Participation via collective action in government and NGO schools in Pakistan

Parent-teacher associations (PTAs) or school management committees (SMCs) are an important way of realising participation via collective action to improve schooling. Field visits, a literature review, and a small sample survey are the three sources used to explore the status of SMCs/PTAs that have been established by provincial governments and NGOs in Pakistan. My main finding is that to make participation effective in schooling, public-sector reforms need to be carried out to alter the power relations between parents, teachers, and government officials. In general, NGO schools performed only marginally better than government schools in engendering participation.     

Are women self-help group members economically more empowered in left-run municipalities?

Who controls the income earned by members of women's self-help groups (SHG) from group activities – the women or their husbands? The answer indicates one dimension of the level of economic empowerment attained by SHG members. This paper examines whether identity of the person controlling the income earned depends upon the political party ruling the municipality where the SHG is situated. Two parties are considered – the Left Front, a coalition comprising of Leftist parties, and the Indian National Congress. This paper is based on a field study of 240 SHG members in six municipalities in West Bengal, India.

Les participants aux groupes d'entraide pour les femmes économiquement plus habilités dans les municipalités de gauche?

Qui contrôle les revenus tirés par les membres des groupes d'entraide de femmes (GEF) de leurs activités - les femmes ou leurs maris ? La réponse indique une dimension du degré d'autonomisation économique obtenu par les membres de GEF. Cet article traite de la question de savoir si l'identité de la personne qui contrôle les revenus gagnés dépend du parti politique qui régit la municipalité où se situe la GEF. Deux partis sont considérés – le Front de gauche, coalition composée des partis de gauche, et le Congrès national indien. Cet article se base sur une étude de terrain de 240 membres de GEF répartis sur six municipalités dans le Bengale-Occidental, en Inde.

¿Están los participantes en los grupos de autoayuda para las mujeres económicamente más empoderadas en los municipios de izquierda?

¿Quién controla los ingresos generados por las mujeres que participan en los grupos de autoayuda (GAA) a partir de actividades grupales: las mujeres o sus esposos? La respuesta dada a esta pregunta opera como indicador de una dimensión del grado de empoderamiento económico logrado por las integrantes de los GAA. Este artículo examina en qué medida el género de la persona que controla los ingresos depende del partido político que tenga el poder en los municipios donde existen los GAA. Para ello, se analizaron dos partidos: el Frente de Izquierda (“Left Front”), una coalición de partidos de izquierda, y el Congreso Nacional Indio (“Indian National Congress”). El artículo se basa en un estudio de campo realizado entre 240 integrantes de los GAA residentes en seis municipios de Bengal Occidental en India.

São membros de grupos de auto-ajuda para mulheres economicamente mais habilitadas na esquerda municípios?

Quem controla a renda ganha pelas participantes de grupos de mulheres que se auto-ajudam (Self-Help Groups - SHG) – as mulheres ou seus maridos? A resposta indica uma dimensão do nível do empoderamento econômico alcançado por membros dos SHGs. Este artigo examina se a identidade da pessoa que controla a renda recebida depende do grupo político que governa o município onde o SHG está situado. Dois grupos são examinados – a Frente Esquerda, que é uma coalizão formada por partidos da esquerda, e o Congresso Nacional Indiano. O artigo baseia-se em um estudo de campo com 240 membros de SHGs em seis municípios de Bengala Ocidental, Índia.     

Fatal thyrotoxic crisis

Graves' disease is a form of hyperthyroidism. A rare complication of Graves' disease is thyrotoxic crisis. Although the crisis is frequently fatal, it is a distinctly unusual cause of sudden death. We investigated the case of a young woman with Graves' disease who died suddenly. Radioimmunoassay tests of thyroid function were used to establish the diagnosis.     

Postmortem Aortic Dissection: An Artifact of the Embalming Process

Aortic dissection (AD) is a serious condition that affects 3/100,000 individuals a year. Recently, a case report was published describing an embalmed patient with an aortic dissection. The purpose of this study was to examine the frequency of AD among 80 embalmed cadavers and confirm the AD with histopathologic evaluation. In seven cases of grossly identified AD, six were determined to be due to the embalming procedure and only one case of true antemortem AD was confirmed. These results suggest that aortic morphology can be altered by administration of the embalming fluid and that alterations can mimic AD, not only on gross inspection but also on postmortem imaging. Awareness of this embalming artifact may prevent misdiagnosis of an aortic dissection in an embalmed patient, a point particularly useful for autopsy pathology that may include postmortem examination of an embalmed patient.     

Can technology change the existing culture? Case study on Bangladesh’s public sector

This article highlights the challenges development aid donors can face in Bangladesh’s post-colonial culture, as well as substantiating how lack of quality control in an aid project can influence local values, beliefs, and subjective experiences. The article also suggests that improving quality control, such as through monitoring and evaluation (M&E), can generate greater impact of development aid resources.     

Old wine in new bottles: Re‐publishing African writers

Things Fall Apart. Chinua Achebe, 1986.150pp. £3.50pb

Arrow of God. Chinua Achebe, 1986. 230pp. £3.50pb

A Grain of Wheat. Ngugi wa Thiong'o, 1986. 247pp. £3.95pb

Petals of Blood. Ngugi wa Thiong'o, 1986. 250pp. £3.95pb

God's Bits of Wood. Sembene Ousmane, 1986. 245pp. £3.50pb

Estrangement. Elechi Amadi, 1986. 244pp. £3.95pb

London: Heinemann Educational Books (African Writers Series)

The Beggar's Strike. Aminata Sow Fall, London: Longman (African Classics). 1987.112pp. £2.95pb

The Real Life of Alejandro Mayta. Mario Vargas Llosa (Translated by Alfred MacAdam) New York: Vintage books. 1986. 309pp. $6.95pb

The Penguin Book of Modern Urdu Poetry. Edited by Mahmood Jamal, Harmondsworth: Penguin. 1986. 165pp. £3.95pb     

Looking for ‘New Ideas That Work’: county innovation in China’s health system reforms—the case of the New Cooperative Medical Scheme

Sub-national governments in China have substantial responsibility for policy development as well as for direct implementation of circumscribed policy options set out by higher levels of government, and much policy discourse emphasizes the importance of sub-national flexibility and creativity in policy implementation. Discourses of government innovation aim to encourage local initiative in policy formulation and solving of systemically-important policy problems, and policy experimentation/innovation are increasingly credited as important elements of the Chinese government toolbox in managing reform. Recent studies have tended to treat experimentation/innovation as systemic phenomena, and there are few analyses of how local governments respond to central ‘experimental’ policy frameworks and develop locally- or systemically-useful policy solutions. Given concerns around the capacity of local governments, this is highly relevant in understanding how locally-generated policy relates to systemic reform. The article presents a case study of a low tech and ‘second best’ reimbursement mechanism developed sub-nationally under the New Cooperative Medical Scheme, China’s rural health insurance framework, and its spread and incorporation into national policy. It argues for the importance of local government development of ‘appropriate’ policy mechanisms (jizhi) as underpinning central reforms and system adaptation.