This article analyzes the use and limitations of nonmonetary contract incentives in managing third-party accountability in human services. In-depth case studies of residential care homes for the elderly and integrated family service centers, two contrasting contracting contexts, were conducted in Hong Kong. These two programs vary in service programmability and service interdependency. In-depth interviews with 17 managers of 48 Residential Care Homes for the Elderly (RCHEs) and 20 managers of 10 Integrated Family Service Centers (IFSCs) were conducted. Interviews with the managers show that when service programmability was high and service interdependency was low, nonmonetary contract incentives such as opportunities for self-actualization professionally or reputation were effective in improving service quality from nonprofit and for-profit contractors. When service programmability was low and service interdependency was high, despite that only nonprofit organizations were contracted, many frontline service managers reported that professional accountability was undermined by ambiguous service scope, performance emphasis on case turnover, risk shift from public service units and a lack of formal accountability relationships between service units in the service network. The findings shed light on the limitations of nonmonetary contract incentives.

This paper contributes to a long-standing debate in development practice: under what conditions can externally established participatory groups engage in the collective management of services beyond the life of a project? Using 10 years of panel data on water point functionality from Indonesia’s rural water program, the Program for Community-Based Water Supply and Sanitation, the paper explored the determinants of subnational variation in infrastructure sustainability. It then investigated positive and negative deviance cases to answer why some communities successfully engaged in system management despite being located in difficult conditions as per quantitative findings and vice versa. The findings show that differences in the implementation of community participation, driven by local social relations between frontline service providers, that is, village authorities and water user groups, explain sustainable management. This initial condition of state-society relations influences how the project is initiated, kicking off negative or positive reinforcing pathways, leading to community collective action or exit. The paper concludes that the relationships between frontline government representatives and community actors are important and are an underexamined aspect of the ability of external projects to generate successful community-led management of public goods.

The Sipongi System is essential in dealing with forest and land fires because this system provides real-time data that empowers stakeholders and communities to proactively overcome fire dangers. Its advantages are seen in its ability to provide detailed information regarding weather conditions, wind patterns, water levels in peatlands, air quality, and responsible work units. This data facilitates efficient decision-making and resource allocation for fire prevention and control. As an embodiment of Collaborative Governance, the Sipongi System actively involves various stakeholders, including government institutions, local communities, environmental organizations and the private sector. This cooperative approach fosters collective responsibility and accountability, improving fire management efforts. The Sipongi approach is critical in reducing forest and land fires in Indonesia by providing real-time data and a collaborative governance model. This results in faster response times, more effective fire prevention and better resource allocation. Although initially designed for Indonesia, the adaptable nature of the system makes it a blueprint for addressing similar challenges in other countries and regions, tailored to specific needs and environmental conditions. Qualitative research methods underlie this study, including interviews with key stakeholders and analysis of credible sources. Government officials, community leaders, environmental experts and organizational representatives were interviewed to comprehensively examine the mechanisms of the Sipongi System and its impact on forest and land fire management in Indonesia. Future research should explore the application of Sipongi Systems and collaborative governance in various contexts by conducting comparative studies across countries and ecosystems. Additionally, assessing the long-term impact and sustainability of the Sipongi System is critical to evaluating its effectiveness over time.

The wealth of nations depends on the quality of their infrastructure. Often, however, infrastructure suffers from ineffective investments and poor maintenance. Proposed solutions, such as New Public Management or Public-Private Partnerships (PPPs) tend to develop into Politicians-Private Partnerships as politicians collude with private firms to exploit present and future tax-payers. Therefore, it is necessary to give citizens better control over collective decision making. While there is a significant economic literature on empowering citizens via decentralization and direct democratic institutions, the role of electoral rules has thus far been rather neglected. An interesting case in point is Switzerland, which is well known for its high-quality infrastructure, extensive decentralization, and direct democracy. However, this paper argues that there is an additional and previously neglected institution that moves Swiss politicians away from client politics towards better serving public interest: Switzerland’s unique electoral institutions which effectively combine proportional elections with multi-seat majority elections. We explain how these institutions work, how they enhance the relationships between citizens and public and private entities, and we argue that they could be implemented in other countries.

Osteoid osteoma (OO) is a benign osteoblastic tumor of bone that usually affects children and young adults. They are usually located on metaphysis or diaphysis of long bones. Their clinical, anamnesis and radiological findings are typical. Intra-articular OO however has different properties due to its placement within joints. Sclerosis around the lesion is either minimal or non-existent, but synovitis can be seen in the joint. For this reason, they are usually diagnosed later. In this case series, we diagnosed three cases (2 ankles and 1 hip joint) that were diagnosed with osteochondral lesions previously and had in chronic pain which did not respond to several treatments in different centers with intra-articular OO and treated them with radiofrequency ablation using computerized tomography. Knowing the radiological properties of intra-articular OO and being aware of this condition during differential diagnosis of joint pain cases will be useful to diagnose this rare pathology.