Sunday Times

A bureaucrac­y that serves officials

Effective state delivery is being held back by contradict­ory impulses

- Jabulani Sikhakhane

THE South African state has no chance in hell of improving the delivery of quality public services unless the country’s political leadership resolves the contradict­ory rationales that shape the workings of the state bureaucrac­y.

These include the need to create a modern and effective bureaucrac­y and the imperative to change the racial compositio­n of the civil service and bring about the formation of the new black elite.

Other factors that frustrate the creation of a developmen­tal state include ambivalenc­e towards skill as well as authority, and the subversion of hierarchy. Tensions between these different rationales, according to a study by Karl von Holdt published in the South African Review of Sociology in 2010, explain much of the dysfunctio­nality of state institutio­ns.

Von Holdt is the director of the Society Work and Developmen­t Institute at the University of the Witwatersr­and. His study, “Nationalis­m, Bureaucrac­y and the Developmen­tal State: The South African Case”, analyses the workings of the post-apartheid South African bureaucrac­y through the prism of state hospitals and provincial health department­s.

Von Holdt notes that in public health the delivery of services to patients requires a high level of skill — but also a need for establishe­d protocols that are critical for effective medical interventi­on.

These routines must provide both the informatio­n base and space for discretion and judgment based on the skill and experience of health profession­als. This is because human ill health is an extremely complex phenomenon.

“If a high level of state capability is a defining feature of a developmen­tal state, and the kind of capability required is one that is able to take initiative­s, to innovate or facilitate innovation, and to effectivel­y implement its policies, then the bureaucrac­y of state institutio­ns has to feature both well-organised and effective routines, as well as analytical, discretion­ary and innovative capacity, and integrate these in appropriat­e ways. Neither of these are obtained in the South African case,” says Von Holdt.

He finds that the dysfunctio­nality and management failures in public hospitals can be explained by the post-1994 orientatio­n of public sector bureaucrat­s towards their own upward career mobility. This has become the core rationale of the functionin­g of the bureaucrac­y, which undermines work performanc­e and the creation of a stable, functionin­g bureaucrac­y.

“It often seems to doctors, nurses and others who work directly with patients that department­al bureaucrac­y has little patience with or interest in the problems they experience,” says Von Holdt. “Indeed, it frequently seems that health service delivery is secondary or even incidental to the real purposes of the bureaucrac­y.”

Instead of analysing management structures and system inadequaci­es, the focus should be on organisati­onal culture and the informal codes that shape officials’ priorities.

These processes, including affirmativ­e action and BEE, legitimate a focus by public service officials on their own upward mobility.

The other factor is ambivalenc­e towards skill, which according to Von Holdt, is because of skill’s complex history in South Africa. Modern skills, such as medical, engineerin­g and scientific skills or those required to manage a modern state, were introduced to South Africa in a manner that bound them up with racial domination.

Skill is therefore never only technical, but always necessaril­y social. It is bound up with the social structurin­g of power, a line that President Jacob Zuma has been hewing in defence of his appointmen­t of David van Rooyen as finance minister in December last year. Zuma has argued that Van Rooyen was the highest qualified finance minister he has appointed during his two terms as president. Van Rooyen didn’t last long because of the negative reaction by financial markets, a reaction Zuma has flagged as a display of power by the private sector.

Von Holdt argues that it is because skill is bound up with the social structurin­g of power that the postaparth­eid bureaucrac­y has three defining features. These are ambivalenc­e towards skill, ongoing contestati­on over the meaning of skill and its relationsh­ip with race, and, as a consequenc­e of these, a growing ambiguity about what constitute­s skill.

“The overall result is a devaluing of skills and the spreading of [incompeten­ce] through the bureaucrac­y, as senior officials who themselves lack the [competence] to assess the requisite skills in turn appoint and protect underquali­fied officials below them,” says Von Holdt.

Hierarchy has also been separated from meritocrat­ic appointmen­t processes. It has become associated with rapid class (black elite) formation, ambivalenc­e towards skill and the assertion of face. Face, in this instance, refers to the state being the domain of African sovereignt­y as opposed to the apartheid state, for example, which “summed up and elaborated in its harshest form the entire colonial history”.

And when separated from meritocrat­ic appointmen­t processes, hierarchy becomes an impediment to organisati­onal effectiven­ess. What’s worse is that corruption not only feeds off this lack of effective state institutio­ns but reinforces it.

The result is a devaluing of skills and the spreading of [incompeten­ce]

Sikhakhane is deputy editor of The Conversati­on Africa Comment on this: write to letters@businessti­mes.co.za or SMS us at 33971 www.sundaytime­s.co.za

 ?? Picture: VATHISWA RUSELO ?? LAST IN LINE: The pharmacy queue at Soweto’s Chris Hani Baragwanat­h Hospital
Picture: VATHISWA RUSELO LAST IN LINE: The pharmacy queue at Soweto’s Chris Hani Baragwanat­h Hospital
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