105 research outputs found

    The Price of Failure:

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    Summaries This article examines the development of monetary policy in Russia since prices were liberalised in 1992. It traces events from the monetary overhang which preceded that step, through sharp inflation and the monetary contraction with which stability was restored, to the present crisis of illiquidity and demonetisation. The article argues that, far from easing the way to flexible, market?based policies, this chain of events has left policymakers as severely boxed in as at the start. While any reform strategy was fraught with danger, it would have been better to take a less cavalier attitude to prices and concentrate from the beginning on building the financial and legal institutions required for macro?economic policy to work

    Tackling Women's Vulnerabilities through Integrating a Gender Perspective into Disaster Risk Reduction in the Built Environment

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    The majority of human and direct economic losses from natural hazards occur as a result of damage to the built environment due to the vital role that the built environment performs in serving human endeavours. One of the key reasons for people in developing countries to be more vulnerable to natural disasters than their wealthier counterparts is the limited capacities in their construction industries. Among the people in developing countries, women are evidently even more vulnerable to natural disasters. Due to higher disaster vulnerability of women, recognising the different roles, capacities, vulnerabilities and needs of women, and considering them in disaster risk reduction in the built environment is significant to reduce women’s disaster vulnerabilities. Gender mainstreaming as a way of bringing a gender perspective into disaster risk reduction can be applied to recognise the varying needs and capacities of women, and integrate them into disaster risk reduction in the built environment. The paper in this context aims to demonstrate how gender mainstreaming helps to bring a women’s perspective into disaster risk reduction in the built environment. It identifies two main steps which involve in the process, identification of women’s DRR knowledge and needs, and integration of the identified DRR knowledge and needs into DRR in the built environment. The paper provides an account of the process that the study established to incorporate a gender perspective into disaster risk reduction in the built environment based on a case study conducted in Sri Lanka. It further discusses how the social, economic, political and environmental context influences the process of gender mainstreaming in disaster risk reduction in the built environmen

    Transition in kyrgyzstan:

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    Summaries This article attempts to move away from macrolevel analyses and descriptions of the process of transition. It thus not only explores the social effects of transition in Kyrgyzstan in three distinct local contexts, but also considers the impact on children. It underlines the need for both localised studies of transitional economies as well as disaggregated research on particular social groups

    Public opinion on energy crops in the landscape: considerations for the expansion of renewable energy from biomass

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    Public attitudes were assessed towards two dedicated biomass crops – Miscanthus and Short Rotation Coppice (SRC), particularly regarding their visual impacts in the landscape. Results are based on responses to photographic and computer-generated images as the crops are still relatively scarce in the landscape. A questionnaire survey indicated little public concern about potential landscape aesthetics but more concern about attendant built infrastructure. Focus group meetings and interviews indicated support for biomass end uses that bring direct benefits to local communities. Questions arise as to how well the imagery used was able to portray the true nature of these tall, dense, perennial plants but based on the responses obtained and given the caveat that there was limited personal experience of the crops, it appears unlikely that wide-scale planting of biomass crops will give rise to substantial public concern in relation to their visual impact in the landscape

    What could a strengthened right to health bring to the post-2015 health development agenda?: interrogating the role of the minimum core concept in advancing essential global health needs

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    A randomised controlled trial to evaluate the impact of a human rights based approach to dementia care in inpatient ward and care home settings

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    BackgroundAlthough it is widely recognised that adopting a person-centred approach is beneficial in the care of people living with dementia, a gap remains between the rhetoric and the reality of quality care. Some widely adopted care practices can result in the personhood of this group being threatened and their human rights being undermined.ObjectivesTo evaluate the impact of applying a human rights based approach in dementia inpatient wards and care homes on the quality of care delivered and the well-being of the person living with dementia.DesignA cluster randomised design was employed to compare the impact of implementing a human rights based approach intervention (i.e. training, applying the ‘Getting It Right’ assessment tool and receiving booster sessions) at 10 intervention sites with 10 control sites.SettingEight NHS dementia inpatient wards and 12 care homes in the north-west of England.ParticipantsPeople living with dementia who were residing on dementia inpatient wards or in care homes, and staff working at these sites. The aim was to recruit 280 people living with dementia.InterventionsA sample of staff (an average of 8.9 per site) at each of the sites was trained in a human rights based approach to care, including the application of the ‘Getting It Right’ assessment tool. The tool was then introduced at the site and monthly booster sessions were delivered.Main outcome measuresThe primary outcome measure used in the research was the Quality of Life in Alzheimer’s Disease scale to assess the subjective well-being of the person with dementia. Secondary outcome measures included measures of the quality of care provided (dementia care mapping) and direct measures of the effectiveness of the training in increasing knowledge of and attitudes towards human rights. The study also included an economic evaluation utilising the EuroQol-5 Dimensions, three-level version, and the Adult Social Care Outcomes Toolkit measure.ResultsThe study recruited 439 people living with dementia: 213 to the intervention arm and 226 to the control arm. Primary outcome data were analysed using a linear mixed model. There were no significant differences found in the reported quality of life of residents between the control and intervention groups after the intervention [F(1,16.51) = 3.63;p = 0.074]. The mean difference between the groups was 1.48 (95% confidence interval –7.86 to 10.82).ConclusionsDespite the fact that the training increased staff knowledge of and positive attitudes towards human rights, and although there were some changes in staff decision-making strategies in clinical situations, there was no change in the quality of care provided or in the reported well-being of people living with dementia in these settings. This led to questions about the efficacy of training in bringing about cultural change and improving care practices.LimitationsThere was limited uptake of the training and booster sessions that were integral to the intervention.Future workFuture work could usefully focus on understanding the difficulty in translating change in attitude and knowledge into behaviour.Trial registrationCurrent Controlled Trials ISRCTN94553028.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 6, No. 13. See the NIHR Journals Library website for further project information.</jats:sec

    Romanian Suburban Housing : Home Improvement through Owner-building

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    The new suburban housing developments in post-socialist cities have been ubiquitous icons of socioeconomic and physical change. This paper examines suburban owner-built housing as a long-term strategy of home improvement in Romania. It analyses residents’ motivations and financial strategies to move up the housing ladder through owner-building and their responses to key neighbourhood problems, in particular poor public infrastructure and non-existent public facilities. I argue that owner-builders generally benefitted from the economic informality, the relaxed legal culture and the unregulated housing context of the Romanian post-socialist transition; but the absence of public actors has weakened their achievements, which is most apparent at neighbourhood level. The paper draws attention to a context of politico-economic reforms and a set of socio-cultural values of housing privatism in which resident responses may frequently generate consequential (collective) problems localised at the level of streets, neighbourhoods or even the whole society.PostprintPeer reviewe
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