THE RISE OF THE SUBCONTRACTOR STATE: POLITICS OF PSEUDO-PRIVATIZATION IN THE ISLAMIC REPUBLIC OF IRAN

2013 ◽  
Vol 45 (1) ◽  
pp. 45-70 ◽  
Author(s):  
Kevan Harris
Keyword(s):  
State Institution ◽  
Pension Funds ◽  
Political Elite ◽  
Primary Data ◽  
Islamic Republic ◽  
Middle Income ◽  
Secondary Sources ◽  
Middle Income Countries ◽  
Islamic Republic Of Iran ◽  
Single State

AbstractSince 2009, analyses of Iran have stressed the centralizing takeover of the country's economy by a single state institution, the Islamic Revolutionary Guards Corps. At the same time, however, Iran's factionalized political elite uniformly advocate for rapid privatization of state-owned enterprises. Underneath this puzzling contradiction is a complex shift of economic ownership away from the state toward a variety of parastatal organizations including banks, cooperatives, pension funds, foundations, and military-linked contractors. The result is not a praetorian monolith but a subcontractor state. This article draws on interviews conducted in Iran during 2009 and 2010, primary data from parliamentary and governmental reports, and secondary sources to show how intraelite conflict and nonelite claims have structured the process of privatization. Framed comparatively with privatization outcomes in other middle-income countries, Iran's subcontractor state can be seen as a consequence of the way in which politics and society shaped the form of capitalism that has taken root in the Islamic Republic.

scholarly journals Adoption of Information and Communication Technologies for Early Detection of Breast and Cervical Cancers in Low- and Middle-Income Countries

2016 ◽  
Vol 2 (4) ◽  
pp. 222-234 ◽  
Author(s):  
Jessica M. DiCarlo ◽  
Sricharan Gopakumar ◽  
Preet K. Dhillon ◽  
Suneeta Krishnan
Keyword(s):  
Early Detection ◽  
Cancer Prevention ◽  
Information And Communication Technologies ◽  
Cervical Cancer Prevention ◽  
Primary Data ◽  
Middle Income ◽  
Cervical Cancers ◽  
Middle Income Countries ◽  
Information And Communication ◽  
Low And Middle Income

Purpose In response to the growing burden of breast and cervical cancers, low- and middle-income countries (LMICs) are beginning to implement national cancer prevention programs. We reviewed the literature on information and communication technology (ICT) applications in the prevention of breast and cervical cancers in LMICs to examine their potential to enhance cancer prevention efforts. Methods Ten databases of peer-reviewed and gray literature were searched using an automated strategy for English-language articles on the use of mobile health (mHealth) and telemedicine in breast and cervical cancer prevention (screening and early detection) published between 2005 and 2015. Articles that described the rationale for using these ICTs and/or implementation experiences (successes, challenges, and outcomes) were reviewed. Bibliographies of articles that matched the eligibility criteria were reviewed to identify additional relevant references. Results Of the initial 285 citations identified, eight met the inclusion criteria. Of these, four used primary data, two were overviews of ICT applications, and two were commentaries. Articles described the potential for mHealth and telemedicine to address both demand- and supply-side challenges to cancer prevention, such as awareness, access, and cost, in LMICs. However, there was a dearth of evidence to support these hypotheses. Conclusion This review indicates that there are few publications that reflect specifically on the role of mHealth and telemedicine in cancer prevention and even fewer that describe or evaluate interventions. Although articles suggest that mHealth and telemedicine can enhance the implementation and use of cancer prevention interventions, more evidence is needed.

REGIME LOYALTY AND BĀZĀRĪ REPRESENTATION UNDER THE ISLAMIC REPUBLIC OF IRAN: DILEMMAS OF THE SOCIETY OF ISLAMIC COALITION

2009 ◽  
Vol 41 (2) ◽  
pp. 225-246 ◽  
Author(s):  
Arang Keshavarzian
Keyword(s):  
Social Class ◽  
20Th Century ◽  
Political Elite ◽  
The Political ◽  
Symbiotic Relationship ◽  
Islamic Republic ◽  
Ruling Elite ◽  
Current Regime ◽  
Islamic Republic Of Iran ◽  
The Media

The prevailing perception within the academy, policy circles, and the media inside and outside Iran has been that the members of bazaars are a unified social class engaged in a symbiotic relationship with the political elite of the Islamic republic and the conservative faction in particular. This approach is largely built on the perspective that there is a historic predilection for bāzārīs and clerics to cooperate (“mosque–bazaar alliance”), and thus ideological compatibility and familial ties between the clergy and bāzārīs have continued and developed into an alliance under the current regime headed by segments of the clergy. For instance, one of the leading experts on 20th-century Iran, Nikki Keddie, comments that, despite Mohammad Khatami's reformist agenda, “the ruling elite, who represent an alliance between the commercial bazaar bourgeoisie and conservative clerics, resist giving up their economic privileges as they do their political ones.”

scholarly journals Depression and pain: primary data and meta-analysis among 237 952 people across 47 low- and middle-income countries

2017 ◽  
Vol 47 (16) ◽  
pp. 2906-2917 ◽  
Author(s):  
B. Stubbs ◽  
D. Vancampfort ◽  
N. Veronese ◽  
T. Thompson ◽  
M. Fornaro ◽  
...  
Keyword(s):  
Depressive Episode ◽  
Severe Pain ◽  
Meta Analysis ◽  
Primary Data ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Subsyndromal Depression ◽  
Low And Middle Income

BackgroundDepression and pain are leading causes of global disability. However, there is a paucity of multinational population data assessing the association between depression and pain, particularly among low- and middle-income countries (LMICs) where both are common. Therefore, we investigated this association across 47 LMICs.MethodsCommunity-based data on 273 952 individuals from 47 LMICs were analysed. Multivariable logistic and linear regression analyses were performed to assess the association between the International Classification of Diseases, 10th Revision depression/depression subtypes (over the past 12 months) and pain in the previous 30 days based on self-reported data. Country-wide meta-analysis adjusting for age and sex was also conducted.ResultsThe prevalence of severe pain was 8.0, 28.2, 20.2, and 34.0% for no depression, subsyndromal depression, brief depressive episode, and depressive episode, respectively. Logistic regression adjusted for socio-demographic variables, anxiety and chronic medical conditions (arthritis, diabetes, angina, asthma) demonstrated that compared with no depression, subsyndromal depression, brief depressive episode, and depressive episode were associated with a 2.16 [95% confidence interval (CI) 1.83–2.55], 1.45 (95% CI 1.22–1.73), and 2.11 (95% CI 1.87–2.39) increase in odds of severe pain, respectively. Similar results were obtained when a continuous pain scale was used as the outcome. Depression was significantly associated with severe pain in 44/47 countries with a pooled odds ratio of 3.93 (95% CI 3.54–4.37).ConclusionDepression and severe pain are highly comorbid across LMICs, independent of anxiety and chronic medical conditions. Whether depression treatment or pain management in patients with comorbid pain and depression leads to better clinical outcome is an area for future research.

scholarly journals Epidemiology and transmission dynamics of COVID-19 in two Indian states

2020 ◽  
Author(s):  
Ramanan Laxminarayan ◽  
Brian Wahl ◽  
Shankar Reddy Dudala ◽  
K Gopal ◽  
Chandra Mohan ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Andhra Pradesh ◽  
Case Fatality ◽  
Control Measures ◽  
Contact Tracing ◽  
Primary Data ◽  
Indian States ◽  
Middle Income ◽  
Time To Death ◽  
Middle Income Countries

Although most COVID-19 cases have occurred in low-resource countries, there is scarce information on the epidemiology of the disease in such settings. Comprehensive SARS-CoV-2 testing and contact-tracing data from the Indian states of Tamil Nadu and Andhra Pradesh reveal stark contrasts from epidemics affecting high-income countries, with 92.1% of cases and 59.7% of deaths occurring among individuals <65 years old. The per-contact risk of infection is 9.0% (95% confidence interval: 7.5-10.5%) in the household and 2.6% (1.6-3.9%) in the community. Superspreading plays a prominent role in transmission, with 5.4% of cases accounting for 80% of infected contacts. The case-fatality ratio is 1.3% (1.0-1.6%), and median time-to-death is 5 days from testing. Primary data are urgently needed from low- and middle-income countries to guide locally-appropriate control measures.

scholarly journals Analysis of a Stochastic Optimal Control for Pension Funds and Application to Investments in Lower Middle-Income Countries

2020 ◽  
pp. 1-6
Author(s):  
Tolulope Latunde ◽  
Opeyemi Odunayo Esan ◽  
Joseph Oluwaseun Richard ◽  
Damilola Deborah Dare
Keyword(s):  
Programming Model ◽  
Model Simulation ◽  
Pension Plan ◽  
Pension Funds ◽  
Stochastic Dynamic ◽  
Middle Income ◽  
Risky Assets ◽  
Middle Income Countries ◽  
And Control

One of the major problems faced in the management of pension funds and plan is how to allocate and control the future flow of contribution likewise the proportion of portfolio value and investments in risky assets. This work considers the management of a pension plan by means of a stochastic dynamic programming model based on Merton's model. The model is analyzed such that the conditions of optimal contribution and investment in risky assets are determined and sensitized. The case study of Nigeria, Ghana, Kenya is considered for various periods in the model simulation. Thus, the volatility condition obtained is used to estimate the efficiency of some important parameters of the model.

scholarly journals The quality of and women’s satisfaction with maternal referral practices in Sub-Saharan African low and lower-middle income countries: A systematic review

2020 ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Carolyne Njue ◽  
Nguyen Toan Tran ◽  
Angela Dawson
Keyword(s):  
Systematic Review ◽  
Low Cost ◽  
Healthcare Providers ◽  
Neonatal Morbidity ◽  
Primary Data ◽  
Middle Income ◽  
Middle Income Countries ◽  
Referral Practices ◽  
Sub Saharan

Abstract Background: Sub-Saharan African Low and Lower-Middle Income Countries (SSA LLMICs have the highest burden of maternal and neonatal morbidity and mortality in the world. Timely and appropriate obstetric referral to a suitable health facility is a sign of effective health system. This paper presents the findings of a systematic review that aimed to identify what referral practices are delivered according to accepted standards for pregnant women and newborns in SSA LLMICs by competent healthcare providers and in line with the need and wishes of women. Methods: Six electronic databases were systematically searched for primary data studies (2009-2018) in English reporting on maternal referral practices and their effectiveness. We conducted a content analysis guided by a framework for assessing the quality of maternal referral. The articles defined quality referral as: the timely identification of signal functions, established guidelines or standards, adequate documentation, staff accompaniment and prompt care by competent healthcare providers at the receiving facility. Results: Seventeen articles were included in the study. Most studies were quantitative (n=11). Two studies reported that women were dissatisfied due to delays in referral processes that affected their health. Most of the articles (10) reported that women were not accompanied to higher levels of healthcare, delays in referral processes, transportation challenges and poor referral documentation. Some healthcare providers administered essential drugs such as misoprostol prior to referral. Conclusions: Efforts to improve maternal health in LLMICs should aim to enhance maternal healthcare providers’ ability to identify conditions that demand referral. Low cost transport is needed to mitigate transportation barriers of referral. To ensure quality maternal referral, mechanisms should be instituted for health managers at the district level to monitor and evaluate referral documentation, quality and efficiency of maternal referrals on regular basis.

scholarly journals The quality of and women’s satisfaction with maternal referral practices in Sub-Saharan African low and lower-middle income countries: A systematic review

2020 ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Carolyne Njue ◽  
Nguyen Toan Tran ◽  
Angela Dawson
Keyword(s):  
Systematic Review ◽  
Low Cost ◽  
Healthcare Providers ◽  
Neonatal Morbidity ◽  
Primary Data ◽  
Middle Income ◽  
Middle Income Countries ◽  
Referral Practices ◽  
Sub Saharan

Abstract Background: Sub-Saharan African Low and Lower-Middle Income Countries (SSA LLMICs have the highest burden of maternal and neonatal morbidity and mortality in the world. Timely and appropriate obstetric referral to a suitable health facility is a sign of effective health system. This paper presents the findings of a systematic review that aimed to identify what referral practices are delivered according to accepted standards for pregnant women and newborns in SSA LLMICs by competent healthcare providers and in line with the need and wishes of women. Methods: Six electronic databases were systematically searched for primary data studies (2009-2018) in English reporting on maternal referral practices and their effectiveness. We conducted a content analysis guided by a framework for assessing the quality of maternal referral. The articles defined quality referral as: the timely identification of signal functions, established guidelines or standards, adequate documentation, staff accompaniment and prompt care by competent healthcare providers at the receiving facility. Results: Seventeen articles were included in the study. Most studies were quantitative (n=11). Two studies reported that women were dissatisfied due to delays in referral processes that affected their health. Most of the articles (10) reported that women were not accompanied to higher levels of healthcare, delays in referral processes, transportation challenges and poor referral documentation. Some healthcare providers administered essential drugs such as misoprostol prior to referral. Conclusions: Efforts to improve maternal health in LLMICs should aim to enhance maternal healthcare providers’ ability to identify conditions that demand referral. Low cost transport is needed to mitigate transportation barriers of referral. To ensure quality maternal referral, mechanisms should be instituted for health managers at the district level to monitor and evaluate referral documentation, quality and efficiency of maternal referrals on regular basis.

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