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41. Journal of Public and International Affairs 2015

Author:
Joanna Hecht, Sam duPont, Cynthia Barmore, Natasha Geber, Abby McCartney, Emily A. Wiseman, Jordan Dantas, Stephanie Leutert, and Lauren Dunn
Publication Date:
05-2015
Content Type:
Journal Article
Journal:
Woodrow Wilson School Journal of Public and International Affairs
Institution:
Woodrow Wilson School of Public and International Affairs, Princeton University
Abstract:
Cynthia Barmore builds on primary survey research conducted in Bosnia and Herzegovina to offer new explanations of the constraints placed on farmers by an unreformed land system. Natasha Geber addresses an underexplored policy area, looking at Russia’s geopolitical ambitions in the Arctic and offering a perspective on the chances of international cooperation on Arctic issues. Abby McCartney pulls together two seemingly disparate policies, seeing an opportunity for New Jersey to expand its successful drug court program using provisions of the Affordable Care Act. Emily Wiseman looks at how women and girls still tend to be excluded from post-disaster relief efforts, even though almost all implementers understand that this exclusion exacerbates gender inequality and retards reconstruction. Jordan Dantas analyzes the drop in piracy off the Somali coast, and finds private sector success where military solutions failed. Stephanie Leutert offers a clear-eyed perspective on the divergent narratives about the Obama Administration’s deportation policies, and analyzes how those policies have impacted immigrant communities. Lauren Dunn looks at two programs for using mobile phones to provide basic banking services—a success and a failure—and offers lessons for how the regulatory environment and existing institutions must shape program design.
Topic:
Security, Gender Issues, Government, Immigration, Piracy, Women, Conflict, Rural, Drugs, Land Rights, Barack Obama, and Medicaid
Political Geography:
Russia, India, Haiti, North America, Somalia, Arctic, United States of America, and Bosnia and Herzegovina

42. Quality and Accountability in Healthcare Delivery: Audit Evidence from Primary Care Providers in India

Author:
Jishnu Das, Alaka Holla, Aakash Mohpal, and Karthik Muralidharan
Publication Date:
02-2015
Content Type:
Working Paper
Institution:
Centre for Policy Research, India
Abstract:
We present among the first direct evidence on the quality of healthcare in low-income settings using a unique and original set of audit studies, where standardized patients were presented to a nearly-representative sample of rural public and private primary care providers in the Indian state of Madhya Pradesh. We report three main findings. First, private providers are mostly unqualified but spent more time with patients, and completed more items on a checklist of essential history and examination items than public providers, while being no different in their diagnostic and treatment accuracy. Second, we identify the private practices of qualified public sector doctors, and show that the same doctors exert higher effort and are more likely to provide correct treatment in their private practices. Third, we find a strong positive correlation between provider effort and prices charged in the private sector, whereas we find no correlation between effort and wages in the public sector. Our results suggest that market-based accountability in the unregulated private sector may be providing better incentives for provider effort than administrative accountability in the public sector in this setting. While the overall quality of care is low in both the public and private sectors, these differences in provider effort may partly explain the dominant market share of fee-charging private providers even in the presence of a system of free public healthcare.
Topic:
Government, Health, Privatization, Health Care Policy, Social Policy, and Rural
Political Geography:
South Asia, India, and Asia

43. Healthcare-Seeking Practices of African and Rural-to-Urban Migrants in Guangzhou

Author:
Tabea Bork-Huffer
Publication Date:
12-2015
Content Type:
Journal Article
Institution:
German Institute of Global and Area Studies
Abstract:
Taking the examples of Chinese rural-to-urban migrant and African migrant businesspeople in Guangzhou, this article inquires into the commonalities and differences in the health status and health- care-seeking practices of both groups. While both populations of migrants are diverse and heterogeneous, there are many commonali- ties with regard to the challenges they face compared to the Chinese local population. Mixed-methods research frameworks and qualitative and quantitative methods were applied. While existing publications emphasise lacking financial access to healthcare, further individual and social factors account for migrants’ healthcare choices. Their access to healthcare can be improved only by introducing insurance schemes with portable benefits, providing localised and culturally adequate health services adapted to migrants’ specific needs and health risks, and enhancing patient orientation and responsiveness by health professionals.
Topic:
Migration, Health Care Policy, Urban, and Rural
Political Geography:
Africa, China, and Asia

44. Despair or Hope: Rural Livelihoods and Opium Poppy Dynamics in Afghanistan

Author:
Paul Fishstein
Publication Date:
08-2014
Content Type:
Research Paper
Institution:
Afghanistan Research and Evaluation Unit (AREU)
Abstract:
AREU conducted field research in Badakhshan, Balkh, Helmand and Nangarhar Provinces during the three agricultural years from 2010-11 to 2012-13, to explore the dynamics of opium poppy cultivation: the history of government policies and programmes and the ways in which these policies and programmes affected the ability of rural households to maintain their livelihoods.
Topic:
Agriculture, Environment, Natural Resources, and Rural
Political Geography:
Afghanistan and South Asia

45. Breaking Down the Barriers to Rural Education: Recent Evidence from Natural and Randomized Experiments in Developing Countries

Author:
Sonia Laszlo
Publication Date:
01-2013
Content Type:
Policy Brief
Institution:
Institute for the Study of International Development, McGill University
Abstract:
This research to policy brief reviews the recent evidence on effective methods to improve rural education in developing countries. Canada’s Child and Youth Strategy (CYS) concerning access to a quality education is analysed within this context and recommendations are generated from a large body of recent experimental evidence from around the world. This brief takes each component of CYS and derives policy recommendation based on lessons learned from the most relevant natural and randomized experiments. Natural experiments are typically large-scale government projects, whereas randomized experiments are typically smaller-scale, but focus on internal validity by relying on random assignment to treatment (program) and control (no program). Such an experimental approach is particularly useful as it allows researchers and policy-makers alike to take the evidence as causal on the effectiveness of these projects.
Topic:
Development, Education, Government, and Rural
Political Geography:
Canada and North America

46. After the "Socialist Spring': Collectivisation and Economic Transformation in the GDR

Author:
George Last
Publication Date:
03-2009
Content Type:
Book
Institution:
Berghahn Books
Abstract:
Historical analysis of the German Democratic Republic has tended to adopt a top-down model of the transmission of authority. However, developments were more complicated than the standard state/society dichotomy that has dominated the debate among GDR historians. Drawing on a broad range of archival material from state and SED party sources as well as Stasi files and individual farm records along with some oral history interviews, this book provides a thorough investigation of the transformation of the rural sector from a range of perspectives. Focusing on the region of Bezirk Erfurt, the author examines on the one hand how East Germans responded to the end of private farming by resisting, manipulating but also participating in the new system of rural organization. However, he also shows how the regime sought via its representatives to implement its aims with a combination of compromise and material incentive as well as administrative pressure and other more draconian measures. The reader thus gains valuable insight into the processes by which the SED regime attained stability in the 1970s and yet was increasingly vulnerable to growing popular dissatisfaction and economic stagnation and decline in the 1980s, leading to its eventual collapse.
Topic:
Cold War, Economics, Socialism/Marxism, Authoritarianism, and Rural
Political Geography:
United States, Europe, Soviet Union, West Germany, and East Germany

47. Finding the Money: Informal Credit Practices in Rural Afghanistan

Author:
Floortje Klijin and Adam Pain
Publication Date:
06-2007
Content Type:
Research Paper
Institution:
Afghanistan Research and Evaluation Unit (AREU)
Abstract:
It is widely believed that there is a strong demand for credit in Afghanistan and that much of this demand is unmet, justifying a major programme in microcredit provision. But there is very little understanding of the extent and the workings of informal credit systems, particularly outside opium poppy growing areas. Is there such an absence of credit available to poor rural households as is assumed? Do microfinance and informal credit respond to the same needs? Is informal credit simply the same thing as formal credit, except that it takes place outside formal institutions? And if there is more informal credit available than is believed, what does this mean for the development and role of formal credit systems? These key questions informed a detailed anthropological study of informal credit practices in three contrasting villages in Herat, Ghor and Kapisa. Drawing from a detailed presentation of eight households case studies, and amplified with addition case material, a number of key conclusions can be drawn from the findings.
Topic:
Development, Economics, Monetary Policy, Microcredit, Rural, Money, Demand, and Credit
Political Geography:
Afghanistan and South Asia