Cancer Burden in Nigeria; Possibility of a New Hope in a New Political Dispensation

Nigeria looks forward to the emergence of another political dispensation. National elections are soon to take place with resultant political changes in ministerial leadership positions across the nation at federal, state, and local government levels’ including the ministry of health; however, in this article, the concern was with the general health care in Nigeria and with a focus on the prevailing situation of Cancer health care in Nigeria. Statistics showed that there is a rising global cancer epidemic in Nigeria. The level of Cancer incidence and mortality counts in Nigeria as of 2012 and still counting’ was severely high amongst women– 64709 (63%) and 40647(57%) compared to men 37370(36.6%) and 30924(43%), respectively. The emergence of a new political dispensation in 2023 ushers in a possibility and awakening of new hope in general health care. Therefore, this article highlighted the observed challenges and proffered solutions for the purpose of informed decisions. Based on staff and patient perspective interviews and discussion, the following major aspects, including a critical review of health governing boards, administration, technology, specialty expansion via partnership, quality assurance, health funding, were identified, addressed and solutions proffered.

The Farm Lobby and Agricultural Policy in Japan

Japanese agricultural policymaking has been changing over the past generation. For much of the postwar era, policy formulation fell under the purview of the powerful “farm lobby”—an iron triangle consisting of farm bureaucrats, conservative politicians, and Japan Agricultural Cooperatives (JA), a nationwide network of agricultural cooperative organizations. For the most part, the lobby prioritized the heavy subsidization of farm household incomes and other market-distorting redistributive measures. But by the end of the twentieth century, severe demographic and economic challenges in the countryside combined with new electoral rules to weaken the relative powers of the farm lobby and generate a gradual shift toward structural reform in the farm sector. In tracing these policy-related developments, which reached new heights during the second administration of Shinzō Abe, this chapter illuminates the significance of the organized farm vote, the empowerment of prime ministerial leadership, and the changing fortunes of agriculture in Japan.

Information Technology and Government Decentralization: Experimental Evidence From Paraguay

Standard models of hierarchy assume that agents and middle managers are better informed than principals. We estimate the value of the informational advantage held by supervisors—middle managers—when ministerial leadership—the principal—introduced a new monitoring technology aimed at improving the performance of agricultural extension agents (AEAs) in rural Paraguay. Our approach employs a novel experimental design that elicited treatment‐priority rankings from supervisors before randomization of treatment. We find that supervisors have valuable information—they prioritize AEAs who would be more responsive to the monitoring treatment. We develop a model of monitoring under different scales of treatment roll‐out and different treatment allocation rules. We semiparametrically estimate marginal treatment effects (MTEs) to demonstrate that the value of information and the benefits to decentralizing treatment decisions depend crucially on the sophistication of the principal and on the scale of roll‐out.