The Global Care Ecosystems of 3D Printed Assistive Devices

The popularity of 3D printed assistive technology has led to the emergence of new ecosystems of care, where multiple stakeholders (makers, clinicians, and recipients with disabilities) work toward creating new upper limb prosthetic devices. However, despite the increasing growth, we currently know little about the differences between these care ecosystems. Medical regulations and the prevailing culture have greatly impacted how ecosystems are structured and stakeholders work together, including whether clinicians and makers collaborate. To better understand these care ecosystems, we interviewed a range of stakeholders from multiple countries, including Brazil, Chile, Costa Rica, France, India, Mexico, and the U.S. Our broad analysis allowed us to uncover different working examples of how multiple stakeholders collaborate within these care ecosystems and the main challenges they face. Through our study, we were able to uncover that the ecosystems with multi-stakeholder collaborations exist (something prior work had not seen), and these ecosystems showed increased success and impact. We also identified some of the key follow-up practices to reduce device abandonment. Of particular importance are to have ecosystems put in place follow up practices that integrate formal agreements and compensations for participation (which do not need to be just monetary). We identified that these features helped to ensure multi-stakeholder involvement and ecosystem sustainability. We finished the paper with socio-technical recommendations to create vibrant care ecosystems that include multiple stakeholders in the production of 3D printed assistive devices

Street Children’s Rights and the Convention on the Rights of the Child: A study of acceptance and observance in Mexico and Ecuador

This paper offers a first template for assessing performance by national governments in guaranteeing disadvantaged groups of youngsters access to their rights, as enshrined in the Convention on the Rights of the Child (CRC). Street children, who are among the most severely disadvantaged children of any society, are the particular focus of this paper. The 1989 UN Convention on the Rights of the Child (CRC) constitutes a bold new approach to children’s rights, requiring governments to assume new commitments to helping street children. Latin America has a particularly strong history of work with street children, spanning at least 30 years, but governments have not managed to guarantee access by street children to their basic human rights. This paper explores CRC adherence with respect to street children in two Latin American countries – Mexico, a fairly affluent country and Ecuador, a relatively poor one. I divide my exploration of each country’s observance of the CRC into the broad fields of legislation, implementation and enforcement, and assess governmental progress in the decade since their ratification of the Convention. Findings are disappointing for both countries: they suggest that domestic legislation is still inadequate, and that neither government has implemented the policies or allocated the budgetary resources necessary to ensure that street children gain access to their rights. Regrettably, data collection, monitoring of implementation and measurement of outcomes, are all gravely inadequate for enforcement of CRC provisions in Mexico and Ecuador. The findings suggest that strong monitoring and enforcement mechanisms are required to counter existing disincentives for governments to invest in street children. Substantial improvements are needed, particularly in the field of enforcement, before street children in Mexico and Ecuador can gain consistent access to their basic human rights. The prospects for Ecuador’s street children are particularly bleak: the government will need considerable international support to be able to deliver on its commitments to street children under the CRC. Mexico has a more developed political economy and has made more progress than Ecuador; the Mexican government is in a position to make substantial advances toward guaranteeing street children their rights as provided by the CRC.

Gender and Property Rights: A Critical Issue in Urban Economic Development

Highlights the need for gender equality in property rights, women's role in advancing economic development, and the importance of urban housing and commercial property rights to development. Calls for including gender issues in development programs

Predictors of linkage to care following community-based HIV counseling and testing in rural Kenya

Despite innovations in HIV counseling and testing (HCT), important gaps remain in understanding linkage to care. We followed a cohort diagnosed with HIV through a community-based HCT campaign that trained persons living with HIV/AIDS (PLHA) as navigators. Individual, interpersonal, and institutional predictors of linkage were assessed using survival analysis of self-reported time to enrollment. Of 483 persons consenting to follow-up, 305 (63.2%) enrolled in HIV care within 3 months. Proportions linking to care were similar across sexes, barring a sub-sample of men aged 18–25 years who were highly unlikely to enroll. Men were more likely to enroll if they had disclosed to their spouse, and women if they had disclosed to family. Women who anticipated violence or relationship breakup were less likely to link to care. Enrolment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from community-based HCT campaigns.Vestergaard Frandse

POVERTY AND THE DETERIORATION OF NATURAL SOIL CAPITAL IN THE PERUVIAN ALTIPLANO

The most severe challenges to sustainable development occur where many poor people struggle to eke out a living from marginal lands. In some cases, high human populations on fragile lands have led agricultural productivity to deteriorate (García-Barrios and García-Barrios, 1990, Mink, 1993, Zimmerer, 1993), but likewise intensification in some locales has led to sustainable productivity increases (Boserup, 1965, Tiffen, et al., 1994). These mixed results beg closer inquiry, in order to understand how contrary outcomes can come about. For the context of Peru's chilly high plain surrounding Lake Titicaca, this paper examines changes in the stock of natural capital in agricultural soils, how that came about, and what policy tools might contribute to sustaining this key natural capital stock and the agricultural productivity that it enables.Food Security and Poverty, Land Economics/Use,