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Working Papers | 2011

Managing Clinical Laboratories: Monitor and Control Lab Errors to improve Lab Performance

Poonam Trivedi, Nailesh Shah, and K. V. Ramani

Use of clinical laboratory test results in diagnostic deci¬sion making has become an integral part of clinical medicine. More than 60-70% of the most important decisions on admission, discharge, and medication are based on laboratory test results. With this high degree of influence, the reliability of laboratory testing and reporting is of utmost importance. Even though automation, standardization and technological advances have significantly improved the analytical reliability of laboratory tests, lab errors still do occur in the pre-analytical, analytical and post-analytical processes of the total testing process. It is the responsibility of the lab manager to minimize lab errors occurring at any stage of the testing process. Lab errors lead to sample rejection which in turn calls for repeat sample collection and analysis, and thereby cause delays in reporting the test results. Any delay in test results could have adverse consequences on the patients' health. Monitoring and control of lab errors is therefore an important challenge in the management of clinical labs so as to produce reliable test results as soon as possible and thereby achieve better lab performance.

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Working Papers | 2011

India's Agricultural Development under the New Economic Regime: Policy Perspective and Strategy for the 12th Five Year Plan

Vijay Paul Sharma

During the last two decades Indian agriculture has been facing major challenges like deceleration in growth rate, inter-sectoral and inter-regional equity, declining input efficiency, degradation of natural resources, etc. with consequent adverse effects on food and nutritional security, food inflation and poverty reduction. However, the 11th Plan had some success in reversing the deceleration of agricultural growth witnessed during the 9th and 10th Plan but food inflation still remains a major concern. The growth in agriculture in the 11th Plan is likely to be around 3.2 percent per year, which is higher than 10th Plan growth rate but lower than the target (4.0%) for 11th Plan. The 12th Plan growth target for agriculture sector has been set at 4 percent with foodgrains growth at about 2 percent and non-foodgrains sector (horticulture, livestock and fisheries) growing at about 5-6 percent. However, looking at the growth in agriculture sector in general and high-value agriculture, particularly, horticulture, fisheries, dairy and meat sector during the 11th Plan, there is a need to put additional efforts to achieve 4 percent growth in agriculture.

The failure to achieve targeted growth in agriculture has resulted from the inadequacies of the provision of the critical public goods such as research and development, extension services, surface irrigation, rural infrastructure, etc. on which agricultural growth thrives as well as inappropriate policies. In order to achieve the targeted growth in 12th Plan, we need to address some of these inadequacies. The sector would require substantial increase in investment both by public and private sector in agriculture research and development including extension, rural infrastructure, post-harvest and market infrastructure including storage and processing, reforms in laws related to land markets and marketing of agricultural products, and appropriate price policy. The pricing of agricultural inputs such as irrigation, electricity for pumping water, fertilizer, etc. needs rationalization. The distributional aspects of agricultural credit including inter-regional and inter-class inequalities in access to credit, decline in rural branches, declining share of direct credit, etc. must be addressed. People's participation, which will help in promoting the bottom up approach of planning process and also help in faster diffusion of the technologies and best practices among farmers, community based actions and participation of disadvantaged sections of the society in developmental process, needs to be strengthened.

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Working Papers | 2011

Macro-Economic Policy Outcomes and Agriculture Relation between Fiscal Deficits and Investment in Agriculture

Munish Alagh

In an earlier paper (Alagh, Munish, 2011) it was shown that macro economics matters in agriculture. The relevance of understanding the impact of macro-economic policy on agriculture was outlined, A forecasting exercise detailed the structure and response of supply to prices in the non foodgrain sector of the economy. The market and more generally macroeconomic policy impacts on agriculture needed to be understood. This is reviewed in this paper and it proceeds onwards from there to show that within macroeconomic policy specific policies such as an appropriate fiscal-monetary policy mix is relevant for the economy, and that fiscal policy should be seen as a process. It is shown that fiscal overspending outside agriculture should be curbed. The composition of fiscal policy relating to agriculture particularly public investment and subsidies is studied. It is seen that periods of sustainable deficits are periods of rising public investment in agriculture. ICOR's are rising but less in the public sector suggesting externalities. Crowding in of private investment seems likely. Following this the political economy of fiscal policy in agriculture is briefly reviewed.

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Working Papers | 2011

Dorm Spaces and Sociability

Arvind Shatdal

Physical spaces may significantly shape social interaction. This study has explored how the residential provisions (Dormitories) for students at IIM-Ahmedabad impact their social life. This paper adopted interpretive methods in order to explore the impact of physical space on sociability of students. Data was collected with the help of interviews and observations in order to explore and uncover the collective meaning imparted by the participants of research in understanding the impact of built spaces on sociability for the old campus and new campus dormitory residents of IIMA. Three narratives emerged from the collected data. First narrative focused on life in the dorm, second narrative focused on artifacts and how they influence the interaction among the students, and third narrative was built around the events in the dorm. Interpretive methods helped in drawing out participants' meanings related to spaces of the old and new campus dormitories and their impact on sociability. The study explored the lifeworld of dorm residents within these spaces. The study finds that built space and the organization of artifacts in that space do make a significant difference in social life of the dorm residents of IIMA.

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Working Papers | 2011

Comparison of Privatization Processes of Telecom Services in India and Brazil

Rekha Jain

Apart from being BRIC countries, what India and Brazil have in common is a large service sector that contributes significantly to the GDP. The service sector contributed 66% to the Brazilian GDP and 59% to the Indian GDP in 2010. Telecommunication services are a significant part of it in both the countries. This paper compares the regulatory processes of privatization of telecom services in these countries and the consequences of these on the telecom firms broadly and on the sector as a whole. Indian companies, facing harsh competition and having refined their business models to compete in this environment acquired the necessary expertise to foray abroad, opportunistically building their businesses. The highly competitive regulatory policies in India, led to the emergence of innovative business models and creation of large domestic companies both in services and infrastructure segment and consequently acquiring the necessary expertise to foray abroad. Brazilian regulatory policies focused on financially sound business and were open to investment by operators in other countries. Facing difficult domestic situation, the operators from Europe saw the Brazilian market as a growth opportunity.

The paper concludes that although both in Brazil and India, the objective of the telecom regulatory policies was to bring in privatization and competition, the variations in models followed by the two countries had led to sectoral outcomes that are very different. Brazilian telecom sector had shown higher penetration, both for telecom services in general and broadband in particular but domestic companies, other than one, which too was recently partially acquired by Portugal Telecom, have not emerged. Phased and controlled FDI in India combined with the hyper competitive scenario has led to the emergence of Indian telecom firms that have become significant global players.

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Working Papers | 2011

Knowledge Flows and Capability Building in the Indian IT Sector:
A Comparative Analysis of Cluster and Non-Cluster Locations

Rakesh Basant, Pankaj Chandra, and Rajesh Upadhyayula

The role of industrial clusters in the industrialization of many emerging economies continues to dominate the debate among policy makers and researchers worldwide. While recent discussions on this debate have focused on knowledge spillovers among participants within clusters, knowledge flows between non local networks and the cluster actors have not been accorded due attention in the literature. Further, the literature does not compare the relative impact of knowledge flows among firms within clusters and firms outside clusters. In this study, we attempt a comparative analysis of the role of knowledge flows in capability formation among firms in the Indian Information Technology sector (IT sector) across cluster and non-cluster locations. The empirical results suggest that at the firm level, leveraging of capabilities to enhance performance and networks to build capabilities is not automatic; structural features of the firms' location enable this transformation. Moreover, while capabilities affect performance of firms positively only in clusters, economies of scale and some strategies like quality certification used by firms impact performance of firms outside clusters. Interestingly, although economies of scale do not impact the performance of firms within clusters, they do, however affect the capability formation of firms within clusters only. Further, we found that local and national non-customer networks affect capability formation of firms within and outside clusters whereas international customer networks affect capability formation of firms within clusters only. These have implications for how firms can develop appropriate strategies to enhance their performance.

Keywords: Industrial Clustering, Information Technology industry, Networks, Capabilities

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Working Papers | 2011

Networking and Organizational Performance:
Decline and Turnaround of a Firm in India

Sunil Kumar Maheshwari

Most studies of firm turnaround have typically examined the response of different stakeholders to organizational decline and turnaround. Network theory provides a unique opportunity to extend this stream of research to understand and examine the decline and turnaround of organizations. This article examines this issue by using an in-depth case study of an organization in India's transition economy.

The firm studied in this article was, Mangalore Chemicals and Fertilizers India Limited (MCFL), a major producer of fertilizers in India with more than 1000 employees and annual revenue of US $ 140 million annually. It has continued to survive in spite of reporting operating losses every year for a decade between 1986 and 1996 during which, it could be classified as a "permanently failing organization". Even prior to 1986, it never reported impressive profits. Its retained earnings actually turned negative in 1994 and it was declared a "Sick Company" by Indian regulatory authorities. After ten straight years of losses and stultifying management practices, it undertook a turnaround in 1996. This study examines the process that led to decline and subsequent turnaround of the firm, especially the role of stakeholders and their networks in the decline and turnaround of firms. The study is further departure by studying different stakeholders of the company, their membership to different networks inside and outside the organization and their influence on the decisions in the organization. The study attempts to provide a linkage between macro network literature and micro decision-making by managers in the organizations.

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Working Papers | 2011

Estimating Urban and Rural Incomes in Gujarat, 1993-94 to 2004-05

Ravindra H. Dholakia and Manish Pandya

Income originating within geographical boundaries of urban and rural areas of Gujarat is estimated for three benchmark years-1993-94, 1999-00 and 2004-05 - at current prices following the broad methodology and data sources prescribed by the CSO. This is the first such effort made at the state level. It considers all sub-sectors and sources used for the state income to point out data gaps and suggest minor modifications in the methodology to improve such estimation for replication in other states.

The study finds that urban-rural income inequality in Gujarat (2.3) was almost the same as at the national level (2.4) in 1993-94, but declined substantially to 2.0 by 2004-05, while it increased to 2.7 for the nation. Thus, rural areas grew faster than urban areas in Gujarat, but grew slower than urban areas in the nation. In private consumption, the urban-rural inequality, though lower than in income, increased both in Gujarat and the country over the same period. While at the national level rural population seriously lagged behind its urban counterpart in income, consumption and savings; in Gujarat rural population is fast catching up with urban population in income and savings.

There are considerable structural changes in the urban and rural economies over time in Gujarat. Urban areas are becoming more service oriented, whereas rural areas are becoming more industrialized. Contrary to the general perception, large-scale industries are predominantly rural activities and small-scale industries are largely urban activities. Implications of these findings on the local resource generation through different saving behaviour and natural trends in economic integration and linkages of the two areas for planning are important. Undue concerns about rural employment generation at artificially high wages and about allocating land for industries in rural areas need to be viewed in the context of the findings here. After all, urban areas account for only 2.8% of geographical area, 43% of the population, and 56% of the income of the state. Rural areas account for 97.2% geographical area, 57% of population, and 44% of the income of the state.

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Working Papers | 2011

Agricultural Economy of India and Macro-Economic Effects: Some Empirical Results and a Research Agenda based on the Literature

Munish Alagh

This paper focuses on macroeconomic linkages with agriculture. From an extensive literature review the question that emerges is: is there a structural constraint in Indian agriculture or does Indian agriculture work in a system in which as demand rises and prices rise, supply responds. The constraints maybe institutional or policy determined in the foodgrains part of the economy, with the non foodgrain economy being responsive to market forces. These kind of general hypotheses lead to analysis of macroeconomic policy variables particularly of impacts of government expenditure and money supply. What are the impacts of such policies on agricultural prices and interest rates for agriculture? How do they impact on agricultural demand, supplies and investment?
If expansionary/ contractionary macro policy (Monetary-Fiscal policy mix) leads to rise/fall in money income, it will impact significantly on agricultural demand. Does this then lead to fluctuations in agricultural supply? There are many ways to analyze this kind of question. We use a partial economy framework using lags to help the specifications of our model. A Causal Chain model demonstrates econometrically that macro policies impact agriculture in a significant manner. The farm-nonfarm ratio determines supply with a Nerlovian lag and the model predicts supply oscillations in the non foodgrain agricultural economy. The work has possibilities of more complicated policy simulations of macro policy impacts on agriculture.

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Working Papers | 2011

Profit or Purpose: The Dilemma of Social Enterprises

M S Sriram

This paper examines the literature and practice in the field of social entrepreneurship. We specifically examine the diverse organisational forms under which Social Enterprises are undertaken and the dilemma they face when these enterprises grow.

The literature is ambigious on what constitutes a social enterprise. While each of the definitions talk about solving a problem that has not been hither to examined effectively either by the market or the State, the orientation of the enterprises are not very clear in the literature. We examine the three strands of enterprises that are classified as social enterprises and their organisational form.

Each organisational form has its own imperatives on growth and pressures it may have to yield to in an attempt to remain relevant. Using several examples from literature, we examine these pressure points and its implication on the purpose that the organisations are striving to serve. In the process we examine as to how much the motive for profits puts pressure on the purpose of the organisation.

Each of these three strands provide interesting counter examples to the economic argument of an organisational form. We finally conclude the paper by emphasising on the importance of [a] hard-coding some elements in the choice of the client group or the 'purpose' and [b] having a governance structure that helps the organisations to remain focussed on the 'purpose'. We also conclude that of the three forms of enterprise, by design, it appears that the co-operative form might be the best form of incorporation for a social enterprise, subject to certain caveats.

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