Negotiated compliance at the street level: Personalizing immunization in England,Israel and Sweden

Often portrayed as behaviour that is inconsistent with policy goals, public noncompliance poses a significant challenge for government. To explore what compliance efforts entail on the ground, this study focuses on childhood immunization as a paradigmatic case where a failure to ensure compliance poses a public health risk. The analysis draws on 48 semi‐structured interviews with frontline nurses and regional/national public health officials in England (N = 15), Sweden (N = 17) and Israel (N = 16), all of which have experienced periodic noncompliance spikes, but differ in direct delivery of vaccination provision. Compliance efforts emerged as a joint decision‐making process in which improvisatory practices of personalized appeals are deployed to accommodate parents’ concerns, termed here ‘street‐level negotiation’. Whereas compliance is suggestive of compelling citizens’ adherence to standardized rules, compliance negotiation draws attention to the limited resources street‐level workers have when encountering noncompliance and to policy‐clients’ influence on delivery arrangements when holding discretionary power over whether or not to comply.     

The Day I Will Never Forget: an interview with Kim Longinotto

The documentary filmmaker Kim Longinotto talks to Catherine Fowler about her latest film The Day I Will Never Forget (2003) about female genital mutilation (FGM) in Africa. Longinotto’s films have consistently interrogated our understanding of womens’ place in the world, and her latest film is no exception. She discusses how she found her subjects: Fardohsa, a midwife who has been campaigning against FGM, a group of girls who have (successfully) taken their parents to court in order to prevent FGM being practised, and Fouzia, a girl of nine who reads a poem that she wrote the day after she was circumcised, asking her mother to explain why she put her daughter through such a painful experience. Longinotto also discusses the ethical issues raised by her filming of a circumcision of two sisters, and the wider issues that her film engages: the powerless position of women in African societies, the confusion of religion and culture in discussions of FGM, and the impact of saying ‘no’ to this practice.     

Class, territory and party: political change in Britain, 1945–1974

Abstract. Two theoretical traditions in the study of European voter alignments emphasize alternatively class and territorial structuring of mass politics. Until the 1970's the developmental paradigm resting on the class-based, stable polity model of the 1945–1970 period ruled the research agenda. The weakening of party alignments in the 1970's and the introduction of the competing territorial paradigm challenged the dominant model. This research tests both models in Britain against the supposed stability of the 1945–1970 period. The results demonstrate that while the developmental model fits Britain as a whole quite well, the introduction of regional polity analysis exposes considerable instability of voter and party alignments, uneven class development and the mobilization of cultural cleavages, dynamics which undergird the politics of cultural defence and find expression in the nationalist parties in the 1970's. In questioning the assumed stability of the 1945–1970 period the findings challenge the foundations of the current debates on realignment in Britain.