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.     

Male Marriage Squeeze and Inter-provincial Marriage in Central China: evidence from Anhui

Since the 1990s, inter-provincial female migration for marriage has become important in central and eastern rural China. Using survey data from X County in rural Anhui Province, we explore the arrangement of inter-provincial marriages, as well as the characteristics of husbands and wives, marital satisfaction and marital stability for these marriages. We find that inter-provincial marriage is an important option for local men to respond to the marriage squeeze and the increasing expense of marriage. It helps to relieve the shortage of marriageable women in the local marriage market. Because this kind of marriage is based on economic exchange, but not affection, it is often subject to a higher risk of marriage instability, and can lead to such illegal behaviors as marriage fraud and mercenary marriage.     

Voting Rights for Whom? Examining the Effects of the Voting Rights Act on Latino Political Incorporation

This study applies insights from principal‐agent models to examine whether and how the language assistance provisions of the Voting Rights Act, Sections 203 and 4(f)(4), affect Latino representation. Using panel data from 1984–2012, we estimate two‐stage models that consider the likelihood and extent of Latino board representation for a sample of 1,661 school districts. In addition, we examine how policy design as well as federal oversight and enforcement shape implementation and compliance with the language assistance provisions. Our findings not only provide the first systemic evidence that the language assistance provisions have a direct effect on Latino representation, but also link the efficacy of the language assistance provisions to the duration and consistency of coverage and the presence of federal elections observers. Overall, our study underscores the continued need for federal government involvement in protecting the voting rights of underrepresented groups, in this case, language minority citizens.     

Forms of Social Support That Moderate PTSD in Childhood Sexual Abuse Survivors

Although social support has been found to attenuate psychological symptoms in victims of sexual abuse, literature does not identify the specific forms of social support that mitigate maladjustment following a sexual abuse experience. This study sought to distinguish the specific types of perceived social support that buffer the development of post-traumatic stress disorder (PTSD) in victims of childhood sexual abuse (CSA). One hundred and seventy-two adult females reporting CSA were administered the Interpersonal Support Evaluation List (ISEL) and the Impact of Events Scale (IES). The ISEL measures the perceived availability of 4 support types. The IES measures core PTSD symptoms of intrusion and avoidance. Regression analysis indicated that social support significantly buffered PTSD development. The best model was one which contained self-esteem and appraisal support. Tangible and belonging support added little to prediction. Further, self-esteem support was identified as the most important variable in preventing PTSD development.