Why is basic service access worse in slums? A synthesis of obstacles

Many residents of urban areas face joint obstacles to basic service access, but these barriers are more prevalent and severe in slum settlements. Analyses of obstacles have typically been conducted in a piecemeal rather than synthetic framework and have focused on access to single services rather than the range of services needed to support household welfare. By contrast, this study uses data from fieldwork in four slum settlements situated in Hyderabad, India to develop a typology synthesising the obstacles – economic, spatial, social, institutional, and political – to the full range of service access desired by residents. Economic differences explain little of the access deficit within this population. While social and institutional obstacles are more likely to explain slum formation and residence over the long term, variation in spatial and political factors present the most acute short-term access barriers. The article concludes by suggesting the most promising means for slum residents and supporting stakeholders to overcome multi-faceted obstacles.     

Evolution of input supply and service hubs in dairy development at Ada'a milk shed in Ethiopia

Efficient input supply and service delivery may call for a hub approach where all the necessary inputs and services are supplied in a coordinated manner, either by a single supplier or by several and separate entities in a given geographical location accessible to beneficiaries. Based on experience from Ada'a milk shed in central Ethiopia, this paper assesses the evolution of input supply and service provision in the dairy sub-sector, focusing on coordination and the degree of competition among different actors at different levels in the value chain over time. Data were collected from key value chain actors engaged in provision of input supply and output marketing services in Ada'a milk shed. The major lesson is that the development of coordinated input supply and service delivery by different business entities or under a single business entity may not emerge at once, but through a gradual evolution. This depends on the level of demand for the inputs and services as determined by the degree of demand for milk and milk products, and the economies of scale input suppliers and service providers could attain from the expansion of demands for these inputs and services. Moreover, at the early stage of a hub development, collective actions and integration of services and marketing within a business organisation could be the main strategy to attain efficiency. But, once the demand for inputs and services has grown, competition among different entities will lead to more efficient input supply and service delivery. In general, where there is an increasing demand for inputs and services, there is a faster development of input supply and service provision by private actors and collective actions in a more competitive way. Role of the public sector could change gradually from provision of inputs and services to coordination, capacity building, quality control, and regulation.

Évolution des plateformes d'approvisionnement en intrants et de services dans le développement du secteur de la production laitière dans la laiterie d'Ada'a, en Éthiopie

Pour une fourniture d'intrants et une prestation de services efficaces, il peut se révéler nécessaire de mettre en ?uvre une approche axée sur une plateforme dans le cadre de laquelle tous les intrants et services nécessaires sont fournis de manière coordonnée, soit par un fournisseur unique soit par plusieurs entités séparées, dans un lieu donné accessible aux bénéficiaires. Sur la base de l'expérience de la laiterie d'Ada'a, en Éthiopie, cet article évalue l'évolution de la fourniture d'intrants et de la prestation de services dans le sous-secteur laitier, en se concentrant sur la coordination et sur le degré de concurrence entre différents acteurs et à différents niveaux de la chaîne de valeur au fil du temps. Des données ont été recueillies auprès d'acteurs clés de la chaîne de valeur actifs dans la fourniture d'intrants et dans la prestation de services de commercialisation de la production dans la laiterie d'Ada'a. Le principal enseignement est que le développement d'une fourniture d'intrants et d'une prestation de services coordonnées par différentes entreprises ou dans le cadre d'une entité commerciale unique peut ne pas avoir lieu tout d'un coup, mais au fil d'une évolution progressive. Cela dépend du degré de demande concernant les intrants et les services, tel que déterminé par le degré de demande de lait et produits laitiers, et par les économies d'échelle que les fournisseurs d'intrants et les prestataires de services pourraient obtenir grâce à l'expansion de la demande de ces intrants et services. De plus, au stade initial de la mise en ?uvre d'une plateforme, les actions collectives et l'intégration des services et de la commercialisation dans une organisation commerciale pourraient constituer la principale stratégie pour arriver à l'efficacité. Mais, une fois que la demande en intrants et en services s'est accrue, la concurrence entre différentes entités engendrera une fourniture d'intrants et une prestation de services plus efficaces. En général, lorsqu'il y a une demande croissante d'intrants et de services, il se produit un développement plus rapide de la fourniture d'intrants et de la prestation de services par des acteurs privés dans une optique plus concurrentielle. Le rôle du secteur public pourrait évoluer progressivement, de la fourniture d'intrants et de services à un rôle de coordination, de renforcement des capacités, de contrôle de la qualité et de réglementation.

Evolución de la oferta de insumos y de los centros de servicios en el desarrollo de lácteos en la cuenca lechera de Ada en Etiopía

Para llevar a cabo de manera eficiente la oferta de insumos y la entrega de servicios puede requerirse un centro de servicios cuya ubicación sea accesible a los beneficiarios, a partir del cual los mismos sean suministrados de manera coordinada, ya sea a través de un proveedor único, o bien, a través de varios entes separados. Apoyándose en la experiencia de la cuenca lechera de Ada, localizada en el centro de Etiopía, el presente artículo valora la evolución de la oferta de insumos y de la entrega de servicios en el subsector de lácteos, centrándose en la coordinación y en el grado de competitividad mostrado durante varios años por distintos actores ubicados en diferentes estratos de la cadena de valor. La información fue recopilada de actores clave de la cadena de valor en la cuenca lechera de Ada, quienes proveen insumos y servicios de comercialización de productos. El aprendizaje más importante que ha dejado esta experiencia es que: el desarrollo de la oferta de insumos y de la entrega de servicios – realizadas de manera coordinada por distintas empresas o por una sola – puede no surgir inmediatamente, sino después de una lenta evolución. Ello depende del nivel de demanda de insumos o servicios que, a su vez, depende tanto de la demanda de leche y de productos lácteos como de las economías de escala que pudieran obtener sus proveedores a partir de la expansión de la demanda de estos productos. Asimismo, durante las etapas iniciales del desarrollo de un centro de servicios, las acciones colectivas, la integración de servicios y la comercialización centradas en una sola empresa, podrían constituir la estrategia más importante para mejorar la eficiencia. Sin embargo, una vez que la demanda de insumos y servicios haya crecido, la competencia entre distintas entidades producirá una oferta y una entrega de los mismos más eficiente. En general, en aquellos lugares en que exista una demanda creciente, habrá un desarrollo más rápido de la oferta de insumos y de la entrega de servicios por parte de los actores privados, además de acciones colectivas más competitivas. En consecuencia, el rol del sector público podría modificarse gradualmente, pasando de ser proveedor de insumos y servicios a ser la instancia que coordine, fortalezca capacidades y vigile el control de calidad y las normas.

Evolução dos centros de abastecimento de insumos e serviços no desenvolvimento do setor de laticínio da região produtora de leite de Ada'a, na Etiópia

Uma oferta eficiente de insumos e de serviços pode demandar um centro em que todos os insumos e serviços necessários sejam ofertados de maneira coordenada, seja através de um único fornecedor ou de várias entidades separadas em uma dada área geográfica acessível aos beneficiários. Com base na experiência da região produtora de leite de Ada'a situada na região central da Etiópia, este artigo avalia a evolução da oferta de insumos e de serviços no sub-setor de laticínios, concentrando-se na coordenação e grau de competição entre diferentes agentes em níveis diferentes da cadeia de valores no decorrer do tempo. Os dados foram coletados a partir de agentes-chave da cadeia de valores engajados na oferta de insumos e serviços de marketing na região produtora de leite de Ada'a. A principal lição é que o desenvolvimento da oferta coordenada de insumos e de serviços através de diferentes entidades empresariais ou através de uma única entidade empresarial pode não surgir de uma só vez, mas sim ter uma evolução gradual. Isto depende do nível de demanda dos insumos e serviços, que é determinado pelo grau de demanda de leite e de produtos lácteos, e as economias de escala que os fornecedores de insumos e de serviços podem obter a partir da expansão de demandas por estes insumos e serviços. Além disto, na fase inicial do desenvolvimento de um centro, ações coletivas e integração de serviços e marketing dentro de uma organização empresarial podem ser a estratégia principal para se obter eficiência. Porém, após a demanda por insumos e serviços ter crescido, a competição entre entidades diferentes levará a uma oferta de insumos e de serviço mais eficiente. Em geral, quando há uma demanda crescente por insumos e serviços, há um desenvolvimento mais rápido na oferta de insumos e serviços por agentes privados e ações coletivas mais competitivas. O papel do setor público poderia mudar gradualmente da oferta de insumos e serviços para a coordenação, capacitação, controle de qualidade e regulação.     

Community rehabilitation workers as catalysts for disability: inclusive youth development through service learning

This paper explores access to health and education for disabled youth in sites with and without community rehabilitation workers (CRWs). A cross-sectional survey using a structured questionnaire was undertaken in nine sites in South Africa, and a snowball sample of 523 disabled youths of both sexes, aged between 18 and 35 years, was selected. The survey found that a significantly larger proportion of disabled youth living in sites with CRWs were seen by health care workers at home, and that there was a large difference in educational access between sites with and without CRWs. CRWs are well positioned to promote equal citizenship for disabled youth through service learning with occupational therapy final year students to improve access to health and education, so that barriers to their participation in economic development are removed.     

“The pluses of pulses”: haricot beans and women’s empowerment in Ethiopia

This practical note demonstrates the role that haricot beans play in assisting women to become food and nutrition secure, to generate income, and to have sustainable livelihoods that are resilient to shocks. Based on qualitative research among female and male beneficiaries of a pulse innovation project implemented in southern Ethiopia, the note provides a summary of the critical voices of farmers, and the role that haricot beans play in empowering women. It also outlines some of the challenges that the project faced in achieving its empowerment objectives.     

Uncovering land tenure insecurities: tips for tenure responsive land-use planning in Ethiopia

Land-use planning, although a mechanism for development, can also generate insecurity during its implementation. This article argues that tenure security and land-use planning should not be implemented in isolation from each other. It posits that land-use planning – rather than restricting the security of people's tenure – has the potential to serve as a means of securing tenure. The article explores tenure (in)security elements in land-use planning as a crucial challenge in the urban town of Gelan Sidama Awash, Ethiopia. Using data collected through stakeholders’ interviews, it uncovers their tenure security challenges, and outlines a set of measures for enhancing tenure security through land-use planning.     

Which aid initiatives strengthen food security? Lessons from Uttar Pradesh

This study contributes to existing research on the relative effectiveness of aid initiatives in addressing food insecurity in India. Specifically, it compares the effects of crop, livestock, credit, and WASH interventions implemented by a development NGO with the impacts of a public direct-transfer scheme on food security among communities in Uttar Pradesh. The NGO’s agricultural and WASH interventions and the government’s Antyodaya ration-card scheme appear to have the largest positive influence. Their positive impact can be enhanced by the presence of good governance and by the simultaneous application of several beneficial initiatives.     

Water tariff conflict resolution through indigenous participation in tri-water sector partnerships: Dalun cluster communities in northern Ghana

The paper examines how the perceived ownership of a water resource negatively influenced local people's attitudes towards payment of potable water tariffs and exacerbated conflicts between water users and service providers in the Dalun community of the northern region of Ghana. The paper presents a case study of how community participation and endogenous approaches to conflict resolution contributed to payment of water tariffs. The findings show that the establishment of a tri-water sector partnership (TWSP), consisting of the Ghana Water Company Ltd (GWCL), private sector development practitioners, and community water boards, led to positive mediation of water tariff conflicts using the institution of chieftaincy. Alternative, endogenous conflict resolution methods combined with modern methods in a tripartite partnership showed promise as an approach to managing conflicts in water projects and in broader poverty reduction efforts.     

Promoting country ownership and inclusive growth? An assessment of Feed the Future

This article investigates the level of country ownership and inclusivity in Feed the Future (FtF) projects in Ethiopia, Ghana, Haiti, Senegal, and Tanzania. It finds that though interventions largely align with country-defined priorities and plans, other aspects of country ownership – consultation and provision of aid through local systems – are weaker than expected. Regarding inclusion, FtF is to some extent exclusive, perhaps as an unintended consequence of alignment with national development plans that do not reasonably promote equity. Focus is mostly on productive areas and ‘market-ready’ smallholders. The article suggests policy actions needed to better achieve expected results.     

Displacement,resettlement, and livelihood restoration: safeguard standards in practice

This article presents a case study of development practice based on the author’s experience of designing a livelihood restoration plan and monitoring its implementation. The plan was based on safeguard standards of a multilateral development bank that funded a private sector renewable energy project on land belonging to a vulnerable community in Central India. Illustrating the challenges faced in implementing and monitoring this plan and the reasons for its failure, the article argues that a complex set of institutional and individual relationships determine the way in which safeguard policies are translated into practice by diverse and interrelated actors.     

Farmers’ perceptions of milk-collecting centres in Thailand's dairy industry

This study assessed farmers’ perceptions of milk-collecting centres (MCCs) in the central and north-eastern regions of Thailand. MCCs can be divided into two groups, dairy cooperatives and private organisations. There were similar perceptions about the role of MCCs among the farmers regarding the basic needs of dairy farmers, but with a stronger focus of economic issues for private organisation members, while dairy cooperative members views were more from the perspective of ownership. The farmers were somewhat satisfied with their MCCs’ performance, except that private organisation farmers were less satisfied with credit services. Policy recommendations are presented.     

Strengthening public health supply chains in Ethiopia: PEPFAR-supported expansion of access and availability

When the US President's Emergency Plan for AIDS Relief (PEPFAR)-supported Supply Chain Management System (SCMS) programme began working in Ethiopia in 2006, the estimated population of people living with HIV exceeded one million, while only 24,000 were on treatment and only 50 treatment sites were in operation. SCMS and other key partners entered into this context to support the Ethiopian government in significantly strengthening the public health supply chain system, with the aim of increasing the availability and accessibility of pharmaceutical products. The country now has 1,047 treatment sites and is nearing complete treatment coverage. This article discusses how priorities were set among many competing challenges from 2006 until 2014, and how the four-step strategy of build, operate, transfer, and optimise has resulted in a successful partnership.     

Community participation and inner-city slum renewal: relocated people's perspectives on slum clearance and resettlement in Addis Ababa

The article explores the process of residential relocation in inner-city slum renewal in Addis Ababa. Drawing on qualitative research methods involving interviews and focus group discussions with members of relocated households, it examines the nature of people's involvement in inner-city renewal and how it affects their lives. The article argues that the process of planning and implementation of relocation is not only top-down, but also does not involve the perspectives, needs, and livelihood strategies of those affected. The article concludes that the city administration needs to work closely with NGOs, the private sector, and community-based organisations in order to meet the housing needs of relocated households.     

Platforms for institutional change: assessing the potential of livelihood enhancement groups as community entry points in Zambia

To address the livelihood problems faced by the poor and vulnerable in Northern Province of Zambia, a novel collective action approach called livelihoods enhancement groups (LEGs) was used as a platform for facilitating research on development initiatives to generate change. Using focus group discussions and key informant interviews, this article assesses the potential of using the LEGs approach in generating change. The livelihood changes observed arose with the LEG as a platform through which different knowledge nodes interacted. Livelihood areas that LEGs affected included crop production, livestock production, nutrition, and access to credit.     

Institutions and abused women: an interactional model to access justice in India

The discourse on domestic violence has steadily moved from solely the realm of private family affairs into the institutional domain, through changing perceptions and the enactment and enforcement of laws. This article aims to understand how women approach institutions and how institutions perceive, translate, and respond to complaints within human rights discourses. The study analysed all cases registered in a family counselling centre in Rajasthan, India, with ten cases then randomly selected for in-depth interviews. The institutions are a catalyst of social change; however, they need to partner with specialists for medical interventions, and network with line departments more effectively to improve social resilience.     

Microfinance and women's empowerment: an ethnographic inquiry

Within the last two decades microfinance has been widely adopted as one of the best development strategies to reduce poverty and empower women in many developing countries. Drawing on ethnographic research undertaken in Ethiopia, this article elucidates the complexities of microfinance processes, and argues that current microfinance practice does not facilitate the participation of women in decision-making over the use and management of loans as well as the income they generate from running small enterprises. The article illustrates that women are engaged in running small-scale economic activities at home that produce low returns, and they have limited access to lucrative markets. It also demonstrates that due to a discriminatory household division of labour, women are overworked in their households and in their enterprises. Through engaging in a mode of representation (ethnography) that allows specific critical voices to be heard, the article contributes toward tempering the current enthusiasm for the widely expanding microfinance industry.     

The effect of logistic services on the watermelon value chain in Tanzania

This article reports on a study that aimed to understand the effects for poverty reduction of the link between logistic services and cost of the watermelon value chain in Rufiji and Mkuranga districts in Tanzania. Structured questionnaires and FGDs were used to collect data from 251 respondents. Findings revealed that transport cost, storage cost, purchase cost, and logistics service have strong significant effect on the watermelon value chain cost. Based on the findings, the study recommended the use of affordable methods of storage, opening agro-input shops in villages, and the development of a favourable environment for watermelon businesses, to help reduce chain cost.     

Promoting inclusive development in Ghana: disabled people’s and other stakeholders’ perspectives

This article highlights barriers to inclusive development from the perspective of disabled people, as well as staff of NGOs and government agencies. A qualitative study was conducted between August 2011 and September 2012, and in September 2013, in rural and urban areas in Greater Accra and Eastern regions in Ghana. The research shows that inaccessible public infrastructure and services, negative attitudes of service providers, little political will, limited capacity of development agencies, and lack of multi-agency coordination in the disability development sector were barriers to disabled people’s inclusion and participation in development processes.     

Utilisation of maternal health services in Ethiopia: a key informant research project

This article explores the application of key informant research to examine barriers and facilitators to maternal health services in rural and pastoralist Ethiopia. The key informants were health extension workers (HEWs) who assist women with birth preparedness and facilitate timely referral to health centres for birth. While women encounter many barriers to giving birth in health facilities, where HEWs are supported by their communities and health centre staff, they can effectively encourage women to travel to health centres to give birth with skilled birth attendants rather than at home with unskilled relatives or traditional birth attendants.     

Using birthing kits to promote clean birth practices in Ethiopia

This article explores three NGO projects that assemble and distribute clean birthing kits in Ethiopia. It contrasts the government's health strategy that aims to increase skilled birth attendance, with local realities as most women in rural and remote settings give birth at home, often in unhygienic conditions, and without skilled assistance. Many health facilities are also unable to provide hygienic conditions for birthing women. The findings indicate that clean birth kits have assisted the NGOs to effectively promote clean delivery at home or in health facilities, and to encourage antenatal care, and early referral to emergency obstetric and new-born care.