The Effect of Sibling Size on Children’s Health and Education: Is there a Quantity-Quality Trade-off?

The quantity-quality trade-off is one important motivation for the family planning policies in many developing countries. In this paper, we examine the effect of number of siblings on children’s health and education in China. We find evidence of quantity-quality trade-off in children’s health but not in children’s education. Our study has three contributions. First, we focus not only on children’s education but also on children’s health, which has received rather little attention in the literature. Secondly, we use a new source of exogenous variation in fertility – variations of the strictness of the One-Child policy across localities in China – to construct instrumental variable's (IV's). Finally, we empirically explore the underlying mechanism of the quantity-quality trade-off, and find supporting evidence for the resource dilution hypothesis.     

Student movements in Kosova (1981): academic or nationalist?

The 1980s caught Albanians in Kosova in interesting social, political, and psychological circumstances. Two diametrically opposed dogmatic dilemmas took shape: “illegal groups” – considerably supported by students – demanded the proclamation of the Republic of Kosova and/or Kosova’s unification with Albania. On the other side of the spectrum, “modernists” – gathering, among others, the political and academic elites – pushed for the improvement of rights of Kosovars guaranteed under the “brotherhood and unity” concept advocated within the Socialist Federal Republic of Yugoslavia (SFRY). This paper outlines the nature of demonstrations that took place in March and April 1981 and the corresponding responses of political and academic elites. Stretching beyond symbolic academic reasons – demands for better food and dormitory conditions – the study points to the intense commitment of the students to their demands, often articulated in nationalistic terms. Was it inevitable that the structure of the SFRY would lead to those living in Kosova as a non-Slavic majority in a federation of “Southern Slavs” to articulate demands for national self-rule? It is necessary to highlight these political and social complexities through analytical approaches in order to track the students’ goals and to reexamine assumptions behind the “modernist” agenda. In that vein, the paper analyzes the conceptual connections and differences between student reactions and modernists’ positions during the historical period under discussion here.     

Why Don’t You Register Your Child? A Study of Attitudes and Factors Affecting Birth Registration in Kenya,and Policy Suggestions

Birth registration imposes major challenges in developing countries, with importance to rights, health and all levels of development. Despite targeted initiatives, often with focus on improved access and information, universal registration has been elusive. Using cross-sectional survey from Kenya, we provide new evidence for why parents may not register. We report high awareness, low barriers – however with over 50 per cent of children unregistered. We argue this is due to deliberate, informed choice by parents where they weigh perceived costs/benefits. We recommend new focus on this deliberation and policy piggybacking hospital delivery, vaccination and information and communications technology to re-balance parent decision.     

Analysing the subject of peace in award-winning children’s and adolescent novels in Turkey

The purpose of this study is to reveal how the concept of peace is addressed in the national award-winning novels written for secondary school students within the Republic of Turkey. Data for this study was obtained from child and youth literature award organizations, associations and publishers within Turkey. Each group which was researched has been awarding literature prizes for at least five years. Books which were researched were chosen from the award lists from these organizations for the five-year period of 2009–2013. All of the books were utilized in the analyses and all books in this study were examined as written instruments. The data for this research was evaluated through qualitative research methodology using content analysis. For this research, the main category – peace – was analysed based on five sub-categories including; ‘having human rights’, ‘having cooperation, sharing and solidarity’, ‘not having prejudice and stereotypes’, ‘having conflict resolution’ and ‘being sensitive to the environment’. It can be said that award-winning children’s and adolescent novels are written in a way that is sensitive in terms of the ideas of peace and they have the qualities which can generate the ideas of peace in the hearts of children and adolescences Please check whether the abstract and keywords have been set correctly.     

Voice and choice in health care in England: understanding citizen responses to dissatisfaction

Using data from a five-year online survey the paper examines the effects of relative satisfaction with health services on individuals' voice-and-choice activity in the English public health care system. Voice is considered in three parts – individual voice (complaints), collective voice voting and participation (collective action). Exercising choice is seen in terms of complete exit (not using health care), internal exit (choosing another public service provider) and private exit (using private health care). The interaction of satisfaction and forms of voice and choice are analysed over time. Both voice and choice are correlated with dissatisfaction with those who are unhappy with the NHS more likely to privately voice and to plan to take up private health care. Those unable to choose private provision are likely to use private voice. These factors are not affected by items associated with social capital – indeed, being more trusting leads to lower voice activity.     

Air Quality and Under-five Mortality Rates in the Low-income Countries

This study investigates the effects of air quality, measured by PM₁₀ pollution, on mortality among children aged five years and less in the low-income category of countries. The empirical results obtained from three different estimation procedures consistently reveal that PM₁₀ pollution is positively and statistically significantly correlated with deaths among children aged five years and less due to acute lower respiratory infections. The empirical findings also provide strong evidence that, other than PM₁₀ pollution, health care spending, nutrition and immunisation against diphtheria are other significant determinants of mortality among children aged five years and less.     

Health and Local Government Partnerships: The Local Government Policy Context

This article explores partnerships between health and local government from the local government perspective; placing developments between the two sectors within the wider context of the Local Government Modernisation agenda. A number of commentators have argued that developments since 1997 – in particular the emphasis on community leadership and the new power of well-being – have provided local authorities with an exciting opportunity to reclaim a more pivotal role in shaping the health agenda at the local level. Such a role would be based on promoting well-being and a good quality of life, in keeping with the social model of health. In the longer run this reclaimed role could produce a shift in what has become the main boundary between health and local government: the health–social care boundary. The article reviews developments in three key areas: the health–social care boundary; the core components of the Local Government Modernisation Agenda; and the relationship between regeneration and health. The paper concludes that although progress has been made in regeneration and health and there is potential in elements of the Modernisation Agenda that these do not equate to a paradigm shift in local government's perspective on health. Instead, the social care boundary continues to dominate local government's vision of health. Central to this picture of modest progress is the substantial barrier to more radical change provided by the performance management frameworks governing both sectors.     

The Impact of SWAps on Health Aid Displacement of Domestic Health Expenditure

Recent research suggests that an additional $1 of health aid would displace – or crowd out – nearly the same amount in a recipient government’s own health expenditure. Implementing a Sector Wide Approach (SWAp) may exacerbate crowding out because recipient governments should face fewer constraints when allocating health aid. This paper uses rigorous panel data methods to investigate this hypothesised effect of SWAps. We find that SWAps provide not an exacerbating but a potentially protective effect, reducing displacement of government health expenditure. This suggests some aid dollars are more fungible than others, and the mechanism for aid delivery makes a difference.     

Do Solar Lamps Help Children Study? Contrary Evidence from a Pilot Study in Uganda

Abstract

Over half a billion children lack adequate lighting and use dim, smoky and dangerous kerosene-based lighting for their evening studies. This article examines the conventional wisdom that the brighter, clean, safe and zero-marginal-cost light of solar lamps enhances children’s learning outcomes. In a randomised experiment, unexpectedly, solar lamps lowered test scores by five points out of 100 (0.25 standard deviation), but increased reported study time by approximately 30 minutes per day. This may be due to flickering from lack of full charge, lowering their productivity. The nationwide learning assessment suggests that solar lamps likely have an insignificant effect on educational attainment.     

Information Improves Provider Behaviour: A Replication Study of a Community-Based Monitoring Programme in Uganda

In ‘Power to the People: Evidence from a Randomised Field Experiment on Community-Based Monitoring in Uganda’ (2009), Björkman and Svensson show that a relatively simple intervention – providing community-level health service delivery information and guidance on community-based monitoring – improved provider behaviour, health care utilisation, and health outcomes. In this paper we conduct a pure replication of the original study and extend the original analysis. Overall, we find that the intervention modified healthcare provider behaviours and utilisation, but that the results surrounding the programme’s impact on health outcomes appear less robust.     

The economic viability and stability of ‘capitalised family farming’: An analysis of agricultural decollectivisation in Peru

Abstract

The overall goal of this study is to examine if there is a dropout problem in rural China and to explore the effectiveness of a Conditional Cash Transfer (CCT) programme on the rate of dropping out. To meet this goal, we conduct a randomised controlled trial (RCT) to assess the impact of the CCT using a sample of the poorest 300 junior high school students in a nationally-designated poor county in Northwest China. We find that the annual dropout rate in the study county was 7.8 per cent and even higher, 13.3 per cent, among the children of poor households. We demonstrate that a CCT program reduces dropout by 60 per cent. The programme is most effective among students with poor academic performance, and likely more effective among girls and younger students.     

Coevolution of policy sectors: A comparative analysis of healthcare and public health

This article analyses the institutional coevolution of policy sectors – in other words, the mutual influence and adaptation of the institutional connection between related policy areas. The article proposes a two‐dimensional analytical space ranging from separation to unity on one axis and from superiority/subaltern to equality on the other. The article argues that the overall governance framework behind the coevolving sectors affects the institutional relationship between the sectors. In its empirical part, the article focuses on the healthcare and public health sectors. Based on a comparative historical examination of three countries with different healthcare systems – Australia, Germany, and the United States – the article shows that healthcare and public health coevolve differently depending on the type of national healthcare system. Further research can transfer the concepts introduced in this article to the analysis of other policy challenges, such as immigration or environmental protection.     

Knowledge sharing and lesson learning: consultants' perspectives on the international sharing of political marketing strategy

Political marketing consultants who offer specialist skills and experience in political marketing – polling, strategy, voter profiling, segmentation, micro-targeting, voter-responsive product design – travel around the world sharing ideas from one campaign to the next, raising concerns that these unelected advisors wield global power; that political products will become all the same, and political leaders are prevented from offering an appropriate vision geared to the needs of their individual country. Whilst previous literature on political consultancy generally debated whether such global activities represented Americanisation or globalisation this article presents new qualitative interview data with consultants that suggest alternative perspectives. Political marketing strategy and tools are shared, but not just from the USA but between all countries, and they are adapted to suit the particular situation of each country, or indeed, each election. Politics is truly being marketised all over the world but each election remains a unique exercise.     

Facing institutional change in Mostar: a litmus test for Bosnia and Herzegovina

The reconstruction of Mostar could have been a symbol of renewed multiethnic coexistence. Instead, it has become a synonym for failed institutions and divisions, mirroring the difficulties of the whole country. While imposition of both the 1996 and 2004 statutes establishing the city’s administrative units was connected with crisis, the city has also faced two major deadlocks, in 2008–2009 and 2012. In the first, a solution was imposed by the international community’s High Representative (HR). But the second remains unresolved, as the HR resists intervening. The aim of the paper is to analyze these impasses – moments when institutional change should have occurred, but for some reason did not. Even the solutions – acts of external imposition – might be treated at best as institutional pseudo-change that shows that imposed institutions have a particular inertia that resists change. The topic will be presented from the perspective of historical institutionalism, with special emphasis on the path-dependency approach, which refers here not only to the formal institutional structure of the city, but also to the decision-making processes in the moments of stalemate.     

Does the ICDS Improve Children’s Diets? Some Evidence from Rural Bihar

Although there are several studies documenting the impact of the Integrated Child Development Scheme (ICDS) – the largest preschool intervention – in India, few have documented to what extent it improves the quantity and quality of food consumed by young children. This paper attempts to provide causal estimates of the impact of the ICDS on calories, protein, iron, and Vitamin A intakes of children. Using matching techniques to define an appropriate counterfactual, and a primary survey in four villages in rural Bihar, our results suggest that: (a) for older children three to six years who benefit from cooked meals, the ICDS did result in higher intakes of calories, protein, and iron, and no substantive evidence that as a consequence there was substitution away from food at home. However, there was no impact on vitamin A intake; (b) for younger children whose mothers are given take-home rations, there is no evidence the ICDS improved intakes of calories or any other nutrients. Thus, even though the monetary value of the transfer was the same across both age groups, there is evidence to suggest the mode of transfer does seem to matter to ICDS effectiveness, consistent with other literature.     

ARE STREET‐LEVEL BUREAUCRATS COMPELLED OR ENTICED TO COPE?

Traditional studies of street‐level bureaucrats see the bureaucrat’s behaviour as a kind of self‐defence – a way to minimize negative aspects of the job and thereby job frustration. I argue – and empirically show – that it is equally relevant to consider at least part of street‐level bureaucrat behaviour as positively motivated – as a way of maximizing job satisfaction. Behavioural mechanisms such as coping are not just a way to avoid frustration, but also a way to gain satisfaction. This becomes clear when we attempt to explain differential treatment among regulated companies.     

Ripple effects: the groundnut scheme failure and railway planning for colonial development in Tanganyika, 1947–1952

While the reasons for the failure of the groundnut scheme are well understood, its effects on colonial development in Tanganyika are not. Drawing from the voluminous paper trail that development planning leaves in its wake, this paper traces the effects of the groundnut scheme demise on a contemporaneous plan to build a railway across Tanganyika to the Northern Rhodesian copperbelt. Tensions arose among the railway planners – civil servants, politicians, and consultants from Britain, Africa, and the United States – when, midway through the planning process, the scale of the groundnut scheme collapse became public. I demonstrate how this revealing crisis prompted planners to eschew the project's production-oriented impetus and embrace a welfare-oriented conclusion. By demonstrating the interlinked nature of development projects, this paper proposes a new angle for studying the history of development in an era characterised by the rapid proliferation of projects.     

State,identity, and the politics of music: Eurovision and nation-building in Azerbaijan

Albeit often – and fairly – degraded in the world of high culture as a populist and politicized representation of music, the Eurovision Song Contest (ESC) – by sheer virtue of the populist and politicized nature of its essence – stands among the most consequential cultural encounters to which post-independence Azerbaijan has been exposed, in that the extent to which Baku's victory in the ESC-2011 – and the further developments this victory has generated – can potentially impact on, and contribute to, the very process of nation-building and national identity formation, with which this post-Soviet Muslim-majority country is currently struggling, is unparalleled by any of the state's earlier encounters of the kind. This paper focuses on, and examines, four intimately related ways in which the ESC and Azerbaijan's successful involvement with the latter worked to interfere with the country's nation-building: as a dubious factor in the evolution of the Western sense of self among Azerbaijanis; as a unifying force within the structure of the country's rapidly maturing civil society; as a medium working to open up a channel through which Western popular cultural elements could interfere with the evolving dynamics of, and work to globalize, indeed de-endogenize, indigenous Azerbaijani culture, on one hand, and unify the discursive realm within which the country's cultural domain is to further evolve, on the other; and, finally, as an important element serving to decouple the evolving processes within the country's cultural domain from the unfolding dynamics of conflict settlement and hence conducive to the diversification of public discourse in Azerbaijan.     

Reforming the World Health Organization: what influence do the BRICS wield?

The World Health Organization (WHO) is currently undergoing fundamental reform that is intended to impact its programmes and priority setting and its financial and governing structures. Within the reform debates, new relations of powers are emerging among traditional donors and emerging economies such as the ‘BRICS’: Brazil, Russia, India, China and South Africa. These five emerging economies have formally committed ‘to strengthen and legitimise the WHO as the coordinating authority in global health’ through the principle of multilateralism. In this paper, the results of a qualitative study – based on 21 key informant interviews – that seeks to better understand BRICS’ engagement in this organisation and the extent to which their action enables these countries to influence the reform process were presented. The results show that individual BRICS countries found natural pairings with each other on both particular elements of the reform, notably governance and WHO financing, and specific health issues. While numerous examples of individual BRICS countries seeking to raise the profile of specific health issues were found, some evidence of a coordinated effort to influence reform as a bloc was also found. Although this was largely limited to rhetorical announcements of support in formal Declarations and Communiqués, it nevertheless articulates a vision of the WHO as an organisation with a broad mandate delivered with sufficient, predictable funding.