Transnational challenges such as societal ageing, rapid epidemiological transitions from managing chronic disease and infectious disease such as COVID-19, and environmental vulnerabilities raise urgent concerns for collaborative governance. This study addresses the challenges of monitoring outcomes and accountabilities i n a development context. Problem-driven collaboration, with a focus on identifying urgent, locally defined problems offers a potential solution to designing relevant performance management systems. Based on a case-survey design, the study analyses two collaborative governance networks in the Association of Southeast Asian Nations (ASEAN) promoting the mobility of health workers. The analysis draws on 20 (n = 20) in-depth interviews with high-level country delegates and officials and a content analysis of 380 confidential reports from 10 countries in ASEAN. The results provide a deeper understanding of how a problem-driven approach can foster collaborative governance and overcome barriers to policy implementation. Implications for monitoring practices include the role of measuring “felt needs” – perceived gaps in implementation of policy objectives, and how problem-driven collaboration can add value to performance management systems in a development context.

中文翻译：

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在发展背景下促进以问题为导向的合作：东盟卫生人力资源治理研究

跨国挑战，如社会老龄化，流行病学从控制慢性病和传染病（如COVID-19）的快速流行病学转变，以及环境脆弱性，引发了对协作治理的迫切关注。这项研究解决了在开发环境中监视结果和责任的挑战。以问题为导向的协作，着重于发现紧急的，本地定义的问题，为设计相关的绩效管理系统提供了潜在的解决方案。该研究基于案例调查设计，分析了东南亚国家联盟（ASEAN）中两个促进卫生工作者流动的协作治理网络。该分析利用了对高级国家代表和官员进行的20次（n = 20）深度采访，并对来自东盟10个国家的380份机密报告进行了内容分析。结果提供了对问题驱动方法如何促进协作治理和克服政策实施障碍的更深入的了解。监视实践的含义包括衡量“毡制需求”的作用–感知到的政策目标实施中的差距，以及由问题驱动的协作如何在开发环境中为绩效管理系统增加价值。