An analysis of e-government in the Department of Home Affairs of South Africa

The new information and communication technologies （ICTs） are radically redefining the world＇s social, economic and political landscape. People live in the information age and their environment and needs are changed by the development of ICTs. The Republic of South Africa as a democratic country also faces the challenge in the information age. The Government of South Africa has embarked on a number of measures to ensure that information and communication technologies （ICTs） play a vital role in society. The Department of Home Affairs （DHA） plays a central and indispensable role within the public service, impacting on the lives of all the citizens and the people who visit South Africa. The DHA has felt the pressures emanating from South Africa＇s transition to democracy and the tremendous growth in the demand for its services. It is important for the DHA to adopt the ICTs in its services to deliver them conveniently and efficiently to citizens. The paper presents the research undertaken of the present status and application of e-government in the Department of Home Affairs in Republic of South Africa as well as the analysis of challenges the DHA faces in the quest to deliver services with ICT. Feedback obtained from clients was reviewed with the aim of offering recommendations on how the DHA can improve service delivery using ICT.     

Race,Medicine, and Social Justice: Pharmacogenetics,Diversity, and the Case of BiDil

In this article, I probe an example of high‐technology medicine as a case study in the problems of the regulation of advancing technology. Specifically, I address the implications of pharmacogenomics—an emerging form of population‐based health care intervention—for public policies designed to eliminate racial disparities in health. Using the case of BiDil, a historical precursor to pharmacogenetic technology, I offer a framework for further studies of high‐technology medicine in which policy analysis is part of a social review based on the justice standard of ex ante mutual advantage. It is the contention in this article that the most just and reasonable deployment of pharmacogenomics is as a compensatory tool to alleviate health disparities.     

Mental Health Services for ‘Difficult’ women: Reflections on Some Recent Developments

The provision of mental health services to women has come sharply into focus for providers of secure psychiatric services in the UK. Women's services are being developed in response to the known risks of mixed-sex provision, and a growing appreciation of the ways that women in secure services can be further disadvantaged by their minority status. Our intention here is to present evidence and reflections to help inform this development. The evidence is drawn from our recent work in this field, which includes carrying out a review of local mental health services for ‘difficult’ women, and developing and piloting a national training programme for staff working with women in secure services. The reflections we offer are informed by the conviction that taking social inequalities into account is central to making sense of women's mental health difficulties, and improving service responses to women's needs. While there are signs that many mental health workers in secure services are beginning to share these convictions, the challenge now is to provide the necessary authorization, training and support that will enable them to translate these understandings into empowerment practice with women.     

The European Community and the Adoption of International Food Standards within the Codex Alimentarius Commission

Abstract: This article examines the way the European Community defends its interests in food safety matters within the Codex Alimentarius Commission. It shows that the European Community has strengthened its position as a policymaker within the Codex Commission. It also describes how the European members of the Codex Commission engaged (with mixed results) in the defence of certain principles typical of European food policy. These controversial principles are the precautionary principle, the need to consider factors other than science in determining food standards, and the need to label and make traceable food derived from biotechnology. Lastly, the article evaluates the function of the Codex Commission. Since, in at least two cases the discussions within the Codex Commission did not prevent WTO litigation, the value of the Codex Commission may be questioned. However, the overall assessment of the Codex Commission's activity is positive, since it provides an important and not easily replaceable forum to debate food safety issues, which are particularly sensitive for Codex members of the European Community.     

Is It Bad to Be Good? An Exploration of Aggressive and Prosocial Behavior Subtypes in Adolescence

Research in aggressive behavior development has distinguished between proactive (i.e., intended to achieve an instrumental goal) and reactive (i.e., emitted as an emotional response to provocation) subtypes of aggression. A similar distinction has not been made with regard to prosocial behavior. In this study, subtypes of both aggressive and prosocial behavior and their relation to aggression-supporting social cognitions were examined in a sample of 250 early and middle adolescents. Adolescents completed behavior rating scales and a measure of their beliefs about the acceptability of responding aggressively. Principal components analysis identified 3 subtypes of aggressive and prosocial behavior: aggressive, prosocial, and proactive prosocial. Proactive prosocial behavior was positively correlated with aggression and aggression-supporting beliefs, while other prosocial behavior was negatively correlated with these constructs. Findings are discussed in the context of aggressive behavior development and with regard to traditional views of prosocial behavior as altruistic.     

Beyond Territorial Contiguity: Issues at Stake in Democratic Militarized Interstate Disputes

Scholars of international politics have been slow to address the fundamental issues that ground interstate conflict. Territory has frequently been cited as a primary source of contention among states, but it remains only one issue and not even the one most prevalent in the post–World War II time period. We take the first step toward understanding the broader theoretical link between regime type, issues, and militarized conflict by collecting new data on the issues in dispute between democracies from 1946 to 1992. We findthat (1) a large proportion of the militarized disputes between democracies in the post-WWII period involve fisheries, maritime boundaries, and resources of the sea, (2) well-established democracies are able to remove territory as a contentious issue among them, (3) disputes between democracies have become less severe and shorter in duration over time, and (4) a majority of the post-WWII militarized disputes between democracies are not resolved. We conclude with a discussion of the implications of these empirical findings for the democraticpeace literature.     

Patient involvement and the politics of methodology

Abstract: The idea of including patient perspectives in health‐services planning and evaluation is increasingly embraced by Canadian health authorities. This article argues that the validity of a particular method is not simply a matter of its scientific rigour; rather, it depends on what one considers to be the meaning and purpose of patient involvement. Perspectives on patient involvement can be conceptualized in terms of a continuum from consumerism (patients as customers who deserve to be satisfied) to participatory democracy (patients as citizens with a right to participate in shaping public services). These ideologies are associated with different methods (market research versus participatory research) and, crucially, yield different results. Evidence from diverse sources suggests that, as methods move across the continuum towards participatory democracy, 1) participants move from expressing simple opinions to considering broader issues, context and complexity, and 2) participants' perspectives shift from individualism (personal interest) towards collectivism (common interest). As well, different approaches have different strengths and risks in terms of the ultimate goal of patient involvement: change to services. This article outlines the implications of the “politics of methodology” for decisions about how best to involve patients in the design and evaluation of health services. Sommaire : L'inclusion des perspectives des patients dans la planification et l'évaluation des services de santé est une idée à laquelle adhèrent de plus en plus les autorités sanitaires canadiennes. Le présent article soutient que la validité d'une méthode particulière ne dépend pas simplement de sa rigueur scientifique, mais plutôt de ce que l'on considère être la signification et le but de la participation des patients. Les perspectives sur la participation des patients peuvent être conceptualisées en termes d'un continuum, allant du consommateurisme (les patients étant considérés comme des clients qui méritent que l'on réponde à leurs besoins) à une démocratie participative (les patients étant considérés comme des citoyens ayant le droit de participer au façonnement des services publics). Ces idéologies sont associées à différentes méthodes (recherche de marché versus recherche participative) et, essentiellement, donnent lieu à des résultats différents. Comme le laissent entendre différentes sources, alors que les méthodes progressent dans la direction d'une démocratie participative, 1) les participants délaissent l'expression de simples opinions pour aborder des questions, un contexte et une complexité plus vastes, et 2) les perspectives des participants passent de l'individualisme (intérêts personnels) au collectivisme (intérêt commun). En outre, différentes approches présentent des points forts et des risques différents pour ce qui est de l'objectif ultime de la participation des patients, à savoir les changements à apporter aux services. Le présent article décrit brièvement les implications de la « politique de méthodologie » pour ce qui est des décisions concernant le meilleur moyen de faire intervenir les patients dans la conception et l'évaluation des services de santé.