68 resultados para Ware, Fabian


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Myanmar is ruled by a military government that is strongly condemned for human rights abuses. In responding to these allegations, the Myanmar government repeatedly adopt the language of Right to Development as a counter perspective and counter allegation. The Right to Development is not well reflected in the Western human rights discourse, and both its development and Myanmar's position in the Right to Development dialogue are considered. This paper looks at the differing perspective that an understanding of the official public Myanmar response to rights allegations brings to the human rights debate surrounding Myanmar, highlighting contested ideas concerning the identity of rights duty-bearers, conceptions of those duties, and allegations of double standards. While the Myanmar position that sanctions violate the Right to Development is rejected, it is suggested that this difference in perspective is a contributor to the impasse and communication gap between the West and the Myanmar regime over human rights.

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Myanmar is a poor developing country with significant humanitarian needs, but international assistance is limited and restricted due to the political situation. Analysis of new primary data collected through interviews both within Myanmar and across the region sheds light on the implementation of principles of best-practice by International Non-Government Organisations (INGOs) operating within the country. This data highlights the adaptations INGOs make to widely-held development principles, ideas and approaches in order to become effective in this context. Forty-seven interviews were conducted with key individuals from INGOs, UN organisations and local NGOs. As there is no definitive list of best-practice principles for project-based INGO development interventions, a list is compiled from responses during the interviews. The adaptations made by INGOs to the context of Myanmar are discussed in terms of the way they work with civil society, NGOs, donors and officials (partnerships, capacity building, advocacy, rights-based approach and accountability), and the way they work in local communities (participation, equity, sustainability, active citizenry, and context sensitivity).

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Background: The 22-item Well-being Questionnaire (W-BQ22) (Bradley, 1994) includes Anxiety, Depression, Energy and Positive Well-being subscales. However, the constructs of anxiety and depression could not be easily distinguished from each other. Consequently, the W-BQ12 was designed to include just three subscales, Negative Well-being (including only negatively-worded anxiety and depression items), Energy (2 positively- and 2 negativelyworded items) and Positive Well-being (all positively-worded items). The SF-36 (Ware & Sherbourne, 1983), a widely used health status measure, includes a 4-item vitality subscale (2 positively- and 2 negatively-worded items) and a 5-item mental health scale (2 positively worded and 3 negatively-worded items).

Method: Factor structures of W-BQ22, W-BQ12 and SF-36 were compared using data from 789 outpatients with diabetes.

Results: W-BQ22 factor analysis showed negatively-worded anxiety and depression items loading together, while positively-worded depression items loaded with positive well-being items and separately from positively-worded anxiety items. W-BQ12 loaded as intended on 3 factors, with negatively-worded anxiety and depression items loading together on one factor: negative well-being. The four energy items (2 positively- and 2 negatively-worded) loaded together (factor 3) and the four positive well-being items loaded together (factor 1). Unforced factor analysis of the SF-36 produced 5 factors and split the mental health and vitality items into two components, which could only be defined in terms of positive and negative wording. A forced 8-factor solution produced similar results, with the mental health and vitality items being split into two components according to their positive or negative wording. A forced 2-factor solution brought mental health/vitality items together, separate from physical health items.

Conclusion: The previously unrecognised influence of positive and negative wording on factor structure is clearly shown here to be of importance in conceptualising and designing measures of psychological well-being to be used with people with diabetes and may be of relevance for other populations.

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MyanmarMyanmar is a developing country with significant humanitarian needs. It is therefore a country for which achieving the Millennium Development Goals (MDGs) should be a high priority. While exact data are difficult to obtain, Myanmar is performing poorly across most of the MDG targets. This is partly an unintended but direct consequence of the international sanctions and concomitant reduced aid flows into Myanmar. Myanmar receives the lowest level of aid per person of any of the 50 Least Developed Countries, raising the very direct question of whether the MDGs are relevant or achievable in Myanmar. Failure to achieve the MDGs could have serious implications in 2015 on future international funding and on reform programmes in the country. This paper considers how the political goals of the international community negatively impact upon the ability to achieve the MDGs and proposes a way forward by increasing aid and by tailoring theMDGs to theMyanmar context, as several regional neighbours have done.

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Background Participation in coronary heart disease secondary prevention programs is low. Innovative programs to meet this treatment gap are required.

Purpose To aim of this study is to describe the effectiveness of a telephone-delivered secondary prevention program for myocardial infarction patients.

Methods Four hundred and thirty adult myocardial infarction patients in Brisbane, Australia were randomised to a 6-month secondary prevention program or usual care. Primary outcomes were health-related quality of life (Short Form-36) and physical activity (Active Australia Survey).

Results Significant intervention effects were observed for health-related quality of life on the mental component summary score (p = 0.02), and the social functioning (p = 0.04) and role-emotional (p = 0.03) subscales, compared with usual care. Intervention participants were also more likely to meet recommended levels of physical activity (p = 0.02), body mass index (p = 0.05), vegetable intake (p = 0.04) and alcohol consumption (p = 0.05).

Conclusions Telephone-delivered secondary prevention programs can significantly improve health outcomes and could meet the treatment gap for myocardial infarction patients.

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This thesis examined the operation of International Non-Government Organisations (INGOs) in Myanmar, as a case study of development sensitive to difficult socio-political contexts. The thesis extended context-sensitive development theory, explored the Myanmar socio-political context, and explored the ways INGOs contextualise their operations in that country to maximise development effectiveness.

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Development is a difficult undertaking in any environment, but much more so in places such as Myanmar with its “perfect storm” of extreme poverty, international sanctions, and political repression and human rights violations with concomitant conflicts within development organizations over norms and policies.

Context-Sensitive Development examines how to effect successful development interventions in Myanmar. Anthony Ware points out that while practitioners have questioned universal economic prescriptions for development, they have not been as consistent in questioning the normative foundations behind their work. Ware does not argue for a facile moral relativism; he sees Myanmar as an egregious violator of human rights, but he does call for “context sensitivity” to help organizations adapt their values to better meet the needs of client populations.

Through his years of practice in the field and extensive series of interviews, the author brings into focus key issues of perception and practice that are intrinsic to the development enterprise. Although the focus is on Myanmar as a quintessential “difficult” case, Ware shows how his conclusions can be used elsewhere. His book represents a major contribution to both development theory and practice, vital for both the classroom and the development organization in situ.

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The article analyzes the research data provided by international non-governmental organizations (INGOs) in Myanmar on strategies that maximizes rural community development. It discusses INGO approaches to rural community development and relationship with stakeholders. The study reveals that INGOs right partnership with local officials, equity and local community sustainability are crucial to the success of rural development projects in Myanmar.

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This chapter presents analysis of new primary research data collected on INGOs working inside Myanmar. In particular, it looks at the contextualisation they make to common international development approaches, in order to attain greatest effectiveness in this specific context. This research is based on in-depth interviews of forty-seven key informants from INGOs, UN organisations and local NGOs, working within Myanmar. The key finding is that INGO's believe that, with appropriate contextualisation, their effectiveness is not as heavily restricted in Myanmar as is commonly perceived, particularly in addressing the worst impact of extreme poverty in communities, but also in areas such as advocacy and capacity development of the emerging civil society.

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We are witnessing the beginnings of what could well be significant change in Myanmar. Elections in November 2010 were quickly followed by the release of opposition leader Aung San Suu Kyi, then by the resignation of Senior-General Than Shwe, dissolution of the State Peace and Development Council (SPDC), the opening of parliament, and the inauguration of Thein Sein as President on 30th March 2011. Thein Sein's inauguration speech called for national reconciliation and an end to corruption, promised a more market-oriented economy, and vowed to create employment opportunities. He also pledged to develop the health and education sectors in cooperation with international organisations, and to alleviate poverty. While some fear this may only be rhetoric, a growing number of indications suggest that major political and economic reform may indeed be getting underway. This paper traces these recent developments and the possibility of significantly improved international development cooperation in Myanmar, particularly as it affects the prospects of poverty alleviation efforts and cooperation with Western INGO and multilateral agencies. It analyses the implications of this reform on international development assistance and cooperation from the perspectives of humanitarian needs, international relations theory, development theory, and political philosophy.