Governance and participation in health

Discourse, ideas and power in global health policy networks: political attention for maternal and child health in the millennium development goal era
McDougall L: Globalization and Health 12(21), 2016 doi: 10.1186/s12992-016-0157-9

Maternal and child health issues have gained global political attention and resources in the past 10 years, due in part to their prominence on the Millennium Development Goal agenda and the use of evidence-based advocacy by policy networks. This paper identifies key factors for this achievement, and raises questions about prospective challenges for sustaining attention in the transition to the post-2015 Sustainable Development Goals, far broader in scope than the Millennium Development Goals. The paper uses participant observation methods and document analysis to develop a case study of the behaviours of global maternal and child health advocacy networks during 2005–2015. The development of coordinated networks of heterogeneous actors facilitated the rise in attention to maternal and child health during the past 10 years. The strategic use of epidemiological and economic evidence by these networks enabled policy attention and promoted network cohesion. The time-bound opportunity of reaching the 2015 Millennium Development Goals created a window of opportunity for joint action. As the new post-2015 goals emerge, networks seek to sustain attention by repositioning their framing of issues, network structures, and external alliances, including with networks that lay both inside and outside of the health domain. Issues rise on global policy agendas because of how ideas are constructed, portrayed and positioned by actors within given contexts. Policy networks play a critical role by uniting stakeholders to promote persuasive ideas about policy problems and solutions. The author argues that the behaviours of networks in issue-framing, member-alignment, and strategic outreach can force open windows of opportunity for political attention -- or prevent them from closing.

In the Spirit of Marikana: Disruption, Workers and Insourcing
Grossman J: Review of African Political Economy, March 2016

In a penetrating analysis of events in South Africa, Jonathan Grossman writes a linked analysis of the student mobilisations and of the workers at Marikana. The author that an old legacy of struggle is being rediscovered and rescued, reflecting a solidarity between workers and students taking action. Grossman argues that the struggle for free education and against outsourcing in the public sector at the universities now needs to become the struggle for free education at all levels and free basic services, against outsourcing and for a living wage across the whole of the public sector. He argues that this is necessary for the renewal of the workers movement to tap into the vitality of a student-worker alliance that enriches both struggles in South Africa with a more holistic vision.

Urban Governance in Africa Today: Reframing, Experiences, and Lessons
Obeng-Odoom F: Growth and Change, August 2016, doi: 10.1111/grow.12164

Progress in analysing the instrumental view of governance as an engine for growth, poverty reduction, and inclusive development has been held back by the difficulty in framing governance. This essay seeks to address this problem by 1) reframing urban governance 2) evaluating its aims, processes, and outcomes, and 3) explaining those outcomes on the basis of which some lessons are teased out. Using examples from Africa and an institutional political economy approach the author argues that, overall, while urban economies are growing; both urban poverty and inequality levels have risen substantially. Urban governance has paved the way for new forms of urban development that only benefit the few, including in how differences in how urban services and resources are experienced, accessed, and controlled. The author argues that the underlying reasons for this disjuncture between “urban governance” in theory and “actually existing urban governance” are 1) difficulties in implementing urban governance theory consistently in practice, 2) problems arising because urban governance theory has been implemented in practice, 3) tensions that would entangle most policies which do not address historical and structural economic issues, 4) restrictive assumptions, and 5) incoherence among the different dimensions of urban governance. To resolve these contradictions, the author puts the case for major structural and institutional change involving: 1) the re-ordering of the roles of the state, market, and society as institutions of change; 2) re-working the relationships that bind together land, labour, capital, and the state, and 3) re-organising the channels for keeping the attainment of the ends of urban governance in check.

African Speakers of Parliament commit to support maternal, newborn and child health: Resolution on Declaration of Commitment to Prioritize and Increase Budget Support to Maternal, Newborn and Child Health
The Partnership for Maternal, Newborn and Child Health: October 2011

African Speakers of Parliaments and Presidents of Senate have unanimously adopted a landmark resolution on a Declaration of Commitment to prioritise parliamentary support for increased policy and budget action on Maternal, Newborn and Child Health in African countries. The milestone Declaration of Commitment was adopted at the 3rd Pan African Speakers Conference 17th – 18th October 2011, in Midrand, Johannesburg, South Africa. In the communiqué issued at the end of the conference, the speakers committed to “prioritise policy and budget support for implementation of African Union Summit Decisions, in particular the … Kampala July 2010 Summit Declaration on the Summit theme of “Actions on Maternal, Newborn and Child Health Development in Africa”. The Commitment was the first of its kind by African Speakers of Parliament, and marks a significant milestone in accelerating progress in Africa towards the attainment of the Millennium Development Goals (MDGs) 4 and 5 on Child and Maternal Health, respectively. It also promises high-level parliamentary support to hasten implementation of the Africa Parliamentary Policy and Budget Action Plan on Maternal, Newborn and Child Health, agreed by Chairs of Finance and Budget committees of national parliaments in October 2010.

Aspirations and realities in a North-South partnership for health promotion: lessons from a program to promote safe male circumcision in Botswana
Katisi M; Daniel M; Mittelmark M: Globalization and Health 12(42), 2016, doi: 10.1186/s12992-016-0179-3

Government of Botswana partners with two international organisations: U.S. Centers for Disease Control and Prevention and Africa Comprehensive HIV/AIDS Partnership to implement Voluntary Medical Male Circumcision with the target of circumcising 80 % of HIV negative men in 5 years. This paper uses a systems model to establish how the functioning of the partnership on Safe Male Circumcision in Botswana contributed to the outcome. Data were collected using observations, focus group discussions and interviews. Thirty participants representing all three partners were observed in a 3-day meeting; followed by three rounds of in-depth interviews with five selected leading officers over 2 years and three focus group discussions. Financial resources, “ownership” and the target were found to influence the success or failure of partnerships. A combination of inputs by partners brought progress towards achieving set program goals. Although there were tensions between partners, they worked together in strategising to address some challenges of the partnership and implementation. The authors found that pressure to meet the expectations of the international funders caused tension and challenges between the in-country partners to the extent of Development Partners retreating and not pursuing the mission further. Target achievement, the link between financial contribution and ownership expectations caused antagonistic outcomes.

Kenya women Parliamentarians speak out on the need for evidence to improve legislation and governance
Warira D: African Institute for Development Policy (AFIDEP), July 2016

Members of the Kenya Parliament, specifically women, have expressed the need to close the evidence gap currently curtailing effective legislation and policy formulation. Speaking at a workshop organised by African Institute for Development Policy (AFIDEP) and the Parliamentary Caucus on Evidence-Informed Decision-Making (PC-EIDM), the Members of Parliament (MPs) acknowledged the critical role evidence plays towards enhancing their effectiveness in legislation, representation and policy-making. The workshop, which specifically targeted members of the Kenya Women Parliamentary Association (KEWOPA), provided an excellent opportunity for the women Parliamentarians to speak out on the challenges they are grappling with as legislators. Hon Naisula Lesuuda, a nominated Senator, Samburu County and the Deputy Chairperson of KEWOPA in the Senate, said that through the Association, women in Parliament play a critical role since KEWOPA’s mandate is to ensure that policies are gender-responsive, and that programmes related to women’s affairs get adequate resource allocation. Evidence is therefore of essence as the Association needs to ensure that its recommendations are evidence-informed. The MPs expressed their desire to use evidence to debate policy issues but the evidence is not readily available. There were also calls to digitise all data in the custody of various government ministries and to have it uploaded to an online portal to enhance its accessibility by Parliamentarians when need arises. In addition, the MPs noted that they would have achieved more during their current tenure had relevant evidence on pressing socio-economic challenges in their areas of jurisdiction been presented immediately they took over office. In a bid to identify strategies to enhance evidence use in Parliament, the members called attention to the need for the training of research and personal assistants.

Seven Traditional African Sports that Should Be in the Olympics
Robertson E: Okay Africa, August 2016

The Olympic Games may go back 3,000 years to Ancient Greece, but the international sporting event that takes place every four years didn’t take on its modern form until 1896. And while the games claim to represent global sporting culture, as suggested by the Olympics’ logo, the author argues that many of the sports seem to have uniquely European aristocratic origins. He asks, what would the Olympics in Rio look like if traditional African sports were included? This article discusses seven traditional African sports that would be welcomed additions to the games: including Ngolo and capoeira, Afro-Brazilian and West African martial arts, Senegalese wrestling, donkey racing and Dambe boxing.

The Commonwealth Women Parliamentarians holds a Sub-regional sensitization Workshop in Kigali
: Parliament of the Republic of Rwanda: Kigali, July 2016

The Commonwealth Women Parliamentarians (CWP) which is an organ of the Commonwealth Parliamentary Association (Africa Region) held a two day East Africa Sub-Regional sensitization workshop in July 2016. Themed “Establishing CWP Chapters to Leverage Women Representation and Advocacy,” the CWP sensitization workshop is to encourage all branches to set up CWP Chapters and functional structures and adoption of the guidelines fully and to advocate for policies legislation and programmes that eradicate social, cultural and religious practices that are harmful to the women. Rt. Hon. Mukabalisa said that Rwanda’s achievements in gender equality and women empowerment have been made possible by the strong political will and the commitment from the highest level, accompanied by innovative, home-grown and people centered development approaches. Hon. Angela Thoko Didiza Vice Chairperson of CWP Africa Region and its current Acting Chairperson stated that despite the recognition of women’s rights and need for deliberate action towards the empowerment of women; there remains a marked difference in the status and access of men and women in political, social, economic domains. She confirmed that even where has been progress, there are still challenges in ensuring the full participation of women, “ensuring gender equality and participation of women in decision-making position is imperative to human development. There is a need to change the traditional roles that limit women’s potential, as well as acknowledge women’s full contribution to social and economic development.”

The Use Of Information And Communication Technology, And Social Networking Sites In Political Governance Of East African Legislative Assembly Parliament
Robert A; Namusonge G: International Journal of Scientific and Technology Research 4(6), June 2016

This research project was carried out to ascertain the use of Information and Communication Technologies (ICT) and Social Networking Sites (SNSs) in political governance of East African Legislative Assembly (EALA) Parliament. It was based on the conviction that in this era of globalisation use of ICTs and SNS‘s are fundamentally important and will have tremendous impact on governance, leadership and legislation. The findings showed that that all the parliamentarian respondents were subscribed to social networking sites and used them from time to time. The EALA parliamentarians had a disparity when it came to use of SNSs to interact with constituents, 73% indicated that they have used SNSs to interact with constituents on matters affecting the community from time to time however 27% did not. The use of ICTs and SNSs by EALA was argued by the authors to enable citizens to view Assembly proceedings in real time. The recommend that Parliamentarians in Africa embrace SNS‘s as major tools in interacting with and being accountable to their constituents.

Women rise
Tay K: Accra dot Alt, Live from the Ghana Space Station, August 2016

A new project ‘woman, rise’ is a special collaboration project with Ghanaian muralist, Ayambire Faustina Nsoh, who descends from a tradition of women-led painting that carries lessons and messages around ethics and social relations, as well as a practice in space and design making daily life more beautiful. Visually, ‘woman, rise’, draws on how Nsoh learned how to paint from her grandmother in Sirigu, northern Ghana, and the global activist tradition of political murals, graffiti and stenciling. Horn’s project asks some critical probing by asking these questions: When we dream of African freedom, do we dream in the colours of our grandmothers’ cloths? Do we dream in the voice of young women rallying in a public square for an end to tyranny? And as we dream, do we hear the sound of women spirit mediums fortifying our souls by humming the ancestors into our midst? These women crafters of our liberation- do we know their names? These women who have offered heartbeat and intellect and magic to clear space in the world so all of us can breathe, do we know their faces? ‘Woman, rise’ explores the spirit of African women’s dynamic contributions to shaping selves, communities and a world that is equal. It invokes the history of African women who have worked against the grain of social expectations and offered their spiritual, intellectual and emotional power to the work of social change.

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