2020 Annual trends and outlook report: Sustaining Africa's agrifood system transformation: The role of public policies: Synopsis

Purpose To further our insight into the role of networks in health system reform, the purpose of this paper is to investigate how one agency, the NSW Agency for Clinical Innovation (ACI), and the multiple networks and enabling resources that it encompasses, govern, manage and extend the potential of networks for healthcare practice improvement. Design/methodology/approach This is a case study investigation which took place over ten months through the first author’s participation in network activities and discussions with the agency’s staff about their main objectives, challenges and achievements, and with selected services around the state of New South Wales to understand the agency’s implementation and large system transformation activities. Findings The paper demonstrates that ACI accommodates multiple networks whose oversight structures, self-organisation and systems change approaches combined in dynamic ways, effectively yield a diversity of network governances. Further, ACI bears out a paradox of “centralised decentralisation”, co-locating agents of innovation with networks of implementation and evaluation expertise. This arrangement strengthens and legitimates the role of the strategic hybrid – the healthcare professional in pursuit of change and improvement, and enhances their influence and impact on the wider system. Research limitations/implications While focussing the case study on one agency only, this study is unique as it highlights inter-network connections. Contributing to the literature on network governance, this paper identifies ACI as a “network of networks” through which resources, expectations and stakeholder dynamics are dynamically and flexibly mediated and enhanced. Practical implications The co-location of and dynamic interaction among clinical networks may create synergies among networks, nurture “strategic hybrids”, and enhance the impact of network activities on health system reform. Social implications Network governance requires more from network members than participation in a single network, as it involves health service professionals and consumers in a multi-network dynamic. This dynamic requires deliberations and collaborations to be flexible, and it increasingly positions members as “strategic hybrids” – people who have moved on from singular taken-as-given stances and identities, towards hybrid positionings and flexible perspectives. Originality/value This paper is novel in that it identifies a critical feature of health service reform and large system transformation: network governance is empowered through the dynamic co-location of and collaboration among healthcare networks, particularly when complemented with “enabler” teams of people specialising in programme implementation and evaluation.

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The French system of innovation in the oil industry some lessons about the role of public policies and sectoral patterns of technological change in innovation networking

Research Policy ◽

10.1016/s0048-7333(96)00907-9 ◽

1997 ◽

Vol 25 (8) ◽

pp. 1243-1259 ◽

Cited By ~ 12

Author(s):

André Furtado

Keyword(s):

Technological Change ◽

Public Policies ◽

Oil Industry

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Infrastructure Investment: Links to Growth and the Role of Public Policies

SSRN Electronic Journal ◽

10.2139/ssrn.1360870 ◽

2009 ◽

Cited By ~ 11

Author(s):

Douglas Sutherland ◽

Sonia Araujo ◽

Balázs Égert ◽

Tomasz J. Kozluk

Keyword(s):

Public Policies ◽

Infrastructure Investment

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Lei da Compostagem e Participação Social: Etnografando políticas públicas em Florianópolis/SC

ILUMINURAS ◽

10.22456/1984-1191.106896 ◽

2021 ◽

Vol 21 (55) ◽

Author(s):

Rianna De Carvalho Feitosa ◽

Maristela Oliveira de Andrade

Keyword(s):

Waste Management ◽

Municipal Solid Waste ◽

Solid Waste ◽

Social Participation ◽

Solid Waste Management ◽

Public Policies ◽

Environmental Policies ◽

Municipal Solid Waste Management ◽

Descriptive Research

Resumo: Neste artigo buscamos compreender o papel da participação social na construção de políticas públicas relacionadas à gestão de resíduos sólidos urbanos (RSU). Fazemos isso a partir da análise do contexto de aprovação de uma lei pioneira no Brasil, que ficou conhecida como Lei da Compostagem (2019), pelo município de Florianópolis/SC. Realizamos pesquisa qualitativa e descritiva, com uma etapa documental e outra etnográfica. Primeiramente, sistematizamos um quadro histórico-político das relações da cidade com o lixo, apontando a sucessão de políticas e ações que reflete na forma como os RSU são geridos no município. Em seguida, apresentamos resultados da pesquisa etnográfica feita a partir da observação de duas sessões plenárias nas quais ocorreram as votações do Projeto de Lei 17.506/2018, conhecido como PL da Compostagem. Buscamos demonstrar a importância da participação social na aprovação dessa lei, capaz de trazer avanços significativos em relação à gestão de resíduos no município e no país.Palavras-chave: Resíduos sólidos urbanos. Compostagem. Políticas ambientais. Participação social. COMPOSTING LAW AND SOCIAL PARTICIPATION: ETHNOGRAPHY OF PUBLIC POLICIES IN FLORIANÓPOLIS / SC Abstract: This paper aims to understand the role of social participation in the construction of public policies related to municipal solid waste management (MSWM). We do this by analyzing the context of approval of a pioneering law in Brazil, which became known as the Composting Law (2019), by the municipality of Florianópolis/SC. We conducted qualitative and descriptive research, with a documentary and an ethnographic stage. Initially, we systematized a historical-political framework of the city's relationship with waste, pointing the succession of policies and actions that reflected in how the MSW are managed in the municipality. Thereafter, we present results of the ethnographic research conducted from the observation of two plenary sessions, situations in which voting of PL (Bill) 17.506/2018, known as Composting Bill, took place. We aim to demonstrate the importance of social participation in the approval of this law, capable of bringing significant advances in relation to waste management in the municipality and in the country.Keywords: Municipal solid waste. Composting. Environmental policies. Social participation.

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Mulheres negras vivendo com hiv: políticas públicas

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240251 ◽

2019 ◽

Vol 13 ◽

Author(s):

Mônica Alice Santos da Silva ◽

Francisco Stélio De Souza ◽

Rosilene Santos Baptista ◽

Evelyn Maria Braga Quirino ◽

César De Andrade De Lima ◽

...

Keyword(s):

Black Women ◽

Public Policies ◽

Virtual Library ◽

Access To Health Services ◽

Women Living With Hiv ◽

Access To Health ◽

Las Mujeres ◽

Study Type ◽

Living With Hiv

Objetivo: identificar os avanços e desafios das políticas públicas destinadas às mulheres negras vivendo com HIV. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa. Realizaram-se as buscas nas bases de dados LILACS, BDENF, IBECS, MEDLINE e na Biblioteca Virtual SciELO. Compôs-se a amostra por 18 artigos avaliados pelo instrumento CASP e classificados de acordo com os níveis de evidência. Apresentaram-se os resultados em forma de figuras e tabela. Resultados: informa-se que, na análise das 18 publicações encontradas, 11 (61,1%) estavam na base de dados LILACS; 6 (33,3%), na Biblioteca Virtual SciELO e 1 (5,55%), na BDENF. Emergiram-se, da análise temática dos artigos, duas categorias: vulnerabilidade e o racismo institucional como fatores que dificultam o acesso aos serviços de saúde e comprometem a assistência às mulheres que vivem com HIV, sendo os fatores de preservação da epidemia nesta população. Conclusão: evidenciaram-se fragilidades no aspecto das contribuições das políticas públicas na mudança de paradigmas sociais antigos atrelados ao HIV, fato confirmado pelo papel de destaque da vulnerabilidade como protagonista da realidade vivenciada pelas mulheres negras. Descritores: Grupos Étnicos; Políticas Públicas; Mulheres; HIV; Vulnerabilidade em Saúde; Racismo; Saúde da Mulher.ABSTRACTObjective: to identify the advances and challenges of public policies aimed at black women living with HIV. Method: this is a bibliographical study, type integrative review. We searched the databases LILACS, BDENF, IBECS, MEDLINE and the SciELO Virtual Library. The sample was composed by 18 articles evaluated by the CASP instrument and classified according to the levels of evidence. Results were presented in the form of figures and tables. Results: it is reported that, in the analysis of the 18 publications found, 11 (61.1%) were in the LILACS database; 6 (33.3%), in the SciELO Virtual Library and 1 (5.55%), in the BDENF. Two categories emerged from the thematic analysis of the article: vulnerability and institutional racism as factors that hinder access to health services and compromise the care of women living with HIV, being the factors that preserve the epidemic in this population. Conclusion: weaknesses in the aspect of the contributions of public policies in the change of old social paradigms linked to HIV have been evidenced, a fact confirmed by the prominent role of vulnerability as protagonist of the reality experienced by black women. Descriptors: Ethnic Groups; Public Policy; Women; HIV; Population Vulnerable; Racism; Women´s Health.RESUMENObjetivo: identificar los avances y desafíos de las políticas públicas dirigidas a las mujeres negras que viven con el VIH. Método: se trata de un estudio bibliográfico, tipo revisión integrativa. Se realizaron busquedas en las bases de datos LILACS, BDENF, IBECS, MEDLINE y la Biblioteca Virtual SciELO. La muestra estuvo compuesta por 18 artículos evaluados por el instrumento CASP y clasificados según los niveles de evidencia. Los resultados se presentaron en forma de figuras y tablas. Resultados: se informa que, en el análisis de las 18 publicaciones encontradas, 11 (61.1%) se encontraban en la base de datos LILACS; 6 (33.3%), en la Biblioteca Virtual SciELO y 1 (5.55%), en la BDENF. Del análisis temático del artículo surgieron dos categorías: la vulnerabilidad y el racismo institucional como factores que dificultan el acceso a los servicios de salud y comprometen la atención de las mujeres que viven con el VIH, siendo los factores que preservan la epidemia en esta población. Conclusión: Se evidenciaron debilidades en el aspecto de las contribuciones de las políticas públicas, a cambio de paradigmas sociales antigos, vinculados al VIH, un hecho confirmado por el papel de destaque de la vulnerabilidad como protagonista de la realidad experimentada por las mujeres negras. Descriptores: Grupo Étnico; Políticas Públicas; Mujeres; VIH; Vulnerabilidad em Salud; Racismo; Salud de la Mujer.

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