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.     

Farmer-to-farmer extension: opportunities for enhancing performance of volunteer farmer trainers in Kenya

Farmer-to-farmer extension (FFE) is playing a complementary role to formal extension services in facilitating the spread of agricultural technologies and improving farmers’ capacities. The effectiveness and sustainability of such programmes depend on volunteer farmer trainers (VFTs) having technical skills and overcoming process-related challenges that hinder them from achieving the desired outcomes. This article uses quantitative and qualitative data collected from seven sites to explore the challenges experienced by VFTs as they share their knowledge on livestock feed innovations in a dairy development project in Kenya. Sustainable opportunities for enhancing VFTs’ performance are discussed.     

Rural development from the ground up: agro-food initiatives in Tasmania

Concerns about the decline of rural agricultural communities have recently refocused on new economic opportunities available in regional food production. This article analyses three on-the-ground case studies of rural development projects in Tasmania, Australia that aimed to develop new regional food opportunities. It analyses these projects to identify how local food producers can create viable economic alternatives in rural settings. The projects illustrate that the existence of regional food assets alone is not enough to guarantee economic development success: rural producers need connections into relevant knowledge networks if they are to identify and respond to new agro-food market opportunities.     

Voluntary and involuntary resettlement in China: a false dichotomy?

The success of involuntary resettlement is contingent on recasting the involuntary as voluntary. To explore this proposition, this article presents two projects in China – one “voluntary” (Poverty Alleviation Resettlement or PAR) and relatively “successful” and one “involuntary” (Three Gorges Project Resettlement or TGPR) and less so. The research finds the voluntary–involuntary dichotomy a false one. It is not volition that leads to better outcomes, but people-centred practices that are embedded in policy, planning, and implementation of PAR. Perhaps the most important lesson drawn is that all resettlements should be based on a commitment to settlement and not just resettlement.     

Strategic planning through a participatory learning and action framework: a Kenyan study

This paper reflects on the use of a participatory learning and action (PLA) framework in a strategic planning process (SPP) at a primary school in rural Kenya. Successes and challenges are discussed, focusing on the barriers to fully implementing the PLA framework. Additionally, lessons learnt and ways forward for participatory SPPs are outlined. The PLA framework allowed the project stakeholders to engage in a planning process that gave participants a voice in the process. Although PLA methodology faces shortcomings, the application of this model is a step towards making community development more sustainable.     

Linking past and future: cross-border development and quality of life in the Badakhshans

The 1895 Pamir Convention divided the mountainous region of Badakhshan into separate entities under Russian and British/Afghan influence, leading to a remarkable divergence in the development fortunes of a people once united by kinship. For those in today's Gorno-Badakhshan in Tajikistan, incorporation into the Soviet Union brought investments in education, health, physical infrastructure, and the economy. People living in Afghanistan's Badakhshan Province retained more political freedom but lived remotely within a feudal state where development investment was limited. In recent decades, both regions have experienced conflict that has affected their development. In this article, we use findings from quality of life assessments carried out by the Aga Khan Development Network to illustrate the stark differences between the Badakhshans. We discuss ongoing efforts to implement cross-border development programmes to improve quality of life in both Badakhshans, while noting that their success depends on a stable security environment in the region.     

Democracy,development and chieftaincy along South Africa's ‘Platinum Highway’: some emerging issues

South Africa's ‘Platinum Highway’ (Generally referred to as ‘the platinum belt’.) – ‘a 150?km continuation of platinum group metals (PGM)-bearing reefs’ [Havenstein, R. (2004). “The Platinum Highway – Where Does It Lead?” Accessed May 10, 2011. http://web.up.ac.za/sitefiles/file/EBIT-Innovate/The_Platinum_Highway-where_does_it.pdf, 1] – has ushered in a new era of considerable accumulation of mineral revenues by a few traditional authorities on whose communal lands platinum ore is extracted. The Royal Bafokeng community in the North West province stands as an epitome of this phenomenon. However, not much is known about the relationships at local governance level, particularly the interface of mineral wealth and community development. Adopting the Bafokeng community as an empirical case in this article, I argue that, despite some observed benefits, vast mineral wealth is likely to deepen tensions between local power holders within the sphere of rural local governance, thus paradoxically hampering development, particularly in a context where traditional authorities are the architects and champions of resource-engendered community development.     

Community rehabilitation workers as catalysts for disability: inclusive youth development through service learning

This paper explores access to health and education for disabled youth in sites with and without community rehabilitation workers (CRWs). A cross-sectional survey using a structured questionnaire was undertaken in nine sites in South Africa, and a snowball sample of 523 disabled youths of both sexes, aged between 18 and 35 years, was selected. The survey found that a significantly larger proportion of disabled youth living in sites with CRWs were seen by health care workers at home, and that there was a large difference in educational access between sites with and without CRWs. CRWs are well positioned to promote equal citizenship for disabled youth through service learning with occupational therapy final year students to improve access to health and education, so that barriers to their participation in economic development are removed.     

Social and economic inclusion of people with disabilities: practical lessons from Bangladesh

People with disabilities remain one of the most excluded minorities, often deprived of the benefits of mainstream development programmes. This practical note reports on lessons learnt in delivering a programme combining a community based rehabilitation (CBR) and self-help group approach with disabled persons in rural Bangladesh. Our findings demonstrate how targeted programmes can bring about the social and economic inclusion of disabled persons. We also highlight the greater effectiveness of CBR programmes when targeting a more diverse client base, when not based on debt recovery, and how targeted programmes can even benefit the wider community.     

Benefits and challenges of micro-enterprise participation: women's cottage industry in Kaimosi,Kenya

This article investigates the perspectives of Kenyan women in the Kaimosi cottage industry regarding the benefits and challenges of producing craft commodities for the global marketplace. Utilising qualitative methods, the research provides an understanding of issues the women faced in producing and marketing goods and offers insights for NGOs into some pitfalls for the sustainability of micro-enterprises. The women asserted that participation in the micro-enterprise had improved their family's economic well-being, helped finance their children's education, and improved their community status. This supports the literature that has found that women's involvement in micro-enterprises reduces poverty and improves well-being.