The study of public policy, including the methods of policy analysis, has been among the most rapidly
developing fi elds in the social sciences over the past several decades. Policy analysis emerged to
both better understand the policymaking process and to suppy policy decision makers with reliable
policy-relevant knowledge about pressing economic and social problems.
If a picture is worth a thousand words, a good story is worth many columns of
statistics. Stories present ideas, conflicts, and, sometimes, resolution. They
have depth and dimension, drama and emotion, making them more memorable
than data alone.
This belief in the power of the story encouraged us—with support from the
Kellogg Foundation—to start the Narrative Matters section of Health Affairs in
Uganda has relevant health policies and regulations in place, many developed through a participatory
multi-stakeholder process, including the recent HSSIP. Innovative policies that are currently under
development include the Public-Private Partnership in Health Policy. The health sector has many actors
including nongovernmental organizations (NGOs), civil society organizations, HDPs, and multiple
government agencies beyond the MoH. A recently signed country “Compact” is a new mechanism for
coordination in the health sector.
The five instances of insurance fraud reflected in Table 10 resulted from individu-
als who supplied fraudulent information on applications for term life policies. As
set forth in FinCEN regulations,
an insurance company is not required to report in-
stances of suspected insurance fraud unless the company has reason to believe that
the false or fraudulent submission of information relates to money laundering or
The data revealed some potential trends in illicit activity. Some of the typologies
evidenced in the narratives appeared very similar to classical examples of the money
laundering stages of layering and integration.
For example, subjects sometimes
used multiple cash equivalents (e.g., cashier’s checks and money orders) from differ-
ent banks and money services businesses to make policy or annuity payments, and
then cashed out the insurance products to potentially disguise the original source
of the funds.
The contents of each cell in Table 12 are simply (and only) a reflection of the contents of the
equivalent cell in Table 10. Thus, for example, (re)training of former farm workers is a direct
response to the reduction in agricultural employment associated with the Agri-centric
narrative, and measures to strengthen entrepreneurship and IT aspects of human capital
could be a response to the depletion issues caused by the Urban-Rural narrative in PRR
Two summary points may be derived from Table 12.
As noted earlier, a territorial cohesion policy for rural areas which enables each region to
develop its potential needs to take account of two kinds of regional conditions (both assets
and challenges), those which are broadly associated with the interaction of the meta
narratives of change and the type of region (and are therefor to some extent systematic in
their distribution), and those which are more localised and unique. Only the first of these is
discussed here, the second requires some form of regional audit of development assets.