Search results

The years 2011, 2012, and 2013 witnessed both significant developments and setbacks in global polio eradication efforts. On the positive side, January 13, 2012, marked a full year since India had detected a case of wild poliovirus. On the negative side, polio continued to be endemic in three countries-Pakistan, Afghanistan, and Nigeria-and in those countries the goal of eliminating polio seemed more challenging than ever. Between December 2012 and January 2013, sixteen polio workers were killed in Pakistan, and in February 2013, nine women vaccinating children against polio in Kano, Nigeria, were shot dead by gunmen suspected of belonging to a radical Islamist sect. In addition, after a 95 percent decline in polio cases in 2010, the number of cases in Nigeria rebounded in 2011. Recognizing that polio was unlikely to be eliminated in these countries in the near term, the Global Polio Eradication Initiative moved its target date for eradication from 2013 to 2018.

These setbacks sparked a debate about the appropriate strategy for global eradication of polio. Indeed, some experts believed that recent setbacks were not caused by poor management but were instead the result of epidemiological characteristics and preconditions that might render polio eradication unachievable. These experts argued that global health efforts should focus on the control or elimination of polio rather than on the eradication of the disease.

This case presents an overview of polio and the Global Polio Eradication Initiative and recounts the successful effort to eradicate smallpox. The case enables a rich discussion of the current global strategy to eradicate polio, as well as the issue of whether eradication is the appropriate global public health objective. More generally, the case provides a concrete example of a particular type of global public good, namely infectious disease eradication.

After analyzing and discussing the case, students will be able to:

• Understand the nature of a global public good

• Perform a back-of-the-envelope benefit-cost analysis of polio eradication

• Discuss the appropriate strategy for eradicating an infectious disease

• Apply game theory to analyzing which countries would be likely to contribute funds toward global polio eradication

• Discuss the role of private organizations in the provision of global public goods

Understand the nature of a global public good

Perform a back-of-the-envelope benefit-cost analysis of polio eradication

Discuss the appropriate strategy for eradicating an infectious disease

Apply game theory to analyzing which countries would be likely to contribute funds toward global polio eradication

Discuss the role of private organizations in the provision of global public goods

Purpose – In this chapter, we seek to explore the collective responsibilities undertaken by the family as a whole in maintaining familial bonds through meal consumption. We draw on work which examines the role of gift giving (Ruskola, 2005), sharing (Belk, 2010) and sacrifice (Miller, 1998) in consumption. We take an original approach which does not look at the family meal in isolation but rather focuses on the patterning of meals and the relationships between them.

Methodology – The ethnographic study draws on interviews with 18 families and follows up mealtime observations with 15 families.

Findings – The analysis reveals a mealtime patterning involving collective participation in saving (in the form of consuming ordinary and thrifty meals during the week) and spending (in consuming extraordinary meals at weekends). Even if in the women and mothers in the household tend to sacrifice themselves more than other family members, the consumption of thrifty or ordinary meals implies a process of sacrifice involving the entire family. In viewing the meal as gift, we also observe a process of reciprocity in operation with family members obliged to both share in, and contribute to, the meals that have been cooked for them.

Social implication – Our analysis reveals discordances between the aspirations of family members (which are arguably largely based on cultural ideals), and their everyday experiences of family mealtimes.

Originality/Value – The chapter show how these micro experiences of family mealtimes have implications for a macro understanding of the idealised and culturally loaded construct of the family meal.

Once a week, almost one in ten Swedish children moves between two homes, replacing the routines and practices of one household with those of another. They are children in dual residence arrangements, dividing their time equally between two households after parental separation. Being on the move physically, as well as emotionally and relationally, is a part of their everyday lives. In this chapter, the author addresses children’s perspectives on living their everyday lives in two households and belonging to two homes and how they make sense of regularly shifting between different locations and (perhaps) contrasting family practices, rules and routines. Children’s accounts reveal how moving becomes a routine everyday practice, yet the regular change is perceived differently by different children. While highly valued by some, others find it difficult to handle the emotional stress of constantly leaving one parent behind, or the practical juggling of packing and moving. In the children’s accounts, they reveal how they take part in shaping their dual family lives, post-separation. The chapter draws on qualitative interviews with 20 children and young people living in dual residence arrangements. By using family practices as the analytical focus when analysing children’s accounts, the aim is to understand how everyday life is shaped by mobility. It is argued that the practices associated with dual residence are deeply embedded in physical, emotional and relational dimensions of mobility.

Online shoppers make product purchase decisions based on product information shown on a retailer's website and potentially in comparison to that seen on competitors' websites. Insufficient, poor quality or missing information about a product can lead to reduced retailer sales. Measuring online product information quality (PIQ) is therefore an essential element in helping retailers maximize their potential success. This paper aims (1) to identify directly quantifiable PIQ criteria, (2) to assess the effects of PIQ and (3) to evaluate the moderating effect of product involvement.

The authors conducted a scenario-based experiment within 3,544 do-it-yourself (DIY) online shoppers from the United Kingdom (UK). Within an 8 × 2 × 2 between-subjects design, the authors manipulated the factors PIQ criteria (8), PIQ level (2) and product type (2).

The findings support that poor PIQ has a negative impact on consumers online shopping outcomes. The authors also found that the effects of PIQ differ between the various criteria, the product category and the level of consumer involvement in the selling process. In the context of product depiction, title readability and product attribute comparability with other retailers' websites a high level of PIQ is required. Moreover, high involvement products need a higher level of PIQ than low involvement products.

This research expands website quality and service failure literature by introducing PIQ criteria and its effects in the context of online retailing. The authors also establish actionable managerial recommendations to assist retailers to embrace and utilize PIQ to better understand their own potential website and thus business improvements.

This paper aims to describe Australian children's perceptions of healthiness and sources of health knowledge in order to develop an understanding of young children's perceptions, knowledge and sources of influence to guide future behaviour change and health promotion strategies.

One‐hour interactive focus groups were conducted in a South Australian primary school. Four small groups (n=28) of children aged five to nine participated in focus groups in which they were asked to discuss being healthy and their sources of health information as well as engaging in storying around the healthy or unhealthy behaviours of fictional characters.

Children generally perceived themselves to be healthy. Perceptions of healthiness were equated with performing positive dietary (primarily eating fruit) and physical activity behaviours. Behaviours on an unhealthy day related to being sedentary and consuming “junk foods”. Commonly cited sources of health information included family members, teachers and public health campaigns.

Understanding how young children perceive health behaviour and how to deliver health education appropriately to children (including who delivers these programs) could improve the efficacy of future programs targeting this group. This study offers insight into junior primary children's perceptions of healthy diet and activity behaviours and can assist in the improvement of future health interventions and programs.

Existing research on how younger children perceive healthiness is limited. The methods used in this study allowed the authors to explore these perceptions in a way that limited how much the topics of the conversation were predetermined.

Throughout the late 19th and early 20th centuries, one of the many techniques used by physicians and psychiatrists to diagnose patients involved external and highly public examination. Typically conducted as a lecture to other medical experts and students, the patient was placed in the center of a round room with onlookers arranged in tiered seating to guarantee an unobstructed view. As the lead physician detailed the list of symptoms, using the patient's body as an illustration, observers witnessed the behavioral signs for themselves and discussed the possible underlying conditions or pathologies. This process of consultation and naming worked to increase the relative reliability among experts and bolster the professional reputations of medicine and psychiatry alike (Conrad & Schneider, 1992; Gillis, 2006; Grob & Horwitz, 2010). As researchers have noted (Aronowitz, 2001; Foucault, 1973), this change from focusing on disparate, idiosyncratic symptoms as expressions of individual illness to a system that recognized disease states comprised of symptom clusters marks a historical turning point in the history of medicine. The shift toward a classification scheme that linked medicine with science and technology bolstered medical authority and the power of physicians. In addition to professional credentials, accumulated knowledge, and institutional legitimacy, the authority of modern medicine both rests on and is expressed by medicine's decisive power to name and categorize through diagnosis (Jutel, 2009). Even as medical prestige has eroded, ceding some of its power to other entities,¹ physicians remain the final arbiter of official medical categories (Pescosolido, 2006), judges of what is, and what is not, a “real” diagnosis. In the diagnostic process, one looks within to reveal the nature of disease from without – empirical observation becomes immutable fact. Of course, as critical perspectives on medicine have long pointed out (Conrad & Schneider, 1992; Zola, 1972), the scientific “fact” of one time and place is the mythology or ignorance of another. Diagnosis, as both category and process (Blaxter, 1978), is infused with all manner of things social, historical, and cultural. This volume explores some of these infusions. In so doing, it aims to clarify and contribute to the emerging sociology of diagnosis – an endeavor first called for by Brown (1990), but more recently revived by Jutel (2009).

Although medical leadership and management (MLM) is increasingly being recognised as important to improving healthcare outcomes, little is understood about current training of medical students in MLM skills and behaviours in the UK. The paper aims to discuss these issues.

This qualitative study used validated structured interviews with expert faculty members from medical schools across the UK to ascertain MLM framework integration, teaching methods employed, evaluation methods and barriers to improvement.

Data were collected from 25 of the 33 UK medical schools (76 per cent response rate), with 23/25 reporting that MLM content is included in their curriculum. More medical schools assessed MLM competencies on admission than at any other time of the curriculum. Only 12 schools had evaluated MLM teaching at the time of data collection. The majority of medical schools reported barriers, including overfilled curricula and reluctance of staff to teach. Whilst 88 per cent of schools planned to increase MLM content over the next two years, there was a lack of consensus on proposed teaching content and methods.

There is widespread inclusion of MLM in UK medical schools’ curricula, despite the existence of barriers. This study identified substantial heterogeneity in MLM teaching and assessment methods which does not meet students’ desired modes of delivery. Examples of national undergraduate MLM teaching exist worldwide, and lessons can be taken from these.

This is the first national evaluation of MLM in undergraduate medical school curricula in the UK, highlighting continuing challenges with executing MLM content despite numerous frameworks and international examples of successful execution.

The purpose of this paper is to outline how the food acculturation of British expatriates in Toulouse (France) translates into their shopping behaviours. Having established this population’s specific food acculturation outcomes, mechanisms and motivations, it then studies their buying behaviours and shopping experiences.

This qualitative research is based on 70 semi-directive interviews of British expatriates in Toulouse. Specific emphasis was placed on facilitating respondents’ expression and analysing the wealth of their answers. The transcribed interviews were thus manually analysed.

This food acculturation process proves simpler than what seminal papers outlined, i.e. fewer acculturation outcomes, but also more complex: respondents show intertwined outcomes. The marketing channels and store formats respondents privilege in their food provisioning show discrepancies with French buyers’, and the retailers’ mix variables they particularly react to are identified, leading to managerial implications. Overall, both acculturated consumption and shopping practices display fluid behaviours.

This paper investigates a specific situation. Research on other populations or circumstances should confirm its results, especially migrants’ acceptance and satisfaction with local marketing channels and store formats.

Local retailers should address the shopping expectations of this affluent target through minor alterations to their operations without antagonising the locals.

This paper’s main contribution is to extend consumer acculturation literature in two dimensions. First, by studying wealthier migrants escaping “dominated acculturation”, the paper outlines respondents’ “embraced acculturation”. Then, by extending its scope beyond consumption, to shopping experience and store selection, it bridges the gap between consumer acculturation and retailing literatures.

While there has been a significant amount of research conducted on growth hormone (GH) in the field of medicine, very few studies have actually examined the experience from the vantage point of adults who were treated for short stature as children. On the basis of in-depth interviews with three women and two men, I explore the experiences of those who have firsthand knowledge of such treatment. What becomes clear in these narratives is that GH serves as both a normalizing and a stigmatizing force for the recipient. More broadly, this study seeks to contribute to the growing body of research on issues of physical appearance that plant the seeds for unequal treatment of individuals by society.