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Resisting reforms. A Resource-based perspective of collective action in the
distribution of agricultural input and primary health services in the Couffo region,
Benin
Dedehouanou, H.
Publication date 2002
Link to publication
Citation for published version (APA):
Dedehouanou, H. (2002). Resisting reforms. A Resource-based perspective of collective action in the distribution of agricultural input and primary health services in the Couffo region, Benin.
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Tablee of contents Listt of tables Listt of graphs Listt of Figures Listt of Boxes Listt of Maps Abbreviations s Acknowledgements s Pages s vii i xii i xiv v XV V xvi i xvi i xvii i xix x 1 1 1.1 1 1.1.1 1.1.1 1.1.2 1.1.2 1.1.3 1.1.3 1.2 2 1.3 3 1.4 4 1.4.1 1.4.1 1.4.2 1.4.2 1.5 5 1.5.1 1.5.1 1.5.2 1.5.2 1.5.3 1.5.3 1.5.4 1.5.4 1.5.5 1.5.5 1.6 6
Thee distribution of agricultural input and primary health services in Benin:: co-ordination issues
Problemss in the distribution of agricultural input and primary health services
ProblemsProblems in the distribution of agricultural input services (AISs) ProblemsProblems in the distribution of primary health services (PHSs)
SimilaritiesSimilarities of problems in both agricultural input and primary health services
Theoreticall relevance of the topic under study Statementt of the research problem
Objectivess and research questions
Objectives Objectives
JustificationJustification of the objectives and research questions
Methodology y
ResearchResearch area
JustificationJustification of the choice of the units of analysis DataData collection
MethodsMethods of data analysis LimitationsLimitations of the research
Structuree of the book NOTES S 1 1 2 2 2 2 4 4 7 7 8 8 9 9 10 0 10 0 10 0 11 1 11 1 14 4 15 5 16 6 17 7 18 8 18 8 2 2 2.1 1 2.1.1 2.1.1 2.1.2 2.1.2 2.2 2 2.2.1 2.2.1 2.2.2 2.2.2 2.2.3 2.2.3 2.2.4 2.2.4 2.3 3 2.4 4 2.4.1 2.4.1 2.4.2 2.4.2
AA resource-based perspective on the distribution of agricultural input and primaryy health services
AA resource-based perspective on the strategy for the distribution of agriculture andd health services
OverviewOverview of the resource-based perspective
AA resource-based perspective on the distribution of agricultural and health services services
AA resource-based perspective on the structure for the distribution of agricultural andd health services
OrganisationOrganisation and institution Institutions Institutions
OrganisationalOrganisational dilemma
CollectiveCollective action for the distribution of agricultural input and primary health services services
Coree capabilities for the distribution of agricultural and health services Conceptuall framework
Actor-orientedActor-oriented framework
FrameworkFramework for collective action (CA)
21 1 21 1 22 2 24 4 32 2 32 2 35 5 36 6 40 0 41 1 44 4 44 4 46 6 v i i i
TableTable of Contents
47 7
2.4.32.4.3 Definition of variables *Z
2.55 Research hypotheses and concluding comments 4°
2.5.12.5.1 Research question 1 ^ 2.5.22.5.2 Research question 2 ^ 2.5.32.5.3 Research question 3 ^ 2.5.42.5.4 Research question 4 ^
NOTESS 5 4
33 Agricultural input services in the Couffo region 57
3.11 People and agriculture in the Couffo region " 3.22 Recent government intervention in agriculture 65
3.2.13.2.1 The importance of the Mono-Couffo region within the cotton sector in Benin 65
3.2.23.2.2 The importance of cotton production within the Mono-Couffo region 66 3.2.33.2.3 Location-specific agro-ecological conditions for crop husbandy 67 3.2.43.2.4 Government failure to promote unbiased agricultural input services 70
3.33 Government-initiated farmers' organizations and agricultural input services 71 3.44 Major issues influencing the distribution of agricultural input services 73
3.4.13.4.1 Agricultural input services and people's purchasing power 73 3.4.23.4.2 The relevance of knowledge to the agriculture input services 73
3.4.33.4.3 Input-output relationships in the agricultural sector 74
3.55 Agricultural policy sequencing ^
3.5.13.5.1 The agricultural policy from the 1960s to the 1970s, the growth-pole approach 11 3.5.23.5.2 Agricultural policy reforms from the 1980s onwards, the liberalisation approach 78
Concludingg comments °^
NOTESS 8 1
3.6 6
84 4 86 6 44 Roles of the public, private and local organisations in the distribution of
agriculturall input services in the Couffo region 83 4.11 Strategy of the public sector in the distribution of agricultural input services 84
4.1.14.1.1 Long-term goals of the public-sector organisations in the distribution of agriculturalagricultural input services
4.1.24.1.2 Course of action of the public-sector organisations in the distribution of agriculturalagricultural input services
4.1.34.1.3 Resource allocation in the public sector for the distribution of agricultural input services services
4.2.. Structure of the public-sector organisations in the distribution of agricultural input services s
4.33 capabilities of the public sector in the distribution of agricultural input services 92 4*44 Strategy, structure, and core capabilities of the private-sector organisations in the
distributionn of agricultural input services
4.55 Public-private roles in the distribution of agricultural input services 98 4.66 Strategy, structure, and core capabilities of local organisations in the
distributionn of agricultural input services
4.6.14.6.1 Strategy of local organisations in the distribution of agricultural input services 102 4.6.24.6.2 Structure of local organisations in the distribution of agricultural input
services services
4.6.34.6.3 Core capabilities of local organisations in the distribution of agricultural input services services 4.77 Concluding comments j " ° NOTESS l l ü 95 5 98 8 101 1 102 2 106 6 108 8 v i n n
55 Collective action in the distribution of agricultural input services in the
Couffoo Region 111
5.11 Performance of collective action in the distribution of agricultural input
servicess 111
5.1.15.1.1 Farmers' participation in the groupement villageois (GVs) 111
5.1.25.1.2 Farmers' purchases of agricultural inputs 113 5.1.35.1.3 Farmers' participation and cotton output 116
5.22 An analysis of Strengths, Weaknesses, Opportunities and Threats (SWOT) of
collectivee action in the distribution of the agricultural input services 118
52.152.1 Strengths and weaknesses of the distribution of agricultural input services 118 5.2.25.2.2 Opportunities and threats from the external environment concerning the
distributiondistribution of agricultural input services Y23 5.2.35.2.3 Is integration of grassroots and formal farmers' organisations feasible? 125
5.2.45.2.4 Evaluation of performance in the cotton sector 129
5.33 Synthesis of strategy, structure, and core capabilities of collective action in the
distributionn of agricultural input services 133
5.3.15.3.1 The strategy of collective action in the distribution of agricultural input
servicesservices 134 5.3.25.3.2 The structure of collective action in the distribution of agricultural input services 134
5.3.35.3.3 Core capabilities of collective action in the distribution of agricultural input
servicesservices 136
5.44 Concluding comments 137
NOTEE 138
66 Primary health services in the Couffo region 139
6.11 People and health-care practices in the Mono-Couffo region 139 6.22 The existing health-care system in the Mono-Couffo region 142
6.2.16.2.1 The existing health-care system in the Mono-Couffo region 143 6.2.26.2.2 Centrally planned health facilities in the Couffo region 144 6.2.36.2.3 Locally planned health facilities in the Couffo region 144 6.2.46.2.4 Parallel channel for the distribution of health services in the Couffo region 145
6.2.56.2.5 Traditional medicine in the Couffo region 145
6.33 Utilisation of the PHSs in the Mono-Couffo region 146
6.3.16.3.1 Curative health care in the Mono-Couffo region 146 6.3.26.3.2 Preventive health care in the Mono-Couffo region 148
6.44 Resource-performance relationships in the health sector 150
6.4.16.4.1 Resource performance and policy issues in the health sector 150 6.4.26.4.2 Relevance of knowledge to resource-performance in the health sector 153
6.55 Health policy sequencing in Benin 154
6.5.16.5.1 Health policy from the 1960s to the 1970s: failure to achieve full coverage 154 6.5.26.5.2 Health-policy reforms from the late 1970s onward: community involvement and
thethe cost-recovery scheme 155
6.66 In conclusion 157 NOTESS 158
77 Roles of the public, private and local organisations in the distribution of the
primaryy health services in the Couffo region 159
7.11 Strategy of the public-sector organisations in the distribution of health services 160
7.1.17.1.1 Long-term goals of the public-sector organisations in the distribution of health
servicesservices 160
TableTable of Contents
7.1.27.1.2 Course of action in the public-sector organisations for the distribution of primaryprimary health services
7.1.37.1.3 Resource allocation in the public-sector organisations for the distribution of primaryprimary health services
1212 Structure of the public-sector organisations in the distribution of primary health
services s
7.33 Core capabilities of the public-sector organisations in the distribution of primaryy health services
7.44 Strategy, structure and core capabilities of the non-government health
organisationss ^
7.4.17.4.1 Strategy of the non-governmental health organisations 169 7.4.27.4.2 Structure of the non-governmental health organisations 170 7.4.37.4.3 Core capabilities of the non-governmental health organisations 171
7.55 Public-private roles in the distribution of primary health services 172
1.61.6 Strategy, structure, and core capabilities of local organisations in the distribution
off health services
7.6.17.6.1 The strategy of the local organisations in the distribution of primary health
7.7 7 NOTES S 161 1 166 6 168 8 169 9 services services
7.6.27.6.2 Structure of local organisations in charge of the distribution of primary health services services
7.6.37.6.3 Core capabilities of local organisations in the distribution of primary health services services Inn conclusion :*L 183 3 175 5 179 9 180 0 185 5 186 6 195 5 205 5
88 Collective action in the distribution of primary health services in the Couffo
Regionn .
8.11 The performance of collective action in the distribution of primary health services s
8.1.18.1.1 People's utilisation of the formal primary health services I00 8.1.28.1.2 People's utilisation of the non-governmental health services 192
8.22 SWOT analysis of collective action in the distribution of primary health service 195
8.2.18.2.1 Strengths and weaknesses of collective action in the distribution of primary
healthhealth services t
8.2.28.2.2 Opportunities and threats regarding collective action in the distribution of primaryprimary health services
8.2.38.2.3 Is the institutional environment appropriate for the performance of collective
actionaction in the distribution of primary health services? 207 8.2.48.2.4 Evaluation of performance in the primary health services 209
8.33 Synthesis of strategy, structure, and core capabilities of collective action in the
distributionn of primary health services 213
8.3.18.3.1 Strategy of collective action in the distribution of primary health services 213 8.3.28.3.2 Structure of collective action in the distribution of primary health services 215 8.3.38.3.3 Core capabilities of collective action in the distribution of primary health
services services 8.44 Concluding comments NOTES S 216 6 219 9 221 1 x x
99 Synthesis of collective action in the distribution of agricultural input and
primaryy health services 223
9.11 Collective action in the distribution of agricultural input and primary health
servicess 223
9.1.19.1.1 Collective action in the distribution of agricultural input services 223 9.1.29.1.2 Collective action in the distribution of primary health services 225
9.22 Theoretical implications of the distribution of agricultural input and primary
healthh services 226
9.2.19.2.1 The theory of Institutional Economics and the policy reforms in agriculture and
healthhealth care 227 9.2.29.2.2 Collective action and the agricultural and health policy reforms 241
9.33 Policy-oriented implications of collective action in the distribution of agricultural
inputt and primary health services 243
9.3.19.3.1 Policy implications in the agricultural sector 244 9.3.29.3.2 Policy implications in the health sector 2A1 9.3.39.3.3 Implication for the structural Adjustment Programmes (SAPs) 251
9.3.49.3.4 Formulation of a new research agenda 252
9.44 In conclusion 253 Literaturee 257 Annexee A 279 Annexee B 281 Annexee C 285 Annexee D 289 Annexee E 291 Annexee F 295 Annexee G 297 Annexee H 299 Nederlandsee samenvatting 301 X I I
