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Journal of Health Management
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Interventions

Hitting the Target and Missing the Point

Is the United Nations Playing Games with the World's most Vulnerable?

Lucy Webb

Lucy Webb is a Senior Lecturer in mental health nursing, Division of Professional Registration, Elizabeth Gaskell Campus, Manchester Metropolitan University, Hathersage Road, Manchester, United Kingdom.M13 0JA. E-mail: L.webb{at}mmu.ac.uk

Tony Ryan

Tony Ryan is a Research Consultant in health service management, the Tony Ryan Associates, 26 Sergeants Lane, Whitefield Manchester, M45 7TS, United Kingdom. E-mail: info{at}tonyryan.org

This article examines the policy of using target-setting and measurement to deliver on the United Nations’ (UN) development goals. Using evidence from similar monitoring and management strategies in the United Kingdom (UK), we question the purpose of using process and outcome targets and suggest that this approach can be counter-productive. It can also lead to a situation where maintaining public relations and image is prioritised at the expense of making real impacts on key development issues. While the UN's aims are praiseworthy, we suggest that the somewhat simplistic methodology adopted is damaging to the very people that the UN is seeking to help.

Journal of Health Management, Vol. 11, No. 1, 229-241 (2009)
DOI: 10.1177/097206340901100115


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