Transnational Governance Regimes in the Global South:Multinationals, States and NGOs as Political Actors

PublishedIntroduction Brazil recently experienced one of the world's worst environmental disasters when the Samarco mining company's Fundão tailings dam burst. This tragic disaster, which occurred on 5 November, 2015, killed 17 people, swept away a district of the town of Mariana, polluted the Rio Doce river valley and degraded the water supply of 35 towns, negatively affecting the lives of millions of Brazilians (Aragão & Paes, 2016), and even impacting the waters of the South Atlantic. This was the world's worst environmental disaster involving a tailings dam to date (Bowker, 2015). As of June 2016, polluted sediment was still washing through the river and Samarco had still not paid the fines imposed on it. The mining company, jointly controlled by Australian-based multinational BHP Billiton and Brazil's Vale, was previously recognized as a leader in environmental standards, receiving numerous international awards and certifications (as did its joint owners). Although it is still too early to confirm with any certainty, since the investigations are still underway, there is evidence that this disaster was the result of a lack of adequate regulation, both by the market and by the state (Phillips, 2015). [...

Collective Learning in Global Diffusion: Spreading Quality Standards in a Developing Country Cluster

T his research analyzes how foreign organizational practices diffuse among indigenous enterprises in a developing economy. It highlights the collective knowledge-building process as central for understanding diffusion. Based on a longitudinal case study of a cluster of dairy producers in Nicaragua, a representative low-income country, it looks at cross-border diffusion in conditions that differ significantly from advanced economies. The current literature that highlights institutional pressures driving global spread of practices has limits for capturing a significant dynamic caused by increased integration of markets and production. By focusing on production organization and practices in a late developing context, this paper explains the intertwined process of spreading new standards and changing existing local practices by elaborating the relationship among building collective capabilities, learning, and standards diffusion. This study enriches current views on institutional effects and adds to the practice-based literature, as well as to the work on developing economy firms in organizational research

A Learning-Centered View of Business Associations: Building Business-Government Relations for Development

The problems of rent seeking and state captured by business associations have been prominent among the concerns of economic development theory. This paper argues that firms and the state can make possible the building of new institutions that foster improvements in economic performance through arrangements that emphasize goal setting, problem solving, and continual evaluation of progress toward defined goals. The paper reviews key ideas on the learning-centered approach and builds on them to analyze the kinds of governmentbusiness relations that contribute to economic development. It uses case study material based on Chiles agro-industry business association FEPACH. It illustrates how innovative state policy coupled with private firms efforts led to the discovery of group-based coordination that fostered rapid diffusion of new technology and production organization among Chilean enterprises. This work discusses the institutional reshaping of the business association and businessstate relations to encourage learning and advance a process of development.

Knowledge, attitudes and perceptions of Latin American healthcare workers relating to antibiotic stewardship and antibiotic use: a cross-sectional multi-country study

Abstract Background The burden of antimicrobial resistance (AMR) in Latin America is high. Little is known about healthcare workers’ (HCWs) knowledge, attitudes, and perceptions of antimicrobial stewardship (AS), AMR, and antibiotic use (AU) in the region. Methods HCWs from 42 hospitals from 5 Latin American countries were invited to take an electronic, voluntary, anonymous survey regarding knowledge, attitudes, and perceptions of AS, AMR, and AU between March–April 2023. Findings Overall, 996 HCWs completed the survey (52% physicians, 32% nurses, 11% pharmacists, 3% microbiologists, and 2% “other”). More than 90% of respondents indicated optimizing AU was a priority at their healthcare facility (HCF), 69% stated the importance of AS was communicated at their HCF, and 23% were unfamiliar with the term “antibiotic stewardship”. Most (> 95%) respondents acknowledged that appropriate AU can reduce AMR; however, few thought AU (< 30%) or AMR (< 50%) were a problem in their HCF. Lack of access to antibiogram and to locally endorsed guidelines was reported by 51% and 34% of HCWs, respectively. Among prescribers, 53% did not consider non-physicians’ opinions to make antibiotic-related decisions, 22% reported not receiving education on how to select antibiotics based on culture results and 60% stated patients and families influence their antibiotic decisions. Conclusions Although HCWs perceived improving AU as a priority, they did not perceive AU or AMR as a problem in their HCF. AS opportunities include improved access to guidelines, access to AMR/AU data, teamwork, and education on AS for HCWs and patients and families