Ataturk vs. Soleimani: Political Philosophy & Contemporary Archetypes

This thesis is an examination of the lives of Qassem Soleimani and Mustafa Kemal Ataturk through the lens of the political philosophies of Plato and Niccolò Machiavelli. Qassem Soleimani and Mustafa Kemal Ataturk were noted for their militant lives and share certain qualities of character in their pre-political careers that provide a unique opportunity for a direct comparison and the formulation of a normative claim assessing their relative successes and/or failures despite their many similarities. Through the course of this research the conclusion asserts that Mustafa Kemal Ataturk was a more capable man than Soleimani to ascend to a position of political power specifically due to his prioritization of Platonic principles from an early age which guided his pre-political career. Soleimani, on the other hand, pursued a militant path more consistent with the values of a Machiavellian prince and was therefore faced with a greater degree of difficulty in attempting to transition to political life. The theories of Plato and Machiavelli each propose strategies for moving toward an ideal state of governance but apply very different methods for achieving it. While Plato values the pursuit and inclusion of reason and enlightenment for all leaders, Machiavelli assigns more importance the object of power regardless of societal consciousness. Plato’s most realistic model of a leader that is not the famed philosopher king, is the timocratic man, largely militant but not a stranger to the pursuit of reason. Machiavelli’s model is a militant expert with a mastery of cunning and possibly duplicitous management of personal affairs. Ataturk more closely resembles the timocratic man than Soleimani in his early dedication to the goal of broad societal education and altruistic notions of political reform. Soleimani’s life was more characterized by militancy and the elements of conflict and deception that arise in Machiavelli’s model of leadership. As a result, Ataturk was more prepared to face the challenges of the political sphere and Soleimani was left vulnerable and ill-equipped to tackle international disputes

Towards an integrated conceptual framework for understanding intersecting gender inequities in academic scientific research career progression in higher education institutions in sub-Saharan Africa

The slow progression and under-representation of women in senior scientific career positions is a well-known and persistent global problem, especially among university-based academics, particularly in sub-Saharan Africa (SSA). To inform action for change, we need to go beyond numerical evidence of inequalities to understanding the underlying social, cultural and institutional drivers and processes producing gender inequities in science careers. This requires a theoretically rigorous gender analysis framework that is relevant to SSA and sufficiently accounts for variations among both women and men. Since no such framework is available, we conducted a literature review of emerging theories and empirical evidence on the dimensions of and reasons for the prevailing gender inequities in higher education institutions in SSA. Based on this, we propose an integrated conceptual framework, identify available empirical findings to support it and develop a preliminary explanation of observed inequities. Our findings demonstrate that women’s (lack of) progression in academic/scientific research careers is shaped by intersections between gender roles and social power relations of gender within the family, wider society and academic institutions themselves. We argue that this integrated model provides implications for theory, practice at institutional and policy level, and future research

Determining how functionally diverse intertidal sediment species preserve mudflat ecosystem properties after abrupt biodiversity loss

As a result of anthropogenic climate change, extreme climatic events have increased in frequency, severity, and longevity. The consequences for community structure after a catastrophic event have been well studied. However, changes in ecosystem functioning that occur after such an event, including ecosystemrecovery, are still uncertain. A catastrophic event was simulated in an intertidalsedimentary habitat. Postevent sediment replicates were assigned to one of four recovery scenarios: (1) no recovery, (2) migration recovery, and recovery by differential opportunistic colonisation by (3) the polychaete worm Hediste diversicolor and (4) the mud snail Peringia ulvae, two locally dominant infauna species. These are compared with a control scenario not subjected to the event. The simulated extreme event caused a shift in habitat state due to a reduction in mobile macrofauna abundance and an increase in microphytobenthos biomass. Migratory recovery of species and the simulated opportunistic expansion of a single species ameliorated this shift and, for some metrics, functional compensation for the loss of other species and the preservation of certain ecosystem functions was observed. The dominant species identity during postevent habitat recovery can have considerable effects on important ecosystem processes and functions with consequences that may result in functional regime shifts in a habitat and alter coastal stability

Promoting vulnerability or resilience to HIV? A qualitative study on polygamy in Maiduguri, Nigeria

Literature on the links between polygamy and HIV and AIDS is limited and the findings inconclusive. Literature to date in Sub-Saharan Africa has relied mainly on case-control studies and surveys. This qualitative study aimed to explore different community members' perceptions of the links between the practice of polygamy and vulnerability or resilience to HIV and AIDS in Maiduguri, north-eastern Nigeria. The study used focus group discussions and in-depth interviews with religious and community leaders and different groups of women and men in the community. Participant views on the links between polygamy and HIV were varied. However, one clear emerging theme was that it is not the practice of polygamy per se that shapes vulnerability to HIV and AIDS but the dynamics of sexual relations and practices both within and beyond the marital union - whether monogamous or polygamous. The ways in which these social relationships are negotiated and experienced are in turn shaped by religious traditions, gender roles and relations, education and socio-economic status. Within the religious environment of north-eastern Nigeria, where asymmetrical gender roles and relations and connotations of morality shape experiences of sexual interactions, windows of opportunity to promote behaviour-change strategies to support women and men's resilience to HIV need to be carefully created. Health practitioners and planners should develop partnerships with religious and community leaders and women's groups to construct and deliver behaviour-changes strategies

Achieving SDG related sexual and reproductive health targets in China: what are appropriate indicators and how we interpret them?

Background: Sexual and Reproductive Health (SRH) targets have been included as part of the United Nations Sustainable Development Goals and thus indictors are important to monitor the progress towards these targets. SRH indicators are recommended for setting norms and measuring progress at global level. However, given the diverse political, socioeconomic and cultural contexts in different countries, and lack of global agreement on broad indicators, it is important to select appropriate indicators for specific countries. Based on internationally recommended indicators and data availability in China, this paper selected four indictors to reflect SRH in China and interpreted these indictors by analyzing the underlying factors. Methods: we employed secondary data analysis and key informant interview. The major secondary data were obtained from the China Health Statistical Year Book (2005-2017), China Statistical Year Book (2005-2017), and the sub-national estimates of the Global Burden Diseases Study 2016. We also interviewed 36 key informants at national and sub-national levels. Results: the four selected SRH indicators are contraceptive prevalence rate (CPR), adolescent birth rate, abortion rate, and availability of school sex education. CPR of married women has remained above 75% over the last three decades, indicating a high level of access to family planning (FP) services; however, unmarried but sexually active women have significant unmet needs for FP services. Although adolescent birth rates in China remain low, the abortion rate, abortion numbers, and the ratio of abortions to births increased from 2014-2016 while FP policy was relaxed in China. This suggests that abortion among unmarried women is a significant contributor to the overall figures. Qualitative analysis of the availability of school sex education reveals a situation of policy absence and the conservative attitude of key stakeholders. Conclusion: Since SRH challenges vary significantly between socio-economic, political and cultural contexts, indicators for measuring progress towards SRH targets of SDGs should be selected based on country context. The CPR and abortion rate are currently available and important indicators to monitor the most basic part of SRH in China, but require modification to ensure they can reflect universal access to quality reproductive healthcare by all reproductive age women, regardless their marriage status. Indicators on sex education need to be carefully developed to fit the context in China

Shaping Health Systems to Include People with Disabilities

The Sustainable Development Goals and the United Nations Convention on the Rights of Persons with Disabilities demands a shift in health system responses to chronic disease and disability, from the medical management and cure of disability to strengthening inclusive health systems to provide a full continuum of care that is people-centred and rights-based. People with disabilities are at a heightened risk of communicable and non-communicable diseases and these diseases can cause debility and disability. Health needs of these people often extend beyond requiring continual long-term medical support to addressing broader social inequities. Key areas that are likely to be critical in re-orientating health systems from a biomedical approach towards inclusive health systems that are more responsive to the needs of people with debility and disability in low and middle-income countries (LMICs) are offered in this report. By bringing together a body of evidence that prioritises the provision of a platform for the voices of people with chronic disease and disability, it is anticipated that this report will contribute toward DFID’s “nothing about us without us” ethos, recognising that the participation of people with chronic disease and disability is essential to equitable health systems development. This report focuses specifically on evidence from LMICs. It includes evidence produced by academic research, as well as information from theoretical or conceptual research, policy papers, institutional literature and, where necessary, press releases and blogs. The provision of practical examples and case studies within the report allows for cross-contextual learning and idea generation

Improving access to effective care for people with chronic respiratory symptoms in low and middle income countries.

Chronic respiratory symptoms are amongst the most common complaints among low and middle-income country (LMICs) populations and they are expected to remain common over the 10 to 20 year horizon. The underlying diseases (predominantly chronic obstructive pulmonary disease, asthma and tuberculosis) cause, and threaten to increasingly cause, substantial morbidity and mortality. Effective treatment is available for these conditions but LMICs health systems are not well set up to provide accessible clinical diagnostic pathways that lead to sustainable and affordable management plans especially for the chronic non communicable respiratory diseases. There is a need for clinical and academic capacity building together with well-conducted health systems research to underpin health service strengthening, policy and decision-making. There is an opportunity to integrate solutions for improving access to effective care for people with chronic respiratory symptoms with approaches to tackle other major population health issues that depend on well-functioning health services such as chronic communicable (e.g. HIV) and non-communicable (e.g. cardiovascular and metabolic) diseases

‘The money is important but all women anyway go to hospital for childbirth nowadays’ - a qualitative exploration of why women participate in a conditional cash transfer program to promote institutional deliveries in Madhya Pradesh, India

Background In 2005–06, only 39 % of Indian women delivered in a health facility. Given that deliveries at home increase the risk of maternal mortality, it was in this context in 2005, that the Indian Government implemented the Janani Suraksha Yojana program that incentivizes poor women to give birth in a health facility by providing them with a cash transfer upon discharge. JSY helped raise institutional delivery to 74 % in the eight years since its implementation. Despite the success of the JSY in raising institutional delivery proportions, the large number of beneficiaries (105 million), and the cost of the program, there have been few qualitative studies exploring why women participate (or not) in the program. The objective of this paper was to explore this. Methods In March 2013, we conducted 24 individual in-depth interviews with women who delivered within the previous 12 months in two districts of Madhya Pradesh, India. Qualitative framework analysis was used to analyze the data. Results Our findings suggest that women’s increased participation in the program reflect a shift in the social norm. Drivers of the shift include social pressure from the Accredited Social Health Activist (ASHA) to deliver in a health facility, and a growing individual perception of the importance for ‘safe’ and ‘easy’ delivery which was most likely an expression of the new social norm. While the incentive was an important influence on many women’s choices, others did not perceive it as an important consideration in their decision to deliver in a health facility. Many women reported procedural difficulties to receive the benefit. Retaining the cash incentive was also an issue due to out-of-pocket expenditures incurred at the facility. Non-participation was often unintentional and caused by personal circumstances, poor geographic access or driven by a perception of poor quality of care provided in program facilities. Conclusions In summary, while the cash incentive was important for some women in facilitating an institutional birth, the shift in social norm (possibly in part facilitated by the program) and therefore their own perceptions has played a major role in them giving birth in facilities

Evaluating the financial protection of patients with chronic disease by health insurance in rural China

Background A growing number of developing countries are developing health insurance schemes that aim to protect households, particularly the poor, from financial catastrophe and impoverishment caused by unaffordable medical care. This paper investigates the extent to which patients suffering from chronic disease in rural China face catastrophic expenditure on healthcare, and how far the New Co-operative Medical Insurance Scheme (NCMS) offers them financial protection against this. Methods A household survey was conducted in six counties in Ningxia Autonomous Region and Shandong Province, with a total of 6,147 rural households, including 3944 individual chronic disease patients. Structured questionnaires were used with chronic disease patients to investigate: their basic social and economic characteristics, including income and expenditure levels and NCMS membership; and their health care utilization, associated healthcare costs and levels of reimbursement by NCMS. 'Catastrophic' expenditure was defined as healthcare expenditure of more than 40% of household non-food expenditure. Results Expenditure for chronic diseases accounted for an average of 27% of annual non-food per capita expenditure amongst NCMS members in Shandong and 35% in Ningxia. 14-15% of families in both provinces spent more than 40% of their non-food expenditure on chronic healthcare costs. Between 8 and 11% of non NCMS members and 13% of NCMS members did not seek any medical care for chronic illness. A greater proportion of NCMS members in the poorest quintile faced catastrophic expenditure as compared to those in the richest quintile in both study sites. A slightly higher proportion of non-NCMS members than NCMS member households faced catastrophic expenditure, but the difference was not statistically significant. Conclusion A significant proportion of patients with chronic diseases face catastrophic healthcare costs and these are especially heavy for the poor. The NCMS offers only a limited degree of financial protection. The heavy financial burden of healthcare for chronic disease poses an urgent challenge to the NCMS. There is an urgent need for a clear policy on how to offer financial protection to those with chronic disease

A qualitative exploration of perceptions and experiences of contraceptive use, abortion and post-abortion family planning services (PAFP) in three provinces in China

Background: The INPAC project aims to evaluate the effectiveness of integrated post-abortion family planning (PAFP) services into existing hospital based abortion services in China. A qualitative study was conducted in three provinces to contribute to developing effective PAFP services through understanding influences on contraceptive use, experiences of abortion and existing PAFP, and their effect on future contraceptive practices from the perspective of users, in the context of social and institutional change. Methods: Twenty-nine in-depth interviews (IDIs) were undertaken with women who had experienced abortion between 1 and 6 months prior to interview, recruited from three urban and two rural facilities in each province. Thirteen IDIs were also conducted with male partners. Six focus group discussions (FGDs) were carried out with community members from different social groups, including unmarried and married women and men, urban residents and rural-to-urban migrants. Results: Social networks and norms are important in shaping attitudes and behaviour towards abortion and contraception. Widespread concerns were expressed about side-effects, reliability and effects on future fertility of some modern contraceptives. The combination of limited information and choices and a lack of person-centred counselling in PAFP with anxieties about side effects underlies the widespread use of unreliable methods. Gendered power relations significantly influence contraceptive (non) use, with several examples illustrating women's relative lack of power to decide on a method, particularly in the case of condoms. Although the availability of contraceptive information from respected providers can offer impetus for individual behaviour change, social distance from providers reduces opportunities for clients to discuss their difficulties regarding contraceptive use; particularly, but not exclusively for young, unmarried clients. Conclusions: Increased access to non-commercial, reliable information on contraceptive methods is needed. PAFP services must go beyond simple information provision to ensure that providers take a more personcentred approach, which considers the most appropriate method for individual clients and probes for the underlying influences on contraceptive (non) use. More sensitive reflection on gender norms and relationships is required during counselling and, where women choose this, efforts should be made to include their male partners. Specific attention to provider positionality and skills for counselling young, unmarried clients is needed