Reforming the World Health Organization: what influence do the BRICS wield?

The World Health Organization (WHO) is currently undergoing fundamental reform that is intended to impact its programmes and priority setting and its financial and governing structures. Within the reform debates, new relations of powers are emerging among traditional donors and emerging economies such as the ‘BRICS’: Brazil, Russia, India, China and South Africa. These five emerging economies have formally committed ‘to strengthen and legitimise the WHO as the coordinating authority in global health’ through the principle of multilateralism. In this paper, the results of a qualitative study – based on 21 key informant interviews – that seeks to better understand BRICS’ engagement in this organisation and the extent to which their action enables these countries to influence the reform process were presented. The results show that individual BRICS countries found natural pairings with each other on both particular elements of the reform, notably governance and WHO financing, and specific health issues. While numerous examples of individual BRICS countries seeking to raise the profile of specific health issues were found, some evidence of a coordinated effort to influence reform as a bloc was also found. Although this was largely limited to rhetorical announcements of support in formal Declarations and Communiqués, it nevertheless articulates a vision of the WHO as an organisation with a broad mandate delivered with sufficient, predictable funding.     

A Pragmatic Approach to Designing Changes Using Convergent Interviews: Occupational Violence Against Paramedics as an Illustration

Developing a change program to address complex problems can appear overwhelming. This study presents how an inductive diagnostic technique known as convergent interviewing can provide a summary of the critical issues that could be addressed by a change program. A systems perspective is used to show how the issues raised by the diagnostic process can be targeted in order to have the most effect and be pragmatically implementable. The use of the tool is illustrated by analysing an employee problem that needs to be addressed in public services, the high rates of occupational violence against paramedics. The resulting inductive systems model can be used for diagnosis or for informing a variety of change interventions. Convergent interviews are relatively easy to use, powerful, and applicable to many situations. This tool is particularly useful for developing innovations regarding a specific problem, changes that could be a source of substantial public value.     

Use of "therapeutic complication" as a manner of death

Analyses of deaths due to therapeutic complications (TCs) provide important quality of care information for medical providers. In New York City, 463 deaths were investigated by the Office of Chief Medical Examiner and certified with TC as the manner of death in 2003. The TC manner of death is used for fatalities due to predictable complications of appropriate medical therapy. All death certificates and select autopsy, hospital, and investigation reports were reviewed. Data concerning cause of death, contributing conditions, age, race, and sex were extracted. The types of complications and the causes of death were classified into various types of surgical and nonsurgical categories of complications. These included: postoperative infections, pulmonary emboli, and technical and medication complications. The use of TC as a manner of death has benefits and limitations. Without the TC option, one is forced to certify certain deaths (e.g., penicillin anaphylaxis) either as natural or accident. The TC option allows easy identification and tracking of medical complications for public health purposes and also allows more consistent reporting of natural and medical-accidental deaths. In general, complications that occur during emergency surgeries/procedures for natural disease, tend to be certified with a natural manner. The "but for" test may be used to distinguish natural from TC deaths. There are criteria for distinguishing TC from accidents and homicides. TCs that occur during treatment of a potentially life-threatening injury, are superseded by the manner dictated by the circumstances of the initiating injury. The certification of TC usually does not address errors of omission, clinical judgement/management, or missed diagnoses.     

Understanding the new context of the male sex work industry

The article reviews past and recent research on male sex work to offer a context to understand violence in the industry. It provides a critical review of research to show, first, the assumptions made about male sex workers and violence and, second, how such discourses have shaped thinking on the topic. The article presents a case study and original findings from two studies conducted by the authors in Australia and Argentina on violence in the male sex industry. Finally, the article reviews examples of legislative reforms to show how the sex industry is being regulated.     

经济全球化对越南经济的影响

经济全球化是世界经济的发展趋势。在80年代中期以来,越南实行革新开放政策,主动融入世界经济,国内经济得到较快发展。同时,经济全球化也对越南的经济安全和政治安全提出了挑战。本文在简要介绍越南主动融入世界经济的过程后,着重分析经济全球化对越南的积极影响和对其经济安全和政治安全的影响。     

跨入新世纪越南经济社会的发展与政策调整

跨入新世纪越南的经济和社会的发展取得较大进展,2000年越南经济逐渐制止增长下滑的趋势,扫饥减穷工作也取得成绩。2001年是越南新的五年计划的开始,越共“九大”也将召开,越南将在工业化、现代化和主动融入世界经济的道路上继续前进。     

Party affiliation and support for capital punishment: An assessment of lawmakers from Canada and the United States

This article assesses the attitudes supporting capital punishment among lawmakers from two democratic countries — Canada and the United States. Accordingly, data were collected from three different populations responsible for legislating law either permitting or prohibiting the use of capital punishment in their respective jurisdictions — the Canadian House of Commons and the Michigan and Ohio state legislatures. These data were used to assess two general hypotheses: (1) Conservative parties will report higher levels of support for capital punishment; and, (2) Individual members from liberal political parties will report lower levels of support for capital punishment when compared to members of more conservative parties. The research findings supported both hypotheses.     

Women and (in)security: The case of the Philippines

Abstract

This paper takes as its starting point the need to address a gender void and northern‐centrism in the new/critical security agenda. Basing the paper on the security priorities of women in the Philippines, presented in the form of a ‘Security Pillar’, the paper examines how far new/critical security, and feminist security literature incorporates the concerns of women in Southeast Asia in the reconceptualization of security, and considers the ways in which security can be reformulated to address the security needs of women in Southeast Asia.