Health system performance reporting in Canada: Bridging theory and practice at pan‐Canadian level

Public reporting is increasingly used to enhance accountability and transparency and stimulate performance improvement in the public sector. In Canada performance reporting in the health sector is still in development, and involves a large number of actors. This article reports on the results of a recent intervention by the Canadian Institute for Health Information (CIHI) to develop a platform for pan‐Canadian performance reporting ( http://www.yourhealthsystem.cihi.ca ). It describes approaches taken to: develop a conceptual framework; engage the public in the definition of performance reporting priorities; and select indicators for public reporting. This article also discusses conceptual, methodological and operational challenges as well as a proposed evaluation strategy.     

INITIATING A COMPARABLE WORTH WAGE POLICY IN MINNESOTA: NOTES FROM THE FIELD

As of January 1986, Minnesota has progressed farther than any other state in implementing acomparable worth (pay equity) wage policy, with two laws requiring pay equity, one covering state employees and a second covering employees of all types of jurisdictions. This article presents a discussion of Minnesota's importance as a case study, a definition of comparable worth, the history and politics o f pay equity policy in Minnesota, and an analysis of Minnesota's role in a national campaign to change wage policy. The article shows that implementation has been more straight-forward in state government than for the 1,583 local jurisdictions, many of which had less-developed personnel systems than did the state. The passage of the local pay equity law ushered in a new stage in this policy, where the issue Is no longer controlled by a small number of legislators, bureaucrats, and lobbyists.     

Engendering organisational practice in NGOs: The case of Utthan

In the late 1970s, feminist social scientists began to challenge some of the assumptions underlying the dominant paradigms on organisations, arguing that they reflect and are structured by the values articulated within the larger institutional arenas in which they are embedded, thus reproducing gender-discriminatory outcomes. This paper unpacks the 'deep structure' of one NGO, Utthan, based in Gujarat, India, to understand the extent to which it is an engendering organisation. It suggests that, while gender-sensitive leadership, training, and resources play a critical role in addressing gender equity in development practice, organisational transformation is a much harder and longer process requiring sustained commitment from the leadership, staff, and funding partners.     

Exemptions from Compulsory Income Management: A Short “History of the Present”

The historical study of exemptions has focused on escape from protectionist policies designed to control and monitor Aboriginal people in Australia — restricting their freedom of movement, intruding into their family life, and reducing their ability to participate on equal terms in the labour force. In this paper, we consider a contemporary policy — income management — which primarily restricts the freedom to dispose of personal income and has targeted Aboriginal people and communities, both directly and indirectly. Provisions for individual exemptions have been incorporated inconsistently within the many iterations of income management, and Aboriginal people are significantly less likely than others to be granted an exit from this form of financial control. The study reported here is an example of mixed-methods social research, rather than an historiography. We use techniques of historical comparison to illuminate contemporary practices and identify the ongoing influence of settler-colonial governance in the lives of Aboriginal people.