19 research outputs found
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Water governance and poverty: a framework for analysis
YesIn this paper we present a framework for understanding water governance, through which we
critique some of the assumptions underlying the current consensus on good governance.
Specifically, we suggest that current approaches are based on incomplete or partial
understandings of the concepts of governance. We question the idea that governance can be
identified as an abstract set of principles, without the need for contextualisation and localisation.
In particular, we suggest that there is a general lack of understanding of the way local
interactions shape and influence governance processes. Finally, and with specific reference to
the MDGs and the water sector, we question the implicit assumption that `good¿ governance is
necessarily pro-poor governance.
The paper addresses these issues through a critical discussion of governance, from which we
develop a framework for conceptualising water governance. The framework draws on theories of
governance, institutions and structuration, but is also informed by recent empirical research and
experiences from the field. We apply the framework to a specific case in Southwestern Tanzania
and raise a number of issues and challenges for further research
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How institutions elude design: river basin management and sustainable livelihoods.
YesThis paper challenges ideas that it is possible to `get the institutions right¿ in the management of natural resources. It engages with the literature and policy specifying `design principles¿ for robust institutions and uses data from a river basin management project in Usangu, Tanzania, to illustrate the complexity of institutional evolution. The paper draws on emerging `post-institutionalist¿ perspectives to reject over-formalised managerial approaches in favour of those that accept the dynamic nature of institutional formation, and accommodate a variety of partial and contingent solutions. Data from Usangu suggests that external `crafting¿ is inevitably problematic because, to a certain extent, institutions elude design
Differentiated legitimacy, differentiated resilience: beyond the natural in ‘natural disasters’
This paper starts with a flood in southern Malawi. Although apparently a ‘natural’ event, those most affected argued that it was made much worse by the rehabilitation of a nearby irrigation scheme. We use this example to interrogate the current interest in resilience from a perspective informed by political ecology and political economy, arguing that a focus on resilience should not be at the expense of understanding the conditions that shape vulnerability, including the ways in which ‘communities’ are differentiated. Complex factors are at play – and the ways in which these combine can result in a ‘perfect storm’ for some individuals and households. These factors include the effects of history combining with ethnicity, of legitimacy influencing voice, and of the interplay of political dynamics at different levels. In particular, processes of commodification have played an important role in shaping how some may benefit at the cost of catastrophic harm to others
Transformations to groundwater sustainability: from individuals and pumps to communities and aquifers
If the success of agricultural intensification continues to rely on the depletion of aquifers and exploitation of (female) labour, transformations to groundwater sustainability will be impossible to achieve. Hence, the development of new groundwater imaginaries, based on alternative ways of organizing society-water relations is highly important. This paper argues that a comparative documentation of grass-roots initiatives to care for, share or recharge aquifers in places with acute resource pressures provides an important source of inspiration. Using a grounded anti-colonial and feminist approach, we combine an ethnographic documentation of groundwater practices with hydrogeological and engineering insights to enunciate, normatively assess and jointly learn from the knowledges, technologies and institutions that characterize such initiatives. Doing this usefully shifts the focus of planned efforts to regulate and govern groundwater away from government efforts to control individual pumping behaviours, to the identification of possibilities to anchor transformations to sustainability in collective action
Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study
Purpose:
Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom.
Methods:
Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded.
Results:
The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia.
Conclusion:
We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes
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Reinventing Institutions: Bricolage and the Social Embeddedness of Natural Resource Management
N
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Masculinities matter: Men, gender and development.
Men appear to be missing from much gender and development policy, but many emerging critiques suggest the need to pay more attention to understanding men and masculinities, and to analysing the social relationships between men and women. This book considers the case for a focus on men in gender and development, which requires us to reconsider some of the theories and concepts which underlie policies. It includes arguments based on equality and social justice, the specific gendered vulnerabilities of men, the emergence of a crisis of masculinity and the need to include men in development as partners for strategic change
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Analysing Water Governance: A Tool for Sustainability
yesManaging global water resources and providing water services to the world¿s people raises a continuing series of challenges, driven by increasing expectations, and a growing competition for water, which will be exacerbated by climate change. This paper explores how concepts of water governance and sustainability may help us to meet those challenges. Water governance is often equated with the role of government or management in the provision of water services. By contrast, we see governance as the system of actors, resources, mechanisms and processes, which mediate society¿s access to water. A broad conceptual framework is presented for the analysis of water governance, based on linkages between the resources available to society, the mechanisms that shape access to water and the outcomes of those mechanisms, both for people and the ecosystem. These linkages are mediated both by stakeholders and by management processes. It is argued that this conceptual framework offers a robust analytical tool for planning for sustainability as it is able to account for the complexities of water governance (of contexts, stakeholders, arrangements and uses). The paper concludes with observations about the ways in which the framework can be used to understand how different water governance arrangements produce variable outcomes in terms of sustainability
Water Governance and Poverty: A Framework for Analysis
NoThis paper engages with policy on meeting development goals for water through interventions, which promote good governance. Addressing an under-researched area, we propose a new analytical framework for understanding water governance, not as a set of abstract principles, but as interlinked processes with variable practical outcomes for poor people. The framework is informed by theories of governance, institutions and structuration, empirical research and field insights. We apply the framework to a case in south-western Tanzania, and we identify a range of issues for further research, particularly relating to water access for the poor
Poverty of indigenous people in Taiwan : rethinking agency, embedded disposition, role of family and institution in the study of poverty
Recently, the issue of poverty amongst indigenous people has become a significant topic in literature on social policy and development studies. The literature mainly looks at this issue in terms of an unequal and one-sided relationship between the mainstream society and an indigenous minority group. This thesis seeks insights into the more diversified circumstances and experiences of poverty amongst indigenous people. The following questions are addressed: (1) Why and how is the poverty of indigenous people reproduced over time and space? (2) How can we understand patterns of differentiation between indigenous people? (3) What is the balance between structural opportunity and constraint in the lives of indigenous people? (4) To what extent do people exercise agency to cope with or overcome their poverty situations? The thesis adopts an ethnographic approach, including participant observation and interviews in four villages of Taiwanese indigenous people. It explores the connections between poverty dynamics and diversified patterns of socio-economic action amongst indigenous people. Hogget and Greener's model of agency, which contains the essential theoretical views of Giddens (the ability of agents to act) and Bourdieu (the embedded corporeal disposition of human agents) are used to make sense of this exploration. The thesis finds that the actions of indigenous people as human agents are differentiated. Actions are not only motivated by strategic plans and emotions but are also influenced by the agents' socio-economic positions, such as their occupations and education and those of their parents. The differentiated socio-economic activities of agents, in turn, have a strong effect on the stratification of their living standards.EThOS - Electronic Theses Online ServiceWorld BankGBUnited Kingdo