scholarly journals Citizens Committees and Local Elites: Elite Capture, Captured Elites, and Absent Elites in Health Facility Committees

Author(s):  
Jean-Benoit Falisse ◽  
Hugues Nkengurutse

AbstractMainstream development policies often promote citizens committees to oversee basic social services. Such committees require influence over, and legitimacy among, service providers and citizens to perform their roles, which local elites can help or hinder. Using a mixed-methods approach, we analyse the situation in 251 health facility committees in Burundi, part of which benefited from interventions designed to bolster their relationship with local leaders. Interviews and focus groups reveal that leaders’ support is essential for committees to access citizens and work with nurses, but the failure of the interventions show it is hard to nurture. The local socio-political elites (politicians, faith leaders) bypass and ignore the committees. In a ‘fragile’ context such as Burundi’s, the lack of political elite capture attempt suggests a largely vacuous committee system. The committees remain a façade participatory institution. Understanding and engaging with local everyday local politics is crucial for committee-based development approaches.

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Suhardiman Syamsu ◽  
Reksa Burhan ◽  
Ade Irma Surani Haliq

AbstractThe regional expansion of the Luwu Raya becomes campaign issue in the election for governor in South Sulawesi. Based on theory, regional expansion is an implementation of the transition of government from centralization to decentralization. Decentralization is a new chapter for the implementation of regional governance in Indonesia. This view believes that the ongoing transition will accelerate regional expansion, which in turn will contribute significantly to the performance of government in the regions. However, this study has a different opinion. The practice of decentralization does not easily support the regional expansion. Researchers focus on the relationship between elites and explore the dynamics between local elites in the discourse of regional expansion. This research took place in Luwu, South Sulawesi using a qualitative approach. The method of data collection was done through direct observation and interviews. Local leaders and elites who were involved either directly or indirectly became key informants. In addition, the data obtained from this study also comes from official government documents and reports, such as BPS periodical reports and official reports that have been released by several agencies. This article found that the planning for regional expansion was actually complicated after the transition of government administration. The practice of decentralization has not only changed the administrative implementation but also arrange political reforms that impact on the implementation of local politics. This research finds the phenomenon of the competition of political influence in electoral vote districts as a manifestation of local political practices that are intertwined with the issue of regional expansion.


2018 ◽  
Vol 52 (1) ◽  
pp. 50-59
Author(s):  
Silvia Barnová ◽  
Viola Tamášová

Abstract Introduction: A certain degree of stress is present in everyone’s life and young people are not an exception. Most of them show a certain degree of resilience and can cope with stressful situations without any difficulties, however there is a group of youth who live in toxic environments and need help. If there is a risk of failure due to the intensity of stressors; external formal and informal support have a great role to play as they have the potential to prevent negative developmental outcomes. Purpose: The authors’ intention was to make a review of available literature on the current issues of resilience research with a focus on the importance of protective factors in young people’s lives – especially when they are exposed to adversity. An emphasis is placed on the vital role of social support to individuals provided by schools as well as social services. Methods: In the presented literature review, multiple formal search methods including hand searching of key journals; electronic searching of journal databases and subject specific websites; reference scanning; and citation tracking were used. Conclusion: Individuals commonly demonstrate some level of resilience, yet most of them are able to deal with stressful situations without any harm. On the other hand, if the adversity is too high, the presence of social support provided by their social environment is important. In this context, good relationships in general and sufficient external protective factors provided by their social environment (schools, school psychologists, institutional social and health service providers) are important.


2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Dion ◽  
Aime Klevor ◽  
Amy Nakajima ◽  
Neil Andersson

Abstract Purpose This study describes an interdiscursive evidence-based priority setting process with pregnant and parenting adolescents and their services providers. Methods A mixed methods literature review identified studies reporting on perinatal outcomes and experiences of adolescents during pregnancy to 12 months post-partum published in Canada after 2000. We also calculated relative risks for common perinatal risk factors and outcomes for adolescents compared to adult populations from 2012 to 2017 based on data from a provincial database of maternal and newborn outcomes. Two trained peer researchers identified outcomes most relevant to their peers. We shared syntheses results with four service providers and 13 adolescent mothers accessing services at a community service organization, who identified and prioritized their areas of concern. We repeated the process for the identified priority issue and expanded upon it through semi-structured interviews. Results Adolescent mothers face higher rates of poverty, abuse, anxiety and depression than do adult mothers. Adolescents prioritized the experience of judgment in perinatal health and social services, particularly as it contributed to them being identified as a child protection risk. Secondary priorities included loss of social support and inaccessibility of community resources. The experience of judgment in adolescent perinatal health literature was summarized around: being invisible, seen as incapable and seen as a risk. Adolescent mothers adapted these categories, emphasizing organizational and social barriers. Conclusions Young marginalized women are disproportionately affected by inequities in perinatal outcomes, yet their perspectives are rarely centered in efforts to address these inequities. This research addresses health inequities by presenting a robust, transparent and participatory approach to priority setting as a way to better represent the perspectives of those who carry the greatest burden of health inequities in evidence syntheses. In our work, marginalized adolescent parents adapted published literature around the experience and consequences of social stigma on perinatal outcomes, shifting our understanding of root causes and possible solutions.


Author(s):  
Vivi Alatas ◽  
Abhijit V. Banerjee ◽  
Rema Hanna ◽  
Benjamin A. Olken ◽  
Ririn Purnamasari ◽  
...  

2021 ◽  
Author(s):  
Felisha K. Khan

The aim of this study was to critically explore the strengths, limitations, barriers and gaps in social services within the CAF in relation to delivery, access and uptake of social services while employed in the CAF. The study provided CAF members an opportunity to express their thoughts, ideas and opinions based on their lived experiences, and to explore creative responses and solutions to issues members face with social services in the CAF. Presented are the findings from data collected through semi-structured, in-depth interviews with recently released CAF members. Themes that emerged from the research captured the lived experiences of the participants and were related to: differences between components (Regular Force vs. Reserve Force), perceived need and its effect on utilization of services, significant improvements in services post 9/11 and Afghanistan, organizational and systemic influence, impact of service providers, and better promotion of social services to the greater CAF community.


2021 ◽  
Vol 31 (2) ◽  
pp. 167
Author(s):  
Tito Handoko ◽  
Mega Hidayati ◽  
Muhammad Azhar ◽  
Abdul Munir Mulkan ◽  
M . Rafi ◽  
...  

This article aims to analyze the relationship between the teacher and the congregation of the Naqsabandiyah in local political action and their relationship with local political elites. This study uses a qualitative approach that aims to interpret a case that will be carefully examined and analyzed using periodic descriptive analysis methods. The results of this study indicate that the pattern of relations between teachers and congregation of the Naqsabandiyah groups in local political action in Rokan Hulu Regency tends to be more accommodating to the authorities, where the political orientation of this group has undergone a transition from traditional to rational action with its own political choices. Then, the relationship between the group and local political elites in socio-religious practices has confirmed the existence of a very strong religious and political relationship, where the Naqsabandiyah sees Achmad (local political elite) as a group representation traced from the existence of kinship ties.


2015 ◽  
Vol 9 ◽  
pp. 224-236
Author(s):  
Shiva Subedi

Government of Nepal has introduced Free Health Care Policy (FHCP) through different tiers of health delivery system in 2007. With the objective of understanding the perspectives of community stakeholders, health service providers, and the services users towards free care policy, a qualitative-quantitative study was conducted in selected communities of Myagdi district from December 2010 to January 2011. Although the majority of user group thought that free care service is good but only two-third of them had received free care. Shortage of free essential drugs at health facility centers, absence of health workers   and lack of clear information about free services or counseling on free services available at health facility centers are the most repeated issues raised by the service users. Similarly, the service providers had similar experiences and perceptions on FHCP. The majority of the community stakeholders also had positive perception on this implemented policy. They have observed that many facilities had shortage of drugs and people are not having free health care. Many health facilities lacked interaction on FHCP, and service users did not have equitable access to the services provided. Overall, though the free care was perceived to be good policy, its satisfactory implementation remains one of the challenges. Many of the areas relating to service delivery need to be strengthened. A reliable supply system of drugs and its regular monitoring mechanism can ensure the effective implementation of free health care services.


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