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Place-Sensitive Policies in the Provision of Subnational Public Goods in Colombia

Published online by Cambridge University Press:  29 June 2020

Silvia Otero-Bahamón Open the ORCID record for Silvia Otero-Bahamón [Opens in a new window]
Silvia Otero-Bahamón*
Affiliation:
Silvia Otero-Bahamón is a profesora principal (assistant professor) on the Facultad de Estudios Internacionales, Políticos y Urbanos, Universidad del Rosario.
*
silvia.otero@urosario.edu.co.
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Abstract

What causes stark differences in living standards between subnational units? What can countries do to lessen such variations? This article argues that there is an aspect of national policy frameworks that impacts subnational provision of social services: the sensitivity of policy to the particularities of place. Place-sensitive policies make adaptations to the way social services are organized and provided across a country, so that they are better equipped to deal with the different characteristics of places and better support their well-being. When policies are place-sensitive, subnational provision is facilitated in poor, rural, and marginal locations in a country. In contrast, place-blind policies employ a one-size-fits-all approach that excludes people in vulnerable areas and aggravates inequalities in social service provision and social outcomes. By studying the Colombian case, this article demonstrates that a key placeblind feature of its healthcare model disproportionately affects small localities.

Keywords

Subnational researchpublic goods provisionhealth inequalitiesdecentralizationColombia
Type
Research Article
Information
Latin American Politics and Society , Volume 62 , Special Issue 3: The Subnational State in Latin America , August 2020 , pp. 94 - 122
Copyright
© University of Miami 2020

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Footnotes

Conflict of Interest: I, Silvia Otero-Bahamón, declare none.

References

Alves, Jorge Antonio. 2015. (Un?)Healthy Politics: The Political Determinants of Subnational Health Systems in Brazil. Latin American Politics and Society 57, 4: 119–42.CrossRefGoogle Scholar
Andrews, Gavin J., Joshua Evans, James R. Dunn, and Masuda, Jeffrey R.. 2012. Arguments in Health Geography: On Sub-Disciplinary Progress, Observation, Translation. Geography Compass 6, 6: 351–83.CrossRefGoogle Scholar
Barca, Fabrizio, McCann, Philip, and Rodríguez-Pose, Andres. 2012. The Case for Regional Development Intervention: Place-Based versus Place-Neutral Approaches. Journal of Regional Science 52, 1 (February): 134–52.CrossRefGoogle Scholar
Carnes, Matthew E., and Mares, Isabela. 2007. The Welfare State in Global Perspective. InThe Oxford Handbook of Comparative Politics, ed. Boix, Carles and Stokes, Susan. Oxford: Oxford University Press. 868–85.Google Scholar
Central Intelligence Agency (CIA). 2018. The World Factbook. Washington, DC: CIA.Google Scholar
Centro de Estudios Sobre Desarrollo Económico (CEDE). 2017a. Base de datos electorales. Dataset. Bogotá: Facultad de Economía, Universidad de los Andes.Google Scholar
Centro de Estudios Sobre Desarrollo Económico (CEDE). 2017b. Municipal panel. Dataset. Bogotá: Facultad de Economía, Universidad de los Andes.Google Scholar
Curtis, Sarah, and Riva, Mylène. 2010. Health Geographies II: Complexity and Health Care Systems and Policy. Progress in Human Geography 34, 4 (August): 513–20.CrossRefGoogle Scholar
Curtis, Sarah, Riva, Mylène, and Rosenberg, Mark. 2010. Health Geography and Public Health. InA Companion to Health and Medical Geography, ed. Brown, Tim, Sara McLafferty, and Graham Moon. New York: John Wiley and Sons, 2010.Google Scholar
De Groote, Tony, de Paepe, Pierre, and Unger, Jean-Pierre. Colombia: 2005. In Vivo Test of Health Sector Privatization in the Developing World. International Journal of Health Services 35, 1: 125–141.CrossRefGoogle Scholar
Díaz-Cayeros, Alberto, Magaloni, Beatriz, and Ruiz-Euler, Alexander. 2014. Traditional Governance, Citizen Engagement, and Local Public Goods: Evidence from Mexico. World Development 53 (January): 80–93.CrossRefGoogle Scholar
Duranton, Gilles, and Anthony, J. Venables. 2018. Place-Based Policies for Development. Policy Research Working Paper WPS 8410. Washington, DC: World Bank Group. http://documents.worldbank.org/curated/en/547051523985957209/Place-based-policies-for-developmentCrossRefGoogle Scholar
Esping-Andersen, Gøsta. 1990. The Three Worlds of Welfare Capitalism. Princeton: Princeton University Press.Google Scholar
Ewig, Christina. 2016. Reform and Electoral Competition: Convergence Toward Equity in Latin American Health Sectors. Comparative Political Studies 49, 2: 184–218.CrossRefGoogle Scholar
Gaitán, Carlos Fernando. 1993. Seguridad social rural: promesas. El Tiempo (Bogotá), June 5. https://www.eltiempo.com/archivo/documento/MAM-152706Google Scholar
Garay, Candelaria. Social Policy Expansion in Latin America. New York: Cambridge University Press, 2017.Google Scholar
Garcilazo, Enrique, Joaquim Oliveira Martins, and Tompson, William. 2010. Why Policies May Need to Be Place-Based in Order to Be People-Centred. VoxEU.Org (blog). Accessed July 17, 2015. http://www.voxeu.org/article/why-policies-may-need-be-place-based-order-be-people-centred.Google Scholar
Giuffrida, Antonio, Carmen Elisa, Flórez, Giedion, Úrsula, et al. 2008. From Few to Many: Ten Years of Health Insurance Expansion in Colombia. Washington, DC: Inter-American Development Bank. https://publications.iadb.org/en/few-many-ten-years-health-insur- ance-expansion-colombiaGoogle Scholar
Granados, Claudia, and Sánchez, Fabio. 2014. Water Reforms, Decentralization and Child Mortality in Colombia, 1990–2005. World Development 53 (January): 68–79.CrossRefGoogle Scholar
Guerrero, Ramiro, Sergio, I. Prada, and Chernichovsky, Dov. 2014. La doble descentralización en el sector salud: evaluación y alternativas de política pública. Bogotá: Fedesarrollo.Google Scholar
Guzmán-Finol, Karelys. 2014. Radiografía de la oferta de servicios de salud en Colombia. Documento de Trabajo Sobre Economía Regional y Urbana 202. Bogotá: CEER, Banco de La República, May 15. http://repositorio.banrep.gov.co/handle/20.500.12134/3103CrossRefGoogle Scholar
Harbers, Imke. 2015. Taxation and the Unequal Reach of the State: Mapping State Capacity in Ecuador. Governance 28, 3: 373–91.CrossRefGoogle Scholar
Hogan, Margaret C., Kyle, J. Foreman, Naghavi, Mohsen, et al. 2010. Maternal Mortality for 181 Countries, 1980–2008: A Systematic Analysis of Progress Towards Millennium Development Goal 5. Lancet 375, 9726 (May 8): 1609–23.CrossRefGoogle Scholar
Huber, Evelyne, and John, D. Stephens. 2012. Democracy and the Left: Social Policy and Inequality in Latin America. Chicago: University of Chicago Press.CrossRefGoogle Scholar
Laurell, Asa Cristina, and Giovanella, Ligia. 2018. Health Policies and Systems in Latin America. In The Oxford Research Encyclopedia of Global Public Health, ed. David, V. McQueen. Oxford: Oxford University Press. https://oxfordre.com/publichealth/view/10.1093/acrefore/9780190632366.001.0001/acrefore-9780190632366-e-60?rskey=hXEptP&result=1Google Scholar
Macintyre, Sally, Ellaway, Anne, and Cummins, Steven. 2002. Place Effects on Health: How Can We Conceptualise, Operationalise and Measure Them? Social Science and Medicine 55, 1: 125–39.CrossRefGoogle Scholar
Franzoni, Martínez, Juliana, and Sánchez-Ancochea, Diego. 2016. The Quest for Universal Social Policy in the South: Actors, Ideas and Architectures. New York: Cambridge University Press.CrossRefGoogle Scholar
Torres, Montenegro, Fernando, and Oscar Bernal Acevedo. 2013. Colombia Case Study: The Subsidized Regime of Colombia’s National Health Insurance System. UNICO StudiesSeries. Washington, DC: World Bank.Google Scholar
Niedzwiecki, Sara. 2016. Social Policies, Attribution of Responsibility, and Political Alignments: A Subnational Analysis of Argentina and Brazil. Comparative Political Studies 49, 4: 457–98.CrossRefGoogle Scholar
Niedzwiecki, Sara. 2018. Uneven Social Policies: The Politics of Subnational Variation in Latin America. New York: Cambridge University Press.CrossRefGoogle Scholar
Otero-Bahamón, Silvia. 2016. When the State Minds the Gap: The Politics of Subnational Inequality in Latin America. Ph.D. diss., Northwestern University.Google Scholar
Otero-Bahamón, Silvia. 2019. Subnational Inequality in Latin America: Empirical and Theoretical Implications of Moving Beyond Interpersonal Inequality. Studies in Comparative International Development 54, 2: 185–209.CrossRefGoogle Scholar
Plaza, Beatriz, Ana Beatriz Barona, and Hearst, Norman. 2001. Managed Competition for the Poor or Poorly Managed Competition? Lessons from the Colombian Health Reform Experience. Health Policy and Planning 16, suppl. 2: 44–51.CrossRefGoogle Scholar
Powell, Martin. 1995. On the Outside Looking In: Medical Geography, Medical Geographers, and Access to Health Care. Health and Place 1, 1: 41–50.CrossRefGoogle Scholar
Pribble, Jennifer E. 2013. Welfare and Party Politics in Latin America. New York: Cambridge University Press.CrossRefGoogle Scholar
Pribble, Jennifer E. 2015. The Politics of Building Municipal Institutional Effectiveness in Chile. Latin American Politics and Society 57, 3: 100–21.CrossRefGoogle Scholar
de Colombia, República. Ministerio de Salud y Protección Social. 2018. Sistema Integral de Información de la Protección Social (SISPRO). Dataset. www.sispro.gov.co/Pages/Home.aspxGoogle Scholar
del Perú, República. de Salud, Ministerio (MINSA). 2005. Norma técnica para la atención del parto vertical con adecuación intercultural (NT No 033-MINSA/DGSP-V.01). ftp://ftp2.minsa.gob.pe/normaslegales/2005/RM598-2005.pdfGoogle Scholar
Salud Colombia. 2002. Alonso Gómez Duque, Exministro de Salud. Reportaje. No. 64 (March–April). http://www.saludcolombia.com/actual/salud64/report64.htmGoogle Scholar
Sánchez, Fabio, Pachón, Mónica, and de Gobierno, Escuela. 2013. Descentralización, esfuerzo fiscal, y progreso social en Colombia en el nivel local, 1994–2009: ¿Por qué importa la política nacional? Documento CEDE 38. Bogotá: Facultad de Economía, Universidad de los Andes.Google Scholar
Snyder, Richard. 2001. Scaling Down: The Subnational Comparative Method. Studies in Comparative International Development 36, 1: 93–110.CrossRefGoogle Scholar
Soto, Victoria Eugenia, María Isabel Farfan, and Lorant, Vincent. 2012. Fiscal Decentralisation and Infant Mortality Rate: The Colombian Case. Social Science and Medicine 74, 9: 1426–34.CrossRefGoogle Scholar
El Tiempo (Bogotá). 1993a. Trabajadores escogerán el sistema que les convenga. June 14. https://www.eltiempo.com/archivo/documento/MAM-134214Google Scholar
El Tiempo (Bogotá). 1993b. Y ahora la salud. November 20. https://www.eltiempo.com/archivo/documento/MAM-263406Google Scholar
Touchton, Michael, and Wampler, Brian. 2014. Improving Social Well-Being Through New Democratic Institutions. Comparative Political Studies 47, 10: 1442–69.CrossRefGoogle Scholar
Uribe Botero, John. 1992. Estatización o privatización. El Tiempo, December 30. https://www.eltiempo.com/archivo/documento/MAM-265718Google Scholar