Poverty, social exclusion and civic engagement

Author(s):  
Eldin Fahmy

Although political equality is a basic democratic principle, citizen participation in political and civic life remains highly unequal. This chapter sheds new light on social inequalities in political participation by examining the relationship between poverty and participation in political and civic life in the UK today. Whether using subjective measures, low income, deprivation, or the combined PSE approach, this chapter shows that poverty is associated with lower levels of participation in politics and lower levels of associational activity amongst UK adults. Civic and political participation is known to be strongly associated with positive perceptions of political efficacy. This chapter confirms these findings. Moreover, it shows that people experiencing poverty are also somewhat less positive about their ability to influence local decisions and political issues than better-off respondents. Taken together these findings point to the continued exclusion of people experiencing poverty from full participation in political and civic life. Beyond voting, political participation is an uncommon experience for many in the UK. Reducing inequalities in participation (including socio-economic inequalities that underpin them) should be prioritised in ensuring that rights to an equal say in political decisions are realised in practice.

Author(s):  
Albert Padrós

New Information and Communications Technologies (ICTs), in particular mobile phones, have proved effective in increasing participation of some sectors of the population in public affairs. ICT are helping to take government closer to the people, making it more transparent and responsive. However, little has been done to help citizens participate online throughout the policy cycle and even less to engage the most vulnerable communities in such processes in order to increase equity. This chapter presents the conceptual framework for e-participation in low- and middle-income neighborhoods, reviewing first the main features of traditional participation and later the strengths and weaknesses of e-participation. As with traditional participation mechanisms, e-participation can be effective if it increases political equality and therefore needs to help engage all social groups including the most vulnerable. However, ICTs can also be limiting and even backfire as they cannot replace a broader participatory process and an institutional design that needs to enhance political equality, avoid elite capture, count on expert opinion, and build on traditional methods of participation. This chapter ends by applying this framework to a slum-upgrading project in Mtwapa, Kenya. The Mtwapa e-participation platform is presented as a proposed institutional design in a low-income context that aims to facilitate an effective process through comprehensive and inexpensive ICT-enabled citizen participation.


Author(s):  
Albert Padrós

New Information and Communications Technologies (ICTs), in particular mobile phones, have proved effective in increasing participation of some sectors of the population in public affairs. ICT are helping to take government closer to the people, making it more transparent and responsive. However, little has been done to help citizens participate online throughout the policy cycle and even less to engage the most vulnerable communities in such processes in order to increase equity. This chapter presents the conceptual framework for e-participation in low- and middle-income neighborhoods, reviewing first the main features of traditional participation and later the strengths and weaknesses of e-participation. As with traditional participation mechanisms, e-participation can be effective if it increases political equality and therefore needs to help engage all social groups including the most vulnerable. However, ICTs can also be limiting and even backfire as they cannot replace a broader participatory process and an institutional design that needs to enhance political equality, avoid elite capture, count on expert opinion, and build on traditional methods of participation. This chapter ends by applying this framework to a slum-upgrading project in Mtwapa, Kenya. The Mtwapa e-participation platform is presented as a proposed institutional design in a low-income context that aims to facilitate an effective process through comprehensive and inexpensive ICT-enabled citizen participation.


2021 ◽  
pp. 1-20
Author(s):  
Fortunat Miarintsoa Andrianimanana ◽  
Carles Roca-Cuberes

Abstract This article analyses the political blogging of the Malagasy diaspora as part of their transnational political participation. It focuses on three aspects of the blogs: the most frequent topics addressed, how are the topics addressed, and the political bloggers. To do this, a Thematic Content Analysis based on four categories (‘soapboxes’, ‘transmission belts’, ‘conversation starters’ and ‘mobilisers’) of four of their most active and influential political blogs was conducted. The analysis revealed that (i) the blogs are mostly “soapboxes” that consist of commenting the political issues in Madagascar, (ii) their contents were mostly focused on the coup d’ état in 2009, and (iii) the bloggers are involved in direct political participation in parallel offline. This paper shows the role of the studied blogs as tribunes of opinions that gather a partisan audience discussing the Malagasy political issues, and as judgment tools contributing to the braking or fuelling of Madagascar’s international relations.


Author(s):  
Russell J. Dalton

This chapter summarizes the results of this study: changes in social structure and participation patterns are increasing social-status-based inequality in political participation. Those with higher educational levels, incomes, or occupation have greater political voice, while lower-status individuals are less politically involved. Moreover, the politically rich are getting richer, and the politically poor are getting poorer. The chapter then discusses the implications of these results. The chapter considers claims that participation erodes governance and some form of epistocracy (rule by the knowledgeable) is preferable. Cross-national analysis shows that well-governed democracies have high levels of citizen participation, including both conventional and contentious forms of action. In addition, the size of the SES participation gap is negatively related to good governance. The conclusion discusses ways that democracies might narrow the participation gap and give voice to those citizens who need government support.


2021 ◽  
pp. 1-10
Author(s):  
Camila S Ferreira ◽  
Catarina M Azeredo ◽  
Ana Elisa M Rinaldi

Abstract Objective: To analyse trends of social inequality in breastfeeding and infant formula (IF) use in Latin America between 1990 and 2010 decades. Design: Time-series cross-sectional study with data from Demographic and Health Surveys. We described the prevalence of exclusive breastfeeding (EBF), breastfeeding between 6 and 12 months (BF6-12) and IF for infants under 6 months (IF < 6) and between 6 and 12 months (IF6-12). Social inequalities were assessed using the slope index of inequality (SII) and concentration index (CIX). Trends in the prevalence of breastfeeding, IF and index of social inequality were analysed by a linear regression model with weighted least squares variance. Setting: Bolivia, Colombia, Dominican Republic, Guatemala, Haiti and Peru. Participants: 51·358 alive infants younger than 12 months. Results: Five countries showed an increasing trend for EBF and BF6-12, four increased for IF < 6 and six for IF6-12. Simultaneous decrease in IF < 6 (Colombia: −0·3/year; Haiti: −0·02/year) and increase in EBF (Colombia: +2·0/year; Haiti: +1·9/year) were observed only in two countries. EBF prevalence was high in the lowest income quintiles in five countries, and IF prevalence was high in the highest income quintiles in all countries and over the decades. For BF6-12, a decrease in inequality (prevalence increased in the highest quintile) was observed in Guatemala (SII1995 = −0·42; SII2015 = −0·28) and the Dominican Republic (SII1996 = −0·54; SII2013 = −0·26). Guatemala was the only country showing a decrease in inequality for BF (SII = −0·005; CIX = −0·0035) and an increase for IF (SII = 0·022; CIX = 0·01). Conclusions: The inequality in BF and IF remained over time. However, inequality in IF < 6 has decreased because low-income infants have increased use and high-income infants have decreased.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e041599 ◽  
Author(s):  
Mary McCauley ◽  
Joanna Raven ◽  
Nynke van den Broek

ObjectiveTo assess the experience and impact of medical volunteers who facilitated training workshops for healthcare providers in maternal and newborn emergency care in 13 countries.SettingsBangladesh, Ghana, India, Kenya, Malawi, Namibia, Nigeria, Pakistan, Sierra Leone, South Africa, Tanzania, UK and Zimbabwe.ParticipantsMedical volunteers from the UK (n=162) and from low-income and middle-income countries (LMIC) (n=138).Outcome measuresExpectations, experience, views, personal and professional impact of the experience of volunteering on medical volunteers based in the UK and in LMIC.ResultsUK-based medical volunteers (n=38) were interviewed using focus group discussions (n=12) and key informant interviews (n=26). 262 volunteers (UK-based n=124 (47.3%), and LMIC-based n=138 (52.7%)) responded to the online survey (62% response rate), covering 506 volunteering episodes. UK-based medical volunteers were motivated by altruism, and perceived volunteering as a valuable opportunity to develop their skills in leadership, teaching and communication, skills reported to be transferable to their home workplace. Medical volunteers based in the UK and in LMIC (n=244) reported increased confidence (98%, n=239); improved teamwork (95%, n=232); strengthened leadership skills (90%, n=220); and reported that volunteering had a positive impact for the host country (96%, n=234) and healthcare providers trained (99%, n=241); formed sustainable partnerships (97%, n=237); promoted multidisciplinary team working (98%, n=239); and was a good use of resources (98%, n=239). Medical volunteers based in LMIC reported higher satisfaction scores than those from the UK with regards to impact on personal and professional development.ConclusionHealthcare providers from the UK and LMIC are highly motivated to volunteer to increase local healthcare providers’ knowledge and skills in low-resource settings. Further research is necessary to understand the experiences of local partners and communities regarding how the impact of international medical volunteering can be mutually beneficial and sustainable with measurable outcomes.


Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 94
Author(s):  
Carolyn Tarrant ◽  
Andrew M. Colman ◽  
David R. Jenkins ◽  
Edmund Chattoe-Brown ◽  
Nelun Perera ◽  
...  

Antimicrobial stewardship programs focus on reducing overuse of broad-spectrum antibiotics (BSAs), primarily through interventions to change prescribing behavior. This study aims to identify multi-level influences on BSA overuse across diverse high and low income, and public and private, healthcare contexts. Semi-structured interviews were conducted with 46 prescribers from hospitals in the UK, Sri Lanka, and South Africa, including public and private providers. Interviews explored decision making about prescribing BSAs, drivers of the use of BSAs, and benefits of BSAs to various stakeholders, and were analyzed using a constant comparative approach. Analysis identified drivers of BSA overuse at the individual, social and structural levels. Structural drivers of overuse varied significantly across contexts and included: system-level factors generating tensions with stewardship goals; limited material resources within hospitals; and patient poverty, lack of infrastructure and resources in local communities. Antimicrobial stewardship needs to encompass efforts to reduce the reliance on BSAs as a solution to context-specific structural conditions.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Nana O. Bonsu

AbstractThe UK Plan for a Green Industrial Revolution aims to ban petrol and diesel cars by 2030 and transition to electric vehicles (EVs). Current business models for EV ownership and the transition to net-net zero emissions are not working for households in the lowest income brackets. However, low-income communities bear the brunt of environmental and health illnesses from transport air pollution caused by those living in relatively more affluent areas. Importantly, achieving equitable EV ownership amongst low-and middle-income households and driving policy goals towards environmental injustice of air pollution and net-zero emissions would require responsible and circular business models. Such consumer-focused business models address an EV subscription via low-income household tax rebates, an EV battery value-chain circularity, locally-driven new battery technological development, including EV manufacturing tax rebates and socially innovative mechanisms. This brief communication emphasises that consumer-led business models following net-zero emission vehicles shift and decisions must ensure positive-sum outcomes. And must focus not only on profits and competitiveness but also on people, planet, prosperity and partnership co-benefits.


Author(s):  
Geoffrey Meen ◽  
Christine Whitehead

Affordability is, perhaps, the greatest housing problem facing households today, both in the UK and internationally. Even though most households are now well housed, hardship is disproportionately concentrated among low-income and younger households. Our failure to deal with their problems is what makes housing so frustrating. But, to improve outcomes, we have to understand the complex economic and political forces which underlie their continued prevalence. There are no costless solutions, but there are new policy directions that can be explored in addition to those that have dominated in recent years. The first, analytic, part of the book considers the factors that determine house prices and rents, household formation and tenure, housing construction and the roles played by housing finance and taxation. The second part turns to examine the impact of past policy and the possibilities for improvement - discussing supply and the impact of planning regulation, supply subsidies, subsidies to low-income tenants and attempts to increase home ownership. Rather than advocating a particular set of policies, the aim is to consider the balance of policies; the constraints under which housing policy operates; what can realistically be achieved; the structural changes that would need to occur; and the significant sacrifices that would have to be made by some groups if there are to be improvements for others. Our emphasis is on the UK but throughout the book we also draw on international experience and our conclusions have relevance to analysts and policy makers across the developed world.


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