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.

Obesity management: Australian general practitioners' attitudes and practices

Objectives: To document general practitioners’ (GPs) attitudes and practices regarding the prevention and management of overweight and obesity.

Research Methods and Procedures: A cross-sectional survey of a randomly selected sample of 1500 Australian GPs was conducted, of which 752 questionnaires were returned. The measures included views on weight management, definitions of success, views regarding the usefulness of drugs, approaches to and strategies recommended for weight management, and problems and frustrations in managing overweight and obesity.

Results: GPs view weight management as important and feel they have an important role to play. Although they consider themselves to be well prepared to treat overweight patients, they believe that they have limited efficacy in weight management and find it professionally unrewarding. GPs view the assessment of a patient's dietary and physical activity habits and the provision of dietary and physical activity advice as very important. The approaches least likely to be considered important and/or least likely to be practiced were those that would support the patient in achieving and maintaining lifestyle change.

Discussion: There remains considerable opportunity to improve the practice of GPs in their management of overweight and obesity. Although education is fundamental, it is important to acknowledge the constraints of the GPs’ existing working environment.

The Limits of political compromise: debt ceilings and political competition

We study the desirability of limits on the public debt and of political competition in an economy where political parties alternate in office. Due to rent-seeking motives, incumbents have an incentive to set public expenditures above the socially optimal level. Parties cannot commit to future policies, but they can forge a political compromise where each party curbs excessive spending when in office if it expects future governments to do the same. In contrast to the received literature, we find that strict limits on government borrowing can exacerbate political-economy distortions by rendering a political compromise unsustainable. This tends to happen when political competition is limited. Conversely, a tight limit on the public debt fosters a compromise that yields the efficient outcome when political competition is vigorous, saving the economy from immiseration. Our analysis thus suggests a legislative tradeoff between restricting political competition and constraining the ability of governments to issue debt.

The political economy of trade and industrial policy reform in Brazil in the 1990s

Includes bibliography

Reformas del esquema de gestión de la CEPAL: delegación de autoridad y rendición de cuentas = Reform of the ECLAC management scheme: delegation of authority and accountability = Réforme du mécanisme de gestion de la CEPALC: délégation de pouvoirs et justification de l'emploi des fonds

Incluye Bibliografía

Informe de la Reunión de Expertos sobre Capacitación en Materia de Gestión de Proyectos y Sistemas de Recursos Hídricos = Report of the Expert Meeting on Training in the Management of Water Resources Projects and Systems

Presenta la organización y resumen de los debates de la reunión que tuvo como objetivo discutir los resultados de los estudios de casos sobre oferta y demanda de capacitación en materia de gestión de proyectos y sistemas de recursos hídricos en algunos países de la región.

Formal quality assurance systems as a basis for environmentally-sound management practices in the public and private sectors

Includes bibliography

Orientaciones para analizar los procesos de gestión de recursos hídricos en América Latina y el Caribe: basado en experiencias del Perú = Guidelines for the analysis of water resource management procedures in Latin America and the Caribbean, based on Peruvian experiences

Analiza sistematicamente las alternativas existentes para mejorar la gestion de las instituciones vinculadas a los recursos hidricos en America Latina y el Caribe. Incluye la presentacion somera de un metodo secuencial para la evaluacion de los variados procesos de gestion de recursos hidricos, asi como cuadros y anexos con listas reales de problemas y demandas planteados por usuarios y autoridades de aguas.

Strategies for the development and management of high-mountain watersheds and zones in Latin America: a critical analysis

Publicado anteriormente en español con el símbolo LC/G.1533-P