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The objective of the paper is to assess the usefulness of conceptions of different modes of governance for understanding policy outcomes by studying the experience with hierarchical and non-hierarchical governance modes in the health care sector in China, India, and Thailand. The paper shows their experience with non-hierarchical modes to have been largely disappointing and that all three, but especially Thailand, are in the process of reverting to a more hierarchical mode of service delivery. The conclusion from this study is that non-hierarchical governance is not a substitute for or an improvement upon hierarchical governance in health care due to the many market and government failures that afflict the sector and affect the ability of different governance modes to function effectively. The hierarchical mode of government is also imperfect but less so than the alternatives in delivering health care. [ABSTRACT FROM AUTHOR]

This paper examines the adoption and roll-out of a 100 Per Cent Condom Use Program (100% CUP) in the People's Republic of China (PRC). It first details the initial implementation of a 100% CUP in Thailand and explains how this created a framework for action in other developing countries. It then examines the implementation of pilot programs in China. We conclude that governmental authorities in the PRC now actively target designated high-risk populations such as female sex workers in order to combat the spread of sexually transmissible infections and HIV/AIDS. This has resulted in the introduction of new legal frameworks and the use of widespread media publicity to promote condom use and safer-sex strategies. However, the more effective implementation of a national 100% CUP in China requires attention to the problems associated with the legal and social marginalisation of female sex workers, which is reinforced by police-led crackdowns on prostitution. [ABSTRACT FROM AUTHOR]