New public management as a template for reforms in low-income countries: Issues and lessons from ghana

This article presents findings and conclusions from a study of the application of “new public management” type reforms in a low-income country context, Ghana. Using case study data from the health and water sectors, including interviews and documentary analysis, it argues that reforms tend to put more emphasis on issues of what to implement and less on issues of how to implement. The evidence provided suggests that some progress has been made in downsizing, decentralizing, contracting-out, and performance contracting in the health and water sectors. In spite of this, the implementation of reforms has been patchy due to capacity constraints. Reforms are fragile and yet to be embedded