<Emphasis Type="BoldItalic">Society’s</Emphasis> Books of Note

Society’s Books of Note

Society’s Books of Note November/December 2010     

Health information systems,decentralisation and democratic accountability

While decentralisation is a much‐used term in development discourse, there is lack of clarity about how much autonomy should be granted to local agencies in programme implementation. This is particularly the case in the health sector in developing countries where decentralisation has resulted in the primary health centre (PHC) being identified as the focal point for the delivery of basic health services to rural citizens. An important element of primary healthcare reform has been the implementation of health information systems (HIS). These systems primarily account for monies spent to higher levels of administration and funding bodies rather than account for primary healthcare provision to citizens. In this article, we focus on various emergent processes of change that are occurring under the auspices of the National Rural Health Mission (NRHM) in India to strengthen the interface between the PHC and the community. We present a case study of Gumballi PHC in Karnataka, South India. Our findings reveal ways in which these new processes can be supported by conceptualising the HIS as more than a mere reporting tool. Copyright © 2010 John Wiley & Sons, Ltd.     

‘Ground-Truthing’ Chinese Development Finance in Africa: Field Evidence from South Africa and Uganda

A new methodology, Tracking Underreported Financial Flows (TUFF), leverages open-source information on development finance by non-transparent, non-Western donors. If such open-source methods prove to be valid and reliable, they can enhance our understanding of the causes and consequences of development finance from non-transparent donors including, but not limited to, China. But open-source methods face charges of inaccuracy. In this study we create and field-test a replicable ‘ground-truthing’ methodology to verify, update, and improve open-source data with in-person interviews and site visits in Uganda and South Africa. Ground-truthing generally reveals close agreement between open-source data and answers to protocol questions from informants with official roles in the Chinese-funded projects. Our findings suggest that open-source data collection, while limited in knowable ways, can provide a stronger empirical foundation for research on development finance.     

MMPI profiles of males accused of severe crimes: a cluster analysis

Abstract

In studies attempting to classify criminal offenders by cluster analysis of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) data, the number of clusters found varied between 10 (the Megargee System) and two (one cluster indicating no psychopathology and one exhibiting serious psychopathology). The latter results raise doubts about the suitability of the MMPI-2 for classification in forensic settings. The present study aimed at deriving an empirical classification system using cluster analysis of 247 MMPI-2 profiles of pretrial criminal defendants in a forensic psychiatric observation clinic. Results indicated only a ‘non-disturbed’ and a ‘disturbed’ profile, differing on general elevation of MMPI-2 profiles but displaying no qualitatively distinct profiles. The clusters differed on age at admission and first conviction, indicating a late onset of criminal activity for disturbed offenders. Also, the clusters differed significantly on Axis I diagnosis and borderline significantly on Axis II diagnosis. The absence of distinct personality profiles between the clusters suggests restricted usefulness of the MMPI-2 in a forensic context of diverse and severe psychopathology and serious crimes. Either the investigated population is in fact extremely homogeneous, truly comprising only two kinds of offenders, or the types of offenders in these populations are not effectively distinguished by the MMPI-2.     

An Assessment of Research on American Counties

In a 1992 issue of this journal, 12 scholars proposed an ambitious research agenda for the study of the American county. By all accounts, this agenda was both a catalyst and a guide for those interested in the nature, role, functions, operations, and practical relevance of county governments to either continue their research or to launch new studies in this underresearched area. The present article provides a detailed inventory of the research that has been conducted in the eight areas identified in the 1992 agenda. Specifically, which research questions have or have not been addressed satisfactorily? Such an exercise is a logical prerequisite for charting a path for future research on counties; it represents a synthesis of scholarly needs for theory building, hypothesis testing, and cumulative research and the dynamic and enduring knowledge‐base needs of county practitioners and elected officials.