Trade Liberalization in Indonesian Health Services: Prospects and Policies

The worldwide increase in demand for health services offers developing countries, like Indonesia, significant opportunities to expand international trade in this area. However, policy aimed at achieving this objective must carefully consider the World Trade Organization's (WTO) General Agreement on Trade in Services (GATS). For signatory nations and those considering becoming signatory nations, the procedural, structural, and other effects of the GATS make it a formidable challenge for national health policy alongside its impact on trade liberalization. Invoking the four GATS health care trade modes, this article develops possible approaches to Indonesian health services in the context of trade liberalization.     

The limitations of neoliberal logic in the anti-corruption industry: Lessons from Papua New Guinea

To acknowledge concerns about the rising power of the private sector, key international anti-corruption organisations have supported initiatives that emphasise the role that businesses play in corruption. Yet the way these initiatives have impacted the practices and perceptions of anti-corruption organisations in developing countries has received scant attention. As businesses can be key perpetrators of corruption, understanding the way anti-corruption organisations respond to the private sector can highlight the efficacy of anti-corruption efforts. Drawing on interviews with anti-corruption policy makers in Papua New Guinea (PNG) conducted between 2008 and 2009, this article shows how two international anti-corruption organisations perceived and worked with the private sector. It finds that there have been some initiatives designed to address, and raise awareness about private sector corruption in the country, reflecting international trends. At the same time the private sector is viewed, often uncritically, as an anti-corruption champion; this has affected the way anti-corruption organisations engage with businesses operating in the country. This article argues that despite a change in international discourse about the private sector’s role in corruption, in developing countries like PNG, neoliberal logic about the nature of the state still guide anti-corruption activity. These findings have implications for the efficacy of international anti-corruption efforts.     

THE DEMOGRAPHIC AND SPATIAL PATTERNS OF RECORDED RAPE IN A LARGE UK METROPOLITAN AREA

The present study details a social contextual analysis of 172 rapes and attempted rapes that occurred in a large metropolitan area in the UK. The main focus of the present study concerns the demographic characteristics of rape victims and offenders, including their age and ethnicity, vis-à-vis their relationship. The study also considers the geographic distribution of offences and their relationship to ethnicity and socio-economic status. Our data clearly indicate that the age of offenders is significantly associated with the nature of the victim–offender relationship, and that rape tends to be intra-racial. The data also provide unique comparisons to be made with contextual data on rapes in rural settings. The implications of these findings for the prevention and deterrence of rape, the recording of rape by the police, and the impact of such findings on public education are considered.     

Private sector participation in infrastructure for development

This article reflects on the variety of finance sources to African countries, including aid flows, remittances, development finance, private equity and bonds and foreign direct investment. In order to address the poverty challenge, estimated at about $66 billion annually, these finances must be applied appropriately in various economic sectors, in particular the infrastructure sectors. These include both physical assets (transport, energy, water and sanitation and information and communications) and social services (hospitals and clinics, education and low-income housing). Governments are ultimately responsible for ensuring access to infrastructure for their citizens. However, developing-country governments are unable to address the infrastructure backlogs, let alone develop new assets, especially in the least developed countries in Africa. Governments rely on alliances with international partners, development finance institutions and, importantly, the private sector. However, the rules of engagement with the private sector need to be redefined, with proper emphasis on bringing affordable yet quality access to poorer communities.     

Preventing Homelessness: An Examination of the Transition Resource Action Center

Each year in the United States, as adolescents age out or are emancipated from the foster care system, they are at risk of experiencing homelessness. It is essential that services and programs focus on encouraging and supporting youth in transition from foster care to a life of independence, and The Transition Resource Action Center (TRAC) strives to provide these services. The researchers sought to determine if TRAC's residential program provides their clients with a chance of a stable life (e.g., housing, employment, health care). Findings suggest that fewer clients of TRAC became homeless and more acquired transitional or temporary housing from screening 1 to screening 2, demonstrating promise that these services have fostered change in the lives of their clients.     

Beyond ethics and evidence: Learning to look at the intended and unintended consequences of our actions

The human service professions have traditionally taken a narrow perspective on what constitutes ethical and effective practice. We are taught to use simplistic code-based models to judge whether our actions are ethical and in-the-moment measures to determine if we are being effective. If we observe no harm in the period of our intervention, then we believe our actions are ethical. Similarly, if we observe some positive change, then we believe our interventions are effective. However, when we examine our work within a broader context and over a longer period of time we can come to different conclusions. This article illustrates several problems with these current methods and suggests alternative ways of examining ethics and effectiveness.     

A randomized experiment of a prisoner reentry program: updated results from an evaluation of the Minnesota Comprehensive Offender Reentry Plan (MCORP)

Using a randomized experimental design, this study evaluated the effectiveness of the Minnesota Comprehensive Offender Reentry Plan (MCORP), a prisoner reentry pilot project implemented in 2008. In an effort to reduce recidivism, MCORP attempted to increase offender access to community services and programming by producing greater case management collaboration between caseworkers in prison and supervision agents in the community. Results from Cox regression models showed that MCORP significantly reduced four of the five recidivism measures examined, although the size of the reduction in hazard ratios was relatively modest (20–25%). The findings further suggested that MCORP reduced costs. Sensitivity analyses showed, however, that the cost avoidance estimates were not robust across all assumptions that were examined.