102 research outputs found
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Water governance and poverty: a framework for analysis
YesIn this paper we present a framework for understanding water governance, through which we
critique some of the assumptions underlying the current consensus on good governance.
Specifically, we suggest that current approaches are based on incomplete or partial
understandings of the concepts of governance. We question the idea that governance can be
identified as an abstract set of principles, without the need for contextualisation and localisation.
In particular, we suggest that there is a general lack of understanding of the way local
interactions shape and influence governance processes. Finally, and with specific reference to
the MDGs and the water sector, we question the implicit assumption that `goodÂż governance is
necessarily pro-poor governance.
The paper addresses these issues through a critical discussion of governance, from which we
develop a framework for conceptualising water governance. The framework draws on theories of
governance, institutions and structuration, but is also informed by recent empirical research and
experiences from the field. We apply the framework to a specific case in Southwestern Tanzania
and raise a number of issues and challenges for further research
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How institutions elude design: river basin management and sustainable livelihoods.
YesThis paper challenges ideas that it is possible to `get the institutions rightÂż in the management of natural resources. It engages with the literature and policy specifying `design principlesÂż for robust institutions and uses data from a river basin management project in Usangu, Tanzania, to illustrate the complexity of institutional evolution. The paper draws on emerging `post-institutionalistÂż perspectives to reject over-formalised managerial approaches in favour of those that accept the dynamic nature of institutional formation, and accommodate a variety of partial and contingent solutions. Data from Usangu suggests that external `craftingÂż is inevitably problematic because, to a certain extent, institutions elude design
Green Grab by Bricolage - The Institutional Workings of Community Conservancies in Kenya
Across Kenya's arid and semi-arid lands, vast rangelands are being transformed into community conservancies â common property arrangements managed for transhumance pastoralism and biodiversity conservation. The Northern Rangelands Trust (NRT) has spearheaded this transformation, promoting community conservancies as a model that conserves biodiversity while developing resilience, improving livelihoods, and promoting security among diverse pastoralist groups in Kenya. Building on recent critical engagement with the NRT model, this article reframes community conservancies as green grabs. In doing so, it makes two overarching contributions to wider debates. The first contribution complicates stereotypes about âgrabbersâ and âgrabbeesâ and unsettles crude distinctions between political reactions to green grabs, social phenomena commonly portrayed as enacted from above and reacted to from below. Using the concept of bricolage, we show how actors at multiple scales with multiple identities participate â consciously and unconsciously â in reshaping institutional arrangements for managing communal lands and natural resources to align with conservation. The second contribution reveals how power works through emergent hybrid institutions, producing undesired and unintended outcomes. With this in mind, the article concludes that green grab by bricolage produces contradictory spaces animated by a seemingly adaptive, innovative, and progressive agenda, but constrained by historical patterns of access, accumulation, and domination
Evidence, ideology, and the policy of community management in Africa
This study examines the performance of the policy of community management for rural groundwater supply in Africa. Across the continent, policies that promote community management have dominated the rural water supply sector for decades. As a result, hundreds of thousands of village-level committees have been formed to manage community boreholes equipped with handpumps. With a significant proportion of these handpumps non-functional at any one time, increasing effort is targeted toward understanding the interacting social and physical determinants of this 'hidden crisis'. We conducted a survey of community management arrangements across six hundred sites in rural Ethiopia, Malawi, and Uganda, examining the extent to which management capacity is related to borehole functionality whilst accounting for a range of contextual variables. The capacity of water management arrangements (WMAs) was assessed according to four dimensions: finance system; affordable maintenance and repair; decision making, rules, and leadership; and external support. The survey reveals that 73.3% of WMAs have medium or high capacity. However, we found no strong relationship between the capacity of the WMA and the functionality of the borehole. Of the four management dimensions, affordable maintenance and repair was the best predictor of borehole functionality. However, the capacity of this dimension was seen to be the lowest overall, with 61.9% of sites weak or non-existent. Our results provide very limited support for the policy of community management, and we suggest that evidence alone has not accounted for its persistence over decades. After a short historical analysis, we conclude that explanation for the endurance of this model can be found in the nexus between evidence, ideology, and policy. We argue that it is this same nexus that will likely ensure the popularity of community management for some time to come, despite new ideas and evidence to the contrary
Differentiated legitimacy, differentiated resilience: beyond the natural in ânatural disastersâ
This paper starts with a flood in southern Malawi. Although apparently a ânaturalâ event, those most affected argued that it was made much worse by the rehabilitation of a nearby irrigation scheme. We use this example to interrogate the current interest in resilience from a perspective informed by political ecology and political economy, arguing that a focus on resilience should not be at the expense of understanding the conditions that shape vulnerability, including the ways in which âcommunitiesâ are differentiated. Complex factors are at play â and the ways in which these combine can result in a âperfect stormâ for some individuals and households. These factors include the effects of history combining with ethnicity, of legitimacy influencing voice, and of the interplay of political dynamics at different levels. In particular, processes of commodification have played an important role in shaping how some may benefit at the cost of catastrophic harm to others
âIt Takes Two Hands to Clapâ: How Gaddi Shepherds in the Indian Himalayas Negotiate Access to Grazing
This article examines the effects of state intervention on the workings of informal institutions that coordinate the communal use and management of natural resources. Specifically it focuses on the case of the nomadic Gaddi
shepherds and official attempts to regulate their access to grazing pastures in the Indian Himalayas. It is often predicted that the increased presence of the modern state critically undermines locally appropriate and community-based resource management arrangements. Drawing on the work of Pauline Peters and Francis Cleaver, I identify key instances of socially embedded âcommonâ management institutions and explain the evolution of these arrangements
through dynamic interactions between individuals, communities and the agents of the state. Through describing the âliving spaceâ of Gaddi shepherds across the annual cycle of nomadic migration with their flocks I explore the
ways in which they have been able to creatively reinterpret external interventions, and suggest how contemporary arrangements for accessing pasture at different moments of the annual cycle involve complex combinations of the
formal and the informal, the âtraditionalâ and the âmodernâ
Red-flag sepsis and SOFA identifies different patient population at risk of sepsis-related deaths on the general ward
Controversy exists regarding the best diagnostic and screening tool for sepsis outside the intensive care unit (ICU). Sequential organ failure assessment (SOFA) score has been shown to be superior to systemic inflammatory response syndrome (SIRS) criteria, however, the performance of âRed Flag sepsis criteriaâ has not been tested formally.
The aim of the study was to investigate the ability of Red Flag sepsis criteria to identify the patients at high risk of sepsis-related death in comparison to SOFA based sepsis criteria. We also investigated the comparison of Red Flag sepsis to quick SOFA (qSOFA), SIRS, and national early warning score (NEWS) scores and factors influencing patient mortality.
Patients were recruited into a 24-hour point-prevalence study on the general wards and emergency departments across all Welsh acute hospitals. Inclusion criteria were: clinical suspicion of infection and NEWS 3 or above in-line with established escalation criteria in Wales. Data on Red Flag sepsis and SOFA criteria was collected together with qSOFA and SIRS scores and 90-day mortality.
459 patients were recruited over a 24-hour period. 246 were positive for Red Flag sepsis, mortality 33.7% (83/246); 241 for SOFA based sepsis criteria, mortality 39.4% (95/241); 54 for qSOFA, mortality 57.4% (31/54), and 268 for SIRS, mortality 33.6% (90/268). 55 patients were not picked up by any criteria. We found that older age was associated with death with OR (95% CI) of 1.03 (1.02â1.04); higher frailty score 1.24 (1.11â1.40); DNA-CPR order 1.74 (1.14â2.65); ceiling of care 1.55 (1.02â2.33); and SOFA score of 2 and above 1.69 (1.16â2.47).
The different clinical tools captured different subsets of the at-risk population, with similar sensitivity. SOFA score 2 or above was independently associated with increased risk of death at 90 days. The sequalae of infection-related organ dysfunction cannot be reliably captured based on routine clinical and physiological parameters alone
Transformations to groundwater sustainability: from individuals and pumps to communities and aquifers
If the success of agricultural intensification continues to rely on the depletion of aquifers and exploitation of (female) labour, transformations to groundwater sustainability will be impossible to achieve. Hence, the development of new groundwater imaginaries, based on alternative ways of organizing society-water relations is highly important. This paper argues that a comparative documentation of grass-roots initiatives to care for, share or recharge aquifers in places with acute resource pressures provides an important source of inspiration. Using a grounded anti-colonial and feminist approach, we combine an ethnographic documentation of groundwater practices with hydrogeological and engineering insights to enunciate, normatively assess and jointly learn from the knowledges, technologies and institutions that characterize such initiatives. Doing this usefully shifts the focus of planned efforts to regulate and govern groundwater away from government efforts to control individual pumping behaviours, to the identification of possibilities to anchor transformations to sustainability in collective action
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