Do participatory processes open a political space to marginalized groups and individuals? Or do they co-opt and coerce groups to reinforce existing inequitable relations? In an innovative comparative study which breaks with tradition this book explores these questions by looking at Malawi and Ireland.
Participatory techniques have established themselves in both project implementation in developing countries and community interventions in industrial countries. Recently, participation has been fashionably dismissed as more rhetoric than substance, and subject to manipulation by agents pursuing their own agendas under cover of community consent. In this important new volume, development and other social policy scholars and practitioners seek to rebut this simplistic conclusion. They show how participation can help produce genuine transformation for marginalized communities. This volume is the first comprehensive attempt to evaluate the state of participatory approaches in the aftermath of the "Tyranny" critique. It captures the recent convergence between participatory development and participatory governance. It revisits the question of popular agency, as well as spanning the range of institutional actors involved--the state, civil society and donor agencies. The volume embeds participation within contemporary advances in development theory.
Young people’s participation is an urgent policy and practice concern across countries and context. This book showcases original research evidence and analysis to consider how, under what conditions and for what purposes young people participate in different parts of Europe. Focusing on the interplay between the concepts of youth, inequality and participation, this book explores how structural changes, including economic austerity, neoliberal policies and new patterns of migration, affect the conditions of young people’s participation and its aims. With contributions from a range of subject experts, including young people themselves, the book challenges current policies and practices on young people’s participation. It asks how young people can be better supported to take part in social change and decision-making and what can be learnt from young people’s own initiatives.
There is growing recognition that the United States' clinical trials enterprise (CTE) faces great challenges. There is a gap between what is desired - where medical care is provided solely based on high quality evidence - and the reality - where there is limited capacity to generate timely and practical evidence for drug development and to support medical treatment decisions. With the need for transforming the CTE in the U.S. becoming more pressing, the IOM Forum on Drug Discovery, Development, and Translation held a two-day workshop in November 2011, bringing together leaders in research and health care. The workshop focused on how to transform the CTE and discussed a vision to make the enterprise more efficient, effective, and fully integrated into the health care system. Key issue areas addressed at the workshop included: the development of a robust clinical trials workforce, the alignment of cultural and financial incentives for clinical trials, and the creation of a sustainable infrastructure to support a transformed CTE. This document summarizes the workshop.
Although democratic governments have introduced a number of institutional reforms in part intended to increase citizens’ political involvement, studies show a continued decline in regular political engagement. This book examines different forms of political participation in democracies, and in what way the delegation of public responsibilities—or, the diffusion of politics—has affected patterns of participation since the 1980s. The book addresses this paradox by directly investigating the impact of institutional changes on citizens’ political participation empirically. It re-analyses patterns of political participation in contemporary democracies, providing an in-depth time series cross-sectional analysis that helps develop a better understanding of how variation in political participation can be explained, both between countries and over time. As such, it develops an institutional theoretical framework which can help to explain levels of participation and shows that, instead of displaying more political apathy, citizens have reallocated or displaced their activities to a broader array of forms of participation. This book will be of key interest to students and scholars of comparative politics, democratization, political participation and electoral politics.
Cohen offers a new framework for analyzing social projects and local social activism. Rather than look at how single projects are designed and managed to evaluate their impact, the approach calls for analyzing fields of social action: policy and politics, institutional behavior, social networks among policymakers and practitioners, and availability of funding and other resources. Combined, they affect the conceptualization of a social problem and the design and practice of social intervention. More broadly, through circumscribing the range of thinking about social problems, they delimit possibilities to generate social change. Analyzing fields also allows for linking macro-level trends in areas like policy to decision-making within individual organizations and the effectiveness of projects at instigating the desired transformation in individual and collective behavior. Working together, policymakers, individual activists, nonprofit organizations, and staff in public institutions like schools and hospitals can critique and alter fields to challenge more effectively social problems. This collaboration, in turn, affects how social policies are designed and, ultimately, the politics of social change.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
There is no doubt, journalism faces challenging times. This book argues that we have to rethink journalism fundamentally. Rather than just focus on the symptoms of the 'crisis of journalism', this collection tries to understand the structural transformation journalism is undergoing.
Discover a way to authentic Christian spirituality in this sixth title in the Companions in Christ series. By shining the light of God's Word into the darkness of our lives, Hudson will lead you to a pathway of discovery and growth. Explore the markers of the journey: * Knowing Who You Are * Changing from the Inside * Listening to the Groans * Experiencing the God Who Heals * Discovering Community Together Join this journey to experience more deeply what it means to live as a follower of Christ. Understand the meaning of spiritual formation and how it leads to a spirituality that's authentic and grace-filled. Reflect on what your faith means in terms of who you are, how you must change, how you deal with pain, and how you relate to others. Be challenged to live the whole gospel by authentically connecting spirituality with discipleship.
Primary health care (PHC) began as a solution to problems in the developing world and is coming to be seen as a profound challenge to medical attitudes the world over. The book points to three issues at the root of PHC - universal availability of essential health care to individuals, families and population groups according to need, the involvement of communities in planning, delivering and evaluating such care and an organized active role for other sectors in health activities. It is pointed out although these principles may seem uncontroversial their introduction in developing countries has been far from smooth. When it comes to the north the principles of equity, participation and intersectoral collaboration have been resisted even more strongly by both planners and the medical establishment. By examining the lessons learnt from the developing countries, the author demonstrates the necessity to de-professionalize health. He writes at a time when resistance to PHC in the Third World is increasingly being based on dubious northern models for health care. This book demonstrates the way in which a strategy for survival in poor regions becomes a model for adequate and sustainable living everywhere.