scholarly journals Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy

Author(s):  
Marina Zannella ◽  
Andrea Principi ◽  
Davide Lucantoni ◽  
Francesco Barbabella ◽  
Mirko Di Rosa ◽  
...  

While active ageing has emerged as a main strategy to address the challenges of population ageing in Europe, recent research has stressed the need to increase knowledge on within-country differences to promote active ageing through appropriate policy responses. This article draws on the Active Ageing Index (AAI) to capture recent trends in active ageing in Italy with a focus on sub-national diversity. To this end, we compute AAI breakdowns by region separately for men and women for four different years: 2007, 2009, 2012 and 2018. Then, we use linear regression to describe the geographical and sex-specific patterns of change in the AAI over the considered period. The results demonstrate the diversity of regional outcomes and trends in the active ageing of Italian men and women, indicating that the widening geographic gap deserves further consideration by national and regional authorities in designing and implementing active ageing policies. By showing the persistence of disparities in the value of the indicator to the disadvantage of women, results also suggest the need to further integrate both the gender dimension and the life-cycle perspective into active ageing strategies. This article provides an example of how the AAI can be used as a practical tool by policy makers to monitor active ageing trends and outcomes at the sub-national level, and to identify target areas that require further action.

Author(s):  
Cathie Martin ◽  
Tom Chevalier

Why did historical anti-poverty programs in Britain, Denmark and France differ so dramatically in their goals, beneficiaries and agents for addressing poverty? Different cultural views of poverty contributed to how policy makers envisioned anti-poverty reforms. Danish elites articulated social investments in peasants as necessary to economic growth, political stability and societal strength. British elites viewed the lower classes as a challenge to these goals. The French perceived the poor as an opportunity for Christian charity. Fiction writers are overlooked political agents who engage in policy struggles. Collectively, writers contribute to a country's distinctive ‘cultural constraint’, or symbols and narratives, which appears in the national-level aggregation of literature. To assess cross-national variations in cultural depictions of poverty, this article uses historical case studies and quantitative textual analyses of 562 British, 521 Danish and 498 French fictional works from 1770 to 1920.


Author(s):  
Pablo Villalobos Dintrans ◽  
Jorge Browne ◽  
Ignacio Madero-Cabib

Abstract Objective Provide a synthesis of the COVID-19 policies targeting older people in Chile, stressing their short- and long-term challenges. Method Critical analysis of the current legal and policy measures, based on national-level data and international experiences. Results Although several policies have been enacted to protect older people from COVID-19, these measures could have important unintended negative consequences in this group’s mental and physical health, as well as financial aspects. Discussion A wider perspective is needed to include a broader definition of health—considering financial scarcity, access to health services, mental health issues, and long-term care—in the policy responses to COVID-19 targeted to older people in Chile.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heikki S. Lehtonen ◽  
Jyrki Aakkula ◽  
Stefan Fronzek ◽  
Janne Helin ◽  
Mikael Hildén ◽  
...  

AbstractShared socioeconomic pathways (SSPs), developed at global scale, comprise narrative descriptions and quantifications of future world developments that are intended for climate change scenario analysis. However, their extension to national and regional scales can be challenging. Here, we present SSP narratives co-developed with stakeholders for the agriculture and food sector in Finland. These are derived from intensive discussions at a workshop attended by approximately 39 participants offering a range of sectoral perspectives. Using general background descriptions of the SSPs for Europe, facilitated discussions were held in parallel for each of four SSPs reflecting very different contexts for the development of the sector up to 2050 and beyond. Discussions focused on five themes from the perspectives of consumers, producers and policy-makers, included a joint final session and allowed for post-workshop feedback. Results reflect careful sector-based, national-level interpretations of the global SSPs from which we have constructed consensus narratives. Our results also show important critical remarks and minority viewpoints. Interesting features of the Finnish narratives compared to the global SSP narratives include greater emphasis on environmental quality; significant land abandonment in SSPs with reduced livestock production and increased plant-based diets; continued need for some farm subsidies across all SSPs and opportunities for diversifying domestic production under scenarios of restricted trade. Our results can contribute to the development of more detailed national long-term scenarios for food and agriculture that are both relevant for local stakeholders and researchers as well as being consistent with global scenarios being applied internationally.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Osnat Luxenburg ◽  
Mor Saban ◽  
Vicki Myers ◽  
Sharona Vaknin ◽  
Noga Boldor ◽  
...  

Abstract Background and purpose Marked reductions in imaging exams have been documented during the COVID-19 pandemic. The study aimed to examine the effect of the two waves of COVID-19 on magnetic resonance imaging (MRI) utilization at the national and regional level. Materials and methods A retrospective-archive study was conducted in Israel, comparing March–December 2020 with March–December 2018 and 2019. Data on MRI utilization were obtained from the national MRI registry, while data on confirmed COVID-19 cases, by place of residence, were obtained from the Israeli Ministry of Health open COVID-19 database. Results The number and rate of MRI examinations decreased during the first COVID-19 wave, with the steepest drop in April 2020: 47.5% relative decrease compared to April 2019, and 42.2% compared to 2018. This was followed by a compensatory increase between the waves and a return to almost pre-pandemic levels of use, with just a modest decrease, during the second, more intense COVID wave, compared with the previous year. Existing differences between regions increased during the pandemic. The rate ratio of MRI exams between Tel-Aviv and the Northern periphery increased from 2.89 in April 2019 to 3.94 in April 2020. Jerusalem metropolitan region, with the largest burden of COVID disease, demonstrated only a modest decrease (1%) in MRI utilization during the first 10 months of the pandemic. Conclusions At the national level, time trends in reduced MRI utilization followed the first wave of COVID-19, and were accompanied by increased regional disparities. These changes were not explained by differences in the burden of COVID-19 disease but might be explained by unequal distribution of MRI scanners among regions. Reduced utilization was not evident during the second wave, nor at the beginning of the third wave, despite higher COVID-19 case load, demonstrating adaptation to the new normal. Patterns of MRI utilization might help policy-makers and healthcare managers predict the behavior of imaging as well as other sectors, such as elective surgical procedures, during an ongoing pandemic. This forecast might help to manage the lasting effects of the pandemic, including extended waiting times, in the months and years following its remission. In preparation for future national emergencies, timely and detailed data on MRI utilization can serve as a “sensor” for a wide array of diagnostic and interventional medical activities, providing policy-makers with an updated snapshot to guide their response at the regional and national levels.


Author(s):  
Victoria A. Beard ◽  
Diana Mitlin

This paper highlights challenges of water access in towns and cities of the global South and explores potential policy responses. These challenges are not new, although, we argue that they have been underestimated by policy makers due to a focus on global data, thus, resulting in decision makers paying insufficient attention to these problems. Policies need to be based on a more accurate assessment of challenges, specifically the need for continuous and affordable water service, and the need to provide services to informal settlements. We share findings from research on 15 cities across Latin America, Asia, and Africa.


Author(s):  
Francisco José Zamudio Sánchez ◽  
María Del Rosario Ayala Carrillo ◽  
Roxana Ivette Arana Ovalle

Las construcciones socioculturales sobre género permean todas las esferas de la vida humana generando diversas inequidades. Es necesario medirlas y proponer alternativas de solución o modificación de políticas que las atiendan. Usando una media harmónica sobre las condiciones en las que viven mujeres y hombres, se midieron atributos de once factores sociales disponibles a escala nacional. Los atributos fueron jerarquizados para cuantificar el diferencial en el cual estos factores se encuentran. No únicamente las mujeres están en condiciones de inequidad, aunque son más frecuentes y graves. Políticas públicas en seis factores deben atender, prioritariamente, a las mujeres y en cinco a los hombres. En cada factor identificamos los atributos más inequitativos para hacer posible la instrumentación de acciones pertinentes. Así, el diseño de las políticas, desde la planeación, cuenta con posibilidades de actuar en congruencia con las necesidades. Abstract Cultural constructions of gender permeate all areas of human life, generating diverse inequities. This requires knowledge of the situations in which men and women are in a particular one and, accordingly, propose solutions or policy change that pay attention to such inequities. Using a harmonic mean on the living conditions in which women and men are, attributes of eleven social factors were measured, available at national level. Such attributes were analytically nested to quantify the differential in which these factors are. Not only women are in inequity conditions, although they are more frequent and severe. Public policies in six factors should attend, mainly, to women and in five to men. We identified, inside each factor, the attributes with more inequity to make possible the implementation of appropriate actions. The corresponding design of policies has, from planning, possibilities of acting in line with the needs.


2021 ◽  
Vol 10 (2) ◽  
pp. 182
Author(s):  
Tatang Sudrajat

<p><em>The state has provided a lot of welfare to the citizens of rural communities, who make up the largest part of this nation. Socio-economic welfare as a public interest has been pursued by the state with its authority, including in the form of a policy to establish Village Owned Enterprises (BUM Desa). The issuance of Law Number 6 of 2014, PP Number 43 of 2014 and the Village Regulation of PDTT Number 4 of 2015 relating to the interests of the village community, became a strong foundation for the establishment of BUM Desa. In Karawang Regency, this was followed up with the issuance of Regional Regulation Number 4 of 2019 and Perbup Number 35 of 2020. One of the problems when public policy was implemented started from the substance of policies that were bad policy, unclear, not operational/incomplete, ambiguous, and contradictory.</em><em> </em><em>The research uses normative juridical methods and literature review. The results of the study indicate that the issue of welfare of rural communities is embodied in various state/government regulations. There is a relationship between the local government as an operational policy maker and the policy environment as well as a hierarchical relationship with policy makers regarding BUM Desa at the national level. There are several policy substances that are considered bad policies, because they are unclear, not operational/incomplete, ambiguous and contradictory. This will have implications for the ineffective implementation of BUM Desa policies by implementers at the lowest level of government.</em></p><p><strong><em>Keywords</em></strong><em> : evaluation, public policy, village-owned enterprises</em></p>


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Desmond Dzidzornu Otoo ◽  
Nana Nimo Appiah-Agyekum ◽  
Francis Anderson Adzei

Abstract Background The importance of health policy implementation cannot be overemphasized in contemporary public health. Neglected Tropical Diseases (NTDs) have negatively impacted society, affect quality of life and make the poor societies poorer. Several policies and strategies have been put in place across the world including the neglected tropical diseases programme in Ghana. Though chalked many successes, the programme continues to lag behind in the full attainment of various objectives. Several factors exist that determine how effective a programme is implemented. Identification of these factors on every programme is essential to determine where more programme resources need to be channelled. This study assessed the determinants of successful implementation of the neglected tropical diseases programme in Ghana. Methods A qualitative approach with the case study design was employed. Purposive and snowball sampling techniques were used to identify key programme officers at the national, regional and district levels of programme implementation. Eighteen (18) Key informant interviews were conducted at all the three levels of the Ghana Health Service NTDs programme. Data were thematically analysed and presented. Results Findings from the study revealed that determinants that influenced the successful implementation of the NTDs programme include donor support, education and training, partnerships, reliability of the health structure, integrative nature of the programme and management commitment. These determining factors cut across the inner settings of the implementing agency and the external environment. Conclusion Neglected tropical diseases continuously affect Ghanaians, especially the poor. It is important for both policy makers and implementers to identify the factors that ensure the success of the programme in the Ghanaian context. Though the factors are independently sufficient, they synergistically lead to improved programme implementation. Empowering all units involved (local to national level) and maximizing the enabling factors identified to would improve upon implementation and ensure sustainability.


Author(s):  
David Baxter Bakibinga

Witness protection is now firmly entrenched in the modern criminal justice systems especially in jurisdictions dealing with organized and violent crime. The decision by the government of The Commonwealth of The Bahamas to enact legislation in respect to procedural and non-procedural measures for protection of witnesses is commendable, given that violent and organized crime is rife in the country. This article highlights the basic tenets of witness protection and the legal framework, both at the international and national level. It also addresses the role of key duty bearers in the process of witness protection. Furthermore the procedural and non-procedural measures taken by law enforcement officers in The Bahamas are explored. And lastly, the challenges encountered in the implementation of the witness protection measures in The Bahamas are examined. This is intended to aid policy makers, advisers and those entrusted with decision making, like parliamentarians, to devise means and ways to eradicate and/or mitigate challenges faced in the implementation of witness protection measures in The Bahamas.


2017 ◽  
Vol 38 (8) ◽  
pp. 1556-1580 ◽  
Author(s):  
MARION REPETTI ◽  
TONI CALASANTI

ABSTRACTPopulation ageing has led many countries to be concerned about the ‘economic burden’ of elders, and several have adopted the active ageing paradigm to reform policy. However, gender differences that moderate the effect of active ageing have been little considered. As in other nations in the European Union, Swiss federal authorities use the active ageing paradigm to reshape ageing policies, including the provision of incentives to seniors to remain in the labour market. At the same time, many recent and proposed changes draw on the assumption of gender equality, even though actual parity has not yet been demonstrated. We know little about how gender shapes retirement in Switzerland, other than in relation to financial inequality between women and men. Qualitative analysis of semi-structured interviews conducted with Swiss retirees (N = 15) shows how men and women describe this time of life differently. All respondents characterised retirement as a time of freedom; but the meaning of such freedom diverged for men and women, reflecting the gender division of labour, which is further shaped by class. We discuss the implications of this difference for the gendered consequences of active ageing policies.


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