Contening cultures amongst development actors

Lewis et al (2003) establish a cogent argument which suggests that serious analysis of the culture of aid organizations, and of the relationships with other actors, matters, and that it is a neglected area of analysis. Their discussion raises important new questions about the development enterprise from an internal perspective that heretofore has been neglected or ignored. Contrasting the article by Lewis et al. with a book by Harrison and Huntington (2000) reinforces that conviction. Throughout the Harrison and Huntington book-- whose authors provide an excellent overview of the history of the study of culture as something that certainly does ‘matter’ in development--we kept saying to ourselves that ‘All this is fine, but it is focussed (as is much of the ancillary literature on ‘culture’ in development) on looking outward, at others undergoing development, without consideration of the development agency actors themselves. It mostly addresses questions and issues concerning the question: Why some political and national systems succeed and others fail

Tuberculosis in Pediatric Antiretroviral Therapy Programs in Low- and Middle-Income Countries: Diagnosis and Screening Practices

Background The global burden of childhood tuberculosis (TB) is estimated to be 0.5 million new cases per year. Human immunodeficiency virus (HIV)-infected children are at high risk for TB. Diagnosis of TB in HIV-infected children remains a major challenge. Methods We describe TB diagnosis and screening practices of pediatric antiretroviral treatment (ART) programs in Africa, Asia, the Caribbean, and Central and South America. We used web-based questionnaires to collect data on ART programs and patients seen from March to July 2012. Forty-three ART programs treating children in 23 countries participated in the study. Results Sputum microscopy and chest Radiograph were available at all programs, mycobacterial culture in 40 (93%) sites, gastric aspiration in 27 (63%), induced sputum in 23 (54%), and Xpert MTB/RIF in 16 (37%) sites. Screening practices to exclude active TB before starting ART included contact history in 41 sites (84%), symptom screening in 38 (88%), and chest Radiograph in 34 sites (79%). The use of diagnostic tools was examined among 146 children diagnosed with TB during the study period. Chest Radiograph was used in 125 (86%) children, sputum microscopy in 76 (52%), induced sputum microscopy in 38 (26%), gastric aspirate microscopy in 35 (24%), culture in 25 (17%), and Xpert MTB/RIF in 11 (8%) children. Conclusions Induced sputum and Xpert MTB/RIF were infrequently available to diagnose childhood TB, and screening was largely based on symptom identification. There is an urgent need to improve the capacity of ART programs in low- and middle-income countries to exclude and diagnose TB in HIV-infected childre

Imagining an Indigenous Criminological Future

This chapter deals with the difficult question: Should the Indigenous academy develop an Indigenous-centred sub-discipline within criminology? The most common rationale for this suggestion is so Indigenous scholars can assist the wider discipline improve its performance on Indigenous issues, and to ensure the Indigenous voice is heard across the cacophony of noise that continuously emanates from mainstream criminology. Speaking from a critically, Indigenous-focussed perspective, the author argues that, at present, the mainstream criminological tent is simply one that Indigenous scholars best avoid. Until the Australian and New Zealand variant of the discipline proves itself capable of forgoing the paternalism that permeates much of its members\u27 interactions with Indigenous peoples, Indigenous scholars might be better served by setting up shop elsewhere