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Visions of Community Health and the Social Good in Kenya: Turning Community Health Workers into Entrepreneurs 肯尼亚社区卫生和社会福利的愿景:将社区卫生工作者转变为企业家
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-04-10 DOI: 10.1111/dech.12877
Edwin Ambani Ameso, Ruth Jane Prince

In East Africa, social enterprises that fuse development work with entrepreneurial activities and a language of ‘innovation’ are becoming prominent. Critical of the NGO/donor model, which they hold as unsustainable, such organizations are funded by corporate investment and philanthropic capital but aim for self-reliance through enlisting local actors to market social services, while providing loans, digital infrastructures and training in entrepreneurship. Based on ethnographic fieldwork in Kenya, this article examines the ethos, ambitions and practices of one such enterprise operating across Africa — Healthy Entrepreneurs. This not-for-profit organization seeks to enable community health workers to become ‘health entrepreneurs’ by training them in business management and offering them a loan and mobile phone from which they order health commodities online and sell them to rural communities. Focusing on the perspectives, motivations and experiences of local managers and the entrepreneurs themselves, the article explores relations between entrepreneurism, community health work, sustainability and the ‘social good’, and the frictions surrounding them. The model of turning community health workers into entrepreneurs, which fosters competition while placing the burden of success onto the individual, shifts the ethos of community health work towards a focus on business. However, the moral economies in which community health entrepreneurs are embedded complicates this picture.

在东非,将发展工作与企业活动和“创新”语言融合在一起的社会企业正变得越来越突出。这些组织对非政府组织/捐助者模式持批评态度,认为这种模式不可持续,他们的资金来自企业投资和慈善资本,但他们的目标是通过招募当地参与者推销社会服务,同时提供贷款、数字基础设施和创业培训,实现自力更生。基于在肯尼亚的民族志田野调查,本文考察了在整个非洲经营的一个这样的企业——健康企业家的精神、抱负和实践。这个非营利性组织力求使社区卫生工作者成为“卫生企业家”,方法是对他们进行商业管理培训,并向他们提供贷款和移动电话,以便他们在线订购卫生商品并将其出售给农村社区。本文着眼于当地管理者和企业家自身的观点、动机和经验,探讨了企业家精神、社区卫生工作、可持续性和“社会公益”之间的关系,以及围绕它们的摩擦。将社区卫生工作者转变为企业家的模式促进了竞争,同时将成功的负担放在个人身上,使社区卫生工作的精神转向以商业为重点。然而,社区卫生企业家所处的道德经济使这一情况复杂化。
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引用次数: 0
Why Nobelists Fail 诺贝尔奖得主为何失败
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-04-04 DOI: 10.1111/dech.12874
Sanjay G. Reddy

Daron Acemoglu, Simon Johnson and James Robinson, the winners of the 2024 Nobel Prize in Economics, have been heralded as developers of major new insights in the field of institutional economics, helping to explain the basis of economic prosperity in the long run, and offering an understanding of the role of colonialism and imperialism in the making of the modern world. This essay argues that their approach is excessively narrow, based as it is on an idea of property rights as playing a talismanic role in economic growth. Other factors, including the privileged relationship between settlers and their countries of origin, can both explain the divergence between settler colonies and others and cohere with the historical facts. Moreover, there is good reason to believe that property rights, if rigidly conceived, act as a fetter on growth. A pragmatic approach to property rights, and not property-rights absolutism, conduces to long-run growth and development.

2024年诺贝尔经济学奖得主达隆·阿西莫格鲁、西蒙·约翰逊和詹姆斯·罗宾逊被誉为制度经济学领域重大新见解的开发者,他们帮助解释了长期经济繁荣的基础,并对殖民主义和帝国主义在现代世界的形成过程中所扮演的角色提供了理解。本文认为,他们的方法过于狭隘,因为它是基于财产权在经济增长中发挥护身符作用的想法。其他因素,包括移民与其原籍国之间的特权关系,既可以解释移民殖民地与其他国家之间的分歧,又符合历史事实。此外,我们有充分的理由相信,如果严格地理解产权,它会成为经济增长的羁绊。对产权采取务实的态度,而不是产权专制主义,有利于长期的增长和发展。
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引用次数: 0
Law in Practice in a Nairobi Slum: Legalization and Camouflage 内罗毕贫民窟的法律实践:合法化与伪装
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-03-28 DOI: 10.1111/dech.12873
Maja Jeppesen

State and non-state water service providers in Nairobi strive to produce legitimate claims to water. This article examines the state's attempt to regulate water provision in Kibera, a slum of Nairobi, Kenya, where the state-owned water service provider has installed a water system, the so-called ‘chambers’, to combat the unauthorized diversion of water from the grid and extend the reach of their services. While the chamber system has failed the intended regulation of water provision in Kibera, it plays a central role in structuring the water provision system in the settlement. The article shows that the interactions the chambers facilitate between state and non-state service providers produce a localized legality which draws on the language of the state and the appearance of the rule of law. At the same time, this localized legality is operationalized by illegal activities and the direct transgression of statutory law. Therefore, the legitimacy and legality of service providers is co-produced by state and non-state actors and between the ideal of law and practical norms constituting a ‘practical water law’.

内罗毕的国家和非国家供水服务提供者努力提出对水的合法要求。本文考察了国家在肯尼亚内罗毕贫民窟基贝拉(Kibera)管理供水的尝试,在那里,国有供水服务提供商安装了一个供水系统,即所谓的“室”,以打击未经授权从电网中调水并扩大其服务范围。虽然室室系统未能实现对基贝拉供水的预期管理,但它在构建定居点供水系统方面发挥了核心作用。本文表明,商会促进国家和非国家服务提供者之间的互动产生了一种利用国家语言和法治表象的本土化合法性。同时,这种地方性的合法性是通过非法活动和对成文法的直接违反来实现的。因此,服务提供者的合法性和合法性是由国家和非国家行为体共同产生的,是在法律理想和构成“实用水法”的实践规范之间共同产生的。
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引用次数: 0
Defending the Land: Filipina Activists amidst Authoritarian Rule in the Philippines 捍卫土地:菲律宾独裁统治下的菲律宾激进分子
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-03-28 DOI: 10.1111/dech.12872
Miriam Zimmermann, Wolfram Dressler, Ana Bibal

In Southeast Asia, environmental and human rights activists resisting authoritarian rule and extractive development face harassment, intimidation and lethal danger in dramatically different ways. In the Philippines, this atmosphere of violence intensified under former President Rodrigo Duterte, a political ‘strongman’ whose militarized masculinity deepened the repression of left-wing women activists and other political opposition across the country. Despite macro-level studies examining the trends and patterns behind the surge in activist harassment, the micro-politics of Duterte's misogynistic and revanchist violence towards women activists has received insufficient attention. Drawing on feminist political ecology, this article explores how and why women activists on Palawan Island and elsewhere in the Philippines continued their advocacy work as they navigated intersectional spaces of violent misogyny and government repression. It shows how women activists in Palawan drew upon hope to persevere in their work amidst the violent atmospheres stoked by authoritarian masculinity. The article describes how the temporalities of intersectional gendered violence variously impacted the lives of women activists as they defended the environment and human rights on the island, while the country's highest office legitimated toxic chauvinism as a mode of governance.

在东南亚,反对专制统治和采掘开发的环保和人权活动人士面临着骚扰、恐吓和致命危险,方式截然不同。在菲律宾,这种暴力气氛在前总统罗德里戈·杜特尔特(Rodrigo Duterte)执政期间加剧。杜特尔特是一位政治“强人”,他的军事化男子主义加剧了对全国各地左翼女性活动人士和其他政治反对派的压制。尽管宏观层面的研究考察了活动人士骚扰激增背后的趋势和模式,但杜特尔特对女性活动人士的厌恶女性和复仇主义暴力的微观政治却没有得到足够的关注。本文以女权主义政治生态为基础,探讨巴拉望岛和菲律宾其他地方的女性活动家如何以及为什么在暴力厌女症和政府镇压的交叉空间中继续她们的倡导工作。它展示了巴拉望岛的女性活动人士如何在专制的男性气质引发的暴力氛围中,依靠希望坚持自己的工作。这篇文章描述了暂时性的跨性别暴力如何不同程度地影响了女性活动家的生活,因为她们在岛上捍卫环境和人权,而该国最高办公室将有毒沙文主义合法化为一种治理模式。
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引用次数: 0
The Multiplier Effects of Government Expenditures on Social Protection: A Multi-country Study 政府社会保障支出的乘数效应:一项多国研究
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-03-27 DOI: 10.1111/dech.12869
Dante Cardoso, Laura Carvalho, Gilberto Tadeu Lima, Luiza Nassif-Pires, Fernando Rugitsky, Marina Sanches

This article uses a novel dataset comprising 42 countries for the years 1985–2020 to explore the relationship between public spending on social protection and GDP. The article contributes to the empirical literature on social protection spending by conducting a large multi-country study using the structural vector autoregression approach. The results of the study highlight the positive effects of social protection expenditures on GDP that surpass those of total government expenditures. These results vary considerably across countries, with impact multipliers ranging from 5 in Mexico to -0.71 in Paraguay. The authors find that the cumulative multiplier exceeds 1 for most of the 42 sample countries, suggesting that the positive impact of social protection spending on GDP accumulates over time. The article finds statistically significant and strong correlations between the cumulative and impact multipliers and inequality measures such as the Gini coefficient and the income shares of the poorest and the richest. Indeed, the positive impact of public spending on social protection on GDP is especially pronounced in countries characterized by higher inequality. Taken together, the results have significant policy implications and suggest that the growth-enhancing potential of social protection policies is complementary to the ability of such policies to reduce inequality.

本文利用 1985-2020 年间由 42 个国家组成的新数据集,探讨了社会保障公共支出与国内生产总值之间的关系。文章采用结构向量自回归方法进行了大规模的多国研究,为有关社会保障支出的实证文献做出了贡献。研究结果表明,社会保护支出对国内生产总值的积极影响超过了政府总支出。这些结果在各国之间差异很大,影响乘数从墨西哥的 5 到巴拉圭的-0.71 不等。作者发现,在 42 个样本国家中,大多数国家的累积乘数都超过了 1,这表明社会保护支出对国内生产总值的积极影响是随着时间的推移而累积的。文章发现,累积乘数和影响乘数与基尼系数、最贫穷者和最富有者的收入份额等衡量不平等的指标之间存在统计意义上的显著强相关性。事实上,在不平等程度较高的国家,社会保障公共支出对国内生产总值的积极影响尤为明显。综合来看,这些结果具有重要的政策意义,表明社会保护政策促进增长的潜力与这些政策减少不平等的能力是相辅相成的。
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引用次数: 0
Governing Artisanal and Small-scale Sand Mining in Bangladesh 管理孟加拉国的手工和小规模采砂
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-03-21 DOI: 10.1111/dech.12870
Bert Suykens, Atique Rahman, Shameem Reza Khan, Sabbir Ahmed Dhali

This article uses an in-country comparative approach to investigate the governance of artisanal and small-scale river sand mining in Bangladesh, focusing particularly on sector heterogeneity, tax farming and power imbalances. It analyses sand governance in two diverse sand-mining sites in Bangladesh — one mechanized and large, and the other manual and small-scale. Drawing on in-depth interviews and focus group discussions, the study reveals that the more mechanized site faced greater regulatory challenges due to its complex web of political and economic relations, contrasting with the simpler governance dynamics of the smaller site. The findings demonstrate that power distribution among stakeholders, including local administrations, leaseholders and miners, significantly shapes governance outcomes. Tax farming, whereby leaseholders but also administrations prioritize short-term profits over sustainable practices, emerges as a critical issue. This research contributes to ongoing discussions about sand governance, advocating for a nuanced understanding of how the specific characteristics of mining contexts influence regulatory effectiveness. Ultimately, the study calls for a reform of leasing practices and governance models to improve sustainability and inclusivity in sand mining in Bangladesh and beyond. This work not only adds to the literature on artisanal and small-scale mining but also emphasizes the importance of contextualized governance frameworks in sand resource management.

本文采用国内比较方法调查孟加拉国手工和小规模河砂开采的治理,特别关注部门异质性、税收农业和权力不平衡。它分析了孟加拉国两个不同采砂地点的沙子治理情况——一个是机械化的大型采砂地点,另一个是手工的小型采砂地点。通过深入访谈和焦点小组讨论,该研究表明,与规模较小的站点较为简单的治理动态相比,机械化程度较高的站点由于其复杂的政治和经济关系网络而面临更大的监管挑战。研究结果表明,包括地方政府、租赁方和矿工在内的利益相关者之间的权力分配,在很大程度上决定了治理结果。税收农业成为一个关键问题,在这种农业中,承租人和政府都将短期利润置于可持续实践之上。这项研究有助于正在进行的关于沙子治理的讨论,倡导对采矿环境的具体特征如何影响监管有效性进行细致入微的理解。最后,该研究呼吁对租赁实践和治理模式进行改革,以提高孟加拉国及其他地区采砂行业的可持续性和包容性。这项工作不仅增加了关于手工和小规模采矿的文献,而且还强调了在沙子资源管理中情境化治理框架的重要性。
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引用次数: 0
International Development Financing in the Second Cold War: The Miserly Convergence of Western Donors and China 第二次冷战中的国际发展融资:西方援助国与中国的吝啬趋同
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-03-19 DOI: 10.1111/dech.12871
Shahar Hameiri, Lee Jones

China's rise as a major development financing provider is widely seen as challenging traditional donor states’ influence over the norms and institutions of global development and over aid recipients. Amid intensifying geopolitical rivalry, now often called a new or second Cold War, some argue that traditional donors are adopting Chinese-style practices to compete with China for developing countries’ allegiance. This article supports the convergence thesis but argues further that Chinese practices are also converging with those of traditional donors. Moreover, this convergence is on a less generous middle ground that will likely be worse for developing countries than the logic of geopolitical competition suggests. Rather than mobilizing additional resources, both sides are retrenching. This is because geopolitical competition is mediated through domestic political economy models entailing limits to providers’ generosity: China's commercial model confronts recipients’ declining repayment capacity, while traditional donors, unwilling to devote fiscal resources for aid, rely on mobilizing reluctant private finance.

人们普遍认为,中国作为主要发展融资提供国的崛起,挑战了传统捐助国对全球发展规范和机构以及受援国的影响力。地缘政治竞争不断加剧,现在常被称为新冷战或第二次冷战。在这种情况下,一些人认为,传统捐助国正在采取中国式做法,与中国争夺发展中国家的忠诚。本文支持趋同理论,但进一步认为中国的做法也在趋同传统捐助国的做法。此外,这种趋同是在一个不那么慷慨的中间立场上,对发展中国家来说,这可能比地缘政治竞争的逻辑所显示的更糟糕。双方都在缩减开支,而不是调动更多的资源。这是因为地缘政治竞争是通过国内政治经济模式来调解的,这就限制了提供者的慷慨:中国的商业模式面对的是受援国不断下降的偿还能力,而传统的捐助国不愿将财政资源用于援助,只能依靠动员不情愿的私人资金。
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引用次数: 0
Financializing Maternal and Newborn Care: Temporal Tensions within a Development Impact Bond in India 孕产妇和新生儿护理的金融化:印度发展影响债券中的时间紧张关系
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-01-22 DOI: 10.1111/dech.12867
Sandra Bärnreuther

Since the 1980s, multilateral agencies and governments in many parts of the world have curtailed public spending for the health sector. The same period also witnessed the emergence of ‘innovative’ health financing approaches which combine social service provision with financial return. This article discusses one such mechanism, the first health-focused development impact bond (DIB) implemented in India in 2018–21. Drawing on interviews with key actors and analyses of documents and reports, the article examines the transformation of maternal and newborn care into an investment opportunity. It argues that DIBs introduce the prospect of financial return in the provision of social services while at the same time imbuing financial investments with the promise of moral value. After situating the impact bond within broader global trends in health financing and India's specific history, the article illustrates the processes of valuation involved in converting maternal and newborn care into a financial asset. In doing so, it highlights the tensions that emerge when healthcare is made amenable to the logic and time horizon of finance capital. The article concludes with a discussion of the possible long-term consequences of financialization in the health sector, emphasizing the new vulnerabilities and inequalities that DIBs generate, particularly outside financial centres in the Global North.

20世纪80年代以来,世界许多地区的多边机构和政府削减了卫生部门的公共开支。同一时期还出现了“创新的”卫生筹资办法,将提供社会服务与财政回报结合起来。本文讨论了其中一种机制,即2018-21年在印度实施的首个以健康为重点的发展影响债券(DIB)。通过对主要行为者的访谈和对文件和报告的分析,本文探讨了将孕产妇和新生儿护理转变为投资机会的问题。它认为,dib在提供社会服务时引入了经济回报的前景,同时使金融投资具有道德价值的承诺。在将影响债券置于更广泛的全球卫生筹资趋势和印度的具体历史背景之下之后,本文说明了将孕产妇和新生儿护理转化为金融资产所涉及的估值过程。在这样做的过程中,它突出了当医疗保健符合金融资本的逻辑和时间范围时出现的紧张局势。文章最后讨论了卫生部门金融化可能产生的长期后果,强调了地方投资银行产生的新的脆弱性和不平等,特别是在全球北方金融中心以外。
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引用次数: 0
Rice Margins Under Climate Change: Labour and Knowledge in Mangrove Rice Networks in Guinea-Bissau 气候变化下的水稻边际:几内亚比绍红树林水稻网络中的劳动力和知识
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-01-09 DOI: 10.1111/dech.12868
Joana Sousa, Ansumane Braima Dabó, Ana Luísa Luz

The effects of climate change add to the challenges facing those with rice-based livelihoods in West Africa. This article presents a long-term ethnographic case study in southern Guinea-Bissau where, in contrast to other reported cases in the region, uncertainty regarding the future of mangrove rice production overlaps with efforts to rehabilitate abandoned mangrove rice paddies. Agricultural knowledge is produced, renewed and transmitted along with the construction of site-specific, techno-ecological hybrids needed for water management in rice fields. This article analyses the role of communal, reciprocal and contract labour in the circulation of knowledge between villages with historically stable rice production (rice refugia) and villages where production has been discontinuous (rice margins). Knowledge circulation and experimentation are key to local adaptation to climate change and climate resilience programmes can play a role if they are able to adapt to current needs, for instance, by considering decentralized funding strategies. By promoting the exchange of services and goods, decentralization of funding can facilitate the redistribution of knowledge and labour, particularly if rice refugia, as regional knowledge repositories, participate in the recovery of rice production in rice margins. These connections revitalize and strengthen regional rice knowledge networks and their ability to confront climate change.

气候变化的影响加剧了西非以水稻为生的人们所面临的挑战。本文介绍了几内亚比绍南部的一个长期人种学案例研究,与该地区其他报告的案例相比,该地区红树林水稻生产未来的不确定性与恢复废弃红树林稻田的努力重叠。农业知识的产生、更新和传播伴随着稻田水管理所需的特定地点、技术生态杂交品种的建设。本文分析了公共、互惠和合同劳动在历史上水稻生产稳定的村庄(水稻难民)和生产不连续的村庄(水稻边际)之间的知识流通中的作用。知识流通和实验是地方适应气候变化的关键,如果气候适应方案能够适应当前的需求,例如,通过考虑分散供资战略,它们就可以发挥作用。通过促进服务和货物的交换,资金的分散可以促进知识和劳动力的重新分配,特别是如果大米难民作为区域知识储藏库参与恢复大米边际的大米生产。这些联系振兴和加强了区域稻米知识网络及其应对气候变化的能力。
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引用次数: 0
The World Bank and Rural Land Titling in Africa: The Case of Tanzania 世界银行与非洲农村土地所有权:以坦桑尼亚为例
IF 3 2区 社会学 Q1 DEVELOPMENT STUDIES Pub Date : 2024-11-27 DOI: 10.1111/dech.12866
Howard Stein, Rie Odgaard, Kelly Askew, Faustin Maganga

In 2021, the World Bank, in association with the Tanzanian Ministry of Lands, Housing and Human Settlements Development, added yet another chapter to the long and contentious history of land tenure reform in Tanzania. It approved US$ 150 million for the second phase of a village-wide individual titling pilot programme that employs new technologies for surveying under the rubric of a private sector competitiveness project. This article assesses the nature, evolution and impact of the World Bank project in Tanzania within the context of its broader titling agenda in Africa. It provides an overview of the formation of the World Bank's land policy agenda in Africa, followed by an evaluation of the titling project in Tanzania. The final part of the article critically examines the arrival of new actors and players in Tanzania and assesses the new World Bank project.

2021年,世界银行与坦桑尼亚土地、住房和人类住区发展部合作,为坦桑尼亚漫长而有争议的土地权属改革历史增添了新的篇章。它批准了1.5亿美元,用于在私营部门竞争力项目的名义下采用新测量技术的全村个人职称试验方案的第二阶段。本文在世界银行更广泛的非洲标题议程的背景下评估了坦桑尼亚项目的性质、演变和影响。它概述了世界银行在非洲土地政策议程的形成,随后对坦桑尼亚的产权项目进行了评价。文章的最后一部分批判性地考察了坦桑尼亚新参与者的到来,并评估了世界银行的新项目。
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引用次数: 0
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