Agriculture and rural out-migration in Central Asia, 1960-91

"This article seeks to analyse agrarian structure and policy in the Soviet period and discuss their effect on migration from rural to urban areas. In the case of [Soviet] Central Asia, neither the various steps to bring down labour intensity in the farm sector, nor the falling standard of living in rural areas, could bring about migration from rural to urban areas. This was because in traditional societies economic mechanisms are not effective unless they are complemented by appropriate social and cultural policies. All policies were oriented towards the state's goal of vertical integration of regions with the central economy. In Central Asia in particular this policy resulted in serious distortions in the social and economic spheres."     

The differential experience of Mozambican refugee women and men

This study examines differences in Mozambicans mens' and womens' experiences of living in refugee camps in Malawi late in 1990. The aim is to identify the differences in impact by gender in assistance policies and programs. In early 1991 there were an estimated 1 million Mozambican refugees in Malawi. This study is based on quantitative and qualitative data collection. The study sample included Chiumbangame and Mwawa in Mangochi District (refugee camps) and Ntcheu (settlements integrated with Malawi's population). Findings indicate that 17% of the 2006-person sample were female-headed households. Men in general had more years of schooling than women. 34% of the women and 47% of men completed at least 1 year of school and 10% of women and 24% of men completed 2 years. At all ages boys were more likely to be enrolled than girls. 4.1% of the 847 persons over 18 years old were receiving some training, but only 1 person had increased household income due to training. Refugee income was nil for women and about 20 cents/day for men. The mean daily income for individuals from female headed households was about half that of income from male headed households. Women were more likely to be working and spent more time in productive work than men. Women worked in household maintenance. Women in income programs gave housework chores to younger females in the household. The income programs were of low quality and products had low marketability. Girls helped with housework from an early age, while boys helped as teenagers. 44.2% of female headed households and 34.9% of members of male headed households reported health problems. This study identifies the ways in which refugee policy worsens gender inequalities in economic production and work burden.     

Shaping Innovative Development

正The role of innovation in achieving the UN Sustainable Development Goals and guaranteeing qualitative growth is vital. The gap between developed and developing economies or rich and poor countries can only close as long as it is the driving force of national economies. In shaping their partnership, China and the EU could have not ignored this.     

Quality, cost, and clinical decisions

Clinical decisions require determining the objectives of care as well as selecting and implementing a strategy of care. At the very least the optimal strategy balances the expected benefit and harm from technical interventions. Health care practitioners tend to specify optimal strategies based on what they consider to be best for patients, without regard to monetary cost. This is an absolutist definition of quality. Individuals may place different valuations on the outcomes, are concerned with the monetary costs to themselves, and are particularly sensitive to the attributes of the interpersonal relationship with the practitioners. Including all of these leads to an individualized definition of the quality of care. But this specification of quality may be in conflict with a social definition of quality, which takes into account social as well as individual monetary costs, externalities, and the social distribution of quality. The health care professions may respond to the conflict in several ways, which are described in this article as evasion, rejection and confrontation, anticipation, advocacy, active complicity, passive complicity, and ambiguous adaptations.