• Well Structured
  • Concrete Examples
  • Inspiring


Public systems are broken when citizens can’t access the services they need, and service providers suffer from inertia, insufficient resources and a lack of accountability. But change is possible if you leverage motivation. In his enlightening presentation, management consultant Abhishek Gopalka explains how his team improved the public health care system in Rajasthan, India. His solutions are applicable to public systems worldwide. By making promises to citizens and creating a public scoreboard, public systems can spark healthy competition and trigger creative solutions to challenges.


Public systems frequently fail due to a lack of accountability.

When faced with broken, inefficient public systems, how should a country’s leaders respond? Many are tempted to invest in infrastructure and training, which are important factors. But boosting motivation among practitioners and administrators can offer a more effective path forward.

In 2016, the public health care system in the state of Rajasthan, India, was in crisis. Citizens didn’t trust the system, which exhibited a high level of absenteeism and poor quality of care. Many opted to seek care from more expensive but reliable private facilities instead. Consider Sudha, a mother who sought urgent medical help for her infant daughter with dysentery. Sudha took a day off work to walk five kilometers with her child to her nearest public health care facility only to find no doctor present. The next day, she returned only to learn that...

About the Speaker

Public sector strategist Abhishek Gopalka is a managing director and partner with the Boston Consulting Group.

More on this topic

Customers who read this summary also read

What a Digital Government Looks Like
What Americans Agree on When It Comes to Health
Why Are Drug Prices So High? Investigating the Outdated US Patent System
Why COVID-19 Is Hitting Us Now – and How to Prepare for the Next Outbreak
How a Long-Forgotten Virus Could Help Us Solve the Antibiotics Crisis
How to Change Your Behavior for the Better

Related Channels