Public administration has evolved into an extraordinarily complex form of governance employing traditional bureaucracy, quasi-government public organizations, and collaborative networks of nongovernmental organizations. Analyzing and improving government performance—a matter of increasing concern to citizens, elected officials, and managers of the organizations themselves—has in turn become a much more fraught undertaking. Understanding the new complexities calls for new research approaches.

The Art of Governance presents a fresh palette of research based on a new framework of governance that was first developed by coeditor Laurence E. Lynn, Jr., with Carolyn J. Heinrich, and Carolyn J. Hill in their book, Improving Governance: A New Logic for Empirical Research. That book identified how the relationships among citizens, legislatures, executive and organizational structures, and stakeholders interact, in order to better diagnose and solve problems in public management.

This volume takes that relational concept into new realms of conceptualization and application as it links alternative institutional and administrative structures to program performance in different policy areas and levels of government. Collectively, the contributors begin to paint a new picture of how management matters throughout the policy process. They illuminate how, at different levels of an organization, leadership and management vary—and explore both the significance of structural systems and the importance of alternative organizational forms for the implementation of public policies.

The Art of Governance shows that effective governance is much more complex than paint-by-number. But if the variety of forms and models of governance are analyzed using advanced theories, models, methods, and data, important lessons can be applied that can lead us to more successful institutions.

Throughout Africa, Asia, and Latin America public health professionals and paraprofessionals work to control serious, frequent and preventable causes of death and sickness among women and children. Despite international agreement about which health programs to implement and huge investments to support them, avoidable deaths remain high. One reason is the inadequate quality with which programs are implemented.

Assessing Child Survival Programs in Developing Countries provides local health system managers with basic principles for rapid precise program monitoring and evaluation in difficult tropical conditions. Joseph Valadez explains how to adapt Lot Quality Assurance Sampling (LQAS) as used in industrial quality control more than half a century ago, to assess health program coverage and technical quality of service providers. He shows that by examining no more than 19 children from a health facility catchment area a manager can judge whether coverage with child survival interventions has reached a minimal level, and how to observe health workers perform a task 6 times to judge their technical competency.

Joseph Valadez demonstrates that quick assessment is not necessarily dirty, and can provide the information needed to enhance child survival throughout the developing world. In that spirit Assessing Child Survival Programs in Developing Countries is a path breaking text book of modern health services research that both practitioners and students will find indispensable and understandable.