The need for centres of health research excellence in the developing world

Pervasive ill health and overpopulation impede progress in most developing countries but in recent years, programs providing aid to these regions have de-emphasized health as a priority. Furthermore, support for building the health research capacity, so essential to the success of efforts to promote improved health, has been lacking. This paper examines these policies as they relate to one developing country, one global h ealth program and a major Canadian development agency. Much has been achieved in the past decade in one of the world's poorest countries, Bangladesh, but major health problems persist, particularly in maternal and child health. With the will to build effective health programs, Bangladesh lacks the resources and the research base needed for their development. The World Health Organization, (WHO) Diarrhoeal Disease Control (CDD) program, which addresses a major cause of child mortality in Bangladesh, promotes effective treatment but it contributes little to a permanent research establishment in that country. The Canadian International Development Agency (CIDA) which directs only a small portion of its $2.2 billion annual budget to health, lacks an influential level of technical expertise in health. This agency has no mandate to support health research in the developing world; research is the responsibility of the International Development Research Centre (IDRC), the Health Sciences Division of which closed in July, 1995. To upgrade the place of health and health research in development, the attitudes and policies of major donors must change and models of success are needed. Of the existing institutions or programs involved in health and health research in the developing world, the internationally funded health research centre, strategically sited in the developing world could provide the excellence around which relevant programs should flourish. An existing example of this rare species, the International Centre for Diarrhoeal Disease Research, Bangladesh, merits particular consideration in this regard.     

The political contradictions of incremental innovation: lessons from pharmaceutical patent examination in Brazil

Neodevelopmental patent regimes aim to facilitate local actors’ access to knowledge and also encourage incremental innovations. The case of pharmaceutical patent examination in Brazil illustrates political contradictions between these objectives. Brazil’s patent law includes the Ministry of Health in the examination of pharmaceutical patent applications. Though widely celebrated as a health-oriented policy, the Brazilian experience has become fraught with tensions and subject to decreasing levels of both stability and enforcement. I show how one pillar of the neodevelopmental regime, the array of initiatives to encourage incremental innovations, has fostered the acquisition of innovative capabilities in the Brazilian pharmaceutical sector, and how these new capabilities have altered actors’ policy preferences and thus contributed to the erosion of the coalition in support of the other pillar of the neodevelopmental regime, the health-oriented approach to examining pharmaceutical patents. The analysis of capability-derived preference formation points to an endogenous process of coalitional change.     

The impacts of public interventions: An examination of the forestry sector

This article measures welfare and distributive effects of public market interventions in forestry. These interventions represent both the demand (Jones Act shipping restrictions and minimum wage restrictions) and supply (state forest practice acts, forest incentives payments, taxes and public land management) sides of the market. The authors evaluate how well these programs promote the three standard economic justifications for market intervention: market failure, distributive justice, and stabilization. Their results indicate that, with the single exception of Timber Mart South (a government-sponsored price-reporting service), all market interventions fail to accomplish their efficiency and distributive objectives. Furthermore, the authors find that targeted regulatory programs (such as State Forest Practice Acts) have small impacts when compared to effects of taxation and public ownership.     

Natural gas deregulatin: The need for further reform

Like attempts at achieving effective regulation of economic activity where it is warranted, deregulation can entail hidden complexities and produce unintended outcomes. The principle that deregulation begets “second order” effects that may necessitate further regulatory reform is epitomized in the case of natural gas. This article shows how the partial deregulation of natural gas wellhead markets under the Natural Gas Policy Act of 1978 caused a variety of distortions to emerge in other segments of the industry. Because the distortions are mutually reinforcing, no single policy, such as immediate decontrol of “old” gas or subjecting pipeline companies to common carrier obligations, will solve all of them; rather an integrated program of regulatory reform is required. The article concludes by outlining such a program and commenting on how its implementation through administrative and legislative actions should be carried out in order to reduce the need for further reform in the future.     

Modeling and testing the diffusion of expectations: An EITM approach

This paper uses the empirical implications of theoretical models (EITM) framework to examine the consequences of the asymmetric diffusion of expectations. In the spirit of the traditional two-step flow model of communication, less-informed agents learn the expectations of more-informed agents. We find that when there is misinterpretation in the information acquisition process, a boomerang effect exists. In this equilibrium the less-informed agents’ forecasts confound those of more-informed agents. We apply the EITM approach to a key economic variable known to have a relation to economic fluctuations – inflation expectations. Using surveyed inflation expectations data for the period, 1978–2000, we find the boomerang effect exists. One implication of this finding pertains to economic policy and economic volatility: because policymakers have more information than the public, the boomerang effect can lead policymakers to make inaccurate forecasts of economic conditions and conduct erroneous policies which contribute to economic instability.     

Counting on codes: An examination of transnational codes as a regulatory governance mechanism for nanotechnologies

This article examines the rise of nanotechnology‐specific codes of conduct (nano‐codes) as a private governance mechanism to manage potential risks and promote the technology. It examines their effectiveness as well as their legitimacy as regulatory instruments in the public domain. The study first maps the rise of voluntary nano‐codes and the roles played by different actors. Focusing on five specific nano‐codes, the article then discusses their adequacy in terms of scientific uncertainty, gaps in existing regulatory regimes, and broader societal concerns. It concludes that these voluntary nano‐codes have weaknesses including a lack of explicit standards on which to base independent monitoring, as well as no sanctions for poor compliance. At the same time it also highlights the potential power of these governance mechanisms under conditions of uncertainty and co‐regulation with government. It is likely that nano‐codes will become the “first cut” of a new governance regime for nanotechnologies.     

Diffusion milieus as a focus of research on innovation in the public sector

Public policies to increase the efficiency of state and local governments through fostering the use of new technologies are based, implicitly at least, on theories of diffusion. Existing theories of diffusion have been found to be deficient. This paper presents an approach to the diffusion of technological innovations in state and local governments organized around the concept of diffusion milieus.A diffusion milieu contains those elements external to the organization which bring pressure to bear on the organization to alter its existing practices, which define the range of feasible alternatives to these practices, and which condition the information flow on the performance characteristics of the proposed innovation(s). These milieu components are then filtered through the internal decision-making process(es) of the organization to produce a decision to accept or reject the innovation(s). More specifically, the milieu contains (1) the specific nature of the demands upon the agency to change behavior (performance gaps), (2) the supply of alternatives to existing practices (technological change), (3) agency-executive relationships, (4) the activities of suppliers in marketing innovations, (5) the resources available to the agency to acquire new techniques, (6) the characteristics of the knowledge infrastructure which affect the search behavior and the degree of uncertainty associated with adopting new techniques, (7) the impact of intergovernmental relationships, and (8) citizen demands. The components of the diffusion milieu are then (9) related to a set of agency decision-rules concerning the adoption of new techniques.The rate of diffusion in each field will depend upon themagnitude of the components and on thelinkages between them.Functional fields differ in both respects.Research for this paper was supported by a grant from the National Science Foundation, Office of R & D Assessment. We have benefited from the helpful comments of Professor Marvin Rozen, an anonymous referee and the research assistance of Ms. Lee Ann Kozak. The views expressed in this paper are the sole responsibility of the authors. An earlier version of this paper was presented at the 1975 American Political Science Association meetings.     

自我提升的影响因素概述——基于自我提升的实证研究

自我提升指个体对自我相关信息进行评定时出现的一种积极偏向,是人们实现和维持良好自我感觉的一种方式。自我提升的影响因素有二:情境变量;个人变量。     

The diffusion of environmental management standards in Europe and in the United States: An institutional perspective

ISO 14001, released in 1996, provides the basic framework for the establishment of an Environmental Management System (EMS) that can be audited and certified. ISO is not only an acronym for the International Organization for Standardization, but is also a term that refers to its Greek meaning: equal. The main rationale for the creation of ISO 14001 was that its worldwide acceptance should facilitate international trade by harmonizing otherwise diffuse environmental management standards and by providing an internationally accepted blueprint for sustainable development, pollution prevention, and compliance assurance.However, the implementation of ISO 14001 varies significantly across the globe. A significant number of firms have adopted ISO 14001 in Western Europe and Asia. In December 1999, 52% of the 14,106 ISO 14001 certified facilities were located in Western Europe and 36% in Asia. On the contrary, very few American companies have adopted this voluntary standard. U.S. certified facilities accounted for only 4.5% of the total of ISO 14001 certified facilities in the world in December 1999.The U.S. institutional environment seems acting as a deterrent to ISO 14000 adoption as U.S. companies are fearful of the certification process which lays their performance open to public scrutiny. The opposite is true in Europe, where governments have encouraged the adoption of environmental management standards by setting up a trusted certification system and providing technical assistance to potential adopters.This paper offers a conceptual framework to analyze this variation in adoption rates. It is proposed that the regulatory, normative and cognitive aspects of a country's institutional environment greatly impact the costs and potential benefits of ISO 14001 adoption and therefore explain the differences in adoption across countries. The analysis is supported by data collected from a phone questionnaire to 140 firms in Europe and a questionnaire mailed to 152 firms in the U.S.     

政治合法性与中国地方政府创新:一项初步的经验性研究

政治合法性直接关系到政权的兴亡更替。本文简要回顾和总结了古代民本主义和近代民主主义有关政治合法性问题的基本思想,在此基础上提出了在当代中国巩固政治合法性基础的八条途径。随后,作者对2000年以来三届“中国地方政府创新奖”63个案例进行了初步的经验研究,据此回答了地方政府创新是否和通过何种途径增强了政治合法性的问题,同时分析了地方政府创新在增强政治合法性问题上的限度问题。     

Self-help training for planning urban development: An innovation in on-the-job learning in Nigeria

Forced to be innovative, a short course conducted in Nigeria for urban planners produced good results, although the bulk of the direction and teaching was provided by government town planners with no previous teaching experience. A crucial factor appears to have been the course structure, which was not only based upon learning while performing a project, but also required repetition of the project tasks in two cycles. The learning was enhanced because the project was a piece of work from the current programme of the planning agency which operated the course. This effect, and the utility of the conclusions of the project work, are likely to contribute significantly to the institutional development of the planning agency. There are important implications for further training of this kind in Nigeria, implying that experienced trainers are less in need, that a group capable of conducting future short courses can be built of government planning officers, and that training should be conducted within operating institutions of government.     

Policymaking and technology transfer: The need for national thinking laboratories

The objectives of this paper are to understand what is meant by better policymaking and more efficient technology transfer, to explore what is needed for their achievement, and to suggest an operational mechanism for improving the two processes.The author introduces a few new terms: (1) Inter-context information is defined, and its importance in decisionmaking, policymaking, technology transfer and education is pointed out; (2) a distinction is drawn between incidental technology transfer—initiated by the donor—and organized technology transfer—initiated by the recipient.The author suggests that National Thinking Laboratories should be established to promote organized technology transfer and to act as catalysts to organized policymaking. Their charter should be to match needs in one context to capabilities in another context. This charter is outlined in operational terms by five general objectives listed by the author. The National Thinking Laboratories are most urgently needed, particularly in the developing countries.     

Dealing with unfinished Indigenous business: The need for historical reflection

The commitment by both major political parties to the abolition of the Aboriginal and Torres Strait Islander Commission symbolises profound problems that continue to bedevil movement towards meaningful reconciliation in Australia.
Unlike Australia, long-established treaties in Canada, the United States and New Zealand as well as greater theoretical clarity in identifying the process of colonization and its ill-effects on Indigenous peoples have provided stronger foundations for policy and more positive outcomes.
This article provides a theoretical framework for understanding the effects of colonisation in Australia, and policy prerequisites for redressing its damaging effects. These include a treaty, improved economic resources and stronger political, intellectual and property rights.     

The electoral consequences of issue ambiguity: An examination of the presidential candidates' issue positions from 1968 to 1980

This study investigates the consequences of ambiguity in the issue positions of presidential candidates from 1968 to 1980. Two potential consequences are examined: a direct impact and a conditional impact on the vote. The findings indicate no significant direct effect on the vote. However, significant conditional effects were found. Compared to losing candidates, winning candidates were somewhat less likely to hold clear positions when issues were salient to the public and were somewhat more likely to hold ambiguous positions when public opinion was dispersed. They were especially more likely to be ambiguous when their positions substantially differed from the median public position on the issue.     

Participatory innovations and maxi-publics: The influence of participation possibilities on perceived legitimacy at the local level in Finland

Participatory innovations (PIs) have been introduced as one possible cure to democratic malaises. Empirical research on these mechanisms for citizen participation has, however, focused on their effects on individuals and policy outcomes, leaving aside their consequences for the wider public. This article fills part of the gap by examining the effect of PIs on perceived legitimacy. The article acknowledges that citizens value not only outcomes but also the inclusiveness of decision-making processes, and defines procedural fairness and outcome satisfaction as the key evaluative criteria behind perceived legitimacy. Both total number and type of PIs are considered as possible factors shaping legitimacy evaluations. By analysing data from 9,022 citizens in 30 Finnish municipalities, the article reveals that introducing PIs is not a simple fix for legitimacy of local governments. The type of participation matters, with discursive participation generating the strongest effects on procedural fairness. However, attention should also be paid to citizens’ awareness of participation possibilities.     

Power,agency and structure: An examination of Steven Lukes

The dynamic between violence and politics in the American South during the Civil Rights Movement is analyzed, focusing on the relationship between racist terror and the state. The study explores how blacks in the rural South tried to defend themselves before civil rights, when white supremacists dominated local government and federal authorities ignored lynch murders. The article traces the development of Martin Luther King, Jr.'s nonviolent resistance strategy, and the long struggle to force the state to combat racist violence, one of the Civil Rights Movement's most significant achievements.