Ryan White CARE Act and HIV/AIDS Services Collaborative Governance

The complexities of the twenty-first century demand a new governance and management arrangement that fosters effectiveness and efficiency in addressing public problems or concerns through integrated engagement of all relevant state and non-state stakeholders. The new governing arrangement is certainly necessary in view of apparent inadequacy of top-down bureaucratic governance alone in fulfilling the public purpose which is partly due to the limited stakeholder participation in collective decision making and/or implementation. Collaborative governance has thus emerged as a promising alternative to traditional management in addressing contemporary complex problems. This research draws on health services collaborative governance experience of two Councils in South Florida as a case of effective collective impact. The findings based on extensive qualitative and quantitative data suggest the Councils are more similar than different in variables of collaborative governance. The study highlights essential rudiments for collective problem solving and serves as an enlightening resource for scholars, policymakers, students, and practitioners of public and healthcare administration.