Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

ABSTRACT

Despite the benefits of antenatal care, evidence from sub-Saharan Africa suggests that women often initiate these services after the first trimester of pregnancy and do not complete the recommended number of visits. This study examines the impact of mobilising faith-based and lay leaders to address the socio-cultural barriers to antenatal care uptake in northern Ghana in the context of a broader child survival project. A quasi-experimental design was used, and data were analysed using a difference-in-differences approach. The results presented in this article indicate the potential for faith-based and lay leaders to promote uptake of maternal and child health behaviours.     

A no-displacement option? Rights,risks and negotiated settlement in development displacement

“Voluntary” land transfer agreements, negotiated directly between “willing buyers and willing sellers”, present a seemingly empowering alternative to the use of legal instruments for land acquisition or transfer which entail forced displacement. Yet asymmetrical bargaining power between the negotiating parties can undermine the fairness of negotiated outcomes and the right of the sellers to a “no-displacement” option. Viewed against a complex background of bourgeoning land transfers in multiple sites, this article examines rights-based and risks-based approaches to negotiated settlements, concluding that measures to address asymmetries in bargaining power must look beyond enhanced negotiation procedures to address underlying social and political dimensions.     

Identification and analysis of smallholder producers’ constraints: applications to Tanzania and Uganda

This article puts forward a method for the analysis of constraints faced by developing countries’ smallholder producers. It is consistent with theories of constraints, efficient in terms of cost and researchers’ time, and accessible to a non-technical audience. A hybrid of workshop discussion and individual data collection, it also draws on data and analyses available in most developing countries. The article presents an application to smallholder livestock systems in Tanzania and Uganda, reporting results and analysis relating constraints to households’ characteristics and conditions, and their stated goals. While limitations are identified, it is proposed for application in other development fields.     

Can technology change the existing culture? Case study on Bangladesh’s public sector

This article highlights the challenges development aid donors can face in Bangladesh’s post-colonial culture, as well as substantiating how lack of quality control in an aid project can influence local values, beliefs, and subjective experiences. The article also suggests that improving quality control, such as through monitoring and evaluation (M&E), can generate greater impact of development aid resources.     

“Empowered patient” or “doctor knows best”? Political economy analysis and ownership

Efforts to incorporate “political thinking” into policy-making and practice in OECD-DAC development agencies have increasingly focused on the use of “political economy analysis” (PEA) frameworks and tools. While recognising the fundamental value of promoting politically informed programming, this article nevertheless highlights how contemporary efforts to this end have largely ignored another central development agenda: the ownership paradigm. Emphasising the highly donor-centric nature of PEA design and methodology, we explore critiques and justifications of this state of affairs, ultimately arguing that donors would benefit from embracing a more flexible and context-specific understanding of ownership.     

Challenges and lessons learnt from a sanitation project in rural Bolivia

The University of Arizona chapter of Engineers Without Borders USA has faced multiple challenges involving community participation in rural development, in the Andean community of Marquirivi, Bolivia, both in rural design and in community participation. Despite successful construction of a shower house in 2014, the EWB-USA UA team experience with community participation revealed the numerous complexities involved in engaging successfully with communities. The importance of previous aid in a community with development projects also emerged as critical in shaping actions. This article discusses lessons learnt and recommendations for rural infrastructure projects, as well as the EWB-USA model of sustainable development.