Risk management, Public health matters, risk communication and perspectives on the Sustainable Development Goals(SDGs2030)

Tuesday, 6 December 2016

Video of the week: A thin line: Addressing the challenge of women's healthcare in Africa, Postpartum Haemorrhage (PPH)

Every year 7 million women who survive childbirth suffer serious healthcare consequences, mainly due to anaemia and PPH. Haemorrhage is also the largest cause of maternal death, killing almost 100,000 women each year – even though it is preventable and manageable with the right knowledge, skills and resources.

Told in their own words, this film follows the stories of a number of survivors of PPH in Ghana, highlighting the need and benefit from investing in maternal health, including training and education of health care workers, women themselves – rather than just saving one life, this is making an investment in future generations.





Film by Medical Aid Films, Yann Verbeke, Simon Sticker, with footage from the World Health Organisation (WHO)

Please feel free to post your comments and discuss.

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Monday, 5 December 2016

$22.2 billion humanitarian appeal by the United Nations for 2017

One of the purposes of the United Nations, as stated in its Charter, is "to achieve international co-operation in solving international problems of an economic, social, cultural, or humanitarian character."  The UN first did this in the aftermath of the Second World War on the devastated continent of Europe, which it helped to rebuild. 

The Organization is now relied upon by the international community to coordinate humanitarian relief operations due to natural and man-made disasters in areas beyond the relief capacity of national authorities alone.

The United Nations needs a record $22.2 billion to cover humanitarian relief projects next year, covering the needs of 93 million people in 33 countries, U.N. humanitarian chief Stephen O'Brien said on Monday. 

"This is a reflection of a state of humanitarian need in the world not witnessed since the Second World War," he told a news conference, adding that 80 percent of the needs stemmed from man-made conflicts, such as those in Syria, Iraq, Yemen, Nigeria and South Sudan.

News Credits to http://mobile.reuters.com

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Sunday, 4 December 2016

Citizen participation in developing countries

In the context of developing countries, the situation of the mostly rural, poor, and needy people is particularly acute, since the policy makers and experts may have excluded the people’s voices in their decision-making process.

This post is about power structures in society and how they interact. Specifically it is a guide to seeing who has power when important decisions are being made.

The concepts discussed in the Arnstein (1969) article about 1960's America apply to any hierarchical society but are still mostly unknown, unacknowledged or ignored by many people around the world.

Most distressing is that even people who have the job of representing citizens views seem largely unaware, or even dismissive of these principles. Many planners, architects, politicians, bosses, project leaders and power-holder still dress all variety of manipulations up as 'participation in the process', 'citizen consultation' and other shades of technobabble.

As humanitarians, we need to work to help people understand the difference between 'citizen control' and 'manipulation'. If you are reading this then thank you for your interest in empowering people to take charge of their lives and their surrounding.

 Types of participation and "non-participation"

A typology of eight levels of participation may help in analysis of this confused issue. For illustrative purposes the eight types are arranged in a ladder pattern with each rung corresponding to the extent of citizens' power in deter-mining the end product. (See Figure 1 below)

Figure 1. Eight rungs on the ladder of citizen participation (Arnstein, 1969)

The bottom rungs of the ladder are (1) Manipulation and (2) Therapy. These two rungs describe levels of "non-participation" that have been contrived by some to substitute for genuine participation. Their real objective is not to enable people to participate in planning or conducting programs, but to enable power holders to "educate" or "cure" the participants.

Rungs 3 and 4 progress to levels of "tokenism" that allow the have-nots to hear and to have a voice: (3) Informing and (4) Consultation. When they are proffered by power holders as the total extent of participation, citizens may indeed hear and be heard. But under these conditions they lack the power to insure that their views will be heeded by the powerful. When participation is restricted to these levels, there is no follow-through, no "muscle," hence no assurance of changing the status quo.
Rung (5) Placation is simply a higher level tokenism because the ground rules allow have-nots to advise, but retain for the powerholders the continued right to decide.
Further up the ladder are levels of citizen power with increasing degrees of decision-making clout. Citizens can enter into a (6) Partnership that enables them to negotiate and engage in trade-offs with traditional power holders.

At the topmost rungs, (7) Delegated Power and (8) Citizen Control, have-not citizens obtain the majority of decision-making seats, or full managerial power.
Obviously, the eight-rung ladder is a simplification, but it helps to illustrate the point that so many have missed - that there are significant gradations of citizen participation.

Knowing these gradations makes it possible to cut through the hyperbole to understand the increasingly strident demands for participation from the have-nots as well as the gamut of confusing responses from the powerholders.


One solution to this problem would seem to be based on the progressive involvement of the ‘have-nots’, which implies effective citizen participation and control to achieve self and mutual-help.  Transferring Arnstein’s rungs of the ladder of participation to developing countries is however, an idea that is in theory the cornerstone of democracy in principle, but sadly not the true case, perhaps it is a distant prospect but nonetheless worth aiming for.

Note
For more information on the citizen ladder of participation, please read full article here 
Arnstein, Sherry R. "A Ladder of Citizen Participation," JAIP, Vol. 35, No. 4, July 1969, pp. 216-224.  and here

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