Shared Value in Chile: Increasing Private Sector Competitiveness by Solving Social Problems

Over the last few decades, Chile has experienced rapid and sustained economic, social, and institutional development. Crucial challenges remain, however, in the form of social inequity, lack of opportunity, mistrust, and social unrest. The Chilean private sector is at an inflection point in its relationship with society. The corporate sector has both contributed to and benefited from the growth and development of the last decades, but remaining social challenges pose significant constraints to the continued growth of the private sector. High levels of mistrust regarding the role of business in society reflect a widespread belief that profit making activities are merely a demonstration of corporate greed. The Chilean private sector faces a frequently antagonistic relationship with government and civil society that will likely worsen unless companies are able to find ways to authentically link their businesses to efforts to solve Chile's social problems. On the other hand, if government and civil society conclude that the private sector has no contribution to make to the country's social and economic development strategy, Chile will squander an important engine for creating shared prosperity. The good news is that there does not need to be a trade-off between private sector competitiveness and greater prosperity for all Chileans. Shared value, a concept explained in Harvard Professor Michael Porter and Mark Kramer's Harvard Business Review articles, suggests an approach for companies to increase their competitiveness and profitability by helping to solve social problems. The public sector and civil society can increase the social benefits from shared value by thoughtfully partnering with the private secto

Social services delivery through community-based projects

The World Bank is financing an increasing number of community-based social services projects. The objective of this paper is to review and categorize the extent, scope and mechanisms of these projects in the current Bank portfolio, and to identify good practices and potential pitfalls. The authors identify 99 projects that finance at least $1.6 billion in social services. While most of the projects surveyed deliver"traditional"services such as nutrition, maternal and child care, and literacy, the scope of many projects has expanded to include newer services such as counseling, home-based care for the elderly and disabled, and early childhood development.Health Economics&Finance,Banks&Banking Reform,Governance Indicators,Health Monitoring&Evaluation,Municipal Financial Management

Best Practices in Intercultural Health

This paper presents some of the background research that contributed to the discussions within the Inter-American Development Bank's policy and strategy regarding indigenous health issues. The paper's conceptual approach and good practice research helped focus the discussion on the importance of intercultural health practices to promote indigenous peoples' access to allopathic health as well as to strengthen those traditional health practices based on indigenous peoples' own knowledge, culture, social networks, institutions and ways of life, that have shown their effectiveness. The paper presents five intercultural health experiences (in Suriname, Guatemala, Chile, Ecuador and Colombia) that are considered best practices in the field. Although poorly financed, these experiences highlight the significance to indigenous peoples of health models that bridge the gap between state-financed allopathic health services and their own indigenous health systems. This study however, does not represent a medical trial on the efficacy or efficiency of intercultural health models.Afro Descendents & Indigenous Peoples, Health Care, intercultural health, health care, indigenous peoples, health care services

Mano Dura and Beyond: An Analysis of Police Reform in Latin America

Physical insecurity and high rates of crime plague Latin America. The problem is economically costly, detrimental to physical and mental health, and damaging to political legitimacy, while also fueling a migration crisis and negatively impacting societal views on human rights. The police are tasked with responding to and investigating crime, but have been historically ineffective at doing so. In recent decades, many countries in the region have implemented significant police reforms in pursuit of decreasing crime and insecurity. This thesis will analyze reforms in Brazil, Colombia, Chile, and Mexico to determine regional themes of reform. The lessons from those case studies will then be synthesized into a list of eight implementable and generalizable policy recommendations

La prevención del delito mediante el diseño ambiental (Crime Prevention through Environmental Design)

Crime Prevention through Environmental Design (CPTED) is a method of reducing crime through the design and manipulation of the built environment. Based upon the New Opportunity Theories of crime, CPTED focuses upon blocking opportunities for criminal behaviour through subtle techniques to maximise informal surveillance, territoriality and guardianship, to minimise through movement and to set standards of physical security that are proportionate to crime risk. This chapter will discuss the principles of CPTED and the theories from which it evolved, before exploring how CPTED is applied internationally in terms of policy, guidance and practice. Examples include Chile, Mexico, and Brazil, as well as countries with more established processes of implementing CPTED within the planning process (England and Wales, Netherlands and Australia). Evidence regarding effectiveness will be presented and consideration will be given to the extent to which principles, practice and procedure can be transferred to different countries and cultures

Bridging ‘Islands Of Medicine’: Balancing medical pluralism on La Isla De Chiloe

This thesis brings together the study of islands, anthropology, and postcolonialism; it discusses (1) how global assemblages, such as colonial interactions and neoliberal economies influence individual well-being and local health care ontologies as practice on islands, and (2) the space and place of medical plurality on islands. Ethnographic research took place over four months on Chiloé Island, Chile. The research included interviews with members of the Williche Council of Chief’s health program, medical practitioners in the public health system, and health service employees with the government. An examination of the integration between the Council’s health program and public health care clinics in the archipelago is central to this thesis. This intercultural approach to health care is compared to that of the institutionalization of indigenous medicines within the South Pacific. The relationship among health, economies, and ecosystems on islands, serves as a framework for gaining a different perspective on how medical pluralism occurs on islands

Structural Adjustment and the Health Care Sector in India: some policy issues in financing

The paper examines different strategies for the financing of health care in India, where the effect of structural adjustment has been to undermine the traditional resource base. The relative merits of user fees, insurance schemes, administrative decentralisation and partial privatisation are discussed. The main policy conclusion is the need for better regulation of the various modalities of health care delivery.