The political economy of markets and development: a case study of health care consumption in the State of Kerala, India

Marketing theory has largely ignored the issue of power in influencing exchanges. Most of the studies either disregard the role of power, or resource power is the only dimension taken into account. In this study, we expand the existing understanding by centrally situating the role of socio-political power in the consumption process. We examine the health care system in the Indian state of Kerala and highlight that socio-political power is a crucial determinant of consumption levels. In the process, we argue that in a resource—constrained Third World society socio-political empowerment is critical to the development process.

The green economy agenda: business as usual or transformational discourse?

This analysis of the emergence since 2008 of the green economy agenda and the related idea of ‘green growth’ focusses upon the articulation of these discourses within key international economic and environmental institutions and evaluates whether this implies the beginning of an institutional transformation towards an ecologically sustainable world economy. The green economy may have the capacity to help animate a transition away from current socially and ecologically unsustainable patterns of economic growth only if notions of green growth can be discursively separated from green economy, strong articulations of green economy become dominant, and alternative measures of progress to gross domestic product are widely adopted. The concept of ‘rearticulation’, found in post-structural discourse theory, is proposed to guide this transition. This offers a framework to reconstruct notions of prosperity, progress, and security whilst avoiding direct and disempowering discursive conflict with currently hegemonic pro-growth discourses.

Lacanian psychoanalysis and critical theory

This piece gives an introduction to Lacanian psychoanalytic theory, and its adaptation by figures led by Jameson and Zizek for cultural and political criticism.

Applying systems theory to the evaluation of a whole school approach to violence prevention

Issue addressed: Our Watch led a complex 12-month evaluation of a whole school approach to Respectful Relationships Education (RRE) implemented in 19 schools. RRE is an emerging field aimed at preventing gender-based violence. This paper will illustrate how from an implementation science perspective, the evaluation was a critical element in the change process at both a school and policy level. Methods: Using several conceptual approaches from systems science, the evaluation sought to examine how the multiple systems layers – student, teacher, school, community and government – interacted and influenced each other. A distinguishing feature of the evaluation included ‘feedback loops’; that is, evaluation data was provided to participants as it became available. Evaluation tools included a combination of standardised surveys (with pre- and post-intervention data provided to schools via individualised reports), reflection tools, regular reflection interviews and summative focus groups. Results: Data was shared during implementation with project staff, department staff and schools to support continuous improvement at these multiple systems levels. In complex settings, implementation can vary according to context; and the impact of evaluation processes, tools and findings differed across the schools. Interviews and focus groups conducted at the end of the project illustrated which of these methods were instrumental in motivating change and engaging stakeholders at both a school and departmental level and why. Conclusion: The evaluation methods were a critical component of the pilot’s approach, helping to shape implementation through data feedback loops and reflective practice for ongoing, responsive and continuous improvement. Future health promotion research on complex interventions needs to examine how the evaluation itself is influencing implementation. So what? The pilot has demonstrated that the evaluation, including feedback loops to inform project activity, were an asset to implementation. This has implications for other health promotion activities, where evaluation tools could be utilised to enhance, rather than simply measure, an intervention. The findings are relevant to a range of health promotion research activities because they demonstrate the importance of meta-evaluation techniques that seek to understand how the evaluation itself was influencing implementation and outcomes.