Dissertations / Theses on the topic 'Public health – Political aspects'
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Apperley, Alan Robert. "Personal autonomy and health policy : some considerations in political theory." Thesis, University of Warwick, 1991. http://wrap.warwick.ac.uk/37880/.
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This thesis examines some of the implications for social policy of an account of human nature frequently associated with liberal political theory. Taking as its starting point the claim that the objectives of social policy are contested, it seeks to develop an account of autonomy that will serve as a neutral 'organizational principle' around which to construct social policy. A particular version of personal autonomy is developed and defended against both abstract Kantian moral autonomy, and the individualism often associated with liberal theories. This project is pursued first through a discussion of the relationship of autonomous persons to 'social forms', and then through a critique of libertarian and 'intellectualist' accounts of autonomy. It is argued that, since autonomy is not only employed in the making of choices, but also in the implementing of those choices, it follows that the autonomous person must, of necessity, be viewed 'holistically' for the body is the primary means of implementing the choices autonomous persons make. The health of the body, as well as that of the mind, therefore assumes importance for any social policy that takes autonomy to be a fundamental objective. The implications for such an account of social policy are then explored in two ways. First, through a discussion of the phenomenon of 'medicalization'. Second, through a discussion of the Prevention and Health campaign. In the first instance, it is argued that the assumption that medicalization systematically undermines autonomy is ill-founded because theories of medicalization misunderstand what it is to be autonomous. In the second instance, the discussion of preventive health-care policy serves to illustrate the fundamentally erroneous assumptions of individually-focussed health-care programmes. In conclusion, it is argued that a unified account of autonomous persons must inevitably lead to a more integrated social policy.
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Palmer, Diana. "Women, health and politics, 1919-1939 : professional and lay involvement in the women's health campaign." Thesis, University of Warwick, 1986. http://wrap.warwick.ac.uk/34625/.
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This thesis analyses the aspirations and achievements of the lay women who were active in the campaign to improve women's health, and of those women who sought entry into paid occupations in the health services. After an introduction, Section One is intended to place the substantive data in context. Middle-class women's enthusiasm for voluntary work and the terms on which women entered national politics are discussed. These issues are used to illustrate the effects the maintenance of rigid social-class divisions had on the unity of the women's movement and the implications for the future of the movement of the decision to seek entry to the public domain on the grounds that women could make a unique contribution. Section Two is devoted to the lay women. First, the effect of the maintenance of rigid social-class divisions on the women's health campaign and on women seeking a career in the health services is discussed. Secondly, the consensus between both middle-class and working-class women, the medical profession and the Ministry of Health on the need to extend medical services is analysed, revealing an eagerness to follow technical advice which affected the strategy of the lay campaign and meant support for women workers in the health services was often circumspect. Thirdly, the reasons for the collapse of this consensus in the l93Os are discussed. This section is concluded with an assessment of the lay women's health campaign and a discussion of the impact the campaign had on women health workers. In Section Three, women's position as paid employees in the health services is analysed, and three occupations, midwifery, medicine and health visiting, have been selected. Difficulties these women encountered establishing themselves in paid employment, and their status and their relations with male colleagues and with the Ministry of Health are assessed. The differences between these three occupations, which prevented a sense of solidarity and an identification with the goals of the women's movement, are discussed. Their achievements during the period are assessed, and the effects of the medicalisation of childbirth and the increasing involvement of the state in maternity and child welfare are investigated. A fourth, concluding section draws these strands together. The lay women's health campaign and the goals and tactics of the women health workers are related to the maintenance of the existing social-class divisions, the ideological splits within the women's movennt and the persistence of barriers preventing women from competing on equal terms with men in the public domain. Although the number of women working in the health services increased dramatically and women's place in these services was assured, women generally remained in subordinate positions, excluded from the prestigious and lucrative posts, while they achieved only a statutory presence on decision-making bodies.
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Seed, Barbara. "Food security in Public Health and other government programs in British Columbia, Canada : a policy analysis." Thesis, City University London, 2011. http://openaccess.city.ac.uk/1173/.
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Public Health has re-emerged as a driver of food security in British Columbia. Food security policy, programs and infrastructure have been integrated into the Public Health sector and other areas of government, including the adoption of food security as a Core Public Health program. This policy analysis of the integration merges findings from forty-eight key informant interviews conducted with government, Civil Society, and food supply representatives involved in the initiatives, along with relevant documents and participant/direct observations. Findings were analyzed according to “contextual”, “diagnostic”, “evaluative” and “strategic” categories from the Ritchie and Spencer framework for Applied Policy Research. While Civil Society was the driver for food security in British Columbia, Public Health was the driver for the integration of food security into the government. Public Health held most of the power, and often determined the agenda and the players involved. While many interviewees heralded the accomplishments of the incorporation of food security into Public Health, stakeholders also acknowledged the relative insignificance of the food security agenda in relation to other “weightier”, competing agendas. Conflict between stakeholders over approaches to food insecurity/hunger existed, and it was only weakly included in the agenda. Looking to consequences of the integration, food security increased in legitimacy within the Public Health sector over the research period. Interviewees described a clash of cultures between Public Health and Civil Society occurring partly as a result of Public Health’s limited food security mandate and inherent top down approach. Marginalization of the Civil Society voice at the provincial level was one of the negative consequences resulting from this integration. A social policy movement toward a new political paradigm - “regulatory pluralism” - calls for greater engagement of Civil Society, and for all sectors to work together toward common goals. This integration of food security into the government exemplifies an undertaking on the cutting edge in progress toward this shift. Recommendations for stakeholders in furthering food security within the government were identified. These include the development of food security policy alternatives for current government agendas in British Columbia, with a focus on health care funding, Aboriginal health and climate change.
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Zigante, Valentina. "Consumer choice, competition and privatisation in European health and long-term care systems : subjective well-being effects and equity implications." Thesis, London School of Economics and Political Science (University of London), 2013. http://etheses.lse.ac.uk/850/.
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Consumer choice has become a key reform trend in the provision of public services in Western European welfare states. Research on the welfare effects of choice reforms – including greater provider choice for the individual and competition between providers – has largely focused on economic evaluations of the extrinsic (outcome) effects of choice, thereby leaving its intrinsic, or procedural, value unexplored. The overarching objective of this thesis is to investigate the welfare effects of choice in the provision of health and long-term care (LTC) and their implications for equity. The thesis utilises the subjective well-being approach – incorporating both procedural and outcome utility from choice – to measure welfare effects based on quantitative analysis of survey data. Welfare effects and equity implications are examined in relation to: competition in health care in the English National Health System (NHS); choice of care package in the German long-term care system; and individual preferences and views of choice as a priority in the provision of health care in three NHS countries. The thesis argues that both service characteristics – extent of competition, information availability, technical complexity – and individual capabilities – ability to process information, capacity to manage transaction costs, availability of private support – influence the benefits that individuals derive from choice. Results suggest that choice policies have an overall positive welfare effect in both health and long-term care. However, while direct evidence of outcome improvements is found, the empirical analysis only finds indirect evidence of procedural utility. Middle class characteristics, primarily income and education, are found to have a positive influence on the benefits of choice, amounting to evidence of inequitable facets of choice policies. The middle class further exhibits preferences for choice over and above other characteristics of health care systems. Overall, this thesis advocates a holistic approach to the analysis of choice, incorporating its procedural value and paying particular attention to the equity implications of the choice situation, information processing and differences in available options as well as preferences for choice.
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Quispe, Cabanillas Rolando Eli. "Contaminação atmosferica na cidade de Campinas e a Edu-comunicação como proposta ambiental para politicas publicas." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/287554.
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Orientador: Arleude BortolozziDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Geociencias
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Resumo: Esta pesquisa insere-se no âmbito da atual problemática ambiental urbana, mais especificamente, na contaminação atmosférica ou poluição do ar. Esta tem se agravado nas últimas décadas e passa a exigir estudos mais aprofundados, caracterizando-se como fator importante na busca da preservação do meio ambiente e de alternativas de desenvolvimento que possam diminuir o ritmo acelerado desta contaminação. Discute então, como os problemas de escalas globais podem ser analisados desde um estudo de escala local. Mostra que para saber quais são as causas e efeitos dos problemas ambientais, que envolvem os aspectos tanto social, cultural, econômico, como político, é necessária uma pesquisa sócio-espacial. A área do estudo é a cidade de Campinas, estado de São Paulo, Brasil, cuja população é de mais de um milhão de habitantes, decorrente principalmente do avanço tecnológico e industrial. Utilizando pequenas territorialidades, de escalas locais, procurou-se comparar dois bairros da Cidade de Campinas: Cambuí e Real Parque, muito diferentes nas suas condições sócio-espaciais. Nesse sentido, considerou-se importante averiguar como a contaminação do ar afeta a população desses bairros. O grande problema da poluição do ar, é que esta é ainda mais complexa em ambientes urbanos e suas conseqüências afetam sobretudo as relações dos homens entre si com a natureza. A pesquisa revelou que os dois bairros são afetados, independentemente das suas diferenças. Isto fica constatado na comparação das análises e entrevistas realizadas com os moradores, que afirmam estar enfrentando muitos problemas, principalmente com relação à saúde e ao clima. No final, a dissertação propõe a edu-comunicação sócio-ambiental para as políticas públicas como veículo de conhecimento e conscientização dos graves riscos à que estão exposto moradores e cidadãos. Sabe-se que a contaminação atmosférica afeta o mundo todo sem distinção de raça, cor, ou condições sociais, mas os mais afetados são geralmente aqueles que não tem as mínimas condições de fazer frente ao problema. Assim sendo, algumas sugestões de alternativas são propostas a fim de contribuir com a redução dos poluentes, mediante à re-educação dos moradores inseridos nas cidades. Isto, porque as pequenas partes afetam o todo e fazer nossa parte é tarefa de cidadania
Abstract: This research is inserted to the urban context of environmental problems in ours days, more specifically related to the city¿s air contamination or air pollution¿. This problem during the past decades, has been asking for deeper studies, revealing itself as a very important issue for improving urban environment and for a development able to help reduces the accelerated rythm of air pollution, as well. This research tries to discusses how global space¿s scales problems can be analyzed from the local¿s space scale. In order to recognize causes and consequences from environmental problem which involves different aspects such physical, economic, social, political and cultural needs , this work shows the need of a social space research. The study area is the city of Campinas, state o São Paulo -Brazil, which population reaches more than a million peoples, generated from urbanization, industrial and technological development. Using small territorialities of local scales, this work tried to compare two neighborhoods in Campinas, the Cambui and Real Park, very different from social conditions . In this sense, was important to detect how the air contamination is affecting those people. The great problem is that the air contamination is even worst and more complex in urban environment, that affects mostly the relationshisps between men and the nature. The results of this research showed that both neighborhoods has been affected. despite their differences. This is showed by the compared analysis and interviews with housekeepers that says they are fighting mostly against problems related to health and clime. The conclusion of this dissertation brings the ¿edu - comunication¿ as an environmental purpose, a mechanism to help clarify people and citizens about the risks they are exposed. The air contamination affects all the world without discriminating race, color, or social conditions, but generally the most affected are poorest people who doesn¿t have any condition to fight against it. So, some alternatives comes to the end trying to contribute reduces air pollution through urban people¿s re-education. That, because the small parts affects the total, and do our part is our citizens¿s roll
Mestrado
Análise Ambiental e Dinâmica Territorial
Mestre em Geografia
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Mulonya, Rodrick K. A. R. "The political economy of development aid: an investigation of three donor-funded HIV/AIDS programmes broadcast by Malawi television from 2004 to 2007." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002926.
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Development aid in most of the developing countries can sometimes compromise the principles of public service broadcasting (PSB). This may be true when reflected against the tension between donor financed programmes in Malawi and the mandate of Television Malawi (TVM). Although the donor intentions are noble, the strings attached to the funding are sometimes retrogressive to the role of PSBs. A case in point is how donors dictate terms on the HIV/Aids communication strategies at TVM. Producers receive money from donors with strings attached on how the money should be used and accounted for. If producers deviate they are sanctioned through withholding funding, shifting schedules and reducing the funding frequency. The donors also dictate who to interview on what subject, how to conduct capacity building. Some scholars have researched much on the impact of commercialisation of the media. This study is a departure from these traditional interferences; it interrogates the interest of philanthropy tendencies by international donors in the three chosen HIV/Aids programmes broadcast by TVM. The study investigates the extent of pressure exerted by donors on the producers of HIV/Aids programmes in Malawi. Thus, the study seeks to illicit specifics in the power relationship between the donor and the producer hence the study employs the political economy of development aid as applied to the public service broadcasting and communication for development. The study employed qualitative research methods and techniques (in-depth interviews, case study and document analysis). The study reveals how donor ideologies dominate the Aids messages-content output of the texts constructed. The study argues that cultural alienation of the Malawian audiences retards efforts of donors in combating HIV infection rate.
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Karlsbakk, A. "Patents versus patients : global governance and the role of civil society in South Africa's quest for affordable drugs." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50414.
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Thesis (MA)--Stellenbosch University, 2005.ENGLISH ABSTRACT: This thesis is an explanatory study into civil society's increased influence in global governance. More specifically this situation is examined by looking at the generic medicine debate that came in the wake of the passing of the Medicines and Related Substances Act by the South African government in 1997. This debate gained worldwide attention and touched some of the prevailing inequalities between the developed world and the developing world in our globalised society. The research question that is addressed here is to what extent did civil society influence the signing of the Doha Declaration of the TRIPS Agreement and Public Health by the members of the World Trade Organisation (WTO) in 2001? In doing so, this thesis looks at the role of the US government, the South African government, the pharmaceutical industry, the WTO's TRIPS Agreement and civil society in the form of nongovernmental organisations like Treatment Action Campaign (TAC), Oxfam and Medecines Sans Frontieres (MSF). The study applies a constructivist approach in order to analyse how civil society used global advocacy networks to inform and communicate the normative concerns regarding South Africa and developing countries' lack of access to HIVand AIDS drugs. Moreover, it examines how civil society's use of moral authority challenged the regulative power of the WTO. The study concludes that civil society played a vital role in influencing the WTO member states' decision to sign the Doha Declaration on the TRIPS Agreement and Public Health. However, it was not only civil society's ability to set the agenda concerning the HIV/AIDS pandemic, but also the content of the normative concerns themselves that help explain its success. Consequently, the study further concludes that civil society's success in this specific case must be seen in light of its growing influence in challenging global governance.
AFRIKAANSE OPSOMMING: Hierdie tesis is 'n verduidelikende studie van die burgerlike samelewing se groeiende invloed in globale regering. Hierdie situasie word meer spesifiek ondersoek deur te kyk na die generiese medisyne debat wat gevoer is na die Suid-Afrikaanse Regering die Medisyne en Verwante Stowwe Wet van 1997 goedgekeur het. Hierdie debat het wêreldwye aandag geniet en het geraak aan sommige van die bestaande ongelykhede wat daar heers tussen die ontwikkelde en ontwikkelende wêreld in die geglobaliseerde samelewing. Die navorsingsvraag wat hier aangespreek word is tot watter mate die burgerlike samelewing die ondertekening van die Doha Verklaring van die TRIPS Ooreenkoms en Publieke Gesondheid deur lede van die Wêreld Handelsorganisasie (WHO) in 2001 beïnvloed het. Deur dit te doen, sal hierdie tesis kyk na die rol van die Amerikaanse regering, die Suid- Afrikaanse regering, die farmaseutiese bedryf, die WHO se TRIPS Ooreenkoms en die burgerlike samelewing in die vorm van nie-regerings organisasies soos die Treatment Action Campaign (TAC), Oxfam en Medecines Sans Frontieres (MSF). Die studie maak gebruik van 'n konstruktiwistiese benadering om 'n analise te doen van hoe die burgerlike samelewing globale ondersteunings netwerke gebruik het om die normatiewe besorgdhede wat heers oor die tekorte in Suid-Afrika en die ontwikkelende lande ten opsigte van toegang tot MIV en VIGS medisyne, toe te lig en te verkondig. Verder ondersoek die studie hoe die gebruik deur die burgerlike samelewing van morele gesag die regulerende mag van die WHO uitgedaag het. Die studie kom tot die gevolgtrekking dat die bugerlike samelewing 'n uiters belangrike rol gespeel het in die WHO lidlande se besluit om die Doha Verklaring van die TRIPS Ooreenkoms en Publieke Gesondheid te onderteken. Dit was egter nie net die burgerlike samelewing se vermoë om die agenda daar te stel ten opsigte van die MIV/VIGS pandemie nie, maar ook die inhoud van die normatiewe besorgdhede self wat bygedra het om hierdie sukses te verduidelik. Gevolglik kom die studie tot die verdere gevolgtrekking dat die burgerlike samelewing se sukses in hierdie spesifieke geval gesien kan word in die lig van sy groeiende invloed in die uitdaging van globale mag en gesag.
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Tsampiras, Carla Zelda. "Politics, polemics and practice: a history of narratives about, and responses to, AIDS in South Africa, 1980-1995." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1001653.
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The ongoing urgency of addressing AIDS in South Africa has kept academics and activists focussed primarily on the immediate crises of AIDS ‘in the present’. This thesis, covering the period 1980 – 1995, examines narratives about, and responses to, AIDS ‘in the past’ and explores the interplay between these narratives and elites in medical and political communities trying to address AIDS during a period of political transition. The thesis begins by examining the hegemonic medico-scientific narratives about AIDS that featured in the South African Medical Journal, an important site of enquiry as AIDS was primarily conceived of as a ‘medical issue’. The SAMJ narratives, which often relied on constructed ‘AIDS avatars’, framed understandings of the syndrome and influenced responses to it by medical and political communities. The first community that the thesis explores is the African National Congress (ANC) in exile, which had to address AIDS in exile communities and prepare health strategies for ‘the new South Africa’. Secondly, the thesis analyses government responses to AIDS and argues that four phases of response can be identified. These phases were characterised by minimum concerns about obtaining information and providing health advice; efforts to gather infection data while exploiting political and public fear; attempts to extend health education and (belatedly) encourage broader engagement; and finally, consultative, democratic ideals. The thesis then examines the National Medical and Dental Association (NAMDA) a progressive medical organisation that worked with the ANC on influential health (and AIDS) strategies. NAMDA members ‘crossed over’ between various medical and political communities and both reinforced and challenged hegemonic AIDS narratives. Finally, the thesis moves from the abstract, via the practical, to the personal and concludes with a detailed account of the experiences of two sexuality activists at the intersections of these communities and narratives. By focussing on these medical and political communities, and analysing the relationships between these communities, the existing AIDS narratives, and individuals, the thesis also reveals the constructions of morality, ‘race’, gender, and sexuality that infused them. In doing this it shows how polemic and politics combined to influence practical responses to, and personal experiences of, AIDS.
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Weinstein, Philip. "Changing representations of mosquito borne disease risk in Reunion." University of Western Australia. European Languages and Studies Discipline Group. French Studies, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0174.
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[Truncated abstract] In March 2005, the Indian Ocean island of Reunion, a former colony and now overseas department of France, saw the first cases of what was to become a massive epidemic of the mosquito borne viral infection Chikungunya. More than 250,000 people, one third of the Island's population, were subject to high fevers, rash, and joint and muscle pains over the next 18 months, yet the public health authorities in metropolitan France were arguably slow to take the epidemic seriously. The research presented here explores attitudes underlying the management of the epidemic by examining both metropolitan and local representations of mosquito borne disease from historical, epidemiological and media perspectives. The research seeks to answer the general question Does colonial history continue to influence the representation and management of mosquito borne disease in Reunion? Three parallel approaches are taken to answering this question, using a common framework of tropicality (a Western discourse that exalts the temperate world over its tropical counterpart, and overlaps with colonialism and orientalism). ... Several factors are likely to have contributed to the persistence of tropicality in public health practice in Reunion: Othering as a universal phenomenon; the cost of administering interventions to combat tropical diseases in the remote environments of French overseas departments and territories; the denial of a serious public health risk as a cultural trait in Reunion; and the significant role of the colonies in forming and maintaining the French national identity. It has to be acknowledged that historically, tropicalism does appear to have played one positive role in the management of mosquito borne disease:
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Sial, Vanessa Viviane de Castro. "Das igrejas ao cemiterio : politicas publicas sobre a morte no Recife do Seculo XIX." [s.n.], 2005. http://repositorio.unicamp.br/jspui/handle/REPOSIP/330300.
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Orientador: Sidney ChalhoubDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciencias Humanas
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Resumo: Esta dissertação analisa, a partir do projeto de construção do Cemitério Público Bom Jesus da Redenção no Recife do século XIX, como se deram as transformações dos costumes fúnebres, mediante a imposição de normas sanitárias relacionadas às práticas funerárias tradicionais, que eram entendidas pelos médicos higienistas como um dos fatores de propagação das epidemias. Neste sentido, os cemitérios extramuros desencadearam novas práticas culturais e adaptações nas atitudes diante da morte. Os médicos higienistas, que influenciaram decisivamente na elaboração e aprovação destas normas sanitárias pelo poder público, acreditavam que os corpos cadavéricos eram possíveis focos de emanações miasmáticas, sendo agentes de grande poder de infecção do ar, causadores de toda sorte de epidemias na cidade. A proibição dos sepultamentos nas igrejas gerou múltiplos pontos de discussão e conflitos na sociedade recifense do século XIX, assim como ocorreu em várias outras cidades brasileiras: dentro do poder público, na elaboração de leis e regulamentos para as novas práticas fúnebres, como também na população, que viu suas crenças mais íntimas ameaçadas, sobretudo entre membros de irmandades religiosas e os emergentes comerciantes dos novos serviços mortuários. Ademais, o estudo das transformações dos costumes fúnebres foi fundamental para a compreensão do conflito entre a Igreja e o Estado na segunda metade do século XIX, sobretudo pela negação da Igreja em conceber o direito dos não-católicos a serem sepultados nos cemitérios públicos, interpretados como elementos decisivos no processo de secularização da morte no Brasil oitocentista
Abstract: From the study of the construction project of the Public Cemetery Bom Jesus da Redenção, in the XIXth century Recife, this work analyses how the traditional funerary customs were modified after the imposed new sanitary norms. In this sense, the outdoor cemeteries triggered new cultural practices and new adapted attitudes related to death. The hygienist physicians, decisively influencing the elaboration and approval of these norms by the public authorities, believed that the dead bodies were possible focuses of miasmatic emanations, becoming powerful infectious agents of the air, and sources of all possible epidemies in the city. The prohibition of burials inside churches originated many arguments and conflicts in the Recife's society of the XIX century, as also happened in other Brazilian cities: into the public authority, in the elaboration of laws and regulations regarding the new burial practices, as well as in the population, that perceived as menaced its most intimate burial practices, mostly between those belonging to religious fraternities and emerging dealers of the new funereal services. Besides, the study of the transformations of the funereal customs was fundamental to the understanding of the conflict between Church and State in the second half of the XIX century, mostly because of the Church refusal in accept the right of the non-catholic to be buried in the public cemeteries, viewed as decisive elements for the secularization of the death in the eighteenth century Brazil
Mestrado
Historia Social
Mestre em História
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Mang, Fan Lun Franz. "Beyond public reason liberalism : moderate perfectionism." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:154eaccf-40fe-439c-b0b7-158e2e79d675.
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Should the state undertake the task of promoting the good life? Perfectionism is the idea that the state should promote the good life. Many philosophers have answered in the negative to the above question, so they reject perfectionism. This thesis aims to develop a moderate version of perfectionism, and seeks to defend it against several influential anti-perfectionist arguments, in particular the argument from public reason liberalism. I begin by examining public reason liberalism. John Rawls, Gerald Gaus, Martha Nussbaum, and many other political philosophers endorse public reason liberalism. They believe that state coercion should be publicly justified, and that perfectionism cannot meet the requirements of public reason. I argue that public reason is the object of reasonable rejection, so it cannot be realised in actual politics through state intervention in a publicly justified way. In addition, I argue that respect for persons is not a reliable basis for public reason. Thus we have good reason to reject public reason liberalism. Then I develop a moderate version of perfectionism. I contend that the state should promote the good life through supporting a wide variety of perfectionist goods, and that it should do so by using moderate measures and by appealing to perfectionist judgements of a moderate kind. Some anti-perfectionists consider that perfectionism would be unnecessary when a fair distribution of resources is realised. Yet a fair distribution of resources is not foreseeable. I propose several kinds of moderate perfectionist policies that are of great importance for any neo-liberal society where the distribution of resources is far from fair, and these policies are ultimately important for the good life, not only for remedying unfairness. Contrary to the positions of many liberal philosophers including Ronald Dworkin and Jeremy Waldron, I argue that moderate perfectionism should not be rejected on grounds of paternalism and unfairness to different conceptions of the good.
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Otter, Robert. "Aspects of environmental public health in Portsmouth, 1764-1864." Thesis, University of Portsmouth, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387284.
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Fitzwater, Kendra K. "Assessment of environmental and public health hazards of electronic waste." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1380100.
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Electronic waste or `e-waste' is a rapidly growing form of solid waste worldwide. The heavy metals present in various electronic components demand attention because such metals may leach and pose significant health and environmental hazards (U.S. EPA, 2007). Knowledge of the potential of heavy metal leaching from e-waste represents an important contribution for developing U.S. standards for classifying e-waste as hazardous waste. Hazardous elements which leach from a variety of electronics wastes were assessed in laboratory batch studies. Electronic components evaluated included PC cathode ray tubes, PC motherboards, PC mice, television remote controls, and cellular phones. Each component was disassembled and digested using the Toxicity Characteristic Leaching Procedure (TCLP), EPA Method 1312, Method EA NEN 7371 (Dutch Environmental Agency), and Method DEV-S4 (Germany). The extracts were analyzed for lead, cadmium, chromium, silver, and cobalt. The TCLP consistently leached the greatest amounts of all metals; TCLP-soluble lead was extracted well beyond federal limits for several electronic devices.Department of Natural Resources and Environmental Management
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Conroy, David P. (David Patrick) 1965. "Re-examining the public sphere : democracy and the role of the media." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82847.
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Situated between the state and civil society, the role of the public sphere is seen to be one of mediating between the two through the circulation of information, ideas, and the subsequent formation and propagation of public opinion. However, there is an ambivalence within conceptions of the public sphere in terms of how it is to best effect this mediation. This sense of ambiguity in the understandings of the public sphere is a reflection of a deeply rooted and unresolved tension about whether democracy should mean some kind of popular power or an aid to decision-making. This dissertation argues that defining democracy as a political method provides a means by which to navigate the ambiguity imbued within current understandings of the function of the public sphere. Understanding democracy as a public, instrumental process underscores the extent to which the character of the public sphere should be seen as being derived from and shaped by the institutions and practices that make up the state. Of all the institutions within the public sphere, it is within perceptions of the media that the conceptual tensions underlying the public sphere and democratic theory are best reflected. While the media are a major forum for political communication, the nature of this forum remains theoretically underdeveloped and conceptually misconceived in the literature. It is the contention of this dissertation that the political role of the media should not be understood in relation to some abstract idea of democracy and public opinion, but rather in contrast with and connection to the concrete political institutions and practices of democracy.
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Woo, Chunho Anthony, and 鄔俊豪. "Molecular ecology and public health risks of urban bio-aerosols." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B49617680.
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The Earth’s atmosphere supports microorganisms and they include potential pathogens and microbial allergens. Whilst indoor environments have been well studied, relatively little is known of bio-aerosols in outdoor locations and their potential influence on human health, particularly with regard to urban development. Hong Kong provides an ideal model system for testing hypotheses related to the impact of urbanization on bio-aerosols, with a well-defined gradient of urbanization and large population. This thesis describes work to establish the biodiversity and spatio-temporal dynamics of outdoor bio-aerosols in Hong Kong. A comprehensive study of multi-domain microbial diversity and allergen levels in urban aerosols over a contiguous annual timescale and along a gradient of urbanization was carried out. A comprehensive suite of climatic and pollutant variables were also recorded during the sampling interval. Terminal restriction fragment length polymorphism (T-RFLP) was employed to investigate variations in bacterial and eukaryal assemblages, followed by phylogenetic assessment using high-throughput sequencing. The results revealed a strong seasonality in both bacterial and eukaryal assemblages, with Archaea forming a negligible part of the urban bio-aerosols. The most abundant bacteria were proteobacteria but community shifts were seen due to increases in algae in summer, and betaproteobacteria and cyanobacteria in winter. This was most parsimoniously explained by considering the backward trajectory analysis of air mass. A greater abundance of marine-associated phylotypes such as Bacillariophyta and Chlorophyta were identified when the dominant air mass arriving in Hong Kong in the summer originated from oceanic sources. In contrast, betaproteobacteria, which indicated soil sources were prevalent when the origin of air mass was from terrestrial sources. A trend in fungal phylotypes was also apparent, with summer samples dominated by basidiomycetous Agaricales, and winter samples by the ascomycete genus Cladosporium. This was likely due to favourable climatic conditions during wetter summer months enhancing release of fungal basidiospores. A range of airborne human pathogens was also detectable at low levels including pathogenic bacteria such as Acinetobacter baumannii, Clostridium perfringens, Escherichia coli O157:H7, and Ricinus communis, and the pathogenic fungus Aspergillus terreus. Microbial allergens including bacterial endotoxins and fungal glucans were also quantified with immunological assays. These generally followed variations in biomass, and during some months were recorded at levels that may impact human health upon chronic exposure. Carbon dioxide levels were the only climatic or pollutant variable that correlated with allergen levels. Conversely changes in microbial assemblages were strongly correlated to several climatic variables including temperature, rainfall, air pressure and relative humidity, but not with the degree of urbanization or airborne pollutants. This study highlights the importance of including microbial assessments in future bio-surveillance of urban aerosols.published_or_final_version
Biological Sciences
Doctoral
Doctor of Philosophy
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Slaughter, Steven 1970. "Public power in a global age : a critical analysis of liberal governance." Monash University, School of Political and Social Inquiry, 2002. http://arrow.monash.edu.au/hdl/1959.1/8712.
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Tong, Hoi-yee Henry, and 唐海誼. "Evidence-based public health analysis in casino gambling." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B4694221X.
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Saramunee, Kritsanee. "General public views on community pharmacy services in public health." Thesis, Liverpool John Moores University, 2013. http://researchonline.ljmu.ac.uk/6170/.
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Community pharmacists are increasingly providing public health services in response to government policies. Published literature regarding the views of the general public related to pharmacy public health services, although important in ensuring uptake of these services, was limited. This study series aim to explore the general public's perspective on how to maximise the appropriate utilisation of community pharmacy services for improving public health. A large study comprising four sequential phases was designed and conducted in Sefton borough. Initially, to gather background information, focus group discussions (FGDs) and semi-structured interviews were undertaken with the general public and key stakeholders. The second phase involved the development and testing of a questionnaire extracted from the qualitative findings and a literature review. The questionnaire focused upon seven pharmacy public health services related to cardiovascular risks as well as views on factors influencing pharmacy use and advertising/promotion techniques. Geodemographic concepts, widely recognised in public health, were also included to identify potential benefits to pharmacy practice research. Next, a large scale survey was administered among the general public using eight survey modes, to additionally evaluate the range of methods available/for gathering public views. Finally, survey findings were evaluated by representatives of survey respondents using a FGD. Results indicated that, although stakeholders considered that community pharmacy can make an extensive contribution in supporting public health, pharmacy public health services are used at a relatively low level by the general public and awareness of services is also low. Survey respondents indicated a willingness to use services in the future. Important factors influencing pharmacy use include loyalty, location and convenient accessibility. Appropriate promotional campaigns are a key facilitator to help raise the public's awareness. The findings will help the profession to increase uptake of pharmacy public health services. The variety of survey modes used proved beneficial in obtaining diverse population demographics, with street survey being the optimal technique, however, the potential for social desirability bias must be considered with this and other interviewer-assisted approaches. MOSAIC™ as a geodemographic tool is potentially useful in helping to target services for specific groups and is recommended for use in further research.
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Rudland, Emily, and emily rudland@netspeed com au. "Political Triage: Health and the State in Myanmar (Burma)." The Australian National University. Research School of Pacific and Asian Studies, 2004. http://thesis.anu.edu.au./public/adt-ANU20070719.123952.
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In 1988, the military government in Myanmar abandoned the socialist ideology and isolationism that had shaped the state since independence, embarking on a transition to an open economy and engagement of the international community.
¶
Where socialism had failed, economic development and partnerships with former insurgent groups became the new strategy to advance the militarys security agenda. The primary goal of the security agenda is to promote state consolidation based on a unitary state structure, and according to military values and interests. However, the militarys goals are antagonistic to much of the countrys population, especially its ethnic minority groups. Consequently, the military lacks moral authority, and is preoccupied with maintaining its power and seeking legitimacy. The state is oriented to regime maintenance rather than policy implementation, leaving the regime without autonomy to pursue policy goals outside of its security agenda.
¶
The changing nature of the state, and state-society relations during the period of transition is revealed by trends in social development. Specifically, this thesis explores these issues through a case study of the health system. One impact of the economic transition and the militarys new nation-building strategy has been the abandonment of social equity as an ideological goal of the state. Even under socialism, state capacity to promote health was weak. In the transitional state, weak state capacity is now combined with a political incapacity of the regime to make public health a priority. In the quest for performance legitimacy, the military government is pursuing a narrow conception of development that values economic growth. Putting the states scarce resources into social development does not fit into this development strategy. Government expenditure on health has declined steadily since 1988, and health bureaucrats struggle to implement government policy. Standards in the public health system are very low, and most people seek health care in the private and informal health sectors.
¶
Therefore, the military regimes inability to achieve state consolidation, which leaves it preoccupied with its own legitimacy crisis, is a significant factor in the inability of the Myanmar state to promote social development. The process of economic transition from a socialist economy has exacerbated this through the withdrawal of the state from financing and delivery of social services, resulting in increasing inequity of access to these services.
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Close, Jennifer. "Agenda-Setting for Global Public Health: The Need for a Horizontal Perspective in the Public and Political Arenas." Thesis, Boston College, 2008. http://hdl.handle.net/2345/548.
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Thesis advisor: James KeenanPublic health is of critical importance in the world today, and particularly in the South, where developing states, unable to provide for the health of their citizens, continue to carry the global burden of disease. There is more funding available to global health than ever before. If these assets are going to be effective in advancing the health of the developing world, then they must be directed towards comprehensive measures that address the needs of entire populations, rather than disease-specific programs which do little to confront the challenges facing the world's poor. The latter approach may be dominating the field of public health, but horizontal, capacity-building programs can become the norm in this arena. In order to transform the global health-giving infrastructure, the public and political agendas in the United States and every other donor country must be reset. By transposing the tactics employed by activists of the most successful health campaign in history—that of the HIV/AIDS pandemic—onto the global health movement, proponents of this approach can position it on the agendas of states throughout the world, and construct sustainable healthcare systems that will attend to the plight of the current generation, as well as provide for the well-being of those to come
Thesis (BA) — Boston College, 2008
Submitted to: Boston College. College of Arts and Sciences
Discipline: International Studies
Discipline: International Studies Honors Program
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Wood, Susan. "Mental health literacy and mental health in at-risk populations." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88088/.
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This thesis explores mental health literacy (MHL) and mental health difficulties in at-risk populations. Young people, particularly males, are vulnerable to the onset of mental health difficulties, failing to access support and increased risk of suicide. Supporting people with mental health difficulties and improving prognosis is an important area of public health concern. Chapter one is a systematic review of gender differences in MHL of young people (ages 12-25 years). 14 studies were identified and critically assessed. The nature of gender differences in MHL of young people is complex but most consistently reported in depression. Females tended to have higher levels of MHL than males. The implications for public health interventions and future research are discussed. Methodological components of MHL research, such as the use of case vignettes are also considered. Chapter two is a qualitative research study of male professional footballers’ lived experiences of mental health difficulties and help-seeking using interpretative phenomenological analysis. One superordinate theme emerged from the data; Survival. This is discussed through six subordinate themes and alongside existing literature pertaining to identity, transition, personality and emotional development. The clinical implications of the findings are discussed, as well as suggestions for future research. Chapter three is a reflective paper considering the use of Cognitive Analytic Therapy as a tool for reflexivity in qualitative research. The opportunities and limitations of this approach are considered, alongside reflections on the research process.
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Boardman, Jason David. "The social determinants of health race, resources, and neighborhoods in the Detroit tri-county area /." Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2002. http://wwwlib.umi.com/cr/utexas/fullcit?p3077407.
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Rudland, Emily. "Political triage : health and the state in Myanmar (Burma) /." View thesis entry in Australian Digital Theses, 2003. http://thesis.anu.edu.au/public/adt-ANU20070719.123952/index.html.
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Danis, Ajau. "Health communication and health literacy : participants perspectives on the PROSTAR Health Promotion Programme." Thesis, Liverpool John Moores University, 2006. http://researchonline.ljmu.ac.uk/5800/.
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陳卓然 and Cheuk-yin Shaun Chan. "A public health perspective on air pollution: planning for zero emissions public transport in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B4167943X.
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Li, Pui-lin Jennifer, and 李佩蓮. "Aspects of bacteriology/virology of shellfish in relation to public health." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31253799.
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Reece, Thomas Ray. "Public health and swine production medicine aspects of vH1N1 influenza virus." Kansas State University, 2012. http://hdl.handle.net/2097/13807.
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Master of Public HealthDepartment of Diagnostic Medicine and Pathobiology
Robert L. Larson
Variant H1N1 influenza (vH1N1) virus is an issue both in swine production medicine and in the arena of public health. Influenza viruses can infect but not always produce disease in avian, humans and swine. Swine are unique among the three previously mentioned species in that their respiratory epithelium possesses three receptor sites for the virus types common to each of the three mentioned species. Swine influenza virus (SI) is common and widespread in nearly all Midwestern swine herds and can be transmitted by both direct contact and aerosolization. All of the three previously mentioned species have the potential to re-assort (produce virons containing genetic material of different virons to produce a unique influenza virus (IV). Because of their three specific receptor sites, swine have the greatest re-assortment capability. This re-assortment has the potential is a low mortality/high morbidity disease that is a substantial cost to the swine industry due to its negative effect on production parameters such as average daily gain (ADG) and feed efficiency (FE). It is a public health concern due to its potential to produce different virus types which may have increased mortality/morbidity in humans. Avian are the IV reservoir and have the ability to introduce virus types that are foreign to specific populations in all venues on the planet. It is in the mutual best interest of public health and swine production to mitigate the introduction of different virus types in swine and to control existing infections in swine populations with a goal of establishing SI-free herds. Mitigation for swine populations can occur through vaccination, diagnosis/isolation, and Biosecurity procedures designed to reduce/eliminate IV introduction into swine production facilities. In addition, preventing the interaction of infected humans with swine is another component of swine population Biosecurity.
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Li, Pui-lin Jennifer. "Aspects of bacteriology/virology of shellfish in relation to public health /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B18734261.
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Bond, Sophie, and n/a. "Participation, urbanism and power." University of Otago. Department of Geography, 2008. http://adt.otago.ac.nz./public/adt-NZDU20080404.152556.
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This thesis explores how an adherence to professional principles can be reconciled with a commitment to inclusive participatory planning processes in urban governance. Two themes are drawn together. First, the study concerns recent shifts in thinking about public participation that have resulted in innovative approaches to engaging citizens in urban governance processes through deliberative, interactive workshops and forums. Second, the study focuses on power relations that are inherent in such forums, particularly when a variety of different knowledges (expert and lay) interact. The two themes are brought together by focusing on the participatory practices of the urbanist movement - an urban form movement that draws specific principles from the urbanism of traditional towns and cities in order to create socially and environmentally sustainable places. Within urbanist participation, professional principles for the built environment and a commitment to a form of deliberative democracy are combined. In this study, the crucial question asked is: what is the nature and effect of the power relations on the democratic character of public involvement in participatory planning processes?
To explore this issue, two urbanist Enquiry by Design processes were selected as retrospective case studies. One case involved a regeneration project for an inner urban area of a north England industrial town, while the other case involved a greenfield urban extension in the south west of England. The empirical research, undertaken in mid 2005, comprised 52 semi-structured interviews, analysis of extensive background material, and site visits. Research participants were selected to capture a range of perspectives and experiences of each process.
To understand the power relations in the cases a two pronged approach was taken. The study was informed by literature from communicative planning theory and deliberative democracy. From this literature, an Ethic for Communicative Participation was developed as a heuristic device to evaluate urbanist participation. Concomitantly, to understand the nature of the power relations involved in the deliberative forum, the study employed a discourse theory perspective after Laclau and Mouffe (2001). Thus, power was understood as relational and imbricated within all social relations, while conflict was conceived of as an indicator of power.
The study found that the urbanist discourse, as a hegemonic project, had a significant effect on the nature of the participatory processes. In disseminating and instituting a particular vision for urban sustainability, the urbanist participatory process was found to be instrumental to realising the urbanist vision in each locality. As such, the cases studied displayed a thin commitment to democracy. Moreover, the discursive constructions of concepts of community, representation, consensus and participation evident in the cases, exposed a unified and homogeneous understanding of social groups. Consequently, the complexity of power relations and conflict inherent in the processes were bracketed, resulting in the exclusion of certain perspectives.
Nevertheless, the study illustrated the value in understanding the inherently antagonistic nature of the public sphere for both research and practice. The study supported emerging claims for a democratic politics in which antagonism is transformed into agonism - a space of reciprocity and mutual respect in which contestations over meanings can be articulated. In the cases, the participatory space allowed participants to challenge the hegemonic nature of the dominant discourses. Therefore, the thesis argues for two important ways to rethink power in both theory and in practice. First, there must be a willingness to engage with conflict and power. Second, there must be an interrogation of claims to unity or collectivity. Understanding the public sphere as inherently antagonistic, heterogeneous, and criss-crossed with complex power relations potentially provides conditions in which hegemonic forces can be contested. An agonistic politics has the potential to facilitate the open contestation of different knowledges and transform the dominant power relations such that an enhanced democracy can ensue.
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Martin, Susan P. "Young people's sexual health literacy : seeking, understanding, and evaluating online sexual health information." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8528/.
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Background: Improving the sexual health of young people is a key policy focus in Scotland. As the influence of the internet has grown within a rapidly changing health information landscape, so have opportunities for both sexual health promotion, and concerns about the challenges faced by young people in navigating this online environment. This study explores young people’s sexual health literacy (SHL), primarily within this online context. Methods: Paired interviews with friendship groups and observational online activities were used to explore young people’s experiences of finding, understanding and evaluating online sexual health information. A purposive sample of 49 participants (aged 16-19), diverse in terms of gender, sexuality and religion, were recruited from across Scotland from areas that varied in terms of deprivation and urban/rural classification. Findings: Participants varied in their confidence and ability to find and identify reliable information, and typically regarded identifying and filtering reliable sources as challenging. Barriers to accessing information on websites included: inaccessible language; inappropriate or non-relatable information; and websites that were difficult to navigate or did not function correctly. Concerns about stigma and ‘being seen’ seeking sexual health information was a key barrier. Stark differences, often mediated by gender, sexuality and educational circumstances, emerged in perspectives towards accessing sexual health information and support online. Findings suggest that different social media platforms present different opportunities and challenges; for example, social content sharing services such as YouTube may be useful venues for developing critical SHL, while social networking sites such as Facebook, may be less suitable to user’s active engagement in identity construction. Dissatisfaction with school-based sexual health education appears to be a catalyst for online information-seeking, but school-based sexual health education did little to equip young people to use the online environment effectively. Conclusions: Gender, sexual identity, stigma, structural factors and social support converge and intersect around young people’s SHL. A broad range of targeted interventions are needed to improve SHL, focusing on overcoming stigma, presenting positive messages and developing interactive and critical skills. Schools could do more to develop SHL skills, including teaching the digital and critical skills to seek and appraise online information. Expanding online sexual health services may effectively complement traditional services and encourage uptake, but it is essential that research establishes a robust, comprehensive conceptualisation of SHL, and develops measurement tools specific to SHL such that interventions can be evaluated and refined.
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Von, Erlach Burkhart. "Public law aspects of lease, charter and interchange of aircraft in international operations." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59586.
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Lease, charter and interchange have become more and more important throughout the last decades. The International Civil Aviation Organization could not ignore that reality. In 1980 after a long preparatory work Article 83bis, an amendment to the Chicago Convention on International Civil Aviation was adopted by the 23rd Assembly without any negative votes. Yet, in 1990, this amendment, which enables the State of Registry, which is responsible for the operation of the aircraft even if flying with an operator of another state, to transfer its functions and duties to the State of the Operator.This thesis takes a closer look on the history of that amendment. The reasons why Article 83bis is still not in force shall also be discussed. An attempt shall further be made to analyze the provisions of Article 83bis more thoroughly and to explain why states should no longer hesitate to ratify that amendment. Article 83bis has no controversial content and is very important for the safety of international air transportation, in establishing clearly who is responsible for a leased, chartered or interchanged aircraft.
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Wallace, Richard R. "Conceptualizing sustainability in public policy debate: economic, ecological, and political issues." Thesis, Georgia Institute of Technology, 1991. http://hdl.handle.net/1853/31062.
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Huang, Kai Katie, and 黄恺. "The effects of walkability on air pollution and public health." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46937213.
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Munro, Catherine A. M. "Developing a dialogue on health : user involvement in health and health services." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/291/.
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In common with other areas of public services, recent years have seen a shift in the National Health Service (NHS), with increased power and authority transferring from professionals towards the users of services. As a result, user involvement has come to form a central element of government policy on public services, and health in particular, with a series of specific policy commitments to give users a stronger voice and to involve them in the health service having been published by both the Westminster and Scottish parliaments. These seek to increase users’ involvement in making decisions about their own care and treatment, in examining and improving the quality of services and in policy and planning activity. In doing so, this policy aspires to respond to the changing culture of personal and societal expectations of health and the health service; to build democratic participation in the difficult targeting and rationing decisions faced by health agencies and, thus, to help renew public trust and strengthen confidence in the NHS. These are ambitious aims with far-reaching implications as they represent a transformation in the interaction between users, health professionals and health policy makers. This thesis examined how this policy has been understood and implemented in the NHS by exploring the scope, relevance and quality of the user involvement processes available in three health service settings. In order to develop a better understanding of the issues in user involvement it explored the nature of user participation; the character of user representation and the barriers and facilitators to user involvement in maternity, gynaecological oncology and mental health services. The study examined the response to this policy within these three settings; the functioning of existing user involvement mechanisms and their capacity to involve users in determining their individual health care and in shaping health services and policy to their definition of need. From this examination it defined the key features of a model process for user involvement within the professional service culture and organisational ethos of the NHS. The study then drew conclusions on the capacity of these current user involvement processes to deliver on the policy directive to develop both individual treatment and health services in ways that are responsive and accountable to users. Finally, the thesis identified those areas that require further research before proposing the lessons for the further development of this significant and potentially influential policy directive.
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Jones, Esyllt Wynne. "Ethnic nationalism in Quebec and Wales : the case of public broadcasting conflict." Thesis, McGill University, 1988. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61858.
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Podschwadek, Frodo. "Rawlsian liberalism and public education." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30612/.
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This thesis aims at giving a plausible account of education from the perspective of John Rawls’ theory of political liberalism. Despite the fact that an immense amount of literature has been written on both Rawls’ work in general and political liberal theory in particular, this still seems to be a worthwhile task, for two reasons. The first reason is that the current discussion of liberal neutrality in the philosophy of education frequently engages with Rawlsian liberalism, despite the actual lack of an adequately refined Rawlsian account of liberal education. The second reason is that political liberal theory itself leans more toward the side of ideal political theory, provoking the question whether it has any application value for real politics. A sufficiently developed account of political liberal education would demonstrate that practical guidelines can indeed be generated from political liberal principles. After providing a comprehensive overview over the few explicit claims about education Rawls made himself, and over the parts of his theory indicating further educational requirements for citizens of a liberal society, the thesis splits into two parts. The first part analyses the relation between core concepts of political liberalism (political virtues, autonomy, and rights) and education. Next to engaging with objections against neutrality-based restrictions in the context of education, this part also highlights the shortcomings of political liberalism when faced with the concrete requirements of education and proposes suitable revisions. The second part of the thesis picks out a number of concrete topics of education that are discussed in contemporary liberal theory. It analyses the questions to what extent religious beliefs entitle parents to determine the education of their children, to what degree same-sex relations should be part of a liberal sex-education curriculum, and what challenges migration might pose for political liberal education. For each case, the account of political liberal education presented here can provide guidelines based on the insights gained in the first part of this thesis. Together, the mainly theoretical first and the more practical second part shape the outlines for a political liberal account of education which, albeit sketchy, provides a useful contribution to the current debates about liberalism and education in a way which has not been done in the literature on political liberalism so far.
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Mramba, Furaha W. "Ecological and public health aspects of stable flies (Diptera :muscidae): microbial interactions." Diss., Manhattan, Kan. : Kansas State University, 2006. http://hdl.handle.net/2097/237.
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Hui, Lai-hang, and 許禮亨. "Political economy and public health governance: a comparative study of Hong Kong, Singapore and Taiwanfrom the 19th century to 2000s." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B47299551.
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This dissertation seeks to understand the relationships between the evolving political economies and
modes of public health governance in Hong Kong, Singapore and Taiwan from the 19th century to
nowadays. It is argued that from a political economy perspective, a suitable institutional set-up is
important in providing political resources necessary for the evolution of public health governance.
This dissertation looks specifically at political resources that include authority, legitimacy, finance
and knowledge. The uneven distribution of these political resources across the polity determines the
power gradient amongst different actors. Institutional set-up is also important because it governs the
interaction between different actors who are in various ways dependent upon one another.
From the 19th century, the polity of these three jurisdictions experienced drastic change under the
banner of colonialism. The colonial governments were preoccupied with advancement of colonial
interest. With the unrest in the polity, the colonial governments realised the importance of authority
and knowledge in perpetuating their existence. At the same time however, the ignorance towards
cultural affinity of colonial subject deprived the governments of their ability to regulate the life of the
latter. The contradiction was strongly reflected in the two British colonies where there were clashes
over the application of public health law and regulation. Japan, by contrast, was more able to garner
authority because of her tactics to couple traditional control with modern policing.
In the post-war era, the political economy of these three jurisdictions departed from one another. In
Hong Kong, the colonial set-up shifts from regulatory-led to developmental-led institutional set-up.
Similar tendency can be observed in Singapore and continued after her independence. Bureaucratic
authority became the most available resources for government to mobilise. In strong possession of
authority and finance, the government was increasingly able to introduce expansionary measures.
This is accompanied by the rise of rational planning in Hong Kong and Singapore. As a result, there
witnessed bureaucratisation of public health governance which shaped the dependent interactions
between the authorities and citizen and the sporadic contribution from charities and overseas
organisations.
Taiwan departed significantly from these two jurisdictions. The inception of Kuomintang’s
authoritarian regime attempted to continue the regulatory-led institutional set-up from the colonial
regime in the 1950s. Whilst authority became abundant, financial resources were drained away to
military project. International agents became the key actor to contribute to the functioning of public
health governance.
In the 1970s to 1990s, the fiscal crisis arising from exponential increase of public expenditure and the
international policy discourse of deregulation led to the declining ability of tax-based direct provision
of health care. There displayed a greater willingness to rely on more actors and more instruments to
divest the responsibility of the government. However the negligence about the potential trade-off
between authority and finance limited the dynamics of coordination between different actors.
The sudden outbreak of the SARS episode in 2003 unveiled the problem of underinstitutionalisation
of polity. It unsettled the role of power and authority of government as demonstrated in Singapore
and unleashed the latent power of civil society in the arena of public health as seen in Hong Kong
and Taiwan. It also illuminated the role of knowledge in dealing with uncertainty in an institutional
set-up.published_or_final_version
Urban Planning and Design
Doctoral
Doctor of Philosophy
39
O'Rourke, Nancy C. "Political Efficacy and Political Participation of Nurse Practitioners: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/47.
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In many states, outdated rules and regulations restrict nurse practitioners (NPs) from practicing to their full potential, often limiting patients’ access to primary care. Modernizing NP state scope of practice laws and allowing patients greater access to NPs services is a priority. Unlike other professions, nurse practitioners have been unable to consistently influence legislative changes to health policy. This study examined the political efficacy and participation of nurse practitioners in the United States today (N=632). A descriptive cross sectional design, in conjunction with a political efficacy framework, evaluated nurse practitioners’ participation in political activities and their internal and external political efficacy. Increased internal political efficacy was significantly (p < 0.001) associated with NPs who were older, had specific health policy education, and have been mentored in health policy. Our findings show that NPs vote at consistently higher rates (94%) than the general population and almost 50% report contacting legislators via mail/email/phone. As a group however, NPs report limited participation in other political activities, especially grassroots efforts. These findings hold significant implications for the profession as we strive to make policy changes across the country. It is important that educators assess our current methods of educating NPs about politics and health policy. Professional organizations and policy makers must reexamine outreach and strategies to inspire greater grassroots engagement of NPs.
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Haigh, Stephen Paul, and n/a. "Globalization and the state : towards a neo-medieval political order?" University of Otago. Department of Political Studies, 2008. http://adt.otago.ac.nz./public/adt-NZDU20080514.111752.
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The system of states that now covers the planet did not arise out of thin air; rather it was the product of historical forces that gradually coalesced around the state form. But the dynamics of that process no longer obtain. In their place, a new, highly complex amalgam of material and ideational forces is now in the ascendant -- and its arrival has serious implications for traditionally configured, "Westphalian" states.
Understood as ("thick") globalization, this interlocking array of political, economic, social and cultural forces challenges the old order at two key points. First, traditional states had "hard shells," by means of which they were capable of consolidating differences between �inside� and �outside� to the point where the latter could more easily be quarantined. Second, for closely related reasons they were largely able to "absorb" domestic society, such that the individual was less a citizen than (s)he was a subject. But these (dubious) capabilities have been severely exposed and eroded, which leads us to ask, "Whither the state under globalization?" My thesis constitutes a sustained attempt to answer this question.
The theme is a large one - and I believe that to be adequately treated, large themes require a varied approach. First, in terms of theory this means that I borrow from a significant diversity of recognized �Schools� within the discipline of International Relations. Second, in terms of method I follow a similarly pluralist line. Broadly speaking, the work is interpretive as opposed to explanatory, which is to concede that one cannot be �purely� scientific while standing inside the phenomena one wishes to examine. On the other hand, this forecloses neither the scientific method nor its guiding spirit. With respect to states and the international system, we can still be "scientific realists:" states are real structures whose nature can legitimately be approximated through sciences. In sum, I cleave to a sort of methodological middle ground between science and interpretation, taking from each in the measure that they advance the discussion. Third, in terms of normative intent my chief concern is with the way things are; but as it turns out, the way things are increasingly includes the way they ought to be. In other words, the ontology of our globalizing world is increasingly deontological in texture.
This may sound contradictory. Nevertheless, the spread of universal norms - and of equally universal ordering principles, or patterns of global organization - has undeniable repercussions for the relationship between is and ought. In turn, the implications for states are profound. The answer to my central question, "Wither the state under globalization?" is this: we are now on the threshold of a neo-medieval era of segmented political authority. Centrally nested within this new order is the embedded cosmopolitan state, wherein universal and particular aspects of being can now be fully reconciled.
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Adewara, Olabisi. "Provision of public goods and health outcomes during political transition in Nigeria." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/5754.
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Includes abstract.Includes bibliographical references.
This study investigates three issues connected with governance and citizens welfare in Nigeria. One of the current debates in the political economy literature focuses on the bene ts of democracies to ordinary citizens, especially in developing countries, and particularly in sub-Saharan African countries. Most Nigerians have been questioning the bene ts of transition from military rule to democratic rule in 1999 to ordinary citizens. This concern relates to the lack of credibility of electoral processes in the country. Politicians in Nigeria have embarked on various unlawful strategies both to win and perpetuate positions of power, with no regard for the principles of free and fair elections. Non-credible elections often lead to capture of political power at both national and sub-national levels in the country by special interest groups headed by political godfathers (1). This thesis examines whether transition from an autocratic military regime to a relatively competitive democratic regime results in higher provision of public goods and a reduction in health inequality, given the prevalence of political capture due to lack of credible electoral competition in Nigeria. The thesis questions the assumption that transition from a military dictatorship to relatively competitive democratic rule will ensure an increase in the provision of public goods and a reduction in health inequality.
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Warrick, Rona Lee, and rona warrick@deakin edu au. "Motherhood and health: Perception and practice." Deakin University, 1995. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20070614.112804.
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徐寶玲 and Po-ling Chui. "Organising for the provision of public housing in Hong Kong: an institutional analysis of publicorganisations and policy design." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31220708.
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Catena, Rodolfo. "Essays on health care operations management." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3c2035a6-b5d0-43b7-9b12-4883e5db4526.
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The aim of operations management in health care is to enhance the provision of services to patients and to decrease costs. Overall worldwide health care expenditures represent around 10.5% of the global GDP and are projected to increase at an annual rate of 5.3% from 2015 to 2017 [74]. In order to investigate how to curb health care costs, I study the English NHS, a health care system that provided universal care to around 54 million people in 2014 [243]. The NHS has launched many initiatives to improve the performance of hospital operations such as the "QIPP" program, which has the objective to save £20 billion of costs by 2015 [98]. Given this framework, this research aims to contribute to the theory that is guiding these operational changes, using data on all admissions to hospitals and focussing on the inguinal hernia, one of the most common surgical procedures [86]. In the next chapters, this research describes inguinal hernia care delivery in the English NHS, examines the impact of spillovers and complementarities on costs, and investigates the effects of length of stay reduction on risk of re-admission and risk of death. The findings of this thesis indicate that one of the possible problems in the delivery of inguinal hernia care in the NHS is the decrease in the number of elective operations performed and the increase in readmission rates. They also clarify how decisions on allocation of resources can affect hospital expenditures by showing that loss in focus can increase health care costs and by pointing out that there is little evidence to support the theory of spillovers and complementarities in the surgical context. Finally, the results of this research can be used to suggest the logic of a policy to decrease length of stay that can inform hospital decisions and can decrease hospital costs.
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Smith, Stephanie Lynette. "Public policy & maternal mortality in India." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.
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Mahumana, Narciso António. "Rethinking indigenous medicine : illness (mis)representation and political economy of health in Mozambique's public health field." Thesis, University of Sussex, 2015. http://sro.sussex.ac.uk/id/eprint/58511/.
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This dissertation was motivated by the misrepresentation of, and apparent lack of knowledge about, indigenous medicine in Mozambique. This consequently raised the need to reveal the epistemologies of health, illness and healing; rewrite the historiography; and develop the knowledge of and about this medicine. The dissertation analyses illness representation and the political economy of health. The thesis defended is that indigenous medicine is a form of medical knowledge and practice that represents its illness, therapy and efficacy according to specific epistemological foundations, rooted in the local society and culture yet it has been misrepresented by local discourses, agencies and practices that battle to control health resources, knowledge and power in Mozambique. Within this, biomedical health paradigms, bodies, and representations have been imposed onto an imagined Official National Health Service (ONHS) whilst people, on the other hand, represent, legitimise, and seek therapy simultaneously in different epistemologies and practices of medicine within the therapeutic landscape creating a Contextual National Health Service (CNHS). This political economy of health is contingent on historical, socio-economical, political and geopolitical productions and constructions of health and efficacy within Mozambique's public health field. Research and health development needs to rewrite the historiography of indigenous medicine based on ethnographically sensitive material and linguistic competence. The construction and justification of this argument is made in seven chapters. The study was carried out in Maputo City and Manhiça district and relied on participant observation. It also uses a mixture of other qualitative methods which encompassed formal and informal interviews, documenting of life histories, desk review, and participatory learning for action (PLA).
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Mughal, Muhammad Shahid. "Good governance for the sustainable public housing development : case study : Karachi, Pakistan /." Thesis, View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B35081156.
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Bishop, Simon. "HRM in public private partnerships : working in a health production system." Thesis, University of Nottingham, 2011. http://eprints.nottingham.ac.uk/12159/.
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This study explores the changing nature of employment and employment management within multi-organisational public services ‘partnerships’. In line with international trends, a major feature of the 1997-2010 New Labour government’s public policy was encouraging partnerships between organisations of all sectors to run public services. Within healthcare, central government has increasingly been seen as taking on a role of market regulator, with organisations from all sectors allowed to plan as well as provide public services (Illife and Munro, 2000). As part of this picture, bringing private companies into partnership arrangements with the National Health Service has been seen as a catalyst for workforce re-configuration and employment change through furthering the reach of private sector type Human Resource Management. However, research has illustrated how inter-organisational contracts can also restrict an organisations choice of employment practice, disrupt the direct relationship between managers and employees, and undermine any aspirations for fair or consistent employment (Marchington et al, 2005). In more recent healthcare partnerships, employment is further complicated as partnerships involve powerful professional groups with their own protected employment systems and established norms of practice. This study seeks to investigate the prospects for HRM within such a professionalised partnership context through comparative case study of two Independent Sector Treatment Centres (ISTCs) operating under differing employment regulations and contractual agreements. In both cases, private sector management sought to impose a more ‘rationalised’ and standardised approach to work with a greater focus on outputs and productivity, placing ISTCs at the forefront of the Fordist ‘scientific-bureaucratic’ (Harrison, 2002) approach to medicine. However, the study identifies a number of limits to the degree to which the management of the private health care companies could shape HRM practices in line with these aims. The thesis also examines how being separate from, or integrated with, existing National Health Service organisations can lead to different types of contingencies affecting work and employment, and multiple varieties of inconsistency across the workforce. The findings of the study are explored in terms of the implications for public policy, health service management and HRM theory.
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Spittal, Angela M. Sears. "An examination of ethical values : a Q-study of political consultants and public relations organizational consultants." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1154776.
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This research compares the ethical values of public relations and political public relations practitioners. The study hypothesizes that a difference exists in the two groups' approach to ethical decision-making.A Q-study was completed by twenty-three midwest members of the Public Relations Society of America and the American Association of Political Consultants. The results identified two groups: one, a group of "communitarians" who relied on personal standards for ethical decision-making but believed the community-the public and the mediainfluenced those standards; and two, a group of "individualists" who relied on personal standards for ethical decision-making and were not influenced by the public, media, religion or law.This research determined that a significant difference did not exist in approach to ethical decision-making between political public relations and traditional public relations practitioners. All of the participants relied primarily on personal standards when making ethical decisions and no participants put personal advancement or pragmatism ahead of ethical decision-making.Department of Journalism
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Tolosana, Sandra. "Aspects of medical waste disposal in the Cape Peninsula." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/26572.
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Hazardous waste management practices at ten medical institutions in Cape Town were studied and tests undertaken to determine concentrations of specific chemicals and radioactivity in liquid effluent outflows, as well as emissions from incinerators. To investigate the sewage outflow for Chemical Oxygen Demand (COD), N, pH and heavy metals, a continuous sampler was installed at two hospitals and a Medical School. Samples were analysed by atomic absorption spectrometry for As, Hg, Cd, Co, Cr, Cu, Mn, Ni, Pb, Zn and Fe. Mercury levels ranged from l-70μg l⁻¹, exceeding the Environmental Target Quality of 0.04μg l⁻¹, and the South African General Effluent Standard of 20μg l⁻¹ . All other heavy metals were below General Effluent Standard Limits. In addition, a sludge sample from the Athlone Wastewater Plant was tested for Hg, realising 6mg kg⁻¹ on a dry weight basis, which was within Department of Health (DOH) Guidelines of 10 mg kg⁻¹. Samples of incinerator bottom ash analysed for heavy metal content gave Hg concentrations of 1.1-4.0mg kg⁻¹, and Zn concentrations of 5.1-11.0g kg⁻¹. Incinerator ash was also analysed for radio-activity and substantial levels of ¹²⁵I (332-650 bq kg⁻¹ ), and Ga⁶⁷ (9186bq kg⁻¹) recorded, which exceeded the South African limits of 200bq kg⁻¹. In Cape Town, hospital incinerators are old, burn large amounts of plastics and produce toxic emissions. They are all situated in residential or inner-city areas, and even though there is legislation dealing with emissions and chemical waste, these laws are not being enforced. Based on the above results, an investigation was carried out to assess attitudes to and knowledge of hazardous waste in the ten institutions. One thousand questionnaires were administered to staff, and the data from the 80% response rate statistically analysed. Results suggest that there is an urgent need for an holistic approach to toxic waste management, encompassing enforceable legislation coupled with on-going educational programmes and strong support from top management and all levels of staff.