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Most Significant Change in conflict settings: staff development through monitoring and evaluation Full text
2016
Kraft, Kathryn Ann | Prytherch, Hannah
Capoeira4Refugees is an NGO that uses the Afro-Brazilian art form of Capoeira to promote psychosocial well-being in children affected by conflict and occupation. Capoeira4Refugees introduced the Most Significant Change (MSC) methodology to monitor and evaluate project implementation and impact across two locations in the Middle East. Analysis of interviews conducted with five field staff revealed that in line with, and building on, previous research, MSC became an empowering tool that led to staff development. The potential for MSC to build staff reflexivity, independence, and leadership has implications for other organisations working in conflict areas, particularly in situations of remote management.
Show more [+] Less [-]Assessing the fit of RapidSMS for maternal and new-born health: perspectives of community health workers in rural Rwanda Full text
2016
Mwendwa, Purity
This article examines field results that show the potential for mobile health (mHealth) technologies to support community health workers (CHWs) in delivering basic maternal and new-born services in Rwanda. The fit of RapidSMS, a UNICEF/Ministry of Health (MOH) mHealth technology is examined through focus groups with CHWs. The results highlight the need for more training in the use of RapidSMS, continued upgrading of mobile phones, devising innovative ways of charging mobile phones, and ensuring the availability of ambulances. We suggest that CHW supervision be a two-way process built into RapidSMS utilising real-time communication to enhance effectiveness.
Show more [+] Less [-]Everyday health security practices as disaster resilience in rural Bangladesh Full text
2016
Ray-Bennett, Nibedita S. | Collins, Andrew E. | Edgeworth, Ross | Bhuiya, Abbas | Nahar, Papreen | Alamgir, Fariba
Health security is a relatively new concept in terms of how it is practised in disaster-prone locales. We observed 10 rural households in Bangladesh for four months using informal interviews, field diaries, and observation. The findings suggest that the everyday practises of health security involve the capabilities of “caring for themselves” in resource-constrained contexts. Understanding how households care for themselves prior to and during disasters presents an opportunity to examine how improved health might reduce the effects of disasters, ill health, and poverty. Some interventions are proposed to improve health security for poorer households in general and women in particular.
Show more [+] Less [-]Community-supported models for girls’ education in Pakistan: the transformational processes of engagement Full text
2016
Razzaq, Jamila
This article presents the case for promoting girls’ education in the contexts of geographic isolation, social conservatism, fragility, and severe financial hardship, with localised services delivered through community supported initiatives, contextualised approaches, and flexible strategies. To examine the significance of using localised approaches for improving girls’ access to education, the article explores three case studies from Pakistan in three different contexts. These cases highlight lessons learnt for establishing responsive and flexible girls’ education initiatives which are relevant in the cultural, social, financial, and political contexts of the girls and their communities.
Show more [+] Less [-]Tug of war: street trading and city governance in Kumasi, Ghana Full text
2016
Owusu-Sekyere, Ebenezer | Amoah, Samuel Twumasi | Teng-Zeng, Frank
Kumasi, Ghana, has witnessed accelerated population growth in the past two decades, leading to a significant increase in joblessness following years of economic decline and labour market liberalisation. As a survival strategy, residents have resorted to street trading, making it an important source of livelihood. However, its associated implications for urban governance and management has placed city authorities in the spotlight over the years. Examining the daily struggles that occur between city managers and street traders, this article finds that various strategies adopted by city authorities to decongest the streets have proved futile. Rethinking what could be a sustainable strategy for decongesting the streets of traders, the article concludes that chasing the traders out of the streets is not the panacea to solving the problem unless well coordinated land-use planning and appropriate regulations are competently enforced.
Show more [+] Less [-]Financial services to the poor: the microfinance dilemma in Andhra Pradesh Full text
2016
Gajjala, Venkataramana | Gajjala, Radhika
In India, microfinance and associated strategies of forming self-help groups came about in response to a newly independent nation and its need to include the rural non-banking population into national structures of development and governance. This article examines how the rapid growth of microfinance institutions during the last two decades – especially in the context of the more recent transition from non-profit to for-profit non-banking finance companies (NBFCs) – has led to a significant increase in the delivery of financial services to the rural poor. In Andhra Pradesh, the simultaneous existence of some of India’s most prominent microfinance institutions (MFIs) and their mobilisation of self-help groups – with state backing and linkages to banks leading to relatively easy availability of funds – has led to a tremendous surge in the availability of credit across the state.
Show more [+] Less [-]“We want financial accountability”: deconstructing tensions of community participation in CHPS, Ghana Full text
2016
Yeboah, Thomas | Jagri, Francis
This article reports on the ways and factors that facilitate or constrain community participation in the Community-based Health Planning and Services (CHPS) programme in Nsanfo, a village in Central Region of Ghana. We found that the community made an important step through mobilising the necessary resources in establishing the CHPS compound, which has resulted in improved access to health care. Yet maintaining the facility did not matter most to community members, owing chiefly to unmet demands for financial accountability pertaining to the running of the programme. Failure to clearly identify various actors and their roles potentially explains this state of affairs.
Show more [+] Less [-]The terminologies associated with development and marginalisation for Orang Asli in Malaysia Full text
2016
Amir Zal, W.A. | Omar, Mustaffa | Salleh, Hood
Previously, any failure of Orang Asli development activity in Malaysia, was characterised by using a single term in all situations − “marginalisation”. This generalisation was unfair to everyone involved in the Orang Asli development process, made it difficult to resolve problems, and resulted in tendencies to blame certain people. Based on ethnographic research in Kuala Gandah, Pahang, Malaysia, this article allocates three terms in the Orang Asli development marginalisation discourse: “secluded”, “isolated”, and “marginalised”. “Secluded” refers to development activity that accidentally marginalises. “Isolated” refers to development activity that directly and deliberately marginalises. “Marginalised” refers to the Che Wong that were eliminating or avoiding development. These terms were exposed by weaknesses in the implementation of development, namely the role of a single dominant approach in development activities – the top-down approach – and a tendency to generalise the marginalisation of the Orang Asli. This article recommends that more care be taken to apply a development approach that deals with situations on a case-by-case basis and that utilises the partnership approach to development, involving all parties in all phases.
Show more [+] Less [-]Towards universal health coverage in Zambia: impediments and opportunities Full text
2016
Aantjes, Carolien | Quinlan, Timothy | Bunders, Joske
Universal health coverage has been given a prominent place in the post-2015 global development agenda, but there are concerns over its feasibility in low- and middle-income countries. This article assesses successive Zambian governments’ efforts to achieve this agenda. We discuss the recent restructuring of health governance to support policies that re-emphasise the social determinants of health and health equity. This includes a new Ministry of Community Development and Mother and Child Health alongside the Ministry of Health. We argue that recent innovations in policy and practice need to be extended to include ministries which focus on economic development.
Show more [+] Less [-]Exploring project sustainability: using a multiperspectival, multidimensional approach to frame inquiry Full text
2016
Sparks, Jason | Rutkowski, David
In development studies, programme sustainability has gained significant attention in recent years. One challenge to sustainability is the range of stakeholders involved in international development projects, presenting multiple perspectives and priorities, not always in harmony, nor necessarily communicated. This article presents an approach to facilitating stakeholder sustainability dialogue, an analytic framework for programme sustainability inquiry comprising five dimensions: political; economic; institutional; ownership; and practice. To demonstrate this framework we describe inquiry into stakeholder perspectives in one Afghanistan education development project. The results indicate the value of multidimensional, multiperspectival inquiry in identifying areas of potential sustainability challenge and strength.
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