From philanthropy to corporate social responsibility in Guatemala: assessing shifts through Alianzas

Latin American firms are moving from narrow philanthropy to broader engagement with development priorities. We examine this shift with data from Alianzas, a development programme promoting private contributions to health and education in Guatemala. We use Solomon's (2010) dimensions of proliferation, professionalisation, and partnering to compare firms' pre-Alianzas efforts with programme activities. Both firms with established and new philanthropic programmes engaged with Alianzas (proliferation). Most participants were willing to steer efforts towards public priorities (professionalisation) and collaborate with government (partnering). Given chronic underfunding of health and education priorities in Guatemala, we suggest that private contributions to public programmes be institutionalised.

De la philanthropie à la responsabilité sociale des entreprises au Guatemala : évaluer les changements obtenus à travers les Alianzas

Les entreprises latino-américaines sont en passe de s'éloigner de la philanthropie étroite et choisissent plutôt une approche large du travail sur les priorités de développement. Nous examinons cette évolution à partir de données émanant des Alianzas, un programme de développement qui favorise les contributions privées à la santé et à l'éducation au Guatemala. Nous employons les dimensions de Solomon (2010) de prolifération, professionnalisation et établissement de partenariats pour comparer les efforts des entreprises pré-Alianzas aux activités de programme. Des entreprises dotées de programmes philanthropiques établis ainsi que nouveaux ont collaboré avec des Alianzas (prolifération). La plupart des participants étaient disposés à orienter les efforts vers les priorités publiques (professionnalisation) et à collaborer avec le gouvernement (établissement de partenariats). Étant donné le sous-financement chronique des priorités en matière de santé et d'éducation au Guatemala, nous proposons que les contributions privées aux programmes publics soient institutionnalisées.

De filantropia à responsabilidade social corporativa na Guatemala: avaliando mudanças através do programa Alianzas

Empresas latino-americanas estão mudando de filantropia limitada para engajamento mais amplo com prioridades de desenvolvimento. Examinamos esta mudança com dados do Alianzas, um programa de desenvolvimento que promove contribuições privadas para a saúde e educação na Guatemala. Utilizamos as dimensões de Solomon (2010) de proliferação, profissionalização e parceria para comparar os esforços das empresas pré-Alianzas com atividades do programa. Tanto as empresas com programas filantrópicos estabelecidos quanto as empresas com programas filantrópicos novos engajaram-se com a Alianzas (proliferação). A maioria dos participantes desejava dirigir esforços para prioridades públicas (profissionalização) e colaborar com o governo (parceria). Tendo em vista o baixo investimento crônico nas prioridades da saúde e educação na Guatemala, sugerimos que contribuições privadas para programas públicos sejam institucionalizadas.

De la filantropía a la responsabilidad social corporativa en Guatemala: cómo se evalúan los cambios a través de Alianzas

Las empresas latinoamericanas están abandonando sus prácticas exclusivamente filantrópicas para asumir un mayor compromiso con las prioridades del desarrollo. Los autores analizan esta transición a través de la información obtenida de Alianzas, un programa de desarrollo que promueve el financiamiento privado en las áreas de salud y educación en Guatemala. Utilizan las categorías de Solomon (2010) –difusión, profesionalización y construcción de acuerdos– para comparar las actividades de las empresas antes y después de participar en el programa Alianzas. En el programa Alianzas participaron tanto las empresas con experiencia en actividades filantrópicas como las que no la tenían (difusión). La mayoría de las empresas que participaron encaminó sus esfuerzos hacia las prioridades públicas (profesionalización) y hacia la colaboración con el gobierno (construcción de acuerdos). Dada la escasez crónica de financiamiento para la salud y la educación en Guatemala, los autores sugieren que se institucionalicen las donaciones privadas para los programas públicos.     

Are healthier people happier? Evidence from Chile and Uruguay

Based on data from the Latinobarómetro, this study analyses data on happiness to establish the probability that an individual is happy. The focus is put on self-reported health status as a key aspect in increasing levels of happiness. The probability of being happy is econometrically estimated by probit models for each country. Results show that the main relationship is between happiness and health status. Whether this is a causal effect or only a correlation, is not clear. This issue is explored by using propensity score matching methods. These show that good health status increases the probability of being satisfied with life by between 13 and 17 percentage points. In line with the literature, we find that the relationship between age and happiness is U-shaped, with happiness at its lowest point at the age of 48.2.

Les personnes en bonne santé sont-elles plus heureuses ? Données concrètes en provenance du Chili et de l'Uruguay

Sur la base de données tirées du Latinobarómetro, cette étude analyse des données sur le bonheur afin d'établir la probabilité du bonheur de personnes données. L'accent est mis sur l'état de santé présenté par la personne elle-même comme aspect clé du niveau croissant de bonheur. La probabilité de bonheur est estimée économétriquement au moyen de modèles probit pour chaque pays. Les résultats indiquent que le principal rapport est celui qui relie le bonheur et l'état de santé. Quant à savoir si c'est là une relation de cause à effet ou seulement une corrélation, ce n'est pas évident. Cette question est traitée au moyen de méthodes d'appariement par score de propension, qui montrent qu'un bon état de santé accroît la probabilité de se sentir satisfait de sa vie de 13 à 17 pour cent. Conformément aux documents écrits sur ce thème, nous constatons que le rapport entre l'âge et le bonheur est en forme de U, le bonheur atteignant son niveau le plus bas à l'âge de 48,2 ans.

¿Son más felices las personas sanas? Hallazgos en Chile y Uruguay

A través del Latinobarómetro para Chile y Uruguay 2007, se estima a través de modelos probit la probabilidad de que un individuo sea feliz. La principal correlación positiva se da entre la felicidad y el buen estado de salud. A efectos de controlar la potencial heterogeneidad observable de esta variable, se utilizan técnicas de correspondencia encontrando que tener buena salud aumenta entre 13 y 17 puntos porcentuales la probabilidad de ser feliz para los datos agrupados regionales. Consecuentemente con la literatura, se encuentra una forma convexa con respecto a la edad, siendo los 48.2 años la edad de mínima felicidad.

As pessoas mais saudáveis são mais felizes? Evidências do Chile e Uruguai

Baseado em dados do Latinobarómetro, este estudo analisa dados sobre felicidade para estabelecer a probabilidade de um indivíduo ser feliz. O enfoque é dado na condição de saúde auto-relatada como aspecto-chave para aumentar os níveis de felicidade. A probabilidade de ser feliz é econometricamente estimada por modelos probit para cada país. Resultados mostram que a principal relação é entre felicidade e condição de saúde. Se isto é um efeito causal ou apenas uma correlação, não está claro. Esta questão é explorada utilizando-se métodos PSM (Propensity Score Matching). Estes métodos mostram que boas condições de saúde aumentam a probabilidade de satisfação com a vida em cerca de 13 a 17 pontos percentuais. Em sintonia com a literatura, constatamos que a relação entre idade e alegria tem a forma de U, com a alegria em seu ponto mais baixo na idade de 48.2.     

The percentage of HIV treatment and prevention services in Kenya provided by faith-based health providers

ABSTRACT

Although the percentage of health services provided by the faith-based sector in sub-Saharan Africa is often cited along a range from 30% to 70%, depending on the country, such citations tend to be anecdotal and without reference to actual analysis of health service data. This article reports on a secondary analysis of health service data in Kenya to determine the percentage of HIV services provided by faith-based health providers. It then discusses the contributions of faith-based providers in light of these data, identifying opportunities and challenges involved in efforts to ensure that the resources of the faith-based sector are maximised.     

Teachers as social capital agents: an exploratory study from Brazil

While socialisation aspects of schooling are widely considered as significant mechanisms of reproducing social inequalities, teacher contributions are rarely examined in terms of the social-relational dimensions of student outcomes. This paper employs a social capital framework to examine teacher-student engagement in two under-resourced urban public schools in Brazil. Extended interviews with teachers reveal that inspired educators do take great initiatives to transform the nature of their relationships with low-income students into sources of critical institutional and psycho-social support. The study offers critical policy perspectives on how teachers could be enabled to potentially become social capital agents for their students.

Les enseignants comme agents de capital social : une étude exploratoire menée au Brésil

Si les aspects de la scolarisation relatifs à la socialisation sont considérés par beaucoup comme des mécanismes considérables de reproduction des inégalités sociales, les contributions des enseignants sont rarement examinées en termes des dimensions sociales-relationnelles des résultats pour les étudiants. Cet article a recours à un cadre de capital social pour examiner le dialogue enseignant-étudiant dans deux écoles publiques urbaines brésiliennes disposant de moyens insuffisants. Des entretiens étendus avec les enseignants révèlent que les pédagogues inspirés prennent effectivement de fantastiques initiatives visant à transformer la nature de leurs rapports avec des étudiants issus de familles à faible revenu en sources cruciales de soutien institutionnel et psychosocial. Cette étude offre des manières de voir cruciales sur le plan des politiques en ce qui concerne la manière dont les enseignants pourraient avoir la possibilité de devenir peut-être des agents de capital social pour leurs étudiants.

Los maestros como agentes de capital social: un estudio exploratorio en Brasil

Si bien los aspectos socializantes de la educación son ampliamente considerados como mecanismos significativos de reproducción de las desigualdades sociales, pocas veces se examinan las contribuciones que los maestros realizan en términos de las dimensiones social-relacionales de los resultados obtenidos por los estudiantes. Con el fin de analizar la interacción que tiene lugar entre maestros y estudiantes de dos escuelas públicas de escasos recursos localizadas en el ámbito urbano de Brasil, el presente artículo utiliza un marco de capital social. Las entrevistas a profundidad aplicadas a los maestros revelaron que los educadores inspirados implementan muchas iniciativas con el objetivo de modificar la naturaleza de sus relaciones con los estudiantes de bajos recursos, pretendiendo transformar tales relaciones en cruciales fuentes de apoyo institucional y psico-social. El estudio propone varias ideas políticas fundamentales vinculadas a la forma en que los maestros podrían ser capacitados de modo de convertirse en agentes de capital social para sus estudiantes.

Professores enquanto agentes de capital social: um estudo investigativo do Brasil

Embora os aspectos de socialização do ensino sejam amplamente considerados mecanismos importantes de reprodução de desigualdades sociais, as contribuições dos professores são raramente examinadas em termos das dimensões sociais-relacionais dos resultados dos estudantes. Este artigo emprega uma estrutura de capital social para examinar o engajamento professor -estudante em duas escolas públicas urbanas com recursos insuficientes no Brasil. Entrevistas mais longas com professores revelam que educadores inspirados realmente têm grandes iniciativas para transformar o recurso de sua relação com estudantes de baixa renda em fontes de apoio crítico institucional e psicossocial. O estudo oferece perspectivas de políticas críticas sobre como professores podem ser capacitados para tornarem-se potencialmente agentes de capital social para seus estudantes.     

“They don't garden here”: NGO constructions of Maya gardening practices in Belize

Communities in southern Belize have among the poorest health outcomes in the region, including high rates of under-nutrition. In response, an NGO school garden programme has been initiated to improve health and nutrition. An analysis of the programme as it relates to home garden practices and diet in two Q'eqchi' Maya communities illustrates the complexity of challenges faced by NGOs. Most notable are issues of legitimacy, cultural appropriateness, self-interest, and constructed conceptions of their target communities, all of which raise the question of what is more important: autonomous and healthy communities or the preservation of the NGO programme?

« Ils ne font pas de jardinage, ici » : constructions d'une ONG des pratiques de jardinage mayas au Belize

Les communautés du sud du Belize affichent certains des pires résultats de la région en matière de santé, y compris un taux élevé de sous-nutrition. Pour remédier à cette situation, un programme de potagers scolaires mené par une ONG a été lancé pour améliorer la santé et la nutrition. Une analyse du programme du point de vue de ses liens avec les pratiques de culture de potagers familiaux et le régime de deux communautés mayas Q'eqchi’ illustre la complexité des défis auxquels sont confrontés les ONG. Les questions les plus notables sont celles de la légitimité, du caractère approprié sur le plan culturel, de l'intérêt propre, et des conceptions construites de leurs communautés cibles, autant de questions qui soulèvent celle de savoir ce qui est plus important : des communautés autonomes et en bonne santé ou la préservation du programme de l'ONG?

“Aquí no realizan jardinería”: construcciones de ong en torno a las prácticas de jardinería de los indígenas mayas de Belice

Las comunidades del sur de Belice muestran algunos de los peores resultados de salud en la región, entre los que se incluye una alta tasa de desnutrición. Con el objetivo de mejorar la salud y de combatir la desnutrición, varias ong impulsaron un programa de jardines escolares. Una evaluación del programa en torno a las prácticas de jardinería en el hogar y a la dieta de dos comunidades maya q'eqchi’, ilustra la complejidad de los retos enfrentados por las ong. Entre los más destacados se encuentran temas de legitimidad, de idoneidad cultural, de interés egoísta y de conceptos construidos por las ong respecto a sus comunidades destinatarias. Estos retos provocan la reflexión en relación a si es preferible tener comunidades autónomas y sanas o conservar programas de ong.

“Eles não cultivam hortas aqui”: promoção de práticas maias de jardinagem por uma ONG em Belize

Comunidades do sul de Belize estão entre as que possuem os mais baixos indicadores de saúde da região, incluindo altas taxas de desnutrição. Em resposta ao problema, um programa de horta escolar de uma ONG foi criado para melhorar a saúde e nutrição. Uma análise do programa no que se refere a práticas de cultivo de horta doméstica e dieta em duas comunidades maias de Q'eqchi ilustra a complexidade dos desafios enfrentados pelas ONGs. Os pontos que mais chamam atenção são as questões de legitimidade, adequação cultural, interesse próprio e concepções construídas sobre suas comunidades-alvo. Tudo isso suscita a questão sobre o que é mais importante: comunidades autônomas e saudáveis ou a preservação do programa de ONG?     

Network development for non-state health providers: African Christian health associations

ABSTRACT

Substantial effort has been put into forming and strengthening national networks of non-state, non-profit health providers in lower- to middle-income contexts. Christian health associations (national umbrella networks of faith-inspired health providers) were first established in the 1950s, and are currently present in an estimated 23 of the 54 countries in Africa. The establishment of CHAs was equally encouraged by faith-based health providers, governments, and external stakeholders. CHAs look different in each context, but perform similar roles: networking diverse institutions and facilities together into a loose system; and establishing a more cohesive sector to simplify and strengthen advocacy and engagement with the government.     

Causes of absenteeism at the secondary level in Jamaica: parents' perspectives

This article examines parents' views on the causes of students' absenteeism at the secondary level, using a sample of 221 parents from nine schools across Jamaica. The key factors identified as causes are little value for education, lack of resources, and factors within the immediate school environment. Apart from improvements to the school environment, the article underscores the need to provide employment-generating opportunities to enable parents to meet the needs of their children, and emphasises that efforts to address students' absenteeism must involve multi-agency partnerships including parents, community members, and social workers.     

Configuring ‘country ownership’: patterns of donor-recipient relations

Given the proliferation in the number and type of development actors and an expressed desire by donors to engage them in a more meaningful way, this article identifies multiple ways in which ‘country ownership’ is manifested in practice. Through comparative case research, this article examines the involvement of five sets of actors in: problem identification, resource administration, programme design, implementation, and governance. Three donor-recipient relationship patterns emerge: ‘doctor knows best’, ‘empowered patient’, and ‘it takes a village’, each with specific conditions but overall underrepresentation of recipient country actors, suggesting that their involvement could take place more often than currently occurs.

Configurer l'« appropriation par les pays » : schémas des rapports bailleurs de fonds-récipiendaires

Au vu de la prolifération du nombre et des types d'acteurs de développement et du désir exprimé par les bailleurs de fonds d'intervenir de manières plus significatives, cet article identifie des manières multiples dont se manifeste l'« appropriation par les pays » dans la pratique. À travers des recherches comparatives sur des cas particuliers, j'examine le rôle joué par cinq ensembles d'acteurs dans : l'identification des problèmes, l'administration des ressources, la conception des programmes, la mise en ?uvre et la gouvernance. Trois schémas des rapports bailleurs de fonds-récipiendaires se sont dégagés : « le docteur a toujours raison », « le patient autonomisé » et « il faut tout un village », chacun doté de conditions précises, mais avec dans l'ensemble une sous-représentation des acteurs des pays récipiendaires, ce qui suggère que leur participation pourrait avoir lieu plus souvent que ce n'est le cas à l'heure actuelle.

Configurando la “apropiación nacional”: patrones de relaciones entre donantes y destinatarios

Tomando en cuenta la proliferación numérica y el tipo de actores participantes en el desarrollo, así como el deseo expresado por los donantes de relacionarse con éstos de manera más profunda, el presente artículo señala las distintas maneras en que la “apropiación nacional” se manifiesta en la práctica. A través de investigaciones realizadas por medio de comparación de casos, la autora analiza la participación de cinco conjuntos de actores en materia de identificación de problemas, de gestión de recursos, de diseño de programas, de implementación y de gobierno. Identifica tres patrones de relación entre donantes y destinatarios: “el médico lo sabe todo”, “el paciente empoderado” y “hace falta una aldea”, cada uno con sus condicionantes específicos. Sin embargo, en general, los mismos adolecen de la baja representatividad de los actores en el país destinatario, lo cual apunta a que éstos deberían participar con una frecuencia mayor que aquella con la que actualmente lo hacen.

Configurando a “propriedade de país”: modelos de relações de doador-recebedor

Dada a proliferação no número e tipo de agentes de desenvolvimento e uma vontade expressa dos doadores de engajarem-se de maneira mais significativa, este artigo identifica várias maneiras pelas quais a “propriedade de país” é manifestada na prática. Através de pesquisa de caso comparativa, eu examino o envolvimento de cinco conjuntos de agentes: identificação de problema, administração de recursos, montagem de programa, implementação e governança. Três modelos de relação doador-recebedor surgiram: “o doutor sabe mais”, “paciente empoderado” e “é preciso uma aldeia inteira”, cada um com condições específicas, mas no geral com sub-representação de agentes do país recebedor, sugerindo que seu envolvimento poderia ocorrer de maneira mais frequente do que ocorre atualmente.     

Passion,paternalism, and politics: DIY development and independent volunteers in Honduras

Independent development volunteers (IDVs) and their DIY development projects, although largely neglected in the literature, are part of an emerging movement of non-traditional agents within development. However, they are also participants in a deeply paradoxical industry; both a reflection of passion and commitment, and a paternalist and neo-colonial practice that reflects the messy realities of geo-political and cultural power and privilege. This article explores these debates, drawing on research with IDVs in Honduras. The intersection of passion, paternalism, and politics highlights the complex environments in which IDVs work, and the need to make them visible in discussions of development.     

Qualitative methods for assessing conditional cash-transfer programmes: the case of Panama

Governments in Latin America and elsewhere have implemented conditional cash-transfer programmes to improve standards of living in populations defined as vulnerable and excluded from the benefits of development, in order to improve access to education and health services, and to improve human capital. Qualitative research conducted among three indigenous groups in Panama provides lessons for assessing these programmes on the basis of the perceptions and culturally informed beliefs and practices of potential beneficiaries. This article shows that required co-responsibilities should be matched with high-quality services that are consistently available and socially, culturally, and linguistically appropriate.     

ICTs and decision making: findings from the Poverty Assessor

Pro-poor decision making depends on an understanding of the complexities and inter-relationships between household livelihood, demographic, and economic factors. This article describes the design and implementation of the Poverty Assessor, a software programme to assist practitioners, policy makers, and researchers in visualising the direct impacts on poverty of specific livelihood factors and events among populations living in poverty. The software enables users to upload their own data and profile households in relation to the national poverty line, by selecting from a range of demographic and livelihood indicators. The authors present findings from the programme, using a dataset from Bolivia.     

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.     

Extreme poverty alleviation through community-based entrepreneurship: PRODECO in Paraguay

Community-based entrepreneurship projects have been advocated as a potential approach to alleviate extreme poverty as they provide opportunities for income generation and capacity enhancement. This practical note provides an overview of the PRODECO project undertaken jointly by the Paraguayan government and the World Bank (1999–2008) in three southern departments of Paraguay (Itapúa, Misiones, and Ñeembucú). It describes and analyses the context, scope, operations, and results of this project, and identifies five main lessons related to frequent challenges faced by this approach; on size, access to skills, distance from government agencies, pace, and technology.     

Education in the Commonwealth Caribbean: findings from a national adult literacy programme

This paper shares the findings of an assessment carried out in 2007 of a national adult literacy programme introduced in 2005 in the Eastern Caribbean nation of Saint Vincent and the Grenadines. The paper discusses some social and spatial factors that may impede or facilitate men's and women's ability and desire to participate in adult literacy programmes. Surveys administered to programme participants, as well as interviews conducted with participants and programme staff, comprised the primary means of data collection.

L'éducation aux Antilles du Commonwealth : conclusions d'un programme national d'alphabétisation pour adultes

Cet article a pour but de disséminer une évaluation entreprise en 2007 d'un programme national d'alphabétisme pour adultes lancé en 2005 au pays de St-Vincent-et-les-Grenadines situé aux Petites Antilles dans la Caraïbe de l'est. L'article examine les facteurs sociaux et géographiques qui peuvent ou entraver ou faciliter la capacité et le désir des hommes et des femmes de participer à des programmes d'alphabétisation pour adultes. Les moyens les plus importants de cueillir des données étaient des enquêtes menées auprès des participants aux programmes, aussi bien que des entretiens avec les participants et les employés des programmes.

Educación en la Comunidad del Caribe: hallazgos de un programa nacional de alfabetización para adultos

Este artículo comparte los hallazgos surgidos de la evaluación de un programa nacional de alfabetización para adultos, que fue realizada en 2007. Dicho programa había sido inaugurado en 2005 en la nación de San Vicente y las Granadinas. El artículo examina la incidencia de algunos de los factores sociales y espaciales que impiden o propician que los hombres y las mujeres puedan y deseen participar en tales programas. La información se recopiló principalmente a través de encuestas aplicadas a los participantes del programa y mediante entrevistas realizadas con éstos y con el personal del programa.

Educação em país caribenho pertencente à Commonwealth: resultados de um programa nacional de alfabetização de adultos

Este artigo compartilha os resultados de uma avaliação realizada em 2007 de um programa nacional de alfabetização de adultos introduzido em 2005 no país caribenho de São Vicente e Granadinas, situado ao leste. O artigo discute alguns fatores sociais e espaciais que podem impedir ou facilitar a capacidade e disposição de homens e mulheres de participar de programas de alfabetização de adultos. Pesquisas administradas voltadas para os participantes do programa, assim como entrevistas conduzidas com participantes e funcionários do programa, compreendem o principal instrumento de coleta de dados.     

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.     

How social capital enables or restricts the livelihoods of poor peri-urban farmers in Mexico

Poor farmers in peri-urban territories are subjected to the gradual transmutation of their livelihoods while they try to escape from poverty and adapt to an increasingly urban environment. Social capital seems to influence the outcomes of such livelihoods, and might expand chances and choices to improve poverty status, but also to follow their own paths. This article explores the mechanisms through which this capital enables or restricts such livelihoods in two peripheral municipalities in Mexico. The findings highlight the importance of informal institutional and non-institutional mechanisms in regulating access to, and distribution of, resources in peri-urban territories.     

Follow-up study of improved cookstoves in the Cuzco region of Peru

Approximately three billion people use traditional biomass cookstoves. These stoves contribute to indoor air pollution, notably affecting women and children, and to deforestation and climate change. Improved cookstoves have been offered as a solution, but low rates of adoption are common among stove programmes. This paper is a follow-up study of a stove programme run by the NGO Proworld Service Corps in Cuzco, Peru. A survey was administered in 43 households in three communities. The results indicate an adoption rate of 70% and identify the characteristics of the stoves that contribute to their adoption and sustained use.     

The North Carolina Way: emerging healthcare system and faith community partnerships

ABSTRACT

United States healthcare policy has promoted the development of healthcare systems and community partnerships designed to decrease costs and readmissions, particularly for under-served populations. Typically, these partnerships are “hospital-centric”, focused on following in-house clinical costs into the community. Two contrasting large-scale community system models show results from development practices, integrating faith community partnerships that affect healthcare utilisation. This “community to hospital” focus is key to several such initiatives in the US. This article describes local implementation efforts in North Carolina, known as “the North Carolina Way”, and tests assumptions on implementation practices for creating robust faith-community and healthcare partnerships.     

Universities,NGOs, and civil society sustainability: preliminary lessons from Ecuador

The context for NGOs in the Global South – delegitimising discourse, restrictive policies, and decreasing international funding – leads to major concerns about the sustainability of organised civil society. As a result, NGOs are exploring new means to contribute to social development. This article explores developing university–NGO collaborations through the case of Ecuador. It contributes to development research on two fronts. First, it examines the role of the university in the South and their collaborations with NGOs. Second, it situates university–NGO collaborations within concerns about civil society sustainability. The article presents lessons learnt by Ecuadorian NGOs.     

A comparative analysis of microfinance and conditional cash transfers in Latin America

This paper addresses the question of whether microfinance and conditional cash transfers can be effective in alleviating poverty in the Latin American region, and provides a comprehensive assessment of each of these programmes using data and evaluation reports from 19 countries in the Latin American region, analysed in the context of six operational and impact criteria. The research shows that microfinance may be better suited for those living on US$2 per day or higher, while conditional cash transfers may be more beneficial for those living in extreme poverty. Neither programme offers a ‘magic bullet’ solution for poverty eradication, but they can provide positive outcomes when prescribed in combination.

Une analyse comparative du microfinancement et des transferts conditionnels d'argent en Amérique latine

Ce document se penche sur la question de savoir si le microfinancement et les transferts conditionnels d'argent peuvent être efficaces au moment d'atténuer la pauvreté et il fournit une évaluation complète de chaque programme, en utilisant des données et des rapports d'évaluation provenant de dix-neuf pays de la région, analysés dans le contexte de six critères opérationnels et relatifs à l'impact. D'après les résultats des recherches, il est possible que le microfinancement convienne mieux à ceux qui vivent avec 2 dollars EU par jour ou plus, tandis que les transferts conditionnels d'argent pourraient profiter davantage à ceux qui vivent dans des conditions de pauvreté extrême. Aucun de ces deux types de programmes ne fournit une solution « balle magique » pour l'éradication de la pauvreté, mais ils peuvent donner des résultats positifs lorsqu'ils sont prescrits en tandem.

Uma análise comparativa de microfinanças e transferências condicionais de dinheiro na América Latina

Este artigo busca examinar se as microfinanças e as transferências condicionais de dinheiro podem ser eficientes para aliviar a pobreza e oferece uma avaliação abrangente de cada programa utilizando dados e relatórios de avaliação de dezenove países da região, analisados no contexto de seis critérios operacionais e de impacto. A pesquisa mostra que a microfinança pode ser mais adequada para aqueles que vivem com US$2 por dia ou mais, enquanto que as transferências condicionais de dinheiro podem ser mais benéficas para aqueles que estão vivendo em condições de pobreza extrema. Nenhum programa oferece uma solução “mágica” para a erradicação da pobreza, mas eles podem oferecer resultados positivos quando prescritos em conjunto.

Un análisis comparativo de las microfinanzas y las transferencias de efectivo condicionadas en América Latina

Este ensayo analiza si las microfinanzas y las transferencias de efectivo condicionadas pueden contribuir a la reducción de la pobreza y ofrece una evaluación completa de las dos modalidades. Utiliza para ello datos e informes de evaluación de 19 países de la región y analiza los resultados a la luz de seis criterios operativos y de impacto. La investigación demostró que las microfinanzas pueden funcionar mejor para las personas que sobreviven con US$2 o más por día, mientras que las transferencias de efectivo pueden beneficiar más a las que viven en extrema pobreza. Ninguna modalidad es por sí misma una solución para erradicar la pobreza pero pueden producir resultados positivos si se les da un uso combinado.