
TED Talks Daily How motivation can fix public systems | Abhishek Gopalka
Oct 23, 2019
Abhishek Gopalka, a public sector strategist, shares his groundbreaking approach to transforming Rajasthan's healthcare system. He emphasizes that motivation is key to fixing public systems, revealing how transparency and accountability can inspire change. Gopalka discusses real challenges faced by citizens seeking healthcare and how engaging the community sparked significant improvements. His insights suggest that motivation not only drives better health outcomes but can also be applied to education and sanitation, paving the way for a more effective public sector.
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Sudha's Healthcare Struggle
- Sudha, a daily wage earner, lost wages and time due to doctor absenteeism and drug stockouts at a public health center.
- She questioned whether she should have initially gone to a private center, highlighting the system's failure.
The Coffee Shop Strategy
- Implement clear citizen promises, like guaranteeing doctor availability and essential drugs.
- Display these promises publicly to create accountability and motivate healthcare providers.
Public Rankings Drive Motivation
- Publicly ranking districts based on healthcare performance sparked competition and motivated improvement.
- This public accountability, inspired by soccer leagues, incentivized districts to excel.

