Multilateral development banks,transparency and corporate clients: ‘public–private partnerships’ and public access to information

The multilateral development banks (MDB) recognise and promote transparency as a principle of good governance. Public release of information about policies and projects is a central aspect of this transparency, and the five MDBs studied here each adopted new policies during the 1990s to increase the accessibility of such information. The flow of information to local communities is important to the effectiveness of MDBs' social and environmental safeguards and to securing public support. But MDBs also embrace a second strategy, which sometimes conflicts with transparency: each MDB (or an affiliate) lends to private corporations as well as to member states and each bank modifies its information disclosure rules, giving corporate clients greater discretion than member governments. Environmental and social safeguards apply to corporate borrowers as well as to governments and there is a relatively high level of controversy over corporate projects' environmental and social impact. When subjected to a qualitative review of their disclosure standards, emphasising fullness of disclosure, accessibility of information, timeliness of information and availability of recourse, the disclosure policies of all five MDBs are clearly found to accommodate corporate confidentiality while compromising public demands for information. Copyright © 2003 John Wiley & Sons, Ltd.     

European Court of Human Rights agrees to hear challenge to long-term "preventive detention" of HIV-positive man

On 10 December 2002, the European Court of Human Rights agreed to hear the case of a Swedish man who has been subject to a continuing series of mandatory isolation orders since 1995.     

South Africa: constitutional court rejects constitutional challenge to law criminalizing prostitution

On 9 October 2002, a majority of South Africa's Constitutional Court dismissed appeals from convictions for prostitution and keeping a brothel, rejecting arguments that the law was unconstitutional. However, the minority decision, endorsed by five of eleven judges, found that the provision that made the sex worker but not the client guilty of a criminal offence was discriminatory and should be struck down.     

Level of living and fertility among a rural population of the Philippines

This study examines the issue of whether the relationship of fertility to measures of economic resources is different at lower income levels than at higher levels. Testing was done in a rural Philippine setting in 1978-79. 3 measures of economic resources were utilized -- income, quality of housing, and provision of schooling for children. The data were drawn from a survey of rural families residing in 5 muncipalities of Iloilo province, on Panay Island in the central Philippines. In the study design, villages (or barangays) were selected from the 5 municipalities to obtain equal numbers of 3 agricultural types -- upland, rainfed lowland, and irrigated lowland farms. Interviews were conducted during a 4-month period in late 1978 and early 1979. Completed interviews of 1077 married women were obtained from 1066 households in 46 villages. These women were under age 50. The number of children ever born was used as the measure of fertility. To derive household income for the families in the survey both farm production and nonfarm income were converted into Philippine pesos. For a measure of housing quality, an index was formed based on 7 household items which could be considered amenities for the family and on the reported construction materials for 5 parts of the dwelling. This sample of households in the rural villages of Iloilo Province exhibited evidence of a threshold in the relationship between housing quality and fertility and between per capita income and fertility. For those families with per capita income less than 200 pesos per year, there was a strong positive relationship between 2 of the economic resource measures and fertility. This threshold for families of very low income showed support for the presence of limiting factors other than contraception. When the contracepting women of low income were removed from the analysis, the slope below the threshold became steeper. The poor nutrition and poor health that are associated with very low income can result in lower fecundity, thus biologically or nonvolitionally limiting fertility from what it could be with conditions of good health and nutrition. Among the families with higher per capita income, there was a negative relationship between per capita income and fertility. Housing quality yielded the strongest evidence of the threshold effect. Education of the children was not related to fertility in this model. Study findings indicate that for about 1/3 of this rural population initial increases in their economic level or living standard could result in increasing fertility up to a threshold level.     

Negative expectations and self-evaluations in dysphoria

In a sample of female college students, dysphoric and intermittently dysphoric subjects, in comparison to nondysphoric subjects, were expected to perform more poorly on a game requiring eye-hand coordination. Actual performance showed no differences between these three groups. Following performance, relative to nondysphoric subjects, dysphoric and intermittently dysphoric subjects evaluated their performance more negatively. Results are discussed in terms of cognitive theories of depression and recent research. Implications for future research are suggested.     

The office of policy analysis in the department of the interior

The history of a particular policy office, located in the U.S. Department of the Interior, is reviewed from the standpoint of a long-time participant-observer. This office played an active part in the formation of federal policies with respect to the leasing of Outer Continental Shelf oil and gas, the leasing of federally owned coal, and the supply and distribution of federally controlled water in the west, but in many other areas the office was less involved. The article examines the factors that affected the level of office involvement and, more generally, the character of office interactions with the various parts of the Interior Department. The problems of sustaining long-term agency support for a policy office and other issues with respect to the practice of policy analysis in government are discussed.     

Recent developments in medicine and law

This article addresses important developments in the field of medicine and the law during the last year and highlights some of the significant areas of law affecting health care providers that should be considered. Actions against health care providers may include challenges to peer review immunity, allegations concerning the practice of medicine across state lines without a license, and even accusations of wrongfully assisting a patient to commit suicide. These areas are addressed in turn by this article. Finally, antitrust developments over the last year are briefly addressed as an emerging area of concern for providers forming complex practice networks in today's health care arena.