The inter-section of political history and health policy in Asia - the historical foundations for health policy analysis

One of the challenges for health reform in Asia is the diverse set of socio-economic and political structures, and the related variability in the direction and pace of health systems and policy reform. This paper aims to make comparative observations and analysis of health policy reform in the context of historical change, and considers the implications of these findings for the practice of health policy analysis. We adopt an ecological model for analysis of policy development, whereby health systems are considered as dynamic social constructs shaped by changing political and social conditions. Utilizing historical, social scientific and health literature, timelines of health and history for five countries (Cambodia, Myanmar, Mongolia, North Korea and Timor Leste) are mapped over a 30-50 year period. The case studies compare and contrast key turning points in political and health policy history, and examines the manner in which these turning points sets the scene for the acting out of longer term health policy formation, particularly with regard to the managerial domains of health policy making. Findings illustrate that the direction of health policy reform is shaped by the character of political reform, with countries in the region being at variable stages of transition from monolithic and centralized administrations, towards more complex management arrangements characterized by a diversity of health providers, constituency interest and financing sources. The pace of reform is driven by a country's institutional capability to withstand and manage transition shocks of post conflict rehabilitation and emergence of liberal economic reforms in an altered governance context. These findings demonstrate that health policy analysis needs to be informed by a deeper understanding and questioning of the historical trajectory and political stance that sets the stage for the acting out of health policy formation, in order that health systems function optimally along their own historical pathways.

Activism, reflection and Paulo Freire – an embodied pedagogy

This paper explores the critical pedagogy of activists as they participate in activism on some of the most important human rights issues of our time. I argue the pedagogy of activism is critically cognitive and embodied in a practice that is inherently social. The paper commences with some writing on what I claim is Freire’s own activism, always working towards a struggle for social justice and social change. His educational practices were never removed from sites and movements of struggle and resistance and he encouraged teachers to be political, that their teaching should never be disassociated from a critique of the political and social realities that impact on and create impediments to a democratic education.The paper then outlines empirical research on the learning dimensions of activists conducted in Australia and draws on some of the personal narratives of activists. I explore the reflexivity of activists as they work within and against the state, on issues of indigenous self-determination, racism, religion, homophobia, urban development, climate change, civil liberties, economic inequality and others. I argue for a critically reflexive pedagogy, as Paulo Freire reminds us, activism without purposeful reflection has the potential to become what he termed “naïve activism’’. That is, a focus on the theory and philosophical underpinnings of activism, and the tactics and strategies necessary to instigate social change, can create a pedagogy that is wanting in praxis. Yet the urgency of activism and the desire for significant social change often prevents a critical space for reflection to occur.The paper concludes with some suggestions for how Freire’s writing on praxis, can improve activists important practice.

Inclusion in political and public life: the experiences of people with intellectual disability on government disability advisory bodies in Australia

BACKGROUND: Civil and political participation lies at the core of citizenship. Increasingly, people with intellectual disability are members of disability advisory bodies. This study investigated the political orientations of advisory body members with intellectual disability, their participatory experiences, and the types of support they received. METHOD: The 9 people with intellectual disability who in 2005 were members of disability advisory bodies at a state, national, and Victorian local government level were interviewed, together with 12 other members or secretariat staff of these bodies. Observations were also conducted of advisory body meetings. RESULTS: The political perspective of members with intellectual disability varied, but all had a background in self-advocacy. They found the work hard but rewarding and encountered both practical and intangible obstacles to participation. Members received varying types of practical support, but a supportive collegial milieu was characteristic among members who felt most confident about their participation. CONCLUSIONS: The milieu, structures, and processes of advisory bodies must all be adjusted to accommodate people with intellectual disability if they are to participate meaningfully.

E-marketing orientation and social media implementation in B2B marketing

AbstractPurpose – The purpose of this paper is to consider the potential of an organisational orientation,namely the electronic marketing orientation (EMO) to address implementation issues inbusiness-to-business (B2B) social media implementation. Previous research has demonstrateddifferences between B2B and business-to-consumer (B2C) marketing.Design/methodology/approach – The paper draws on existing B2B marketing, social media andorganisational orientation literature, both academic and practitioner. This facilitates the developmentof a conceptual model and research proposition as a basis of further research into addressingcontemporary barriers to B2B social media implementation.Findings – The paper contends that each of the four components of the EMO addresses differentimplementation issues faced in implementing social media and, more specifically, the unique issuesfaced by B2B marketers.Research limitations/implications – The paper is conceptual in nature; however, it providesdirections for future empirical research.Practical implications – The differences in promotional and sales channels and messages requiredin B2B context are addressed in the research propositions. The paper highlights implementationchallenges and how a particular organisational orientation can facilitate the decision-making in dealingwith them.Originality/value – The paper provides a unique theoretical contribution by introducing the EMOconceptual model in a specific context of B2B social media marketing.

Using voice to make musical and social connections

Community music is a rich and ongoing activity-taking place in formal and informal settings around Australia. This small-scale phenomenological qualitative case study is part of my wider study Spirituality and Wellbeing: Music in the Community that began in 2013. This paper demonstrates that community music making in a regional district in Victoria (Australia) makes it possible for choirs to use their voice to make musical and social connections to self and community that enhances both personal and community wellbeing. In May 2014, I visited three choirs for a week in the city of Warnnambool. Drawing on observation, questionnaires and focus group semi-structured interviews, I analysed the data using Interpretative Phenomenological Analysis. The findings include why people join choirs in regional towns, what they enjoyed that contributed to their wellbeing and why they want to sing about issues that make connections to social justice and sustainability. Though generalisations cannot be made to other towns or choirs, the findings show the need, importance and benefits of connecting to each other and the wider community. Using voice can serve as an effective platform to promote issues in the community such as social justice and the environment. It is hoped that the findings may provide a vehicle for further dialogue where choirs in other settings may experience similar connections to their community.

Cultural and social factors and quality of life of Maori in advanced age. Te puawaitanga o nga tapuwae kia ora tonu - Life and living in advanced age: a cohort study in New Zealand (LiLACS NZ)

AIM: To establish 1) the socioeconomic and cultural profile and 2) correlates of quality of life (QOL) of Maori in advanced age. METHOD: A cross sectional survey of a population based cohort of Maori aged 80-90 years, participants in LiLACS NZ, in the Rotorua and Bay of Plenty region of New Zealand. Socioeconomic and cultural engagement characteristics were established by personal interview and QOL was assessed by the SF-12. RESULTS: In total 421 (56%) participated and 267 (63%) completed the comprehensive interview. Maori lived with high deprivation areas and had received a poor education in the public system. Home ownership was high (81%), 64% had more than 3 children still living and social support was present for practical tasks and emotional support in 82%. A need for more practical help was reported by 21%. Fifty-two percent of the participants used te reo Maori me nga tikanga (Maori language and culture) daily. One in five had experienced discrimination and one in five reported colonisation affecting their life today. Greater frequency of visits to marae/sacred gathering places was associated with higher physical health-related QOL. Unmet need for practical help was associated with lower physical health-related QOL. Lower mental health-related QOL was associated with having experienced discrimination. CONCLUSION: Greater language and cultural engagement is associated with higher QOL for older Maori and unmet social needs and discrimination are associated with lower QOL.

Official development assistance and impact assessment, theoretical and practical frameworks

Official Development Assistance (ODA) remains the most prominent development instrument for allocation of foreign aid with the aim of promoting prosperity in developing countries. This includes economic, political, and social development, and most significantly poverty alleviation. However, it needs to be noted that the positive impact of ODA on recipient countries economic, social, political, and other forms of development is not a foregone conclusion. As such it is subject to diverse interpretations, value claims, perceptions, and a range of indicators. Thus, ODA has it proponents and opponents. As such the need for an assessment of the impact of ODA, be it positive or negative, remains a subject of discourse amongst academics, practitioners, aid agencies, politicians, governments, and other stakeholders. The purpose of this chapter is to bring to the fore and to unpack some overarching issues, which will be taken up in following contributions from different vantage points. The focus will be on foreign aid, and development theory and practice in the contemporary social, political, and economic environment.

New Chinese entrepreneurs: perspectives of Confucian attributes and social settings

This chapter uses a qualitative approach to explore the characteristics of newly-bred Chinese entrepreneurs among 14 technology-based companies in Mainland China, Taiwan, and Hong Kong. Internal and external perspectives on studying entrepreneurship were adapted to examine personality attributes and the impacts of social settings on shaping the characteristics of modern Chinese entrepreneurs. The findings show that Chinese entrepreneurs were strongly influenced by the Confucianism, in which learning was upheld as a key to develop internal innovative capabilities for sustaining enterprise growth in the dynamic environment. Chinese entrepreneurs leading technologically innovative companies were also found to be visionary, but with less risk taking; they had exceptional networking capability and political dexterity to build strong relationships with government, industry and community. The tie between the Confucian entrepreneurial attributes and strong government support appears to enable the 'innovation in Chinese way'. Implications of these results are discussed.

The politics of Britishness: multiculturalism, schooling and social cohesion

This paper is set against a backdrop of contemporary concerns about Britishness. It explores the dominant view that unprecedented levels of cultural diversity within western contexts such as the UK are undermining social cohesion and are attributable to minority groups’ failure to connect or assimilate with mainstream ‘British’ (read White Anglo) culture. The paper focuses on how these issues play out for several of the key teachers at ‘Hamilton Court’, a large English comprehensive multicultural school. Despite the school being a socially cohesive space, these teachers were concerned with students’ lack of affiliation with ‘British’ culture. The paper examines these concerns through critical lenses that problematise reductionist and racialised understandings of Britishness and assumptions that associate an affiliation with Britishness with generating social cohesion. Against this backdrop, the paper provides further warrant for continued critical discussion about issues of Britishness, multiculturalism and schooling.

Boys, productive pedagogies and social justice

The issue of boys' education continues to dominate the gender agenda in Australian Education. Whilst concerned with the direction much of this debate has taken, we recognise that there are issues for some boys stemming from the ways in which certain masculinities have been valorised within the various communities that different boys inhabit. This paper will draw on a range of voices from schools to stress the importance of providing boys with curricula, pedagogies and assessment tasks that provide them with opportunities to explore and critically analyse their personal experiences of what it means to be 'masculine'. We argue that such an approach to boys' education has to avoid treating boys as 'disadvantaged' and instead has to be cognisant of the complexities surrounding gendered relations of power operating within boys' various communities. We suggest that the productive pedagogies framework provides an avenue through which such an approach to boys' education can be taken up in schools. We are mindful, however, that the gender just enactment of this pedagogical framework requires that teachers draw on key threshold knowledges about gender, masculinity and schooling. We present some of these knowledges and demonstrate their imperative in moving beyond reinscription to transformation of the gendered relations that constrain boys' and girls' schooling experiences.

Social inclusion and social protection in Nepal

This thesis explores the contribution of social protection to building an inclusive state in the post-conflict democratic era in Nepal. A grounded theory methodology is used to understand the roles of different actors including development partners, civil servants, politicians, the private sector, trade unions, journalists, academics and how recipients of five government funded cash transfers perceive these funds and view their own sense of citizenship.What emerges from the research is insights into how structural and practised forms of exclusion are reproduced, and changed, and the roles of the different actors involved.

Refugee education and justice issues of representation, redistribution and recognition

This paper examines justice issues of representation, redistribution and recognition within a specialised secondary school for immigrant and refugee students in Queensland, Australia. Fraser’s three-dimensional model of justice – towards the ideal of ‘participatory parity’ – is drawn on to analyse interview data gathered from a study that sought to identify productive approaches to addressing cultural diversity. Through these lenses, injustices created by mainstream/dominant discourses within and beyond the school are highlighted. The paper details the school’s efforts to support greater equity for these students through educator advocacy, critically reflective practice and a centring of students’ perspectives. The significance of educators identifying and challenging the limits and exclusions of these discourses to support these efforts is highlighted. Fraser’s theorising is presented as useful in capturing, understanding and addressing justice and marginality in schools amid the broader social context where matters of justice are characterised by uncertainty, complexity and contention.