This brief outlines a study which investigated the link between public official underperformance and the use of public sector jobs as patronage in developing countries through the evaluation of a monitoring intervention in the Punjab health sector. It is suggested that public sector workers rely on local politicians for getting desirable postings, and for protection from sanctions for underperformance and absenteeism.
Callen, M.; Berman, E.; Hasanain, S.A.; Saad Gulzar; Khan, Y. The Political Economy of Health Worker Absence: Experimental Evidence from Pakistan (IGC Policy Brief). International Growth Centre (IGC), London, UK (2013) 6 pp.