Syndicate content

Health

Paralegals and Social Accountability: Who knew?

Shamiela Mir's picture

Social Accountability is getting more and more innovative these days. A recent event organized by Justice for the Poor (J4P) showcased a pilot program in Sierra Leone where a group of development practitioners are exploring new ideas on social accountability and how legal empowerment tools, such as community paralegals can play a complementary role by helping communities navigate the murky waters of administrative accountability and hold the government and the healthcare service providers accountable.

How Social Networks Improve Your Health

Maya Brahmam's picture

My neighbor, who is 44, just suffered a heart attack and underwent triple bypass surgery. His wife, with two young children, was understandably in a state of shock. We rallied around with home-cooked heart-healthy meals and helped with exercise. My family stepped up because we knew that our neighbors, without close relatives locally, could use our help and support.

So I felt a sense of connection when I read Mark Hyman’s recent article in the Huffington Post on how communities are often the best medicine for change.  He pointed out that the secret of an effective model for treating drug resistant TB and AIDS in Haiti lay not in new drugs or medical centers, but in the community. He notes, “Recruiting and training over 11,000 community health workers across the world…proved that the sickest, poorest patients with the most difficult to treat diseases in the world could be successfully treated. The community was the treatment…”

Women and ICTs: Different Strokes?

Sabina Panth's picture

Mainstreaming a gender perspective is considered essential in assessing the implication of any development program, project or policy on men and women. This holds true of the modern Information and Communication Technologies (ICT) as well, as research studies are showing a significant gap between men and women in their access to and understanding of ICT opportunities.

Fascinating FreedomFone

Sabina Panth's picture

As I explore innovative approaches in civilian-led movements, I become increasingly knowledgeable about the latest technological gadgets and devices that have become powerful tools in demand for good governance and democratic reform processes.   Don’t worry, I won’t go on about the Arab Revolution and the role of social media yet again.  Instead, I will talk about a latest invention that does not even require the end users to have a web access, something that can be exploited by just anyone, even the illiterates.  FreedomFone is an ICT invention that has been specifically designed to cater to those that are in most need of information, bearing in mind the barriers they face in accessing information and the opportunities it provides to improve their conditions.

What Role Does Civil Society Play in Economic Development?

Sabina Panth's picture

I recently came across a fascinating initiative where civil society organizations have played a lead role in building public-private partnerships in economic development activities.  The USAID-sponsored Education for Income Generation (EIG) program has brought together local, national and international partners in galvanizing disadvantaged youth to partake in income generating activities toward increasing economic activities and peace building process in post-conflict Nepal. 

Sanumaya’s Tale: Policy Response

Sabina Panth's picture


In my previous post, I narrated Sanumaya’s tale in the context of how development that looks good from the above can be problematic when viewed at the local level, particularly for socially and economically marginalized populations.  The village was building a road that connected to the highway.  Everyone was excited at the prospect of economic prosperity.  Except, it came at the cost of dislodging the poor and vulnerable, like Sanumaya, whose poverty, illiteracy and social status became her entrapment. 

"If we miss the MDGs, who will punish us?"

Antonio Lambino's picture

You’ve probably heard that leaders from around the world have just completed a three day high-level summit  on the Millennium Development Goals in New York.  It’s been a decade since the international community signed up to the MDGs, and two thirds of the way to the 2015 deadline.

In a blog update posted from NY a couple of days ago, World Bank Managing Director Ngozi Okonjo-Iweala cites statistics suggesting progress on various MDG priorities, such as gender parity in primary education, reducing maternal mortality, and access to safe drinking water.  But Ngozi calls for more action, less talk, and points out that behind the statistics are people who continue to suffer from lack of the most basic needs.  Among the various examples she provides, one in particular caught my attention: “Action is about saving lives – (e.g.) a Tanzanian woman who hears on the radio about bed nets at the local clinic.  ”

This example highlights a necessary, albeit insufficient, condition for attaining development outcomes:

Better: A Surgeon's Notes on Governance Reform

Naniette Coleman's picture

Better: A Surgeon’s Notes on Performance” by Atul Gawande seems an unlikely place to find governance reform ideas and development inspiration but I found both therein last week.  The book was recommended by a dear colleague who knows of my interest in organizational change.   An accomplished non-fiction writer "Atul Gawande, a 2006 MacArthur Fellow, is a general surgeon at the Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, and an associate professor at Harvard Medical School and the Harvard School of Public Health.”    He tackles the “universal struggle to perform well” through the eyes of a surgeon.  Along the way we are introduced to countless examples of organizational seizure, organizational change and the people at the center of these operations. 

The Freedom to Choose What’s Right

Antonio Lambino's picture

I attended a fascinating session recently on Conditional Cash Transfers (CCTs) in a developing country which shall not be named for various reasons.  Let’s call it Cadania for present purposes.

CCTs, simply put, “are cash payments to poor households that meet certain behavioral requirements, generally related to children’s health care and education” (The World Bank).  In other words, money is given to a qualified household if it can be demonstrated that children are in school or brought in for regular medical check-ups.  It is, therefore, conditionality at the individual household level.

A massive media content analysis, conducted on thousands of newspaper articles over several years, suggests that press coverage was largely favorable toward the project.  Positive and neutral stories outnumbered negative stories by a large margin over a five year period. 

Quote of the Week

Antonio Lambino's picture

"... intentions are our best single predictors of whether one will or will not perform a given behavior... according to a reasoned action approach, there are three primary determinants of intention: the attitude toward performing the behavior in question, normative influence or the amount of social pressure one feels vis-a-vis performing the behavior, and one's self-efficacy with respect to performing the behavior.  The relative importance of these three psychological variables as determinants of intention will vary as a function of both the behavior and the population being considered.  Thus, before developing interventions to change intentions, it is important to first determine the degree to which that intention is under attitudinal, normative, or self-efficacy control in the population in question.  It should be clear that very different interventions are needed for attitudinally controlled behaviors than for behaviors that are under normative influence or are strongly related to feelings of self-efficacy.  Clearly, one size does not fit all, and interventions that are successful in one culture or population may be a complete failure in another."*

                                                               -- In Memoriam: Martin Fishbein, 1936-2009

Pages