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- 22 - Anthropology and Development Studies
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- The University of Manchester
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- 22 - Anthropology and Development Studies : A - Development Studies
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- Societal
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
Barrientos’ research highlighting the benefits of promoting gender equality in global value chains has directly influenced gender equality and advocacy strategies of corporations and civil society organisations, and UK government policy. As a result:
over 390,000 workers in Nike’s and Mondelez’ value chains in low- and middle-income countries have directly benefited from the implementation of gender-equitable strategies
over 1 million workers in the value chains of Marks & Spencer and Ethical Trading Initiative member companies have been indirectly advantaged through opportunities for women to advance to leadership positions
Sedex (a major social compliance body) adopted a gender strategy recommended by Barrientos to its 60,000 members, reaching 33,000,000 workers in 180 countries.
2. Underpinning research
Barrientos has undertaken in-depth research since 2000 on the role of workers (waged, informal and in smallholder farming), with a particular focus on gender, in the production of consumer goods sourced by retailers and brands through global value chains (GVCs). She advanced the concept of gender-equitable social upgrading when co-PI with Gary Gereffi (Duke University) on ‘Capturing the Gains’ (2008–12), a GBP1,900,000 DFID-funded research programme in 20 countries in Africa, Asia and Latin America [1]. Building on this research, Barrientos advanced GVC gender analysis through two major research programmes: a Leverhulme Major Fellowship (2012–16) resulting in a book published by Cambridge University Press [2]; and research leadership of a DFID/FCDO flagship programme Work Opportunities for Women (WOW) [3].
Gender and Global Value Chains Monograph
Barrientos’ book provides unique insights into the significant yet under-recognised contribution of women workers in GVCs coordinated by retailers and brands. Her extensive research in agriculture and apparel in Africa, Asia and Latin America demonstrates that promoting gender equality in GVCs can both improve business performance, and advance women workers’ rights and household wellbeing. She advocated governance strategies to enhance upgrading to higher value activities, which often involves bargaining and contestation by workers themselves. Barrientos’ research with companies, NGOs and government agencies includes:
Nike: Research on Nike’s Equitable Manufacturing (EM) pilot in Indonesia examined the linkages between economic and social upgrading and gender equality, with beneficial outcomes of greater worker satisfaction and productivity gains [2: ch. 8].
Marks & Spencer: Research on African horticulture examined the implications of poor working conditions for a majority female workforce, and the beneficial outcomes of gender-equitable social upgrading by some farms, improving worker rights and higher value production; M&S is also in WOW (see below) [1; 2: chs. 6,7,8; 4].
Mondelez/Cadbury: Research on women in smallholder cocoa production in Ghana highlighted their important role in ensuring quality cocoa production and enhancing resilient cocoa communities [2: ch. 4; 5].
Oxfam: Research on gender and governance examined how global retail value chains provide channels for bargaining and resistance by workers, and for campaigns and advocacy by civil society organisations (NGOs and trade unions) [1; 2 ch. 9].
Ethical Trading Initiative (ETI): An ESRC Impact Acceleration Account grant supported collaborative research with the ETI. Barrientos played a leadership role in coordinating a gender analysis of 10 ETI company supply chains and an assessment of the role of the UN Guiding Principles on Business and Human Rights as a channel to promote gender equality. This led to co-publication of a journal article with ETI’s Berman [6].
Women and Work Opportunities for Women (WOW) in Global Value Chains
Barrientos is research lead of the GBP10,000,000 DFID/FCDO flagship programme WOW, which aims to enhance the economic empowerment of 300,000 women workers in GVCs by 2022. The programme builds on research synthesised in her book and publications [1,2,4]. WOW research involved in-depth gender analysis of the GVCs of three UK retailers, of which M&S has agreed to be publicly named, to enhance the visibility of women workers and inform their strategies to promote women’s leadership and economic empowerment [3].
3. References to the research
Barrientos, S., Gereffi, G. and Rossi, A. (2011). ‘Economic and social upgrading in global production networks – a new paradigm for a changing world’. International Labour Review 150, 319–340. DOI: 10.1111/j.1564-913X.2011.00119.x [745 citations - Google Scholar January 2021]
Barrientos, S. (2019). Gender and Work in Global Value Chains: Capturing the Gains? Cambridge University Press. DOI: 10.1017/9781108679459 [Sales in year one:195 HB copies + 1,435 electronic downloads].
Barrientos, S. and Pallangyo, C. (2020). ‘Hidden in plain sights: why we need more data about women in GVCs’. WOW Briefing Paper (October). Available UK government website: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/924704/Hidden-in-plain-sight.pdf
Barrientos, S., Knorringa, P., Evers, B., Visser, M. and Opondo, M. (2016). ‘Shifting regional dynamics of global value chains: implications for economic and social upgrading in African horticulture’. Environment and Planning A 48, 1266–1283. DOI: 10.1177/0308518X15614416 [79 citations – Google Scholar January 2021]
Barrientos, S. (2014). ‘Gendered global production networks: analysis of cocoa-chocolate sourcing’ Regional Studies, Vol. 48(5) pp. 791-803. DOI: 10.1080/00343404.2013.878799 [66 citations - Google Scholar January 2021]
Barrientos, S., Bianchi, L. and Berman, C. (2019). ‘Gender and governance of global value chains: promoting rights of women workers’, International Labour Review 158(4) (December). DOI: 10.1111/ilr.12150 [ILR commendation as one of most downloaded ILR papers in 2019/20].
4. Details of the impact
Barrientos’ ‘engaged scholarship’ has achieved a far-reaching impact on advancing companies’ gender strategies implemented across their supply chains. In brief, this research has resulted in beneficial outcomes for workers in the GVCs of Mondelez (a total of 124,318 smallholder farmers) and Nike (over 270,000 workers), and greater opportunities for gender equality for over 1 million workers in M&S’s GVC. It has influenced procedural change by Sedex, an international social compliance platform with 60,000 members reaching 33 million workers, to enhance visibility of women workers in global supply chains. Impact has been achieved through a pathway involving mutually reinforcing interaction between Barrientos, companies, civil society organisations and government with three interlinked dimensions:
1. Civil society: Ongoing research (including [2]) highlighting poor conditions and rights of women workers informed civil society advocacy and campaign strategies, including the following case examples.
Oxfam: Barrientos’ research has involved ongoing collaboration with Oxfam since 2004 and she has advised the organisation on a number of public campaigns advocating gender equality in retailer GVCs. This advisory work includes a recent campaign Behind the Barcode (2018), which ranked supermarkets on a number of criteria including gender. Oxfam states: “ Barrientos’ research influenced the wording of the indicators in the supermarket assessment tool which forms the basis of the Supermarket Scorecard…During the first year of the campaign, supermarkets’ average total score against the indicators on women increased…Tesco and Ahold Delhaize have made improvements and, together with Wal-Mart, have taken steps to uphold the rights of women in their supply chains. Oxfam will continue to work with suppliers to end discrimination against women” [A]. The campaign influenced other companies to follow suit.
Ethical Trading Initiative: Barrientos secured a secondment to ETI (0.4FTE) funded by an ESRC Impact Acceleration Account award in 2017. ETI is a leading alliance of 100 UK companies (combined turnover over GBP166,000,000,000), 17 NGOs and 4 union federations that promotes respect for workers’ rights in member company value chains globally. The research collaboration aimed to influence the development and advancing of ETI’s gender strategy to drive gender equality in company member value chains by 2020. ETI’s Executive Director stated: “ This collaboration has been instrumental in enabling ETI to raise the profile of the initiative and of gender equality more broadly among corporate, trade union and civil society members. Collaborating with one of the foremost experts on gender and ethical issues in global supply chains has lent increased credibility to this initiative and has increased appetite for participation and ultimately for moving forward in this area. This is especially important as Gender has not been high on the agenda of our corporate members in recent years and we are in the process of launching our new Gender Strategy” [B].
2. Companies: Building on the momentum created by her research and this enabling policy environment, Barrientos has also undertaken extensive engagements with M&S, Nike and Mondelez/Cadbury that have resulted in demonstrable direct improvements to conditions and opportunities for gender equality for over a million workers.
Marks & Spencer (M&S): M&S’s Ethical Trading Manager served on the advisory committee of the Capturing the Gains programme, participated in the ETI gender analysis and subsequently participated in the WOW programme (see below). She has stated: “Findings from your research in African flowers and Bangladesh garments under ‘Capturing the Gains’ influenced our decision to include more gender sensitive indicators in the revision of M&S Global Sourcing Principles (GSP) in December 2014. We were also grateful for your advice on design of the final gender indicators incorporated. The GSP determine the conditions of supply to M&S and [are] applied to approximately 2000 suppliers employing one million workers in the M&S supply chain. Inclusion of gender indicators helped to sensitise our suppliers to the need for more equitable employment practices” [C].
Nike: Barrientos advised Nike’s Worker Engagement and Wellbeing (EWB) pilot and undertook subsequent research on a pilot garment factory in Indonesia. Enhancing women’s voices led to practical changes, benefiting women and business. For example, providing a relief team to cover for women workers when their children are sick, led to higher productivity on the line, more than covering the costs of this innovation, which also resulted in 22% of women workers reported feeling better valued [2: ch. 8]. [Text removed for publication][D].
Mondelez/Cadbury: The research undertaken by Barrientos, at the start of the Cadbury Cocoa Partnership in 2008, led to gender equality and women’s empowerment being the foundation of the Cocoa Life programme established by Mondelez International in 2012, with gender defined as a key cross-cutting theme [E,F]. Its Cocoa Life Director reports that “Barrientos’ research has been critical for us at a time of increasing concern about the future sustainability of cocoa production...Informed by Barrientos’ research, Cocoa Life promotes gender equality across all five pillars of the programme (farming, communities, livelihoods, environment)” [E]. So far, the Cocoa Life programme has “impacted women in over 1,000 cocoa communities. The program provides 50,000 women annually with access to finance to fund education and encourage entrepreneurship, to give them a voice and unlock their potential. By the end of 2018, an additional 74,318 community members have been trained in gender awareness to change perceptions, attitudes and behaviours, to help address gender inequalities. Evidence of the benefits of Cocoa Life in Ghana and Côte d'Ivoire also indicates increased cocoa yields, improved incomes, better investments in children’s education and greater participation in decision making” [E].
**3. Government and WOW programme: Following Capturing the Gains, Barrientos was invited to join an advisory group to the Secretary of State (SoS) for International Development on DFID input into the UN High Level Panel (UNHLP) on Women’s Economic Empowerment (2016). Barrientos co-hosted a public consultation meeting addressed by the SoS at the University of Manchester [G]. DFID subsequently launched a GBP10,000,000 programme on Work and Opportunities for Women (WOW) in global value chains, citing Capturing the Gains research in its terms of reference [H]. The overall aim of WOW is to promote the economic empowerment of 300,000 women in supply chains by 2023. Barrientos was part of the winning consortium managed by PwC, and is WOW research lead. Examples of WOW research’s impact include:
M&S: Barrientos is collaborating with 3 UK companies (all high-street retail chains, including M&S which agreed to be named publicly) on enhancing the collection, recording and reporting of gender data and information in their supply chains. Barrientos’ collaboration with M&S under Capturing the Gains, ETI and the WOW programme has resulted in changes enhancing the visibility and leadership of women workers in their global supply chain. This is shown in a letter from M&S’s Ethical Trade Manager to Barrientos: “ Your research (synthesised in your book Gender and Work in Global Value Chains), and the ETI gender analysis, has highlighted the benefits to workers and business of promoting women’s leadership. This, along with launch of the DFID WOW programme, influenced M&S decision in 2017/8 to include a target in Plan A of 25% leadership positions to be occupied by women in the first tier of our supply chain by 2023. Plan A is M&S flagship public commitment to helping build a sustainable future by having a positive impact on wellbeing, communities and the planet through all that we do. Our collaboration with you and WOW colleagues is playing an instrumental role in helping us achieve this target...Our aim is to ensure 80,000 women will be promoted to leadership positions across our global supply chain by 2023” [C].
Sedex: M&S is a member of Sedex, the main industry social compliance platform covering 180 countries, that manages much of its data on workers. M&S publicly announced engagement with WOW, and used learning from the research to encourage Sedex to adopt a gender strategy, to be applied across all members. “ We used insight from WOW to present at the Sedex Stakeholder Membership Forum, making the case for gender disaggregated data to be collected via the Sedex platform. The forum was available to 50,000+ global supplier and buyer organisations. As a result a gender data working group has been formed with the objective of integrating the recommendation into existing Sedex tools” [C]. Barrientos organised a WOW networking workshop in January 2020 (attended by 35 companies, NGOs) at which Sedex’s progress and plans for implementing a Gender Strategy were reported [H]. The plans included a revised Sedex supplier assessment questionnaire, updated supplier workbook, and publication of a gender report. “ Our [Sedex] aim in including more gender data points in the SAQ [Self-Assessment Questionnaire] and Site Profile, is to enhance the visibility of women workers across our 60,000 members. We hope that in doing so, we will improve the data available on approximately 33 million workers over the coming few years….Having the support and input of the WOW brands plus Stephanie’s expertise both ensured Sedex prioritised this project and increased momentum for further work on gender….Gender is now a key focus area in Sedex strategy going forward.” [I]. This focus on gender has significant potential to scale up gender reporting and equality in GVCs internationally.
5. Sources to corroborate the impact
Testimonial from Ethical Trade Manager, Oxfam GB. Received January 2020.
Testimonial letter sent to ESRC by Executive Director of ETI, February 2018.
Testimonial from Ethical Trading Manager, Marks & Spencer Ltd. Received December 2019.
[Text removed for publication]
Testimonial from Global Director, Cocoa Life (Mondelez International programme). Received January 2020.
Cocoa Life (2016). ‘A transformative approach for women’s empowerment in cocoa communities’, pp. 2 [time line indicating contribution of the research] and citations in footnotes 1, 9, 10, 11 and 14. Available at: https://www.cocoalife.org/progress/cocoa-life-a-transformative-approach-for-womens-empowerment-in-cocoa-communities
Justine Greening asks, ‘how do we reach gender equality?’ https://wearethecity.com/justine-greening-asks-reach-gender-equality/. Article describing the public consultation meeting on UNHLP (panellists included Justine Greening and Stephanie Barrientos) held at University of Manchester (May 2016).
Testimonial from Director of HERProject and Team Leader for FCDO/DFID WOW programme, Business for Social Responsibility; and letter confirming that The University of Manchester was contracted by PwC UK to lead the Research component of WOW. Received November 2020.
Testimonial from Head of Improvement, Sedex. Received October 2020.
- Submitting institution
- The University of Manchester
- Unit of assessment
- 22 - Anthropology and Development Studies : A - Development Studies
- Summary impact type
- Health
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
Cardiovascular disease accounts for 1 in 3 deaths in Indonesia. Research by Tampubolon demonstrated that nearly 70% of Indonesians aged 40 and older with moderate to high cardiovascular risk were not receiving cardiovascular care. The research led to the development of SMARThealth, an intervention which improves care by providing village health workers with training and technology to share data with qualified health professionals, who prescribe treatment. As a result, 3,750 people out of 6,579 identified as at risk of cardiovascular death benefited from extended life expectancy. SMARThealth has been adopted by Malang’s District Government as part of its public health programme, and is being scaled up to make it available to 3,000,000 residents in the region.
2. Underpinning research
Cardiovascular disease is an increasing cause of mortality in the Global South; yet it remains under-researched and inadequately addressed. Health-care provision is limited in Indonesia, with people only seeking primary care when urgently required, which is often too late. Identifying and managing people who are at risk early is critical, especially in communities not close to a hospital. This is a particular challenge for cardiovascular disease, which accounts for 1 in 3 deaths in the country. Research by Dr Tampubolon and collaborators in Indonesia demonstrated that nearly 70% of Indonesians aged 40 and older with moderate to high cardiovascular risk were not receiving cardiovascular care, posing an urgent unmet need [1]. The study sample of 3,046 was representative of 83% of the national population.
This research came to the attention of the George Institute for Global Health, a leading independent medical research institute with offices in the Universities of Oxford, Peking and New South Wales. As a result, Dr Tampubolon was invited by them to jointly design a new research-policy collaboration between the George Institute, Universities of Manchester and Brawijaya, Indonesia and the District Government of Malang. Dr Tampubolon was subsequently appointed co-Principal Investigator in the funded project [i]. This collaborative project involved the design of a socio-medical intervention, SMARThealth, to address the challenge of cardiovascular disease, and assess its implementation in Malang.
Dr Tampubolon and his collaborators designed an algorithm identifying normal-medium-high risk villagers, and advocated an innovative approach based on training village health workers (known as kaders). The training consisted of modules to improve kaders’ knowledge about cardiovascular disease and associated risk factors, as well as the technical use of the SMARThealth platform (mobile tablet, SMARThealth application and basic medical equipment). The SMARThealth programme drew on already existing technology, which was now applied for the first time in Indonesia [2]. This technology was not guaranteed to work, as evidenced by prior attempts of other researchers to apply it in India and China [reviewed in 2,3]. An important difference in Indonesia was the collaborative role the kaders played in collecting blood samples. These samples were analysed in real time using the app to produce a simple traffic light system (green-amber-red) to indicate cardiovascular risk. The system drew on Tampubolon’s 2014 research [1], which identified the importance of keeping assessment simple, so that the tests could be performed by kaders. In practical terms, this meant replacing the WHO’s complex grading system (based on five levels of cardiovascular death risk scores) with a simpler traffic light system of three levels that could be more easily applied in situ.
Research to assess the effectiveness of SMARThealth was carried out in East Java, with primary care doctors and kader serving approximately 48,000 people across 8 villages (involving a randomly sampled targeted group and a control group). Over two years, 12,000 individuals over the age of 40 were screened for heart disease and diabetes. The research findings [2,3] show a reduction in the risk of cardiovascular deaths by identifying people at risk, having doctors prescribe lifestyle (e.g. exercise and dietary) and drug interventions (captopril, amlodipine and simvastatin) and sharing information with health providers through cloud infrastructure. The research, published in a highly regarded journal [2], attracted an editorial commentary from cardiologists, highlighting its unique success compared to similar socio-medical interventions elsewhere. This successful intervention subsequently received a four-year research grant [i] from the Australian National Health and Medical Research Council to scale up evaluation between 2019 and 2023. This is a matching grant to support the Malang local government’s commitment to implement the intervention reported in [2] and 3].
3. References to the research
Maharani, A. and Tampubolon, G. (2014). ‘Unmet need for cardiovascular care in Indonesia’. PLoS One. doi: 10.1371/journal.pone.0105831.
Patel, A. Praveen, D. Maharani, A. Oceandy, Pilard Q., Kohli, P. Sujarwoto, S. and Tampubolon, G. (2019). ‘Association of multifaceted mobile technology-enabled primary care intervention with cardiovascular disease risk management in rural Indonesia’. JAMA Cardiology. doi: 10.1001/jamacardio.2019.2974. (This journal is ranked fourth in cardiology with an impact factor of 11.9. Dr Tampubolon was one of the senior authors – in biomedical journals the key authors are commonly listed first and last.)
Maharani, A. Sujarwoto, S. Praveen, O. Oceandy, D. Tampubolon, G. and Patel, A. (2019). ‘Cardiovascular disease risk factor prevalence and estimated 10-year cardiovascular risk scores in Indonesia: the SMARThealth extend study’. PLoS One. doi: 10.1371/journal.pone.0215219.
Related Grants
- Research grant in the Global Alliance for Chronic Disease (June 2019 – May 2023), Tampubolon as Co-PI. ‘Scale up of primary care intervention for cardiovascular risk management in Indonesia awarded to Patel, A. Sujarwoto, S. Praveen, D. Maharani, A. Tampubolon, G. Abimbola, S. Peiris, D. Angell, B. Abdurrahman, A. Jaya. C. From Australian Government, National Health and Medical Research Council, amount AUD756,087 (GBP 410,155).
4. Details of the impact
SMARThealth has been implemented by the Malang district government, and 12,000 people have received treatment. “ The project has significantly reduced preventive cardiovascular disease healthcare disparities and improved community awareness [of] non-communicable diseases in the intervention villages” (SMARThealth Program Co-ordinator, Malang District Health Agency)[A]. Treatment as a result of the intervention led to 3,750 people gaining an extended life expectancy [3]. The research-policy collaboration outlined in Section 2, above, assessed the effectiveness of SMARThealth in East Java, with primary care doctors and kader serving approximately 48,000 people across 8 villages, and is being scaled up to reach 3,000,000 individuals. More generally, the SMARThealth app has been commended by national government [B] and has won support from health-care professionals, communities and academics.
Improved cardiovascular care for individuals
Over a two year period, 12,000 individuals over the age of 40 in 8 villages were screened for heart disease and diabetes, of whom 6,579 were identified as being at high risk of cardiovascular deaths, leading to the prescribed SMARThealth intervention [2,3]. The results indicated a 14.5% reduction in the number of those at high risk, and a 10% reduction in their levels of systolic blood pressure compared to a control group (5%) [2]. The findings, reported in JAMA Cardiology (2019), show a reduction in the risk of cardiovascular deaths by identifying those at risk, prescribing lifestyle and drug interventions (captopril, amlodipine & simvastatin prescribed by doctors), and sharing information with health providers through cloud infrastructure [2] [A].
Based on modelling estimates, SMARThealth has already extended the life expectancy of 3,750 people [2]; 57% of the 6,579 individuals identified as high risk are now using blood pressure-lowering medication, compared to just 16% in villages that did not receive the SMARThealth intervention. Not only are individuals benefitting from access to medication, they also now have access to the most effective combination of medications. 15.5% of high-risk individuals now use the most effective combination of blood pressure-lowering medications, including statins and antiplatelet drugs, compared with just 1% in the control villages [2].
Two beneficiaries, one male and one female, offered testimonies via video [C]: “ before SMARThealth, whenever I feel unwell I get drugs from the local kiosk, but since SMARThealth, I have found out that I suffer from high blood pressure and now take part in the programme ” [male]; “I am 54 but I was not aware that I suffer from high blood pressure until the [SMARThealth programme] ” [female]. The programme will continue to benefit 3,000,000 residents in the Malang district [C] and save many more lives in future.
Enhanced community health care
The SMARThealth programme has been adopted by the district of Malang as its own public health programme, and is being made available to 3,000,000 residents in the region. In conducting the research, kaders living in the communities were identified by the research-policy collaboration as key field partners, a role they had not previously played. Their traditional role is to support infant and maternal health but, with training and support from the SMARThealth app, they were able to provide effective cardiovascular screening, thereby forming a key bridge to local communities and ensuring that cardiovascular risk is managed and care needs met at community level [C,D].
A major socio-medical challenge was to ensure adult villagers respected the kaders, who were previously dealing with infants. The kaders’ central role in the intervention and their link with doctors via the app has boosted their status within the community [C]. The data are also used by the health authority to supply drugs, reinforcing the kaders’ legitimacy across the health system.
Government adoption
Research impact was scaled up from the local (i.e. village) level to the regional level (i.e. multiple villages) through adoption of the SMARThealth programme by the district of Malang in 2019 as part of its public health programme, which resulted in an additional 24,000 adults having been screened by August 2019 [E]. A video of Dr Tampubolon explaining the risk of cardiovascular disease and how to treat it in community settings is now being used in staff training for the Malang district health authority. Previously such exposure and awareness had often been fatally lacking [F].
Malang’s District Government has adopted the estimates of cardiovascular risk as its basis for budgeting for secondary prevention drugs for cardiovascular disease. The SMARThealth Program Co-ordinator wrote, “ I can confirm that the District Health Agency in Malang will allocate funding for implementation. Specifically, the District Health Authority will fund costs associated with health promotion, training, and equipment for the relevant workforce as well as medications” [A].
In order to continue scaling up the programme, the Malang District Government committed to funding to ensure the sustainability of the intervention beyond the original research allocation that ended in 2018. The IDR1,000,000,000,000 (GBP50,000,000) sum for basic services, including non-communicable disease intervention, committed by the Regent (elected district head) was reported in the local newspaper, Radar Malang [G]. The intervention was awarded the national Innovative Government Award 2019 in the category of best app for public service [B,H].
The University of Brawijaya has committed to its collaboration with the village communities in which it undertook the initial research, thereby helping to ensure the sustainability of the resulting interventions. This new round of research–policy collaboration enables the collection of fresh data pertaining to survival and deaths from cardiovascular disease; this longitudinal extension to the work will enable the research team to strengthen the evidence base beyond ascertaining the impact of the intervention programme on enhancing the control of blood pressure to an evaluation of its efficacy in reducing the number of fatalities. The Dean detailed specific responsibilities, including “ performing the research together with the partners [the George Institute and the University of Manchester] and Malang district health [authority]… and disseminat[ing] the research findings to providers of services to older people” [I].
The scale up of intervention has continued despite Covid-19, with kaders receiving personal protective equipment to carry out their role safely [J].
5. Sources to corroborate the impact
Testimonial from the SMARThealth Program Co-ordinator, Malang District Health Agency. Provided 18 July 2018.
Letter announcing the Innovative Government Award 2019 for the SMARThealth public health programme. Dated 23 September 2019. (Source in Indonesian)
Testimonial video ( https://youtu.be/1cb32uPwfUo) featuring villagers benefiting from the programme and programme activities (September 2019; source in Indonesian).
Records of programme activities recorded on blog space by local partners https://idsmarthealth.blogspot.com/. (Source in Indonesian)
Video of the launch of the scale-up of the SMARThealth programme. The scale-up was jointly launched by the Regent, the head of the health authority and Dr Tampubolon https://www.youtube.com/watch?v=f5-N4qbV2ic (5 August 2019).
Video produced and used by the health authority in its public health programme for non-communicable disease featuring Dr Tampubolon (November 2016; source in Indonesian)
Local news article, featuring: (1) a picture of the Regent and the health authority chief who appeared in the launch video [F]; (2) A quote from Dr Tampubolon describing the mortality burden of non-communicable disease in Indonesia, which provided the title (one in three deaths); and (3) a quote from the Regent allocating IDR1,000,000,000,000 for basic services, including this programme (August 2019; source in Indonesian)
Central government official examining the practice of the programme as part of the judging process for the national Innovative Government Award, at https://www.timesindonesia.co.id/read/news/228867/masuk-nominasi-innovative-government-award-2019-pemkab-malang-suguhkan-158-inovasi (September 2019; source in Indonesian)
Letter from the Dean of the Faculty of Medicine, University of Brawijaya, confirming funding for an extra round of longitudinal study of SMARThealth, thus ensuring programme sustainability. Provided 28 September 2019.
SMARThealth blog post describing how the programme has adapted to continue during the Covid-19 pandemic: http://idsmarthealth.blogspot.com/2020/10/kegiatan-posbindu-anggrek-2-kepanjen-di.html (October 2020; source in Indonesian)
- Submitting institution
- The University of Manchester
- Unit of assessment
- 22 - Anthropology and Development Studies : A - Development Studies
- Summary impact type
- Societal
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
Bina Agarwal’s research led an international organisation and several NGOs to introduce an unusual institutional innovation – group farming – in India and Nepal. As a result:
In Bihar, West Bengal (eastern India) and eastern Nepal, 140 poor farmers formed 20 collectives, which: (1) increased their bargaining power vis-à-vis landlords; (2) improved the efficiency of land and machine use; (3) enabled access to government subsidies; (4) reduced input costs; and (5) enhanced yields and livelihoods.
In Gujarat (western India), 92 tribal women formed 16 collectives, opening a pathway to greater food security.
Moreover, Agarwal’s research in Kerala (south India), led an extant programme of 68,000 women’s group farms (with 300,000 members) to incorporate more caste-disadvantaged women.
In all regions, the group farming model is continuing and has proved effective in protecting livelihoods and food security during the coronavirus pandemic.
2. Underpinning research
South Asia’s agriculture is in crisis. Some 86% of its farmers cultivate ≤2 hectares, often in scattered plots and mostly in family-run farms. These farmers, a growing proportion of them being women, face serious production constraints linked to the small scale of their operations, land fragmentation and poor input access, often rendering their businesses economically non-viable. Arguing that solutions could lie in alternative models of farming, for over a decade Agarwal has been researching such models, based on small farmer cooperation in South Asia and Europe, to assess their potential and draw policy lessons. Her research examines whether group farming can help smallholders overcome their production constraints and create sustainable livelihoods. Under these arrangements, farmers voluntarily pool land, labour, capital and skills to create a larger enterprise and cultivate jointly, sharing costs and benefits. Her findings show that group farming, if carefully structured, can significantly enhance farm productivity and profits among small farmers, and can empower women farmers, both socially and politically.
Two facets of Agarwal’s research have had a major impact:
She drew lessons from the group farming experiences of socialist and post-socialist societies, as well as of postcolonial developing economies and democratic Europe, to outline a model embodying a set of principles on which groups could be formed successfully, especially under conditions of resource scarcity. The principles were voluntariness, small size, participatory decision-making, egalitarian sharing of costs and benefits, trust, and interdependence [1,2].
She evaluated the economic and social impact of contemporary group farming through a series of empirical studies in two Indian states, Kerala and Telangana [3,4,5]. Funding from the two state governments through their poverty alleviation programmes was indicative of their deep policy interest in the research.
To assess the economic effects, Agarwal compared the productivity and profitability within each state of all-women group farms (69 in Kerala and 70 in Telangana) and individual family farms (181 in Kerala and 693 in Telangana), 95% of which were managed by men. The results were derived through rigorous econometric methods applied to detailed weekly data Agarwal had collected with her team over one year via questionnaire interviews, followed by focus group discussions.
Agarwal found that Kerala’s group farms had 1.8 times higher annual value of output and 5 times greater net returns per farm than individual family farms in the state [3]. The groups did especially well in commercial crops [3]. Telangana’s groups, in marked contrast, did less well than the state’s individual farms in cultivating food grains, but equally well in cash crops [3].
Analysing the divergent performance of the two states provided important policy lessons on what works and what does not. Underlying Kerala’s success was strong state support (e.g. in technical training, marketing and financial incentives); subsidised bank credit; a multi-tiered community organisational structure with elected group representatives; small-sized groups with some social heterogeneity; favourable ecology; and commercial cropping. Telangana, in contrast, had only limited state support; large, more homogeneous groups with limited social capital; difficulties in leasing in land; and limited irrigation, which led to lower yields in subsistence crops [4,5].
Notably, however, and despite their divergent economic performance, both states were equally effective in empowering the women managing group farms both socially (e.g. they enjoyed enhanced respect from their families and communities), and politically (e.g. many more stood for village council elections and won seats) [4].
Agarwal’s research thus demonstrated the potential of group farming and provided the justification, principles and pathways for successful replication.
3. References to the research
Agarwal, B. 2016. ‘Rethinking agricultural production collectivities’. In Bina Agarwal’s three volume compendium, Gender Challenges. Oxford University Press. Vol. 1, pp. 277-310.
Agarwal, B. 2014. ‘Food sovereignty, Food security and democratic choice: Critical contradictions, difficult conciliations’, Journal of Peasant Studies 41, 1247–1268. DOI: 10.1080/03066150.2013.876996
Agarwal, B. 2018. ‘Can group farms outperform individual family farms?’ World Development 108, 57–73. DOI: 10.1016/j.worlddev.2018.03.010
Agarwal, B. 2020. ‘Does group farming empower rural women? Lessons from India’s insights’. Journal of Peasant Studies 47, 841–872. DOI: 10.1080/03066150.2019.1628020
Agarwal, B. 2020. ‘A tale of two experiments: Institutional innovations in women's group farming in India’. Canadian Journal of Development Studies 41, 169–192. DOI: 10.1080/02255189.2020.1779673
4. Details of the impact
Agarwal’s research and its dissemination have generated four specific forms of impact, the most recent being in safeguarding livelihoods during the Covid-19 crisis.
Initiation of group farming among poor farmers in eastern India and Nepal
In 2015, Agarwal’s research [1,2] provided the model for the design of a new action-research project on group farming in eastern India and Nepal by the International Water Management Institute (IWMI) Nepal. As the project head confirms : “Our aim was to identify farming models to address some of the challenges of landlordism, fragmentation and tenure insecurity through farmer collectives. Agarwal’s papers [1,2] on the potential advantages of group farming collectives and the principles on which they should be formed was…extremely useful in helping us shape our…models. In project design, we followed the principles specified by Agarwal, ensuring that the groups were voluntarily formed, small-sized, and had systems in place for egalitarian decision-making and equal distribution of workloads and benefits.” [A]. Within a year, 20 farmers’ collectives involving some 140 farmers were operating in eastern India and Nepal. The degree of resource pooling varied, but all the collectives reported early economic benefits.
Under IWMI’s oversight and support, and using a co-partnership model, the project was implemented by local NGOs, who also collected baseline data and periodic (seasonal) impact data.
After its launch, although not involved in the data collection, Agarwal provided key inputs into the project:
She helped analyse the impact data and was a co-author in the resultant publication [B].
She gave expert advice to IWMI and the NGO partners on how to strengthen social inclusion, gender balance and institutional sustainability.
The data analysis revealed several positive benefits of forming farmers’ collectives [B].
First, it enabled farmers to challenge feudal relations
The poor farmers who formed collectives now have greater bargaining power vis-à-vis the landlords from whom they lease land, than they had individually. One Bihar group with 7 farmers bargained down the rent from about INR12,000 to INR10,000 per acre. Another refused to provide the landlord unpaid domestic services which were earlier obligatory, or to allow the landlord’s family to gather vegetables from their fields without payment [B].
Second, it provided access to government schemes
In Nepal, three groups combined to claim government entitlements, such as seed and fertiliser subsidies offered to cooperatives with at least 20 members. [B]
Third, it provided economic benefits
All the collectives reported that cultivating a large contiguous plot created by land pooling, rather than multiple scattered plots, had made irrigation and tractor use feasible (whereas previously, it was time consuming to move heavy pumpsets between distant plots, and often difficult even to use electric pumps without a nearby power source). In all cases, machine use is now much greater, efficiency of use is higher, the amount of uncultivated area is lower, and crop yields have increased significantly. In both Nepal and Bihar the pre-monsoon fallow area fell from 96-97% to 44%. In all collectives, rice and wheat yields rose; indeed, in some Nepal collectives rice yields rose to thrice their pre-collective period, and in some Bihar groups wheat yields almost doubled [B]. Similarly, labour pooling within groups has helped overcome manpower shortages in peak seasons. As a farmer in Saptari, Nepal, said , “It took me three days to complete one field task. With the group it takes just half a day or a day” [B]. The groups also reported cost reductions from bulk purchase of fertilisers and seeds, and shared transportation of output [B].
Fourth, it increased women’s skills
The collectives have given previously marginalised women visibility, economic and managerial autonomy, and new skills. Two all-women collectives report operating irrigation pumps, something denied to them earlier. One woman stated: “ When we were girls, we were not allowed to even ride bicycles…I have learned…to cycle and to write. Similarly, I have learnt to operate pumps and spray machines.” The women now also perform formerly ‘male’ tasks, such as negotiating with tractor operators or ploughmen [B].
In 2017, Dr Sugden, then head of the IWMI, invited Agarwal to a workshop in Bihar, attended by group farm members and NGO representatives implementing the project in all three sites (Bihar, Bengal and Nepal). Agarwal made several suggestions for improvement, drawing on her research [2,3,4], such as improving the gender-balance in mixed-gender groups, and creating a federation-like organisational structure to help the groups resist external pressures and ensure sustainability.
The first suggestion was taken up immediately, with positive results: “ Following her [Agarwal’s] suggestion we interviewed Monila who was landless, and found that she was indeed feeling disempowered (she was the only woman in her group). We added another woman suggested by Monila…This case also alerted us on the need to nudge groups to be more gender-inclusive” [A]. The second suggestion will be implemented in Phase II of the project: “ We have taken that recommendation on board and will be building this structure…starting later this year” [A].
Women also gained in other respects. As an illustration, Monila gained control over her inherited land after joining the farmers’ collective: “I had been demanding my portion for 8–9 years and finally I received it in 2017. This happened due to my active participation in the collective” [C].
Initiation of group farming by poor women in Gujarat
In August 2018, as requested by Indian NGOs, including a pan-India women farmers’ network (MAAKAM), Agarwal conducted a two-day workshop to share lessons from her research. As a result, one NGO, which had failed earlier, started 16 new group farms involving 92 poor tribal women. “ Our learning at the workshop [helped] us revive group farming…the women farmers became highly motivated…16 groups have [now] started group farming. This is the largest such attempt…in South Gujarat...Prof. Agarwal’s research and workshop…set in motion a process for… transforming the lives of large numbers of disadvantaged women” [D].
Inclusion of more caste-disadvantaged women in a group farming programme in Kerala, South India (site of original research)
In Kerala, in 2017, Agarwal presented her research findings and recommendations to the Kudumbashree management. Kudumbashree involves 4.5 million women across all 14 districts of Kerala and is its most important development programme. Kudumbashree’s group farming programme (involving 68,000 women’s groups and over 330,000 women farmers [E]) was the site of Agarwal’s research. Following her presentation, the management team initiated steps to include more poor, low-caste women in group farming: “ Kudumbashree has taken various steps to implement the recommendations suggested by Prof. Agarwal in her detailed analysis…Kudumbashree is now focusing more on inclusion of Scheduled Caste [lowest caste] women in JLGs [group farms] . Also, Kerala witnessed devastating floods in 2018 and more than 25,000 women’s group farms lost their…livelihoods. [Based on Prof. Agarwal’s suggestions] strengthening of group farming…was given highest priority after the floods” [F].
Covid-19 and group farming
The effectiveness of the group farming model was also demonstrated during the Covid-19 lockdown in 2020. For example, in Kerala, 87% of over 31,000 women’s group farms growing crops in March 2020 were able to harvest and sell their produce [E], whereas large numbers of individual farmers in Kerala and other states were widely reported to have lost their incomes due to labour and marketing bottlenecks [G]. Moreover, the inclusion of more Scheduled Caste women into the groups prior to COVID means that the most disadvantaged women too would have been protected.
In Bihar and Gujarat, similarly, the farmers’ collectives reported that they were more food secure during the COVID-19 lockdown than if they had farmed individually, and compared to individual smallholders in their village [A,D].
These positive outcomes of group farming during an unprecedented crisis can be seen as additional (indirect) impacts of Agarwal’s research.
5. Sources to corroborate the impact
Testimonial from former Senior Researcher, Political Economy and Water Governance, International Water Management Institute (IWMI), Nepal, who initiated the Action Research Project and oversaw its implementation. Received December 2020.
Sugden, F., Agarwal, B., Leder, S. et al. 2020. ‘Experiments in farmer collectives in Eastern India and Nepal: progress, benefits and challenges’. Journal of Agrarian Change, 1–32. https://doi.org/10.1111/joac.12369 This evidence relates to the impact of an ongoing Action Research Project for which Agarwal’s research provided the model. Agarwal was not involved in project implementation or the collection of impact data, but as co-author she helped analyse the impact data collected by the project implementers.
Illustrative interview with Monila, a landless woman member of a farmers’ collective in North Bengal. The interview was undertaken in 2019 by the member of staff in charge of the project in North Bengal, based at the Centre for Development of Human Initiatives, West Bengal.
Testimonial from Programme Manager, Cohesion Foundation Trust, Gujarat. Received December 2020.
Kudumbrashree 2020. Brief Study on Covid-19 pandemic and its economic impact.
Testimonial from the Executive Director of Kudumbashree, Kerala’s State Poverty Eradication Mission. Received December 2020.
New Indian Express, 12 April 2020. https://www.newindianexpress.com/thesundaystandard/2020/apr/12/across-india-a-massive-agricultural-crisis-in-the-making-due-to-coronavirus-shutdown-2128892.html
News reports were the main source of information about the ground situation during the strict lockdown, since reporters were allowed to travel, but researchers were not.
- Submitting institution
- The University of Manchester
- Unit of assessment
- 22 - Anthropology and Development Studies : A - Development Studies
- Summary impact type
- Societal
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
University of Manchester research has directly influenced the thinking, strategies and programming of leading international development actors. Our work on the politics of development has ensured that key development agencies now have a more specific and research-based understanding of what drives the commitment of political elites and of governments’ capacity to deliver development. This work catalysed DFID and other actors to launch a new wave of programmes that are worth over GBP270,000,000 and reach over 1,000,000 people. These interventions are promoting inclusive economic growth and poverty reduction, helping to create thousands of jobs, improved health and education systems and reduce poverty in developing countries.
2. Underpinning research
Research undertaken by the Effective States and Inclusive Development Research Centre (ESID) within the University of Manchester’s Global Development Institute (GDI) generates answers to the question: ‘What kinds of politics can help to secure inclusive development and how can these be promoted?’ The research identifies how governments become capable and political elites become committed to delivering development across multiple policy domains, including economic growth, social protection, human development, natural resource governance, gender equity and public sector reform.
When ESID was established in 2011, the idea that politics mattered had become mainstream within development theory and practice, with a small but growing community promoting the idea of ‘thinking and working politically’. However, there was little agreement about which specific forms of politics shaped which forms of development, how this puzzle should be understood in conceptual terms, or how policy and practice should change as a result of such understanding. ESID constituted the first major international research programme to propose and test new political theories of development and to reformulate them into frameworks capable of delivering both analytically rigorous and strategically relevant insights. It concentrated in particular on (a) reformulating ‘political settlements analysis’, with a stronger focus on ideas and international actors; and (b) introducing a new level of analysis to explore the politics of particular ‘policy domains’ (e.g. growth, social protection). The resulting ‘power domains’ framework was then applied through a rigorous comparative research design across 26 countries. Some of ESID’s key findings are that:
The capacity of states and commitment of political elites to deliver development is shaped by the interaction of two domains of power: the ‘political settlement’ (which refers to the underlying configuration of power), and specific ‘policy domains’ [1,2].
Different types of political settlement offer significantly different routes towards achieving inclusive development [1,3,4].
Structural transformation is critical to achieving both poverty reduction and positive synergies between governance and growth. Trajectories of economic growth, and whether they lead to transformation, are shaped by the nature of informal deals not rules. Understanding the links between political settlements and the deals that shape the economic domain can help generate new approaches to promoting growth, including direct efforts to support manufacturers [1,5].
International efforts to promote social protection and gender equity succeed when aligned with the dominant ideas and incentives within particular political settlements [4].
The quality of service delivery is shaped by how national and local political settlements interact with domain-level governance arrangements (e.g. in health and education) [3].
Political economy analysis must be institutionalised within development agencies to help them generate more relevant and feasible responses within different types of political settlement and policy domain [6].
ESID has generated a large number of significant and accessible academic publications that showcase these findings, including 11 books (9 open access, 6 with Oxford University Press), >60 peer-reviewed journal articles and >150 working papers. It has produced >30 policy briefings and delivered an active programme of uptake activities with both international and national policy actors, involving some 150 policy seminars, workshops and conferences, as well as wider engagement through blogs, social media, pod/videocasts and newspaper pieces.
3. References to the research
Pritchett, L., Sen, K. and Werker, E. (2018). Deals and Development: The Political Dynamics of Growth Episodes. Oxford University Press. DOI: 10.1093/oso/9780198801641.001.0001
Golooba-Mutebi, F. and Hickey, S. (2013). ‘The Politics of Development in Uganda’. ESID Working Paper 20. Manchester: ESID.
Hickey, S. and Hossain, N. (2019) The Politics of Education in Developing Countries. Oxford: Oxford University Press.
Lavers, T. and Hickey, S. (2016). ‘Conceptualising the politics of social protection’. International Journal of Social Welfare 25, 388–398. DOI: 10.1111/ijsw.12210
Behuria, P. and T. Goodfellow. (2019). ‘Leapfrogging manufacturing? Rwanda’s attempt to build a services-led ‘Developmental State’’. European Journal of Development Research 31: 581-603. DOI: 10.1057/s41287-018-0169-9
Yanguas, P. (2018). Why We Lie About Aid. London: Zed.
4. Details of the impact
ESID has significantly improved the extent to which international development agencies grasp the ways in which politics shapes development, and directly steered them towards designing and implementing more contextually relevant and politically feasible interventions to promote inclusive development. Until recently, and by their own admission, major development agencies like the World Bank and the UK’s Department for International Development (DFID, now FCDO) were wasting large sums of development aid in pursuit of promoting technocratic and Westernised policy ideas that had little traction in developing countries and sometimes made matters worse. ESID research has had three key impacts:
(a) Transforming how DFID understands and promotes economic development. DFID is one of the largest and most influential international development agencies. It has an annual budget of GBP13,400,000,000 and programmes in all of the world’s poorest countries, with a strong focus on promoting economic development and poverty reduction.
In 2012, ESID research director Kunal Sen combined his new theory on the political dynamics of growth with related work by Lant Pritchett (Harvard). This led to an influential ESID working paper on ‘deals’ in 2012 that underpinned a programme of research in 10 countries, the results of which were later published in 2018 [1]. ESID circulated the paper to governance advisors working within DFID, one of whom invited Sen, Pritchett and others to deliver a series of talks at major DFID learning events, workshops and seminars [A].
Senior officials within DFID report that the ESID ‘deals’ framework transformed the way in which it promotes economic growth in developing countries [A]. ESID’s deals framework has become institutionalised within DFID’s first ever Economic Development Strategy (2017) – its highest-level statement on growth – and in the ‘inclusive growth diagnostic’ that is used to directly inform DFID’s work at country level. Going further, ESID thinking has directly inspired DFID’s first-generation of governance-informed growth programmes.
A key example is the GBP100,000,000 Invest Africa Programme (2017–21), which aims to encourage GBP1,000,000,000 of additional Foreign Direct Investment (FDI) into African manufacturing sectors to help kick-start the economic transformation required for sustained poverty reduction. This programme was strongly informed by ESID’s work on the dangers of imposing Western-based regulatory approaches on developing countries; instead ESID proposed channelling investments to the types of firm able to both promote structural transformation and improve the governance environment [A]. ESID’s deals framework “definitely impacted the evidence [DFID] used for the business case for Manufacturing Africa” [A], a GBP22,500,000 part of Invest Africa that aims to create 90,000 new jobs by 2027. The 2019–20 annual review suggests that it is on track to do so, having already supported 40 FDI investments against a target of 29 [B]. ESID research [1] has directly shaped new growth and governance programmes in Ethiopia, Malawi, Nepal, Palestine, Tanzania and Uganda, and the GBP8,000,000 Governance in Action programme in Kyrgyzstan (which has so far formed seven new coalitions to facilitate governance solutions to unblocking constraints to growth, including legislative change to enable textile businesses to access more markets [C]).
ESID’s impact on the promotion of inclusive growth in Africa extends to other policy actors. It was described as of “incredible value to the Africa programme of the Tony Blair Institute [TBI] for Global Change” [D]. TBI’s Africa Advisor states that the deals framework has guided its efforts since 2016 to support 15 African governments in delivering inclusive economic growth with an annual budget of approximately USD16,000,000: *“This work has influenced the establishment of new economic enterprises in countries like Togo (in business process outsourcing which attracted its first 3 investors, worth USD4,400,000 and 1,000 jobs and juice processing 1 investor at USD3,300,000 and 500 targeted jobs); the facilitation of Liberia SME processors of oil palm (USD500,000 investment supporting 1,000 farmers); new investments in car manufacturing in Ghana (involving a USD15,000,000 investment) and in Ethiopia’s efforts to establish an FDI-based pharmaceutical sector (7 deals closed in 2019 and 2020 amounting to USD332,000,000 and estimated to create 4,500 direct jobs)*” [D]. These interventions show how ESID research has enabled DFID and others to support reforms that are feasible within each country’s political settlement, and offer an informed starting point for promoting the process of inclusive growth and structural transformation required for sustained poverty reduction.
(b) Catalysing politically informed programming within DFID’s country-level operations. ESID’s impact on DFID’s country-level operations goes beyond inclusive growth to encompass new approaches to the promotion of better governance and social provisioning. It has had particularly strong impacts in Rwanda and Uganda, in part because ESID researchers discussed their research priorities with in-country DFID officials before embarking on the research and maintained a high-level of engagement with both offices throughout. ESID researchers have produced at least 40 publications reporting on its work pertaining to these countries, offered multiple in-country seminars to DFID staff and been invited to undertake advisory projects and offer advice directly to senior governance advisors and heads of office, all via the ESID ‘power domains’ framework of analysis. As shown below, these efforts have directly shaped DFID’s strategic and programming operations in both countries in ways that have ensured that its approach to promoting inclusive development is now more relevant and politically feasible.
Uganda: After ESID researchers Hickey and Golooba-Mutebi produced an ESID working paper on the politics of development in Uganda in 2013 [2], they were commissioned by DFID-Uganda in 2016 to conduct a major diagnostic study to help guide its strategic review process. This ‘horizon scan’ report was presented to the most senior diplomatic and development officials in Kampala and became integral to DFID’s strategic thinking: “The [2016] report fed into our bilateral aid review and was a great start to that work” [E]. According to DFID’s Governance Advisor in Uganda:
“We relied on this to inform our design process and content for the multi-donor Democratic Governance Facility [DGF] at the time [supported with GBP12,600,000 by DFID between 2012 and 2017] , and to determine realistically what we could or could not achieve programmatically and in our advocacy engagements and policy dialogues…. It also helped to strengthen DGF II scenario-planning and risk management to help the programme to be more resilient and adaptive. The report directly influenced the flexible and adaptive approach to programming within our major anti-corruption programme…. It was central and relevant to our analysis for the Country Development Diagnostic in 2018” [E].
A further political economy analysis undertaken by ESID researchers reshaped the approach of DFID and other donors to working in Uganda’s most marginalised region: it “completely shaped our initial design for a new development programme in Karamoja” [E], namely the Karamoja Nutrition Programme which was worth GBP28,793,116 and targeted at improving governance and poverty reduction for 450,000 people in the region. Hickey’s presentation of the Karamoja report in Kampala (October 2018) had: “a huge impact on us and USAID and Irish Aid [the other major donors to the region] . It changed the discussion about Karamoja. Helped us to think about how to work better in an area of protracted crisis”, including in terms of how to strengthen health systems [E]. The business case for the Karamoja Nutrition Programme cites Hickey et al.’s Karamoja report as a vital contribution to the programme design process; official evaluations show that the programme has directly enhanced health governance and nutrition outcomes in Karamoja, establishing multi-sectoral committees for nutrition in all districts, raising the cure rate from acute malnutrition and significantly reducing the rates of wasting and stunting in children under five [F].
ESID research has also directly shaped government policy in Uganda. ESID researchers Hickey and Matovu were invited to present ESID findings to the Annual Budget Conference in Kampala in January 2014, after they had worked with colleagues from Harvard to produce briefing papers on growth and governance in Uganda and facilitate a training workshop for government officials in December 2012. This this led directly to a focus on structural transformation within the government’s 2014–2015 Annual Budget and to an emphasis on both transformation and government implementation capacity in the subsequent National Development Plan 2015–2020 [G].
Rwanda: DFID’s Senior Governance Advisor in Rwanda testifies that ESID research has had a powerful impact on how DFID has promoted improved levels of governance and poverty reduction in the country [G]. ESID’s impact has occurred through the same pathways identified above for Uganda, namely the production of rigorous, policy-engaged research [e.g. 3,4] that is shared directly and iteratively with policy makers. ESID research, particularly its research on public sector reform and growth [5], has clearly shaped DFID-Rwanda’s overall strategic direction and its specific programmatic interventions. In the words of a DFID-Rwanda advisor, this body of work “very much influenced our strategic thinking and 5 year planning in 2016” [H]. It has also significantly changed DFID’s work on public financial management in particular, leading to a new focus on performance management through a GBP20,100,000 project on local public financial management and revenue collection in Rwanda [H].
ESID’s work on how politics was undermining the quality of primary education in Rwanda [3] has also been influential, directly shaping the development of DFID’s GBP9,600,000 Learning for All programme (2015–21). The programme aims to achieve more equitable access to education, reduced drop-out rates and improved learning outcomes, with the primary beneficiaries being children and young people. By 2019 the programme had already supported almost three million learners and trained over 75,000 teachers, well exceeding the initial target of 25,000. A former DFID advisor on education in Rwanda discusses how ESID’s findings directly shaped their approach:
“By having an in-depth understanding of the political economy of primary education, we could ensure that our investments were targeted at the right areas, and in line with the incentive structure of the Government. An example of this is the need for the programme to target quality, and work at the local level, which was highlighted in the paper [3] ; as well as the disconnect between the education responsibilities of the local education officers, and their reporting lines through the Ministry of Local Government – this led us to task our suppliers to develop solutions to support the officers to ensure their education support was prioritised, while at the same time we worked with the Ministry to try to ensure there were clear lines of accountability and cascading of any changes” [H].
There are also multiple citations of ESID’s work in Rwanda’s most influential policy document, Future Drivers of Growth in Rwanda: Innovation, Integration, Agglomeration and Competition (co-authored by the World Bank and Government of Rwanda), which lays out the government’s strategy for reaching upper-middle-income status and virtually eliminating extreme poverty by 2035 [H]. In both Rwanda and Uganda, ESID reports are used to induct new staff, helping to attune them to the political realities of their new working context.
(c) Embedding political analysis within international development strategies and policies. ESID research [1,3] was incorporated into successive World Bank World Development Reports (WDR), on Governance in 2017 and on Education in 2018, which have gone on to influence World Bank initiatives in many countries [I,J]. ESID research on the political economy of social protection [4] has been particularly influential: it provided the basis for a new World Bank report on Social Safety Nets in Africa [K] and for the strategic approaches of UNICEF and World Food Programme via invited keynote presentations by Hickey. According to one leading governance advisor: “I used [ESID’s] work consistently during my years at the World Bank and in my current role with the Australian Department of Foreign Affairs and Trade [DFAT] . In several areas, ESID has been leading global development thinking rather than just translating that thinking into practice” [L]. Within DFAT, the deals approach directly informed the diagnostic tool that provides the methodology for country diagnostics, and ESID “research in thematic areas like education, natural resources, health and social protection has also been extremely valuable in presenting accessible and operationally relevant material that we have disseminated to sectoral staff” [L]. In addition to the specific impacts on DFID noted above, ESID work [6] directly shaped DFID’s New Position paper on Governance (2018) and DFID’s political economy analysis (PEA) training for advisors via the ‘Informal beginner’s guide to PEA’.
As such, ESID has played an important role in ensuring that international development policy and practice has become increasingly well-informed by political economy analysis in ways that have led to more relevant and feasible operational approaches to promoting inclusive growth and poverty reduction. This has been achieved as part of a wider movement to promote the importance of ‘thinking and working politically, an epistemic community that ESID has made distinctive contributions to and which it helps to convene; this was evidenced by ESID’s major international conference in 2019, which attracted the key thought leaders and 200 delegates from the relevant academic and policy communities.
5. Sources to corroborate the impact
Combined testimonies from senior strategic advisors at DFID HQ. Signed by the former Head of Strategy Unit and of the Growth and Resilience Department (March 2020)
DFID Invest Africa Programme Annual Review 2019-20 ( https://bit.ly/2NZRyU6)
DFID Governance in Kyrgyzstan Programme Annual Review 2019-20 ( https://bit.ly/3pTljU2)
Statement from Africa Advisor, Tony Blair Institute for Global Change (October 2020)
Combined testimonies from DFID-Uganda Advisory Staff. Signed by Senior Governance Advisor for DFID, Uganda Office (February 2020)
DFID Karamoja Nutrition Programme documents: (1) Business Case and (2) Annual Review 2019 ( https://bit.ly/2NH2C8X)
Statement from the Director of Budgets, Ministry of Finance, Planning and Economic Development, Government of Uganda (March 2021)
Combined testimonies and email from DFID-Rwanda Advisory Staff. Signed by Senior Governance Advisor, FCDO Nigeria (formerly of DFID Rwanda) (January – February 2021)
Statement from co-author of the World Bank’s WDR 2017 on Governance (April 2020)
World Development Report: Learning to Realise Education’s Promise. World Bank, 2018 ( http://bit.ly/3pRl2Rj) (Cites the work and advice of ESID researchers)
Beegle et al. (eds) Realising the Potential of Social Safety Nets in Africa. World Bank, 2018 ( https://bit.ly/3r0YdME) (Ch.3 based on ESID’s work)
Statement from Senior Governance Advisor at Australia’s Dept. for Foreign Aid and Trade (November 2020)