Increasing access to rural maternal health services in Zambia through demand-side interventions

This paper examines a demand-side intervention that significantly increased access to maternal health services in rural Zambia in a context where skilled birth attendance rates had been stagnant for over two decades. Aspects of the intervention design that were crucial to the programme's success were the participatory and adult learning-centred approach used to mobilise intervention communities, the use of a community volunteer model, and the design's sensitivity and responsiveness to underlying social factors and problems. The demand-side intervention is already being scaled up in six districts, and is highly suitable for national level scale-up.     

Current Policy Context for Education Efforts to Help Young Parents Meet Their Multiple Challenges

Recent increases in the adolsecent birth rate can be in part attributable to a variety of factors including limited sex education in schools, the decline in family planning services, and rising dropout rates. This paper explores the importance of education for adolescent parents, particularly the inclusion of pregnancy prevention programs and services for young parents as part of the educational mainstream.     

The local state in Canada: theoretical perspectives

Studies of government at the local level tend to be focused on the municipalities. To understand the full range of institutions at this level, a broader conception of the “local state” is required. The latter refers to the state in so far as it is present in and concerned with the local community, and thus it encompasses local agencies of the central state as well as local governments. To conceive of the local state in this way allows for a critical assessment of competing theories of local government in Canada. The latter describe local institutions variously as the third order of government, agencies for special purposes, the local public economy, or local apparatuses of the state. All but the first draw attention to non-municipal agencies at the local level, but none give an adequate account of the structure and functions of the local state as a whole. What is required is a theory that takes the pressure for local self-government seriously, and is sensitive to both geographical variation and historical change.     

Maximizing models of legislative choice

A number of recent studies have reported estimates of single equation and simultaneous equations models of the decisions of state legislatures. These investigations have been ‘economic’ ones, in the sense that considerations of the relative costs and benefits to some self-interested person or group capable of affecting legislative outcomes have motivated the choice of explanatory variables. Thus, perhaps implicitly, these studies have assumed utility maximization by some critical agent(s) in the political marketplace. This essay draws attention to the implications of this maximizing assumption for the proper specification and estimation of the associated empirical models.     

A theoretical basis for participatory planning

Arguments are presented for the reconsideration of models which guide planning behavior and structure planning organizations. Hierarchical organizations are contrasted with reticular organizations and the latter are presented as necessary for effective citizen participation. Legitimacy is presented as a fundamental basis of justifying planning action and historical shifts in forms of legitimacy are noted. Participation, as a form of legitimacy, and several aspects of participatory planning are discussed in terms of recent systems thinking. It is argued that participatory planning increases the effectiveness and adaptivity of the planning process and contributes adaptivity and stability to the societal system. Further, it is argued that citizen participation is an essential element in making the planning process a learning system. This leads to a strengthening of the definition and role of communities in the urban system, and to an unexpected requirement of planners who would adopt a participatory planning process.