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Article
Publication date: 1 March 1990

N.D. Mutizwa‐Mangiza

Rural local government is an important aspect of developmentplanning and implementation in third world nations and, for that reason,has received a lot of attention in…

Abstract

Rural local government is an important aspect of development planning and implementation in third world nations and, for that reason, has received a lot of attention in post‐colonial Africa. Tanzania′s experience is reviewed and provides important lessons for those countries currently involved in local government reforms. Such lessons concern the relationship between party and local government; the central‐local financial relationship; the popular belief that central government is capable of everything; and flexibility and openness on the part of central government policy makers.

Details

International Journal of Public Sector Management, vol. 3 no. 3
Type: Research Article
ISSN: 0951-3558

Keywords

Article
Publication date: 1 June 2011

Bob Brown

A new urban paradigm, the global city, emerged in the late 20th Century finding acceptance in discussions of urban development. Tied into a global network of exchange, it exists…

Abstract

A new urban paradigm, the global city, emerged in the late 20th Century finding acceptance in discussions of urban development. Tied into a global network of exchange, it exists principally as a place of financial speculation and transaction. It is marked by a parallel economy of culture, which underpins a re-conceptualisation and spatial re-formation of the city. Despite its widespread currency, criticisms have challenged its economic sustainability. Further questions have contested its tendency to impose a singular, homogenized space prioritizing consumption while marginalising other concerns.

Post-independence Riga's recent experience provides a platform from which to critique the global city paradigm, which the city embraced as it sought to embed itself in the West not only politically but culturally and economically as well. In opposition to this model's intrinsic singular emphasis and exclusionary tendencies, this text will explore the concept of palimpsest; this proposition understands the city as a multiplicity of layers, within which convergences and divergences offer a site from which to generate synergies. This will be framed in reference to recent discourse on the sustainable city and development practice. Recent design-led inquiry situated in the context of Riga will then provide a lens on palimpsest as an alternative form of praxis.

Details

Open House International, vol. 36 no. 2
Type: Research Article
ISSN: 0168-2601

Keywords

Article
Publication date: 6 November 2007

Charles Collins, Mayeh Omar, Damodar Adhikari, Ramji Dhakal, Nick Emmel, Megha Raj Dhakal, Padam Chand, Druba Thapa and Arjun B. Singh

The purpose of this paper is to describe and discuss policy analysis in Nepal and review the wide range of choices feasible in decentralisation decision making.

1279

Abstract

Purpose

The purpose of this paper is to describe and discuss policy analysis in Nepal and review the wide range of choices feasible in decentralisation decision making.

Design/methodology/approach

In this paper an iterative qualitative method was developed and used in the research, which consisted of focus group interviews, key informant interviews, document analysis, including descriptive statistics, and analysis of the policy context. Participants in the research reflected the urban/rural mix of districts and the geography of Nepal. Analysis combined transcribed interviews with findings from document searches and analysis of the policy context. Coding was pre‐determined during the training workshop and further codes were generated during and after the fieldwork.

Findings

The paper finds that Nepal is in the process of decentralising public services from the central level to the local level, particularly to local bodies: District Development Committees (DDCs), Village Development Committees (VDCs) and Municipalities. Key contextual factors referred to are the overall structure of decentralisation, the social context of poverty and the political instability leading to a fluid political situation characterised by political tension, armed conflict, controversies and agreements while carrying out the research. The key issues identified and discussed in the paper are the policy process leading to decentralisation, the organisational structure and tension in the proposed system, the systems of resource generation, allocation, planning and management and lastly the forms of accountability, participation, public‐private relations and collaborative strategies.

Originality/value

The paper discusses the challenges faced in conducting such a policy analysis, the broad ranging and unremitting nature of the decentralisation process, and the contextual setting of the process of change.

Details

Journal of Health Organization and Management, vol. 21 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 13 July 2015

Asongu Simplice

How do economic prosperity, health expenditure, savings, price-stability, demographic change, democracy, corruption control, press freedom, government effectiveness, human…

Abstract

Purpose

How do economic prosperity, health expenditure, savings, price-stability, demographic change, democracy, corruption control, press freedom, government effectiveness, human development, foreign aid, physical security, trade openness and financial liberalization play-out in the fight against health-worker crisis when existing emigration levels matter? Despite the acute concern of health-worker crisis in Africa owing to emigration, lack of relevant data has made the subject matter empirically void over the last decades. The paper aims to discuss these issues.

Design/methodology/approach

A quantile regression approach is used to assess the determinants of health-worker emigration throughout the conditional distributions of health-worker emigration. This provides an assessment of the determinants when existing emigrations levels matter.

Findings

Findings provide a broad range of tools for the fight against health-worker brain-drain. As a policy implication, blanket emigration-control policies are unlikely to succeed equally across countries with different levels of emigration. Thus to be effective, immigration policies should be contingent on the prevailing levels of the crisis and tailored differently across countries with the best and worst records on fighting health-worker emigration.

Originality/value

This paper has examined the theoretical postulations of a World Health Organization report on determinants of health-worker migration.

Details

International Journal of Social Economics, vol. 42 no. 7
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 10 June 2014

Francis A. Adzei and Emmanuel K. Sakyi

The purpose of this paper is to examine the trend of return migration of health professionals to Ghana and how it is impacting the delivery of health services in the country. It…

Abstract

Purpose

The purpose of this paper is to examine the trend of return migration of health professionals to Ghana and how it is impacting the delivery of health services in the country. It also highlights the challenges facing returnees to the country.

Design/methodology/approach

A qualitative exploratory case study approach was employed in the study. Data gathered were analysed using the sequential model of qualitative content analysis.

Findings

It was found that while push factors dominantly influence out-migration, pull factors rather dominated reasons for return migration. Other determinants of return migration include social and financial benefits to the home country, achieving goals for travelling, skills’ improvement and spousal consideration. The paper also highlights some of the challenges returnees usually encounter in the home country.

Social implications

This paper makes reasonable recommendations regarding how return migration of Ghanaian health professionals might be smoother.

Originality/value

The study brings to the fore, the necessity for the government to plan for health professionals, who returned to Ghana to contribute to the health system.

Details

International Journal of Migration, Health and Social Care, vol. 10 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

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