Global politics of health reform in Africa: performance, participation, and policy
In: Palgrave pivot
Includes bibliographical references and index
19 Ergebnisse
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In: Palgrave pivot
Includes bibliographical references and index
In: New directions for student leadership, Band 2021, Heft 170, S. 47-59
ISSN: 2373-3357
AbstractThis article explores the ethical use of assessments in leadership training, education, and development. From the importance of having well‐trained facilitators to the consideration of power and social identity in the interpretation of individual results, this article advocates for approaching the use of leadership assessments and inventories with a critical ethic of care. This practical focus on ethics serves as a compliment to the other articles in this text by helping leadership educators and leadership professionals apply this critical lens to every facilitation.
In: New directions for student leadership, Band 2020, Heft 165, S. 99-112
ISSN: 2373-3357
AbstractHigher education and student affairs are fields of study that focus on the institution and student experience in post‐secondary education at the graduate level. Located in colleges of education, these departments often offer academic leadership minors often taught by student affairs leadership educators.
This article explores the independently curated exhibition, Che Guevara: Revolutionary and Icon, which was on display at the Victoria and Albert Museum, London, in 2006. It analyses the exhibition's interpretive approach, as well as the tensions between the exhibition's curator and institution. I focus, in the final instance, on the particular issues associated with the display of revolutionary material culture, as well as the phenomenon of communist kitsch. The article concludes by arguing that art and politics are inextricably linked in revolutionary material, and in derivatives thereof, including those pertaining to Che Guevara. Without interpretation of both aspects, the impact of the whole is diminished. For a satisfactory outcome, I contend, museums must be prepared to take a clear interpretive stance, and accept any criticism or controversy that follows by tackling the issues this type of art and material culture raises, or not at all.
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In: New directions for student leadership, Band 2015, Heft 147, S. 77-87
ISSN: 2373-3357
This chapter connects concepts and research from positive psychology and leadership studies to support using a strengths‐based approach to optimize the leadership development of students involved in recreation and athletics.
In: Third world quarterly, Band 32, Heft 1, S. 165-180
ISSN: 1360-2241
In: New directions for student leadership, Band 2024, Heft 183, S. 59-69
ISSN: 2373-3357
AbstractThis article focuses on the research and scholarship of leadership training. We begin by defining and giving context to the concept of leadership training. Then, we provide a high‐level literature review of the history and components of leadership training (e.g., content, pedagogy, and assessment). Next, we connect leadership training with the leadership learning framework (LLF) to address common critiques of leadership training. The article concludes with projections of leadership training in the future and ethical questions for leadership educators to consider when designing leadership training programs.
Context: Palliative care advocates argue that service implementation is feasible in all settings. Yet, services have developed patchily in low- and middle-income settings. Beyond Human Development Index indicators, there has been limited engagement with the broader development challenges facing nations tasked with implementing palliative care. Objective: The objective of this study was to describe how indicators of national development relate to levels of palliative care services in 207 countries around the world. Methods: We conducted a ecological study to identify relationships between potential predictor variables and the level of national palliative care development. A total of 28 predictor variables from the following six domains were selected using hypothesized relationships with levels of palliative care development: disease demographics, socioeconomics, health systems, politics, demographics, and economics. The outcome variable was level of national palliative care development on a six-point scale. Spearman's correlation was used to measure the strength of the association. Results: Twenty-six of 28 variables were statistically significantly associated with levels of palliative care development in 207 countries. Palliative care is more developed in countries with high—percentage of deaths from noncommunicable disease, population proportion aged 65+ years, gross national income, and tourism. Development is lower in countries with high levels of political corruption, infant mortality, deaths by infectious diseases, and weak democracy. Prevalence of undernourishment and levels of private health expenditure were not significantly associated with palliative care development. Conclusion: Palliative care development is highly consistent with broader national development indicators. It is less in countries where sudden deaths are more likely and benefits from palliative care provision are likely to be very limited. In such countries, resources may be prioritized toward life-prolonging therapies and key aspects of ...
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In: New directions for student leadership, Band 2018, Heft 159, S. 77-90
ISSN: 2373-3357
AbstractA central focus of critical leadership development involves identifying and understanding how power flows through society. This requires a complex understanding of social systems. This chapter explores how leadership educators can more explicitly integrate learning related to power dynamics into leadership development initiatives.
In: Review of policy research, Band 13, Heft 1-2, S. 177-186
ISSN: 1541-1338
Several years ago, a legislator spoke clearly of the wishful unawareness we often confront in public health. After a session of frank exchange in his committee about teen pregnancy in Arkansas, he said, "Dr. Elders, until you became the health department director, we didn't have this problem." The facts paint a startling scenario for such people. We have not provided an environment in which our children can flourish. Instead, we have allowed the number of children who are economically, educationally, and medically disadvantaged to grow. Called "at‐risk," their existence is an affront to democratic ideals, especially the belief that all have an equal chance for prosperity. It is time for true reform, but before that can happen, we must face the state of our children's health. After this, we must set to work at effective strategies.
In: Policy studies review: PSR, Band 13, Heft 1-2, S. 177
ISSN: 0278-4416
In: Local government studies, Band 49, Heft 5, S. 861-887
ISSN: 1743-9388
Social capital is widely regarded as a key element in recovery from and resilience to disasters. Yet, little attention has been paid to the specificities of what supports or undermines remote rural communities' social capital in disasters. Here, we examine how bonding, bridging, and linking social capital operated after the 2015 earthquake in three remote Nepali communities of Sindhupalchok and Gorkha Districts, which have varying degrees of access to infrastructure, relief and recovery programmes. We draw on community-based qualitative research conducted in 2018 (including data from Participatory Videos, Focus Group Discussions and Key Informant Interviews) to show how different forms of social capital 'matter' more in different phases of recovery. Immediately after the earthquake, high levels of bonding and bridging social capital among residents reduced barriers to collective action and helped efforts to rescue and support affected individuals. This dissipated, however, once external relief arrived. Already-marginalised groups with low social capital of all types were less able to access relief items and funding for rebuilding compared with those of higher social status or with political links. Pre-existing socio-cultural inequalities, including those driven by weak bonding relationships in families, gender inequalities and the remoteness of villages, further undermined communities' social capital and their resilience to the earthquake. Disaster relief programmes should target women and the elderly to improve the resilience of marginalised communities to future disasters. For long-term resilience, disaster programmes should consider social capital in terms of power and pre-existing inequalities, so that linking capital would not just serve elite groups.
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International audience ; Background: Obesity and nutrition-related non-communicable diseases (NR-NCDs) are increasing throughout Africa, driven by urbanisation and changing food environments. Policy action has been limited - and influenced by high income countries. Socio-economic/political environments of African food systems must be considered in order to understand what policy might work to prevent NR-NCDs, for whom, and under what circumstances. Methods: A realist synthesis of five policy areas to support healthier food consumption in urban Africa: regulating trade/foreign investment; regulating health/nutrition claims/labels; setting composition standards for processed foods; restricting unhealthy food marketing; and school food policy. We drew upon Ghana and Kenya to contextualise the evidence base. Programme theories were generated by stakeholders in Ghana/Kenya. A two-stage search interrogated MEDLINE, Web of Science and Scopus. Programme theories were tested and refined to produce a synthesised model. Results: The five policies operate through complex, inter-connected pathways moderated by global-, national- and local contexts. Consumers and the food environment interact to enable/disable food accessibility, affordability and availability. Consumer relationships with each other and retailers are important contextual influences, along with political/ economic interests, stakeholder alliances and globalized trade. Coherent laws/regulatory frameworks and government capacities are fundamental across all policies. The increasing importance of convenience is shaped by demographic and sociocultural drivers. Awareness of healthy diets mediates food consumption through comprehension, education, literacy and beliefs. Contextualised data (especially food composition data) and inter-sectoral collaboration are critical to policy implementation. Conclusion: Evidence indicates that coherent action across the five policy areas could positively influence the healthiness of food environments and consumption in urban ...
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International audience ; Background: Obesity and nutrition-related non-communicable diseases (NR-NCDs) are increasing throughout Africa, driven by urbanisation and changing food environments. Policy action has been limited - and influenced by high income countries. Socio-economic/political environments of African food systems must be considered in order to understand what policy might work to prevent NR-NCDs, for whom, and under what circumstances. Methods: A realist synthesis of five policy areas to support healthier food consumption in urban Africa: regulating trade/foreign investment; regulating health/nutrition claims/labels; setting composition standards for processed foods; restricting unhealthy food marketing; and school food policy. We drew upon Ghana and Kenya to contextualise the evidence base. Programme theories were generated by stakeholders in Ghana/Kenya. A two-stage search interrogated MEDLINE, Web of Science and Scopus. Programme theories were tested and refined to produce a synthesised model. Results: The five policies operate through complex, inter-connected pathways moderated by global-, national- and local contexts. Consumers and the food environment interact to enable/disable food accessibility, affordability and availability. Consumer relationships with each other and retailers are important contextual influences, along with political/ economic interests, stakeholder alliances and globalized trade. Coherent laws/regulatory frameworks and government capacities are fundamental across all policies. The increasing importance of convenience is shaped by demographic and sociocultural drivers. Awareness of healthy diets mediates food consumption through comprehension, education, literacy and beliefs. Contextualised data (especially food composition data) and inter-sectoral collaboration are critical to policy implementation. Conclusion: Evidence indicates that coherent action across the five policy areas could positively influence the healthiness of food environments and consumption in urban ...
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