The public’s attitude towards strike action by healthcare workers and health services in South Africa

Objectives. To evaluate a representative group of South Africans for their views about healthcare worker strikes and related matters.Methods. A descriptive, cross-sectional, self-administered  questionnaire-based study of 600 participants over the age of 18 years and able to read English, from two representative shopping malls (300 from each mall) in Greater Johannesburg. Data were analysed using SAS software version 9.1.3 for Windows. Tests for significant relationships were carried out using Pearson’s χ2 test at the 0.05 confidence level. The strength of the associations was determined by Cramer’s V.Results. Results revealed strong opinions among the population regarding strikes, numerous misapprehensions when it comes to striking and rights, a poor awareness of other healthcare-related rights and the perception of poor treatment at public hospitals.Conclusions. A majority of South Africans are aware of the healthcare worker strikes and are dissatisfied with the manner in which these take place, with strong objections to the perceived neglect of the critically ill during strikes, compounded by poor treatment at public hospitals. Many South Africans lack awareness of human rights issues, a situation which requires urgent remedy

Multilevel policy implementation and the where of learning: the case of the information system for school buildings in Italy

The paper builds on the case of the design and implementation of the National Information System for School Buildings in Italy. The project is one of digitalisation of the public sector and involves several layers of territorial governments (the State Department for Education, regional and local governments) and ICT experts, and is becoming a tool for policy making in the field. Nonetheless, the programme was initially designed with a top-down approach immediately stuck. Its effective implementation only took place some years later by downsizing policy design and allowing regions to implement those digital solutions which, in the meanwhile, had been designed and implemented from the bottom-up. The paper draws from the case study theoretical considerations about the importance of where policy learning happens and the strategies that policy makers may adopt in case of policy failure in order to re-establish the conditions for effectiveness