L. Coutinho et al., Numerical narratives and documentary practices - Vaccines, targets and reports of immunisation programme, ECON POLIT, 35(8-9), 2000, pp. 656-666
The documentary practices of target-setting, reporting, evaluation and supe
rvision at the level of the district and the primary health centres are bui
lt around a bureaucratic organisation. of information and allow for the pro
duction of 'numerical narratives' to fulfil the needs of the bureaucratic i
magination of a successful public health programme wherein the record gains
primacy over the event. Front-dine health workers, ANMs are the focus of t
he analysis here, as they constantly negotiate between the health bureaucra
cy and the communities (local bureaucracies). This article demonstrates how
programmatic goals are mediated by local contexts through these health wor
kers, and how their perceptions and practices produce numerical narratives
which meet the demands of rule and record bound bureaucratic imagination.