the Careerists centers on implementation of foreign policy in trade and immigration, the chapter also explains the rationale behind this case selection. Finally, it describes the data and methodological approaches used to evaluate the empirical expectations.
Michael Howlett, Simon Fraser University, British Columbia,M Ramesh, National University of Singapore,Anthony Perl, Simon Fraser University, British Columbia
Chapter 8 addresses the implementation stage, where policy decisions and intentions are translated into concrete actions and outcomes. It analyzes the complex interplay among bureaucrats, central agencies, ministries, departments, nongovernmental actors, and street-level bureaucrats. The chapter traces the evolution of implementation studies from top-down and bottom-up perspectives to more nuanced models incorporating organization theory, game theory, and principal–agent theory. It outlines the key administrative tasks (planning, organizing, staffing, directing, coordinating, reporting, budgeting), and discusses the importance of operational capacity, coordination, and accountability mechanisms. The chapter also examines the challenges of securing compliance among target groups and dealing with environmental turbulence, uncertainty, and limited policy capacity. Emphasizing the political as well as technical nature of implementation, it highlights how organizational structures, actor motivations, and institutional context fundamentally affect policy outcomes.
Across global and Pacific contexts, inclusive education policies often struggle to move from adoption to practice, leaving a persistent gap between commitments and classroom realities. In Vanuatu, inclusive education is both a constitutional and a statutory obligation: the Constitution of the Republic of Vanuatu guarantees equal rights without discrimination, the Education Act No. 9 of 2014 mandates culturally relevant schooling, and Vanuatu 2030: The People’s Plan: National Sustainable Development Plan 2016–2030 positions inclusion as central to national progress. Building on this foundation, the Ministry of Education and Training has launched the Inclusive Education and Training (IET) Policy 2025–2030, which sets ambitious goals for equitable access, teacher development, and systemic transformation. This article applies the Kokonas Research Methodology (KRM), a Vanuatu-born Indigenous implementation framework grounded in kastom (customary knowledge) and storian (dialogue), to the IET Policy. KRM structures implementation through five stages — initiation, validation, intervention, monitoring and support, and replication — which are mapped to policy priorities to demonstrate how culturally grounded processes can guide enactment in practice. Findings highlight the national significance of KRM in strengthening legitimacy and ownership of reforms in Vanuatu, while also offering transferable lessons for other Pacific countries and contributing to wider Asia-Pacific debates on inclusive education.
Rising levels of household food insecurity in England, and associated health and well-being impacts for children, have led to calls to expand access to free school meals (FSM). Policymakers have been hesitant to extend provision of FSM due to concerns surrounding acceptability, affordability and implementation challenges. The most effective strategies for expanding FSM are not yet fully understood. This work aims to fill this gap by examining school meal policy from the perspective of multiple stakeholders, to provide actionable recommendations for policies that could expand school meal provision.
Design:
A qualitative interview study design was used. The data were analysed using the Framework Method, underpinned by the Context and Implementation of Complex Interventions (CICI) framework. Themes were categorised into context-related and implementation-related factors. Detailed recommendations were discussed at the macro, meso and micro levels of the school food system.
Setting:
The study was conducted in England, UK.
Participants:
Seventeen stakeholders represented the views of local, regional and national government, policy, academia and schools.
Results:
Stakeholders indicated that policies should prioritise stigma reduction and integrate expansion of school meals with existing school policies where possible, including the monitoring of school food standards and ensuring maintenance of school food quality. Stakeholders also suggested improvement to the administrative process and communication with families and recommended a joined-up approach linking interventions with common goals across the whole food system.
Conclusions:
Crucially, sufficient financial support is essential for successful implementation.
This chapter examines Indigenous nation-building as a critical strategy for bridging gaps between policy intent and meaningful connection to Country, focusing on the Western Australian Aboriginal Empowerment Strategy. It highlights persistent disparities stemming from settler-colonial governance, where institutions often fail to address Indigenous cultural, social, economic, and ecological priorities. The analysis shows how empowerment efforts encounter resistance when they challenge entrenched power dynamics, reflecting systemic reluctance toward transformative change. In contrast, Indigenous nation-building provides a self-determined framework for governance, development, and community empowerment rooted in Aboriginal worldviews. The chapter assesses Western Australia’s Closing the Gap Implementation Plan 2023–2025 through this lens, underscoring the importance of cultural integrity, truth-telling, genuine partnerships, and shared decision-making. It concludes with recommendations for institutional reform, arguing that only deep systemic change can deliver equity and improved outcomes for Aboriginal communities.
This chapter develops a conceptual framework for understanding the Right to Repair (R2R) and its intersection with upcycling within contemporary intellectual property and sustainability discourse. It argues that the right to repair encompasses both negative and positive rights: the former protecting individual freedom from interference in repairing owned goods (‘freedom to repair’), and the latter requiring institutional and manufacturer support to ensure ‘repairability’. These differing conceptions manifest in contrasting policy models. Decentralized, market-oriented approaches in the US emphasizing ownership and autonomy, and centralized, circular economy frameworks in the EU prioritizing product design, durability, and extended producer responsibility.
We here give a narrative account of Signs of Safety implementation in M, a poorly rated children’s social care department, overseen by a new director. This director worked hard to gain support from parties including department staff, partner agencies and local politicians for the reforms. Staff participated in many meetings about the reform plans and provided feedback, eliciting generally positive comments especially about the value base, but also concerns about Signs of Safety’s emphasis on relying on family networks. Implementation was undertaken using the Signs of Safety’s organisational Theory of Change, involving interconnecting strands of learning, leadership and organisational alignment of policies and procedures, working with partner agencies and oversight mechanisms to monitor use. We detail work undertaken as part of each of these strands, noting that, for illustration, we will apply our detailed evaluation method to some of these causal pathways in later chapters.
Approximately 20% of Nigerians experience a mental health condition, yet fewer than 10% receive minimally adequate care. This scoping review synthesises the development, implementation and outcomes of mental health policies in Nigeria from 1916 to 2025. Using Arksey and O’Malley’s framework, systematic searches were conducted across PubMed, Web of Science, PsycINFO, AJOL and Google Scholar (inception–December 2024), supplemented by grey literature from governmental and non-governmental sources. The Walt and Gilson Policy Triangle guided the analysis of policy context, content, processes and actors. Nigeria’s policy trajectory demonstrates normative progress, transitioning from custodial approaches under the Lunacy Ordinance (1916) to a rights-based orientation in the Mental Health Act (2023). However, implementation outcomes remain constrained. Workforce expansion has been modest (psychiatrists increased from 250 in 2018 to approximately 350 in 2024), treatment coverage remains low (10–15%) and budget allocation is insufficient (3.3% of the health budget). Barriers include inadequate financing, weak coordination across federal and state levels, limited stakeholder engagement and insufficient integration of community, traditional and faith-based providers. Comparative analysis highlights that Ghana’s autonomous Mental Health Authority, South Africa’s provincial directorates and Kenya’s community health volunteer model provide governance and implementation structures absent in Nigeria. Findings indicate that Nigerian mental health policies, while necessary, are insufficient alone for system strengthening. Effective policy translation requires increased and protected financing (target: 5% of health budget by 2027), task-shifting strategies, establishment of a National Mental Health Information System, federal incentives for state-level adoption, integration into primary healthcare (5,000 PHCs by 2028) and inclusive governance that incorporates service users and traditional healers.
Democratic governments continually expand their policy portfolios to address various challenges, a process known as policy accumulation. While doing so can ensure more comprehensive governance, it also puts the administrative agencies tasked with implementing new and existing policies at risk of overload. Without matching resources or capacities, these agencies may be forced to engage in policy triage, whereby they must prioritize certain tasks and delay or neglect others. Policy triage lowers overall implementation effectiveness, as attention devoted to one area can draw resources away from another. Yet, existing research on policy growth has largely focused on the causes and patterns of expanding policy stocks, while implementation studies traditionally analyze individual policies rather than the organizational challenges arising from larger policy bundles. By shifting the analytical lens to how organizations handle their entire policy portfolios, this chapter zooms in on organizational trade-off decisions that shape the success or failure of public policies.
What happens to the proposals generated by participatory processes? One of the key aspects of participatory processes that has been the subject of rare systematic analysis and comparison is the fate of their outputs: their policy proposals. Which specific factors explain whether these proposals are accepted, rejected or transformed by public authorities? In this article contextual and proposal‐related factors are identified that are likely to affect the prospect of proposals being implemented. The explanatory power of these factors are tested through multilevel analysis on a diverse set of 571 policy proposals. The findings offer evidence that both contextual and proposal‐related variables are important. The design of participatory processes affects the degree of implementation, with participatory budgeting and higher quality processes being particularly effective. Most significant for explaining outcomes are proposal‐level, economic and political factors: a proposal's cost, the extent to which it challenges existing policy and the degree of support it has within the municipality all strongly affect the chance of implementation.
Do more rules improve overall policy performance? To answer this question, we look at rule growth in the area of environmental policy from an aggregate perspective. We argue that impactful growth in rules crucially depends on implementation capacities. If such capacities are limited, countries are at risk of ‘empty’ rule growth where they lack the ability to implement their ever‐growing stock of policies. Hence, rules are a necessary, yet not sufficient condition for achieving sectoral policy objectives. We underpin our argument with an analysis of the impact of a new, encompassing measure of environmental rule growth covering 13 countries from 1980 to 2010. These findings call for ‘sustainable statehood’ where the growth in rules should not outpace the expansion in administrative capacities.
A burgeoning line of research examines nonprofit advocacy, yet few have examined how nonprofits advocate against policy objectives. We explore how groups serve client needs by examining immigrant-serving organizations shaping local enforcement of federal immigration removal policies. We demonstrate how groups have helped to reshape national immigration enforcement through the litigation process. These organizations play a vital role in providing legal aid to individuals facing removal. With information on 1079 nonprofits, we predict regional removal numbers from US Immigration and Customs Enforcement. We find that the availability of nonprofit pro bono legal aid does predict local removal rates. Regions with greater numbers of pro bono attorney groups produce fewer immigration removals, controlling for other factors. The number of non-attorney advocates in a region predicts fewer non-criminal immigrant removals. This finding is important for both scholars and immigrant advocates at a time of heightened national enforcement.
In political research, scholars have increasingly paid attention to the political challenges of integrating new public policies into existing policy subsystems, which bears important implications for the study of eco-social policy and politics. By drawing on policy integration research, we identify and discuss insights and lessons deriving from policy integration scholarship, which appear to be relevant for understanding policy linkages between the social and environmental domains especially regarding the European Green Deal (EGD). More specifically, we focus on the following two aspects: (1) the elements of policy design and implementation practices that are deemed to be helpful for ensuring equilibrium between social and environmental goals and (2) political factors that are likely to affect policy integration dynamics along the social and environmental aspects (eco-social nexus). This article contributes to the literature by tracing novel research trajectories for the eco-social debate to explore in the policy integration perspective.