Página 16 dos resultados de 103911 itens digitais encontrados em 0.037 segundos

Narrating the urban in contemporary Budapest.

Szanto, Attila
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2010 Português
Relevância na Pesquisa
26.10558%
This explorative study seeks to contribute to an empirically grounded understanding of urban narratives in contemporary Budapest. It argues in favour of the narrative quality of the urban experience and then reconstructs core aspects that affect it: identification with social collectivities, personal memories, the design of the city, and individuals' sense of being at home in it. The thesis shows how these aspects intertwine and jointly shape urban narratives, and in doing so, it argues against the study of any of these aspects in isolation. The thesis draws on twenty in-depth interviews conducted in 2005 and 2006. Interviewees' narratives not only help identify the above mentioned aspects, but are also appreciated for providing insight into themes that govern their urban experiences in Budapest today. Since the late nineteenth century, Budapest has been subjected to six different economic and political regimes, two World Wars and the 1956 uprising. The city has changed again considerably since the end of state socialism in 1989. From a sociological point of view, these are particularly exciting times: urban changes are likely to challenge habitual ways of relating to the city, and individuals' efforts to re-define their narratives can be expected to reveal a great deal about otherwise less obviously manifest aspects that affect these. After introducing the methods of the empirical study and an overview of the history of Budapest...

Europeanizing from the centre: Core executive institutions and the transposition of the European Community legislation in Poland 1997-2002.

Zubek, Radoslaw Grzegorz
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2005 Português
Relevância na Pesquisa
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This thesis examines the transposition of the European Community legislation in Poland prior to accession. The principal research question is: What were the factors that facilitated and inhibited transposition over time. The key argument is that the Polish government's transposition record was decisively influenced by the configuration of rules that the domestic core executive could use to extend selective incentives and monitoring to ministers and ministerial departments. The thesis starts by showing that the adoption of transposing legislation during pre-accession was likely to have been complicated by significant collective action problems that discouraged ministers and their staff from contributing to the transposition record. It develops an explanatory hypothesis that focuses on selective incentives and monitoring extended by the core executive vis-a-vis line ministries. The central part of the thesis presents original empirical data on cross-temporal changes in both core executive rules and the transposition record. In two concluding chapters the thesis brings together the data on core executive institutions and transposition to show that the institutionalization of stricter core executive constraints vis-a-vis line ministries led to a marked improvement of Poland's transposition record. It further finds that the effect of the core executive variable was influenced by EU incentives and party political constellations. These findings hold interesting implications for the study of Europeanization of public policy in the new and old EU member states and...

Unlawful territorial situations: Reconciling effectiveness, legality and legitimacy in international law.

Milano, Enrico
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2004 Português
Relevância na Pesquisa
26.10558%
While the last few years have seen a strong attention by international lawyers towards alleged breaches of Article 2(4) of the UN Charter, much less attention has been devoted to the effects produced by such interventions upon the victim state. Article 2(4)'s main function is arguably to protect the 'territorial integrity or political independence' of states, and the aims and effects of military interventions often undermine states' territorial sovereignty well after the cessation of the hostilities. The thesis sheds light on the extent to which international law protects states' and peoples' territorial sovereignty by studying the phenomenon of unlawful territorial situations. An unlawful territorial situation can be defined as a territorial occupation established and maintained as a result of a violation of international law, such as in the case of the illegal use of force. The thesis analyses unlawful territorial situations through the lenses of the legal-normative concepts of effectiveness, legality and legitimacy. The concept of effectiveness as a device for transforming effective realities into law was considered one of the fundamental principles of international law during the 19th century and the first part of the 20th century. It deeply influenced the notions of statehood and territorial sovereignty as inherited by contemporary international law. However...

The Russian Army and foreign wars 1859-1871.

Persson, Gudrun
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //1999 Português
Relevância na Pesquisa
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The thesis examines how the Russian army interpreted and what lessons it learned from the wars in Europe between 1859 and 1871 and the American Civil War. This was a time marked by rapid change - political, social, economic and technological. By raising the question of learning from foreign wars the thesis attempts to fill a gap in the historiography of the Russian army. The army was one of the pillars on which the Russian regime built its power, and it was crucial for the survival of the regime both in domestic and foreign affairs. The reactions and thinking of the military at a time of rapid social, political, economic, and technological change, therefore, tell a lot about the regime's ability to adjust, develop, and ultimately survive. Furthermore, the influence of foreign wars on Russian strategic war planning is analysed with the use of the first Russian war plan of 1873 and the proceedings from the strategic conference, chaired by Alexander II, in 1873. The influence of foreign wars on the General Staff officer education is also investigated. The thesis is largely based on extensive research in Russian archives. Special attention is given to the military attaches and, thus, the thesis fills a gap in the historiography of the Russian army. It uncovers the development of the military attache institution with the use of new archival material. The Russian military attache reports from the European Great Powers 1859-71 and the observer reports from the different war scenes are also examined. In addition...

Narratives of ICT exclusion and inclusion: Exploring tensions between policy, gender and network engineer training.

Gillard, Hazel
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2006 Português
Relevância na Pesquisa
26.10558%
This thesis analyses the attempt by the British government and a US corporation, Cisco Systems Inc., to address the low participation of women in ICT fields. It draws from government documentation on women's inclusion and contextualises this policy within a wider analysis of socio-economic exclusion. Three related cultures of inclusion emerge which are linked to improving the nation's access to the new economy, and central to each is the reconfiguration of democratic citizenship for people classified as socially excluded. Incorporating Cisco's and academic perspectives on gender and technology relations, a phenomenological perspective is used to unravel the reality of this present day snapshot of social and ICT exclusion and inclusion, with the Heideggerian concept of 'Gestell' reformulated to include a neo-Marxist framework and a gender analysis. Adopting the methodological approach of narrative and feminist critical theory, the thesis describes three key backgrounds to the related ICT policies and strategies and matches each with the experiences of students and staff engaged in the case study of the Cisco Certified Network Associate, a network engineer training programme. In contrasting these macro and micro accounts, the thesis seeks to explore underlying sites of tension to show how policy and practice are often in opposition to one another. Motivated by the research question of whether ontological security arises from the equity model of inclusion for a subset of the socially excluded...

Transforming urban neighbourhoods: limits of developer-led partnership and benefit-sharing in residential redevelopment, with reference to Seoul and Beijing

Shin, Hyun Bang
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2006 Português
Relevância na Pesquisa
26.10558%
The thesis studies the dynamics of urban residential redevelopment programmes in Seoul and Beijing that have been effectively transforming dilapidated neighbourhoods in recent decades. The policy review shows that neighbourhood renewal programmes saw difficulties in ensuring cost-recovery and replicability in both cities, and that this has led to the formation of residential redevelopment programmes that depend heavily on the participation of real estate developers in spite of social, economic and political differences between the cities of Seoul and Beijing. Based on research data collected from a series of area-based field research visits in Seoul and Beijing between 2002 and 2003, the thesis examines how developer-led partnerships in urban redevelopment take place in different urban settings, what contributions are made by participating actors and how redevelopment benefits are shared among the existing and potential residents in redevelopment neighbourhoods. The main arguments in this thesis are as follows. Firstly, the emergence of profit-making opportunities in dilapidated neighbourhoods forms the basis of developer-led partnership among property-related interests that include the local government, professional developers and property owners. Poor owner-occupiers and tenants in both Seoul and Beijing assume a more passive role. Secondly...

Sacrifice scripts: the role of context in the transmission of counter-cultural religious representations of sacrifice and commitment. Israeli-Jewish culture.

Attia-krieger, Sharon
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2014 Português
Relevância na Pesquisa
26.10558%
This thesis explores transmission of religious representations of sacrifice and commitment within modern Jewish-Israeli culture. The thesis begins with a focus on the domain of religious representations and then explores the empirical plausibility of a context-based approach for studying their transmission patterns using recently emerging perspectives within cognitive science of religion. On that basis, the thesis turns the attention to religious representations that violate shared cultural assumptions (counter-cultural), through a review of the possible differences between these and religious representations that violate innate intuitions ( counterintuitive ). It is argued that without further expanding of the context-based view to include violations of cultural kind, new advances in this approach will not be convincing. A theoretical model of the effect of context on the spread of counter-cultural religious representations is therefore developed through a conceptual integration of aspects of script theory. The socio-cognitive model presented here is based on the potential connection between emerging accounts for cultural transmission and script theory. The first study involves an empirical investigation of media representations of sacrifice and commitment scripts within Jewish - Israeli culture. A second study...

Principles of crisis management revisited: the Bank of England in the 1970s

Gudmundsson, Tryggvi
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em /11/2014 Português
Relevância na Pesquisa
26.10558%
The relationship between central banks and the financial sector has received renewed attention following the global financial crisis that started in 2007. This thesis represents an attempt to shed further light on this relationship by looking at the Bank of England’s relationship with the British financial sector in the 1970s - a decade that saw the return of financial volatility and crises. While the previous literature on this period has focused on explaining the causes and build-up to the increase in volatility and crises, the approach taken in this thesis is more analytical. This is done by looking at the role, implementation and effect of the Bank of England’s crisis management policies. To tackle these issues, I use quantitative methods, such as non-Normal option pricing models and time series econometrics, on the one hand and qualitative data looking at the institutions involved on the other. As such, the thesis benefits from a multitude of primary data sources, including the Bank of England Archives, the National Archives and the archives of the largest financial institutions of the time. The main conclusion of the thesis is that the Bank of England’s attempts to stabilize the financial system at times of turbulence were more costly than has previously been argued in the literature. As such...

Assessing the impact of institutional conditions upon REDD+

Laing, Timothy
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em /04/2014 Português
Relevância na Pesquisa
26.10558%
This thesis investigates the role that institutional conditions have on policy for Reducing Emissions from Deforestation and Forest Degradation (REDD+) by applying a New Institutional Economics perspective and a multimethodological approach. It focuses on three specific institutional conditions: property rights, governance and politics, and applies theoretical and empirical techniques. A single case study of Guyana’s innovative REDD+ programme is used for empirical analysis. The thesis provides contributions to normative and evaluative REDD+ literature, especially with regard to early assessments of the design, impacts and effectiveness of national-level REDD+. It makes subsidiary contributions in the areas of small-scale mining, policy design under political influence and environmental governance. Through analytical modelling the thesis finds that design of REDD+ is significantly altered when placed in a general equilibrium setting, along with when political influence is included. Econometric analysis of a unique data-set from Guyana shows effects from electoral cycles on the holding of property rights relating to the main driver of deforestation, mining, along with the introduction of REDD+. Qualitative analysis of interviews and media sources highlight that governance of REDD+ in Guyana has remained predominantly state-centric...

A psychoanalytic approach to the study of international relations

Bettcher, Douglas
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em /09/1997 Português
Relevância na Pesquisa
26.10558%
This thesis tries to demonstrate that psychoanalytic principles, primarily those developed by Sigmund Freud, can be extrapolated from the individual to the collective level-of-analysis in order to formulate a paradigm of international relations. The first part illustrates that structural concepts of Freudian psychoanalysis provide a model of human psychology by which traditions of international political thinking, both Western and non-Western, can be compared and analysed; it is argued that the 'id-ego-superego' model provides a trans-cultural and trans-historical representation of political philosophy. Similarly, although Freud's writing on political and social themes did not examine the political philosophies of either Western or non-Western traditions in any depth, nor elaborate a theory of international relations, his analyses of political and social affairs, while limited, would seem to have applied his individual models of human psychology to analyse relations between group actors such as states, even though he did not make this explicit. Nonetheless, this thesis extrapolates psychoanalytic principles to the level of state and non-state groupings in order to develop a psychoanalytic theory of international relations based on four main themes: first...

The oil crisis in Ecuador: The search for an external solution, with special reference to the period 1979-1983.

Brogan, Christopher J
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //1990 Português
Relevância na Pesquisa
26.10558%
In a bid to revitalise the country's flagging oil industry, oil policy in Ecuador during the late 1970's was directed towards stimulating foreign investment in exploration and development work. The transition to a democratic civilian government in August 1979 appeared to signal a change in the direction of oil policy, with the Roldos administration seeking to give fresh impetus to the state-led development of the oil industry. Although the need for some degree of foreign collaboration was accepted, the main burden of finding new oil reserves was to be assumed by the state oil company, CEPE. Foreign oil companies were merely to supplement CEPE's own efforts, with their exploration work confined to areas of high cost and high risk. The least risky and least costly areas were reserved for CEPE. State control over the CEPE-Texaco consortium was also to be progressively strengthened, with the state oil company assuming complete operational control from Texaco by 1985. To implement both policy objectives, steps were to be taken to restructure and capitalise the country's previously neglected state oil company. In the event, no steps were taken to restructure and capitalise CEPE and plans to strengthen the company's influence in the operations of the consortium were dropped. By 1983...

Rationality, welfare and liberty: A philosophical reconciliation.

Lester, Jan Clifford
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //1991 Português
Relevância na Pesquisa
26.10558%
This thesis attempts to amorally defend certain conceptions of rationality, welfare and liberty and to reconcile them in the sense of showing that they need not clash in practice. This is motivated by the social scientific work (particularly in economics) that indicates that liberty and welfare are best promoted by the free market. There is a cluster of reasons that this defence is needed: there is no clear account of liberty or what it entails; preference utilitarianism (as a theory of welfare) is often invalidly attacked, or misinterpreted in practice; some economist's conclusions that liberty and welfare do not diverge in the free market are often questioned because based on an instrumental rationality which is thought unrealistic or vacuous; the theories of liberty and welfare in this thesis also need the instrumental rationality assumption. Chapter 1: An Austrian economic interpretation of the instrumental rationality assumption of standard economics (that agents are self-interested utility-maximisers) can be defended as fruitful, compatible with moral values though implying none, and the fundamental tautology that standard economics presupposes. Chapter 2: The preference-utilitarian conception of welfare as achieving what is spontaneously desired (desired without the imposition of force or fraud)...

Moving home: The everyday making of the Chilean middle class.

Ariztia Larrain, Tomas
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2009 Português
Relevância na Pesquisa
26.10558%
This thesis studies how middle-class cultures are assembled in contemporary Chile, by looking at a group of lower-middle-class families who move to new houses in the suburbs, focusing in particular on the role of home and home possessions, place of residence and housing markets in the production of people's social and spatial positions. Class is broadly understood here as a process that happens within people's experience. It is understood, thus, more as an outcome of actors' production than as a pre-existing category. By taking this standpoint, this thesis draws on a rather heterogeneous set of theoretical frameworks for exploring the different set of mediations -places, discourses and materialities- that assemble the ordinary experience of class. The thesis is based on seven months of fieldwork (2005-2006) in Los Pinos, a new real estate development in Santiago, Chile. The fieldwork is a case study and does not claim any generalisation; notwithstanding, the field site was chosen as embodying -in terms of both the place and its inhabitants- what has been recently described as the "emergent" contemporary middle classes, which have emerged with the neoliberal reforms of the last 30 years. Specifically, the research aimed to grasp families' experiences of buying...

Does civil society really democratize global governance? Examining transnational civil society engagement with the World Bank.

Pallas, Christopher L
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2010 Português
Relevância na Pesquisa
26.10558%
Academics and practitioners alike recognize that global governance institutions suffer from a democratic deficit. A large body of literature suggests that civil society can reform global governance, but a countervailing body of work indicates that civil society may actually facilitate new forms of elite domination. This thesis seeks to contribute to this debate by examining the impact of civil society on policymaking at the World Bank. This thesis' core question is: 'Do data about the World Bank support the idea that civil society can democratize global governance.' Using three case studies, the thesis examines how civil society organizations engaging with the Bank interact with one another, set their agendas, and achieve their impacts, and how these organizations engage with local civil society and governments in developing countries. The resulting data are analyzed using a framework for democratic legitimacy derived from the work of Uhlin, Scharpf, and Dingwerth. The case studies reveal civil society is far more atomized than indicated in much of the literature. Strong ideological commitments, coupled with financial incentives, inhibit dialogue between organizations and make it difficult for international organizations to respond to the concerns of grassroots stakeholders. Civil society advocacy increases stakeholder control over the World Bank...

US Foreign Policy to Pakistan, 1947-1960: Re-constructing strategy.

Qureshi, Saqib
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2002 Português
Relevância na Pesquisa
26.10558%
The thesis analyses US policy to Pakistan between 1947 and 1960 by using a theoretical framework beyond the positivist-empiricist nexus that dominates much of International Relations and especially its dominant school, Realism. This nexus considers the world to be self-evident, which requires independent observers to passively pick up. The thesis rejects this epistemological position by demonstrating that reality is interdependent between subject and object, that knowing reality depends on the subject that is analysing as much as the object that is being analysed. The first part of this thesis thus develops a framework to accommodate this interdependence, one based on identity narratives. Identity narratives are accounts of how the self came to be, where it came from, what it is and where it is going. These stories explain how political subjects categorise, attach meaning and ultimately engage reality. Thus, four American identities, with corresponding narratives, are selected: exceptionalism, capitalism, Anglo-Saxon and missionary. Further, a meta-identity in anti-communism is also used. This framework is applied on archival and other material relating to US policy to Pakistan between 1947 and 1960. The thesis demonstrates Washington's exclusive deployment of its anti-communist narrative to understand Pakistan since America could only categorise and attach meaning to Pakistan in the context of communist issues and could not fit into any other American identity narrative. Initially in 1947...

The institutionalisation of the European defence equipment market

Muravska, Julia
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: text
Publicado em /10/2014 Português
Relevância na Pesquisa
26.10558%
This thesis examines the emergence of EU-level rules in defence industrial matters within the context of European integration and inter-state cooperation more generally. This is a remarkable development, as the defence industrial policy area has been viewed as a core of nation state sovereignty and appeared impervious to injections of “more Europe.” At the centre of this nascent policy regime is the increasingly institutionalised European Defence Equipment Market (EDEM). The first and most significant elements of EDEM to date have been the 2009 Defence Procurement Directive issued by the European Commission and the voluntary Code of Conduct on Defence Procurement launched by the European Defence Agency (EDA) in 2006. These sets of rules have materialised despite EU member states’ resistance to meaningful constraints of national autonomy in defence procurement, and a distaste for the involvement of the European Commission in particular. An analytical puzzle thus emerges: why have member states acquiesced to binding regulation in the shape of the Directive, having already enacted a soft cooperation mechanism represented by the Code? The thesis answers this question by pursuing three lines of inquiry, which correspond to three hypotheses and specify clear pathways whereby external adaptation pressures...

Global change and local economic restructuring: the case of Mexico City

Jiménez Godínez, Miguel Ángel
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: text
Publicado em //2015 Português
Relevância na Pesquisa
26.10558%
This thesis is about economic transformation in Mexico City between 1980 and 2000. It explores the extent to which Mexico City’s economic restructuring process has been caused by trade liberalisation. The thesis assesses the extent to which industries located in Mexico City reacted to a reorientation in production focus, characterised by the shift from national to international markets. It analyses in detail the pace and geography of neo-liberal economic change, and its effects upon a specific location. It also evaluates the role played by global economic agents in gauging the forces influencing economic restructuring in Mexico, and particularly in Mexico City. At the core of this restructuring process is the change in regional industrial location patterns in Mexico, as well as the decline of manufacturing – with regard to production and employment – in Mexico City and its rise as a service centre. The thesis therefore engages with current debates on new economic geography on the one hand and globalisation on the other, focusing attention on the possible emergence of a group of “global” urban centres embedded in a broader network of cities in developed and developing countries alike, which connect global production circuits and coordinate global/regional markets. More concretely...

Post mortem: death-related media rituals

Morse, Tal
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: text
Publicado em /12/2014 Português
Relevância na Pesquisa
26.10558%
The purpose of this thesis is to study whether and how death-related media rituals construct and reconstruct a global cosmopolitan community. The performance of the media at the occurrence of mass death events, may cultivate expressions of grief aimed at reinforcing a certain understanding of the social order. These rituals facilitate a sense of unity and solidarity between members of an imagined community. What kind of community does the enactment of death-related media rituals construct? What is the sense of solidarity they foster? By focusing on the performance of transnational media organisations following mass death events, the thesis studies the ways in which these ritualistic performances function as a social mechanism that informs the audience of the boundaries of care and belonging to an imagined community. Drawing on theories from sociology, media anthropology and moral philosophy, the thesis develops the analytics of mediatised grievability as an analytical tool. It aims to capture the ways in which news about death construct grievable death, and articulate the relational ties between spectators and sufferers. The thesis puts the analytics of mediatised grievability in play and employs it in a comparative manner to study and analyse the coverage of three different case studies by two transnational news networks. This comparative research design captures the complexity of the mediatisation of death in terms of geopolitics...

An everyday public? Placing public libraries in London and Berlin

Robinson, Katherine
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: text
Publicado em /09/2014 Português
Relevância na Pesquisa
26.10558%
This thesis is a study of three public libraries, two in the Berlin district of Wedding, and one in Thornton Heath, south London. In these neighbourhoods with high levels of ethnic diversity, poverty and transience, the libraries offer a ‘window’ onto their localities, spaces in which local concerns, ideas and practices of contemporary multicultural urban life are played out. Through ethnographic fieldwork in two European cities, this thesis reflects on the particularity of the library as a local institution, and the ways in which larger political concerns emerge in these institutions. In interviews with library staff and in participatory work with library users, I trace how forms of social need and competency, questions of social difference and social justice, and pervasive concerns with demonstrations of value are spoken and unspoken in each site. In considering institutional narratives from library staff alongside the voices of library users, multiple interests and needs are made audible, and the library emerges as a space where expectations and priorities must be negotiated on a daily basis. The thesis explores the library as offering forms of public life and visibility to groups for whom ‘publicness’ is not a given: young children...

An analysis of health service delivery performance in Rwanda

Lannes, Laurence
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: text
Publicado em /05/2015 Português
Relevância na Pesquisa
26.10558%
Health systems worldwide fail to produce optimal health outcomes, and successive reforms have sought to make them more efficient, more equitable and more responsive. The overarching objective of this thesis is to explore how to motivate healthcare providers in improving performance in service delivery in low income countries. The thesis explores whether financial incentives for healthcare providers raise productivity and how they may affect equity in utilization of healthcare services and responsiveness to patients’ needs. The thesis argues that, as performance-based financing (PBF) focuses on supply side barriers, it may lead to efficiency gains rather than equity improvements. It uses data from a randomized controlled impact evaluation in Rwanda to generate robust evidence on performance-based financing and address a gap in the knowledge on its unintended consequences. Statistical methods are used to analyze four aspects: the impact on health workforce productivity; the impact on health workforce responsiveness; the impact on equity in utilization of basic health services; and, the impact on spatial disparities in the utilization of health services. Findings indicate that performancebased financing has a positive impact on efficiency: it raises health workforce productivity through higher workload and lower absenteeism; and...