Institutional memory,institutional capacity: narratives of failed biomedical encounters in East Africa

Abstract

This paper focuses on a series of failed medical encounters that took place in East Africa in the 1950s and after, and explores how the organizations involved ? the Kenyan Division of Insect Borne Diseases, the East African Medical Survey, and the Tanzanian National Institute of Medical Research ? chose to document and remember these events. The examples focus on medical encounters characterized by disagreements and miscommunications that stymied productive work. In each case, failures were remembered in very stylized and restructured ways that stressed the validity of the science and the valor of the scientists while drawing on tropes of African communities as irrational and superstitious. Capacity is built and maintained by having a functional institutional memory, which includes recounting failure and an ability to integrate knowledge from failure, leading to new approaches. It is found that remembering failures in such stylized forms systematically diminished the functionality of their institutional memory.     

Parental Knowledge and Youth Risky Behavior: A Person Oriented Approach

Most studies isolate the effects of one knowledge-related behavior on youth outcomes. This study explores the relationship between subgroups of mother–youth dyads that use specific combinations of parental knowledge-related behaviors and youth risky behavior. Using a sample of 796 rural 6th graders (53 % female), we assessed mother and youth reports of maternal knowledge, active parent monitoring efforts, youth disclosure, parental supervision, and the amount of parent–youth communication to identify five knowledge latent classes: High-Monitors, Maternal Over-Estimators, Low-Monitors, Communication-Focused, and Supervision-Focused. Delinquency, antisocial peers, and substance use were associated with increased odds of membership in the Supervision-Focused class, relative to the High Monitors. Membership in the Low Monitors and Maternal Over-Estimators classes was associated with unhealthy attitudes towards substances and for Low Monitors, substance use. The discussion focuses on the value of using a person-oriented approach to understand parental knowledge and risky behavior during early adolescence and intervention implications.     

Agricultural Biotechnology and Regime Formation: A Constructivist Assessment of the Prospects

Controversies surrounding the appropriate use and diffusion of agricultural biotechnologies are giving rise to questions about governance at the international level. This article investigates the likelihood that a single, international regime or multiple regimes governing this technology will form by way of negotiation. We show that four normative–institutional arrangements, organized around distinct general principles, have a potential governance role: world food security and safety, liberalized trade, protection of intellectual property, and conservation and sustainable use of biodiversity. We argue that an adequate amount of compatibility between the principles and norms of these arrangements is required to support the type of communicative action or truth–seeking needed to develop the intersubjective understanding for a regime. Using a framework for assessing normative compatibility, we find not one, but two nascent understandings rooted in the trade and biodiversity areas competing to form the foundation for governance. Further analysis of levels of institutional density between the two developing regimes reveals they are presently too low to support a negotiated resolution of normative conflict. Finally, we demonstrate that recent framing attempts at the international level to decrease areas of tension and incompatibility in principles/norms between the regimes have neglected to create the crucial normative background conditions needed to avert a scenario of increased political conflict in the near future.