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Index of Paper Presentations for the Parallel Sessions - Academy of ...

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manufacturer/stockist to NGOs and a pre-determined quota is sent to <strong>the</strong>m irrespective <strong>of</strong> <strong>the</strong>ircapacity or demand.‖Additionally, <strong>the</strong> government lacked <strong>the</strong> monitoring capabilities (i.e. intangiblecapability) to ensure <strong>the</strong> social marketing agencies delivered on <strong>the</strong>ir part <strong>of</strong> <strong>the</strong> deal. Theproblem associated with monitoring is that it is difficult to measure. Responding to a questionrelated to challenges in creating and implementing contraceptive social marketing policies inIndia, a central government <strong>of</strong>ficial discussed,―…<strong>the</strong>y [social marketing agencies] will tell you what ef<strong>for</strong>ts have been made inbehaviour change communication programmes. (They) sell a family planning product or give it<strong>for</strong> free, (I always wonder) how do <strong>the</strong>y ensure that (condoms/pills) are used, how do <strong>the</strong>ymotivate (consumers) that (condoms/pills) are used?‖The lack <strong>of</strong> capabilities to resolve <strong>the</strong>se measurement problems resulted in ameasurement system that was disconnected from <strong>the</strong> transaction particulars <strong>of</strong> <strong>the</strong> NACP andfrom <strong>the</strong> governance structures that NACO required based on <strong>the</strong> NACP stages. A clear example<strong>of</strong> this is <strong>the</strong> distribution <strong>of</strong> free and subsidized condoms through social marketing organizations.The indicator used by <strong>the</strong> government to measure <strong>the</strong> success <strong>of</strong> <strong>the</strong> program is <strong>the</strong> number <strong>of</strong>condoms distributed regardless <strong>of</strong> where <strong>the</strong>y are distributed. In this respect, a representativefrom an international SMO argues,―I subscribe to this Freakonomics <strong>the</strong>ory <strong>of</strong> incentives, that everyone has incentives to actin a different way. If you ask NGOs that work with sex workers, how many sex workers <strong>the</strong>y areworking with, that number tends to be high. And that‘s partially because <strong>the</strong>y are paid by <strong>the</strong>number <strong>of</strong> sex workers <strong>the</strong>y work with, and when we go to <strong>the</strong> same spot and try to count we getmuch lower numbers.‖In addition, this approach to monitoring creates ano<strong>the</strong>r challenge - lack <strong>of</strong> stakeholderengagement and coordination. Lack <strong>of</strong> coordination and monitoring <strong>of</strong> stakeholders gets

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