scholarly journals Stuck with the car and all its harms? A public health approach to the political economy of the status quo

2021 ◽  
Author(s):  
Alex Macmillan ◽  
Katharine Cresswell Riol ◽  
Kirsty Wild

@font-face{font-family:"Cambria Math";panose-1:2 4 5 3 5 4 6 3 2 4;mso-font-charset:0;mso-generic-font-family:roman;mso-font-pitch:variable;mso-font-signature:3 0 0 0 1 0;}@font-face{font-family:Calibri;panose-1:2 15 5 2 2 2 4 3 2 4;mso-font-charset:0;mso-generic-font-family:swiss;mso-font-pitch:variable;mso-font-signature:-536859905 -1073732485 9 0 511 0;}p.MsoNormal, li.MsoNormal, div.MsoNormal{mso-style-unhide:no;mso-style-qformat:yes;mso-style-parent:"";margin:0cm;mso-pagination:widow-orphan;font-size:12.0pt;font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri;mso-ansi-language:EN-GB;}.MsoChpDefault{mso-style-type:export-only;mso-default-props:yes;font-family:"Calibri",sans-serif;mso-ascii-font-family:Calibri;mso-fareast-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:Calibri;mso-ansi-language:EN-GB;}div.WordSection1{page:WordSection1Despite the importance of a transition from car use to more active and public transport and an adequate knowledge base for taking action, the pace and scale of change globally has been inadequate to protect health, particularly from the effects of climate change.  While the active transport research agenda has rightly broadened beyond behaviour change to include wider physical environments (infrastructure), in most jurisdictions this has not translated into major shifts in investment. We argue that the politics and macroeconomics of the status quo of automobility, act as major barriers to mode shift, and remain under-researched. Building on previous political economy and public health research, and using Aotearoa New Zealand as a case study, we tease out the mechanisms by which the politics and economics of the status quo affect what is experienced on the ground. From there, we suggest a research agenda that could be used to increase our understanding globally of the barriers to active travel transitions. We propose that the time is ripe for this action-focused research, but also for immediate action building on lessons learnt from public health’s history with addressing barriers to healthy public policy, such as reducing tobacco harm.

Author(s):  
Raghvendra Gumashta

Background: The multi-dimensional perspectives of evidence based public health strategic approaches necessitates use of efficient analytical tools towards decision making for project and programmatic interventions on a larger framework of policy, behavior and resource utilization.Methods: Respondent driven sampling (RDS) was obtained through discussion, interview and participation in the status assessment questionnaire devised for the study.Results: Lack of new initiatives supported by non-dissemination of findings of research (75%), difficult logistics management (67.39%), unaddressed training needs (46.67%), lessons learnt remaining untransformed into actionable inputs (82.60%) and less emphasis on monitoring cum evaluation (44.56%) is observed respectively while assessing quality adherence, program design, vision statement and choices of public health approaches.Conclusions: ‘Comprehensive Management and Monitoring Approach’ is found to be the best public health approach for project design, formulation, plan extension, implementation, monitoring, evaluation and revision thereby necessitating targeted interventions through well managed technical cum financial inputs. 


Author(s):  
Hannah C. M. Bulloch

This chapter focuses on development as a “civic project.” It explores local symbols of orchestrated community-wide development, including infrastructure, ceremony and signage. The chapter argues that a defining feature of such symbols is a concern with development as a performative display. Tied as they are to clientelist politics, local government-led development initiatives are largely about “branding” both projects and people in their patron’s name, (re)producing webs of utang kabubut-on(debt of obligation), intended to reinforce the status quo. Entangled in this local political economy of development, are international bilateral and multilateral agencies, equipped with the latest international development orthodoxy and a remit to work in “partnership” with the local government. The incommensurability of these approaches is revealed when “partnership” morphs into a system of largely separate and parallel structures for implementing local development.


2020 ◽  
pp. e1-e8
Author(s):  
Michael Harvey

The “political economy of health” is concerned with how political and economic domains interact and shape individual and population health outcomes. However, the term is variously defined in the public health, medical, and social science literatures. This could result in confusion about the term and its associated tradition, thereby constituting a barrier to its application in public health research and practice. To address these issues, I survey the political economy of health tradition, clarify its specifically Marxian theoretical legacy, and discuss its relevance to understanding and addressing public health issues. I conclude by discussing the benefits of employing critical theories of race and racism with Marxian political economy to better understand the roles of class exploitation and racial oppression in epidemiological patterning. (Am J Public Health. Published online ahead of print December 22, 2020:e1–e8. https://doi.org/10.2105/AJPH.2020.305996 )


Organization ◽  
2011 ◽  
Vol 18 (2) ◽  
pp. 187-214 ◽  
Author(s):  
Suhaib Riaz ◽  
Sean Buchanan ◽  
Hari Bapuji

We draw on the institutional work literature to analyse the rhetoric in mainstream media spawned by the global financial crisis. We identify the emerging positions (status quo, neutral and change) of actors on major themes (policy, practices, recovery and regulation) related to the crisis and the rhetorical processes used (appeals to expert authority, finding someone to blame, use of scenarios, and avoidance of critical discussion) to communicate these positions. We find that academics lead the charge for change in policy, relying mostly on rhetorical processes that involve the use of past scenarios and blame, but also often avoid critical discussion through over-generalization. In contrast, banks focus on changes in practices, mostly using future scenarios, finding specific others to blame, and also appealing to expert authority. The US Federal Reserve takes the lead on maintaining the status quo on regulation-related issues, largely through using various scenarios and appeals to expert authority. We also find a large number of neutral positions and interpret this as tacit support for existing institutions. We conclude by charting out a broader research agenda for further investigation of the actors-institutions interplay, particularly within the context of the financial crisis.


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