The decentralization of health care in developing countries: organizational options

The complex ways in which decentralization is practised in the field of government health services are examined. Organizationally, decentralization means a choice between different types of public institution, which vary in terms of: the areas over which they have jurisdiction, the functions delegated to local institutions; and the way decision-makers are recruited, so producing institutions. There is little agreement about the optimum size of areas, either in terms of population or territory. Areas cannot be delimited without consideration being given to the powers to be exercised at each level. The specification of functions always assumes certain things about who will exercise the delegated powers. The two issues cannot be separated. Five structures of decentralization are distinguished, each of which could in principle be created at regional, district and village/community level: the multi-purpose local authority, the single-purpose council, the hybrid council, the single purpose executive agency, the management board, field administration, health teams, and interdepartmental committees. Whatever the institutions used for decentralization, the choice of structures and the ensuing process of decision-making will be highly charged politically. © 1997 John Wiley & Sons, Ltd.     

Looking for the Pattern: Al Qaeda in Southeast Asia--The Genealogy of a Terror Network

The aim of this study is to analyze the process by which Al Qaeda has sought to co-opt essentially localized struggles in Southeast Asia into an evolving network of worldwide jihad. The article illustrates how, long before it was appropriate to speak of an entity called Al Qaeda, Islamists have been thinking transnationally since the 1980s. The argument attempts to piece together available evidence to reveal a plausible explanation of the origins, growth and direction of the main Islamist grouping in Southeast Asia, Jemaah Islamiyah, and its deepening relationship with Al Qaeda. The article suggests that the roots of a Southeast Asian terror network can be traced to two geographically separate ethno-religious struggles in the Philippines and Indonesia. The analysis demonstrates that these guerrilla groups orchestrating their distinct struggles were eventually combined through the auspices of Al Qaeda and the globalized franchising opportunities it exploited from the early 1990s.‐     

From Words to Action: Exploring the Relationship between a Group's Value References and Its Likelihood of Engaging in Terrorism

This study explored the dynamics of terrorism through a content analysis of terrorist and nonterrorist groups' documents. Thirteen terrorist groups were matched with nonterrorist controls, and their documents were coded for the values they attributed to their opponents and their own group. Relative to controls, terrorist groups attributed higher dominance values to their opponents and higher dominance, morality, and culture values to themselves in the full sample and in a predictive sample of documents issued before terrorism. These findings indicate that the values groups express in their documents--and particularly the values they attribute to themselves--may predict whether they will engage in terrorism.‐     

THE RELATIONSHIP BETWEEN CHILDHOOD MALTREATMENT AND ADOLESCENT INVOLVEMENT IN DELINQUENCY*

Recent research suggests a link between childhood maltreatment and later involvement in delinquency. This study examines this issue using official and self-report data from the Rochester Youth Development Study. The analysis addresses three central issues: the magnitude of the relationship between early child maltreatment and later delinquency, official and self-reported; the possibility of spuriousness in this relationship; and the impact of more extensive measurement of maltreatment on later delinquency. A significant relationship between child maltreatment and self-reported and official delinquency is found and this relationship, especially for more serious forms of delinquency, remains when controlling for other factors. The results also suggest that more extensive maltreatment is related to higher rates of delinquency. Implications and suggestions for further research are discussed.