Keeping afloat: a case study tracing the emergence of drowning prevention as a health issue in Bangladesh 1999–2017

2020 ◽  
pp. injuryprev-2020-043720
Author(s):  
Madeleine Dodd ◽  
Anthony Zwi ◽  
Aminur Rahman ◽  
Fazlul Kader Chowdhury ◽  
Rebecca Q Ivers ◽  
...  

BackgroundDrowning is a leading cause of child death in Bangladesh. The present study investigated the emergence of drowning reduction as a priority within Bangladesh and the position it currently holds on the national policy agenda.MethodsThis case study documents the evolution of policy responses to drowning, reporting on data from semistructured interviews and a document analysis. To identify key factors that have facilitated the prioritisation of drowning prevention, data were synthesised using Shiffman and Smith’s 2007 Policy Prioritisation Framework. Furthermore, an inductive approach was used to identify key themes unique to drowning prevention that were not embedded in the framework.ResultsFour key phases of policy development for drowning prevention were distinguishable: (1) identification of issue and the emergence of actor support; (2) enhanced leadership and the accumulation of issue characteristics; (3) the formation of an internal frame and its impact on global support; and (4) enhanced national recognition and supportive global normative factors. Four additional themes unique to the case of drowning were also identified: competing health priorities, limited issue awareness, shift of disease burden to non-communicable diseases and the multisectoral nature of drowning.ConclusionThis study demonstrates that the level of political prioritisation given to drowning prevention has evolved over the last decade and a half. A comprehensive understanding of factors that have elevated the issue onto the policy agenda will ensure future stakeholder engagement activities can be designed to foster deeper and more sustained commitment by key actors and organisations.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Margaret Bancerz

PurposeThis paper analyzes scholarly literature and the development of a nonstate food strategy in Canada, the Conference Board of Canada's Canadian Food Strategy, to explore the role of the administrative state in food policymaking.Design/methodology/approachThis research is based on an exploratory case study drawing data from 38 semistructured interviews, including elite interviews. It also draws on policy documents from the nonstate food strategy.FindingsThis paper shows that various nonstate actors, including large food industry players, identify a role for the state in food policy in two ways: as a “conductor,” playing a managing role in the food policy process, and as a “commander,” taking control of policy development and involving nonstate actors when necessary. The complex and wicked aspects of food policy require the administrative state's involvement in food policymaking, while tamer aspects of food policy may be less state-centric.Originality/valueThis paper fills gaps in studies exploring food policymaking processes as well as the administrative state's role in food policymaking in a governance era. It contributes to a better understanding of the state's role in complex and wicked policy domains.


2022 ◽  
Vol 129 ◽  
pp. 1-11
Author(s):  
Elena Di Pirro ◽  
Lorenzo Sallustio ◽  
Gregorio Sgrigna ◽  
Marco Marchetti ◽  
Bruno Lasserre

2019 ◽  
Vol 46 (4) ◽  
pp. 504-517 ◽  
Author(s):  
Luisa F Ramirez ◽  
Brian M Belcher

Abstract There is a need to better understand how scientific knowledge is used in decision-making. This is especially true in the Global South where policy processes often occur under high political uncertainty and where a shift toward multilevel governance and decision-making brings new opportunities and challenges. This study applies knowledge-policy models to analyse a forestry research project that succeeded in influencing national policy-making. We investigate how decisions were made, what factors affected and shaped the policy process, and how scientific knowledge was used. The results highlight the complexity of policy processes and the related challenges in crossing the science-policy interface. Perceptions of scientific knowledge differed greatly among stakeholders, and those perceptions strongly influenced how scientific knowledge was valued and used. The findings suggest a need for researchers to better understand the problem context to help design and implement research that will more effectively inform decision-making.


2020 ◽  
Vol 29 (4) ◽  
pp. 2049-2067
Author(s):  
Karmen L. Porter ◽  
Janna B. Oetting ◽  
Loretta Pecchioni

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.


Context: Surgical specialists have unique considerations when selecting and using electronic health records (EHRs). Aim: We sought to identify key factors and considerations during system selection and implementation for the surgical subspecialist. Case study: Insights from system selection and implementation for a start-up plastic surgery private practice were used to inform a broader set of principles for surgical subspecialists in private practice selecting and using EHRs. What can be learned: The nature of the provider-patient relationship is episodic and such as maintaining inventory, managing images, annotating images, documenting and billing in-office procedures, and integration of cash-based and insurance payment. Conclusion: Surgeons in private practice and as part of larger institutions can use insights from this case study to inform their own efforts in system selection and optimization for ongoing use.


2020 ◽  
Vol 24 (2) ◽  
pp. 375-387
Author(s):  
Jenni Mikkonen ◽  
Ira Lahovuo

Prior studies have recognized the importance of events in destination branding, but the focus has been on the roles of mega-events or sport events, while smaller cultural and freetime events have received far less attention. The stakeholder involvement in destination branding has also been attracting interest lately by many researchers, but there is lack of knowledge on how to utilize events in the branding processes. This study aims to fill the research gap through a case study in the South Savo region, eastern Finland. The purpose of this study is to examine the roles events have in destination branding, and how events are involved in cocreating the destination brand. The empirical data were collected through 13 semistructured interviews of event organizers and local tourism developers. The study identified four different roles and several involvement methods. The findings revealed the importance and potential of organized events in the branding, but it also revealed that they are not yet effectively utilized at the destination. However, there is a consensus about the importance of stakeholder involvement and a common will towards involving events in the branding process. The findings of this study can be utilized by tourism developers and stakeholders to improve destination branding processes.


Author(s):  
Scott Burris ◽  
Micah L. Berman ◽  
Matthew Penn, and ◽  
Tara Ramanathan Holiday

Chapter 5 discusses the use of epidemiology to identify the source of public health problems and inform policymaking. It uses a case study to illustrate how researchers, policymakers, and practitioners detect diseases, identify their sources, determine the extent of an outbreak, and prevent new infections. The chapter also defines key measures in epidemiology that can indicate public health priorities, including morbidity and mortality, years of potential life lost, and measures of lifetime impacts, including disability-adjusted life years and quality-adjusted life years. Finally, the chapter reviews epidemiological study designs, differentiating between experimental and observational studies, to show how to interpret data and identify limitations.


Author(s):  
Donald Houston ◽  
Georgiana Varna ◽  
Iain Docherty

Abstract The concept of ‘inclusive growth’ (IG) is discussed in a political economy framework. The article reports comparative analysis of economic and planning policy documents from Scotland, England and the UK and findings from expert workshops held in Scotland, which identify four key policy areas for ‘inclusive growth’: skills, transport and housing for young people; city-regional governance; childcare; and place-making. These policies share with the ‘Foundational Economy’ an emphasis on everyday infrastructure and services, but add an emphasis on inter-generational justice and stress the importance of community empowerment as much as re-municipalisation. Factors enabling IG policy development include: the necessary political powers; a unifying political discourse and civic institutions; and inclusive governance and participatory democracy.


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