Tackling Child Undernutrition in India: Governance Challenges Need More Attention

This article puts a governance lens on India's current approach to tackling undernutrition through DFID's governance framework of state capability, accountability and responsiveness. State capability is analysed in terms of strength of political leadership to tackle undernutrition and to mobilise cross government actions. Accountability for results is assessed in the Integrated Child Development Scheme (ICDS) – India's foremost programme for children under six years of age with nutrition and health as one of the programme components. Finally, state responsiveness is assessed especially with respect to the Right?to?Food (RTF) campaign that has taken a legal route to advocacy by successfully petitioning the Supreme Court (SC) that has directed the Government of India (GoI) to improve the functioning of ICDS – with a special focus on the disadvantaged sections of the population

The Effectiveness of Aid to Kenya: A Case Study

SUMMARY This article reviews the effectiveness of official aid to Kenya. Major features include an increase in non?project aid in response to Kenya's economic difficulties of the early 1980s, and an associated intensification of policy?related conditions. Sector reviews (agriculture, transport, rural water, energy and population) show mixed results, with an overall decrease in aid effectiveness over the past decade. The article highlights the need for better aid coordination and for a continuing learning process. SOMMAIRE L'efficacité de l'aide au Kenya: un cas d'étude Cet article examine l'efficacité de l'aide officielle au Kenya, Parmi les facteurs déterminants on discerne une hausse de l'aide non?liée aux projets (au début des années 80s, lié aux difficultés économiques du Kenya), et une intensification associée des conditions de politique. Des examens sectoriels (de l'agriculture, du transport, de l'eau rurale, de l'énergie et de la population) produisent des résultats mixtes, avec une baisse générale de l'efficacité de l'aide au cours de la dernière décennie. L'article souligne le besoin d'une meilleure coordination de l'aide, et un processus continuel d'apprentissage. RESUMEN La efectividad de la ayuda a Kenya: un estudio de caso Este artículo examina la efectividad de la ayuda oficial a Kenya. Las principales características incluyen un aumento en la ayuda no asociada a proyectos en respuesta a las dificultades económicas del país a principios de la década de 1980, así como una intensificación de las condiciones políticamente relacionadas. El análisis sectorial (agricultura, transporte, agua rural, energía y población) evidencia resultados mixtos con una constante declinación de la efectividad de la ayuda en la década pasada. El artículo destaca la necesidad de una mejor coordinación en la ayuda y de un continuo proceso de aprendizaje

British Programme Aid: Changing Orientations

Summaries The British have linked the provision of programme aid to World Bank and IMF economic policy reform conditions since the early 1980s. Since then they have liberalized their procedures in tune with local liberalisation. ODA currently sees programme aid in a budgetary rather than a balance of payments framework for management. It favours a coordinated donor\recipient approach, agreed and consistent public expenditure priorities, and a medium?term scale with efforts to improve budgetary processes. The SPA, where Britain plays a leading role, has currently shifted in this direction

How home country weaknesses can constrain EMNE growth: the example of India

This paper discusses the opportunities and limitations that the location-specific (L) assets of the home country represent for MNEs, particularly at the early stages of internationalization. The systemic weaknesses of the home country can constrain the long-term competitiveness of its firms, and ultimately, the competitiveness of its MNEs. It is the contention of this paper that many of the emerging countries have a constrained set of L assets from which their firms are able to develop ownership-specific assets. Are their economies developing improved L assets that will promote a new generation of EMNEs? We examine data for the case of India, an economy regarded as having considerable potential to expand to knowledge-intensive sectors. At the macro level, India’s performance is not different from countries of similar economic structure, and its current pockets of excellence are a reflection of its L assets. Our analysis suggests that the failure to foster and upgrade the L assets of emerging economies is likely to stunt the growth of their domestic firms, and ultimately any new MNE activity in the long-term

Climate Change Adaptation and Precarity Across the Rural-urban Divide in Cambodia: Towards a 'Climate Precarity' Approach

An emerging body of work has critiqued the concept of climate adaptation, highlighting the structural constraints impeding marginalised communities across the Global South from being able to adapt. This article builds on such work through analysis of debt-bonded brick workers in Cambodia, formerly small farmers. It argues that the detrimental impacts of climate change experienced by farmers-turned-workers across the rural – urban divide is due to their precarity. In doing so, this article draws on a conceptualisation of precarity which recognises it as emerging from the specific political economy of Cambodia, and as something that is neither new, nor confined to conditions of labour alone. As such, in looking to precarity as a means of conceptualising the relations of power which shape impacts of climate change, we advance a ‘climate precarity’ lens as a means of understanding how adaptation to climate change is an issue of power, rooted in a specific geographical context, and mobile over the rural–urban divide

Low Carbon Development for Cities: Methods and Measures

Cities consume more than 60% of global energy and that share is expected to rise with the rapid rate of urbanization now underway (van der Hoeven, 2012). Cities\u27 energy consumption, along with the reshaping and resurfacing of land and the food and other resources they demand, lead to a similarly large share of global greenhouse gas (GHG) emissions, carbon-based and otherwise. With cities playing a crucial role in sustainable energy and climate systems, this chapter examines emerging efforts by cities around the world to shift to a development pattern with less energy and less carbon

Access to and use of clinical services and disease-modifying therapies by people with progressive multiple sclerosis in the United Kingdom

Background: According to current UK guidelines everyone with progressive MS should have access to an MS Specialist but levels of access and use of clinical services is unknown. Our objective was to investigate access to MS Specialists, use of clinical services and disease-modifying therapies (DMTs) by people with progressive MS in the United Kingdom. Methods: A UK wide, online survey was conducted via the UK MS Register. Inclusion criteria: age over 18 years, primary or secondary progressive MS and a member of the UK MS Register. Participants were asked about access to MS Specialists; recent clinical service use; receipt of regular review and current and previous DMT use. Participant demographics; quality of life and disease impact measures were supplied from the UK MS Register. Results: In total 1298 participants responded: 5% were currently taking DMT; 23% had previously taken DMT; and 95% reported access to an MS Specialist. Most utilised services were: MS Doctor/Nurse (50%), General Practitioner (45%), and Physiotherapist (40%). Seventy-four percent received a regular review although 37% received theirs less than annually. Current DMT use was associated with better quality of life but past DMT use was associated with poorer quality of life and higher impact of disease. Conclusions: Access to, and use of, MS Specialists was high. However a gap in service provision was highlighted in both receiving and frequency of regular reviews

Clean birth kits to improve birth practices: development and testing of a country level decision support tool

Background: Clean birth practices can prevent sepsis, one of the leading causes of both maternal and newborn mortality. Evidence suggests that clean birth kits (CBKs), as part of package that includes education, are associated with a reduction in newborn mortality, omphalitis, and puerperal sepsis. However, questions remain about how best to approach the introduction of CBKs in country. We set out to develop a practical decision support tool for programme managers of public health systems who are considering the potential role of CBKs in their strategy for care at birth. Methods: Development and testing of the decision support tool was a three-stage process involving an international expert group and country level testing. Stage 1, the development of the tool was undertaken by the Birth Kit Working Group and involved a review of the evidence, a consensus meeting, drafting of the proposed tool and expert review. In Stage 2 the tool was tested with users through interviews (9) and a focus group, with federal and provincial level decision makers in Pakistan. In Stage 3 the findings from the country level testing were reviewed by the expert group. Results: The decision support tool comprised three separate algorithms to guide the policy maker or programme manager through the specific steps required in making the country level decision about whether to use CBKs. The algorithms were supported by a series of questions (that could be administered by interview, focus group or questionnaire) to help the decision maker identify the information needed. The country level testing revealed that the decision support tool was easy to follow and helpful in making decisions about the potential role of CBKs. Minor modifications were made and the final algorithms are presented. Conclusion: Testing of the tool with users in Pakistan suggests that the tool facilitates discussion and aids decision making. However, testing in other countries is needed to determine whether these results can be replicated and to identify how the tool can be adapted to meet country specific needs