Remediable institutional alignment and water service reform: Beyond rational choice

A growing body of empirical evidence fails to support rational choice expectations of superior private sector efficiency in the urban water sector. Drawing on Oliver Williamson’s work on comparative institutional analysis, I suggest that institutional adaptability explains the efficiency and effectiveness of the public sector relative to the private sector. Under private sector participation, lowly remediable institutional adaptability favours the deployment of asymmetric power and the production of outcomes unaligned to reform objectives. Conversely, institutions supporting public operations are designed to facilitate the achievement of collective goals. This makes the alignment of individual attitudes, resources and institutions under in-house service provision less resilient to sustainability-oriented change. Remediable institutional alignment undergirds the comparative advantage of public water operations, as more ample opportunities are provided for compliance, allocative efficiency and adaptive performance. I thus call for a critical realist account of the outcomes of water service reform, free of rational choice dogma

Re-municipalization of public services: trend or hype?

Re-municipalization is part of a broader set of reverse privatization reforms. We argue the term re-municipalization lacks conceptual clarity and often confuses municipal level reversals from national ones, new service delivery from reversals, and mixed market positions (such as corporatization) from full public control. This conceptual confusion makes measurement of re-municipalization difficult. While more case studies are being discovered, studies based on quantitative time series do not show re-municipalization as an increasing trend. Much case study based research argues re-municipalization is politically transformative, but quantitative research generally finds re-municipalization to be part of a pragmatic market management process, a position confirmed by the papers in this special issue

Knowledge and Awareness of Diabetic Retinopathy among Diabetic Sudanese Patients, Khartoum State, Sudan, 2018

Background: The level of awareness of diabetic retinopathy is considered an important factor for early diagnosis and management of diabetic retinopathy. This study aimed to assess the level of awareness of diabetic retinopathy among patients with diabetes mellitus in Khartoum, Sudan. Methods: This cross-sectional study was conducted among diabetic patients attending Zeenam and Abdullah Khalil Diabetic Centers between June and September 2018. A convenience sample of diabetic patients was used. Information on the sociodemographic characteristics of the patients, patients’ knowledge, compliance with available treatments, and routine eye examinations was collected using a semi-structured questionnaire. Patients were also asked about the barriers that may interfere with a regular eye examination. Results: A total of 200 patients were enrolled and 94 (47%) of them were female; 13% of the respondents were diagnosed with diabetic retinopathy, 31.5% were hypertensive, and 13.5% had hyperlipidemia. Additionally, 88.5% of the patients were aware that DM can affect their eyes and 87% had never been diagnosed with diabetic retinopathy. Although around 83% thought that diabetic retinopathy could lead to blindness, only 35.5% of them had undergone fundus examination by ophthalmologists. Moreover, 39% of the participants had irregular diabetes follow-up and 43% monthly follow-up. Only 31% went for regular eye check-up; however, their compliance with routine retinal assessment was poor, with a total of 72.5% of participants assuming that they have good vision and need not get their eyes checked up regularly. The chief factor that was related to increased awareness of diabetic retinopathy in the study was the level of education. Conclusion: Although a large proportion of diabetic patients in Khartoum are aware that diabetes mellitus can affect their eyes, regular retinal assessment of patients was poor, thus hindering early diagnosis and management

Commodification and ‘the commons’: the politics of privatising public water in Greece and Portugal during the Eurozone Crisis

In response to the Eurozone crisis, austerity and restructuring has been imposed on the European Union’s (EU) peripheral member states in order to receive financial bailout loans. In addition to cuts in funding of essential public services, cuts in public sector employment and further liberalisation of labour markets, this has also included pressure towards the privatisation of state assets. And yet, workers have not simply accepted these restructuring pressures. They have organised and fought back against austerity and enforced privatisation. Based on a historical materialist perspective and following a strategy of incorporated comparison, in this paper we will comparatively assess the struggles against enforced water privatisation in Greece and Portugal set against the background of the structuring conditions surrounding the Eurozone crisis

Investigating the Mini and Giant Radio Flare Episodes of Cygnus X-3

The microquasar Cygnus X-3 underwent a giant radio flare in 2017 April, reaching a maximum flux of similar to 16.5 Jy at 8.5 GHz. We present results from a long monitoring campaign carried out with Medicina at 8.5, 18.6, and 24.1 GHz, parallel to the Metsahovi radio telescope at 37 GHz, from 2017 April 4 to 11. We observe a spectral steepening from alpha = 0.2 to 0.5 (with S-nu proportional to nu(-alpha)) within 6 hr of the epoch of the flare's peak maximum, and rapid changes in the spectral slope in the following days during brief enhanced emission episodes while the general trend of the radio flux density indicated the decay of the giant flare. We further study the radio orbital modulation of Cyg X-3 emission associated with the 2017 giant flare and with six mini-flares observed in 1983, 1985, 1994, 1995, 2002, and 2016. The enhanced emission episodes observed during the decline of the giant flare at 8.5 GHz coincide with the orbital phase phi similar to 0.5 (orbital inferior conjunction). On the other hand, the light curves of the mini-flares observed at 15-22 GHz peak at phi similar to 0, except for the 2016 light curve, which is shifted 0.5 w.r.t. the other ones. We attribute the apparent phase shift to the variable location of the emitting region along the bent jet. This might be explained by the different accretion states of the flaring episodes (the 2016 mini-flare occurred in the hypersoft X-ray state)

The evolution of private provision in urban drinking water: New geographies, institutional ambiguity and the need for political economy

Empirical research paints a dynamic picture of the evolution of private provision in urban drinking water. A second wave of privatisation is clustered in a key group of countries, distinguished by the rise of new domestic private and quasi-private providers. This is, however, taking place in the presence of a counter-dynamic of remunicipalisation. In response to the complexity in provision arrangements revealed, three case studies are used to illustrate how different power balance configurations in the state-society-capital complex inform particular institutional arrangements. In Germany, civil society pressure challenged private capital resulting in the reinstatement of municipal control in Berlin, but at high long-term costs. In Russia, disempowered civil society has watched as the ruling regime exploits the support of international public agencies and foreign investors, while carefully safeguarding the interests of domestic private capital. In China, different levels of the state have promoted quasi-state actors into global corporations, managing the entry of international capital in order to bolster domestic support for desired political reforms. Public responsibility, and equally the re-assertion of public control after a period of private provision, may not in itself secure net social benefit where the right of capital to profit is put before broader social considerations