Public health or public menace? The Rockefeller Foundation and public health in Mexico, 1920–1950

This article explores how the Rockefeller Foundation's hookworm campaigns, sponsorship of local sanitary units and involvement in public health education in Mexico shaped the conceptualisation and practice of public health during the decades following the Mexican Revolution. A 1923 hookworm agreement set the terms of the relationship, minimising the Foundation's financial commitment while maximising its administrative control. In establishing rural health units, the Foundation adapted to local conditions without compromising scientific public health by ingeniously incorporating midwives while shunning other traditional healers. When President Lázaro Cárdenas's socialist politics threatened the Rockefeller model of public health in the 1930s, delicate tactics enabled the Foundation to overcome these challenges. For the Mexican government, the overriding goals of modernisation and progress required an acceptance of Rockefeller pressure and scientific expertise. The special status granted the Rockefeller foundation, its political, administrative, educational and financial strategies, and its institutional flexibility enabled it to influence profoundly the development of the Mexican public health system.     

The UK National Health Service's migration infrastructure in times of Brexit and COVID-19: Disjunctures,continuities and innovations

The COVID-19 pandemic and Brexit were separate yet inter-related developments which affected the British National Health Service (NHS). The UK's state-funded health sector had historically relied on migrant labour and depended on a migration infrastructure designed to solve its nursing labour shortages. The analysis of primary qualitative and secondary quantitative data shows that the NHS migration infrastructure increased its orientation towards Asia to compensate for the effects of Brexit. The paper reveals how the persistent use of temporary visas along with conditional contractual arrangements has led to various exclusions for migrant nurses and midwives. These data also demonstrate how international travel restrictions associated with COVID-19 created temporary obstacles for nurses' inflows. Alongside Brexit, this has also resulted in an increase in outflows amongst EU health workers. The article identifies the development of migrant support infrastructure amongst Filipino and Indian nurses as a major COVID-19 linked innovation.     

Hiding and seeking: Children's lived experiences during COVID-19

A qualitative study explored the perspectives and lived experiences of school-age children during COVID-19 using a child rights lens. Twenty children between the ages of 7 and 12 participated in open-ended, virtual interviews. Our hermeneutic analysis found children's right to play and education were severely compromised leaving children to navigate between two worlds: the adult world of public health restrictions and that of their childhood. Despite challenges and lost childhood opportunities, children emerged as competent social agents and responsible citizens. Planning for future pandemics should include policies and practices that balance public health needs with the protection of children's rights.     

Knowledge,boundaries, and bodies: Social construction between medical sociology and science and technology studies

Medical sociology and science and technology studies (STS) emerged from different positions, but often closely related concerns, within the broad discipline of sociology. Their interface and areas of overlap have mostly been shaped by theoretical positions broadly considered “social constructionist.” Taken together, these perspectives provide empirical and theoretical tools to analyze important questions about how social inequalities, forms of scientific knowledge, and patterns of human health come to be produced and feedback into one another. Examining their intersection enables sociological questions such as: How is medical and public health scientific knowledge produced, stabilized, and taken as fact? How are scientific facts about health and illness used, experienced, and challenged? What is the relationship between health inequalities and public health or medical knowledge? This article seeks to briefly trace the important contributions that social constructionist research has made at the interstices of medical sociology and STS, further clarifying the history, points of intersection, and areas of diversion between them. The current COVID-19 pandemic has unveiled the political struggles that constitute public health scientific knowledge and circulation. The interface between STS and medical sociology can help us to make sense of the interrelationships between politics, power inequalities, and public health scientific knowledge.     

Street art in non-capital urban centres: between exploiting commercial appeal and expressing social concerns

ABSTRACT

How do local cultural agents in particular places adopt new policies towards street art as having commercial and political value? The present article takes up this question through a discussion of street art festivals and their role within urban culture and cultural policies in two large Russian cities. It considers the activities of cultural intermediaries promoting street art vis-à-vis the existing constellation of over-centralized politics, creative industries, urban development and precarious labour. Drawing on fieldwork in these cities and conducting critical sociological analysis of the street art curating, I show how the appropriation of street art by cultural intermediaries is subtly changing its ecology and values and argue that this change contributes to the range of ambivalences of neoliberal cultural politics. The article also sheds light on cultural policy and practice in Russia at a juncture characterised by the impact of globalization, on the one hand, and the country's isolationist and conservative politics, on the other.     

South‐South civil society partnerships: renewed ties of political contention and policy building

This article sheds light on the new sites of contestation of global capitalism and international geopolitics created by transnational ties between Brazilian and Mozambican social movements. With a special focus on the rural sector and land issues, the article examines how the internationalization of Brazil's public policies and companies set the context and opened opportunity to the rise of South‐South advocacy networks and the setting up of renewed spaces of political dialogue. Building on the politics of mobilization, it identifies two major coalitions reflecting Brazil's domestic struggles and analyzes their different mobilization strategies and objectives influencing political outcomes.     

Filling a critical gap: measuring work policies that affect families globally

Work is a central element in most people's lives, and its adequacy and value cannot be measured by simple figures showing how many people have gained or lost jobs. Current measures of decent work are more comprehensive in terms of what matters to individuals, but deficient in their coverage of work policies that matter to families. In this article, we argue the importance and feasibility of measuring policies and laws that shape work quality, and in particular those that shape how work affects families on a global basis. We make the case that this policy area is especially critical under changing social conditions, and propose a manageable and feasible set of indicators permitting an assessment of the extent to which national labor policies facilitate the ability of working adults to meet the requirements of their jobs as well as the needs of their families. Methods are described and findings mapped for all UN countries in key areas including maternal leave, paternal leave, leave to care for children's health, leave to care for adult family members, and leave to meet other family needs.     

Is Public Space Suited to Co-operative Inquiry?

This article questions the nature of the philosophical commitment to the problem of 'the public' in modernity. To what extent does the natural form of the public determine the use and value of the instruments of pragmatism in the public-private divide. In this interpretation, John Dewey's ideas about 'the public' are presented in terms of how to solve a specific problem through what he sees as 'co-operative inquiry'. The article also examines the role of public space in the process of democratization through the potential of co-operative inquiry. More often than not, it appears that the politics of public space may be both detrimental and/or beneficial to its end-users in China, Europe, the Americas, Africa, and the rest of Asia.     

Essential yet excluded: COVID-19 and the decent work deficit among domestic workers in Brazil

This article presents data from a survey conducted with the National Federation of Domestic Workers of Brazil on the impact of the COVID-19 pandemic on domestic workers, also considering emergency policies and the Federation's main actions in the first year of the crisis. Focusing on employment and income, occupational health and safety, and violations of rights, it shows the extreme polarization between those who lost their livelihoods and those obliged to continue working at the expense of their health and basic human rights. Although the circumstances were exceptional, the authors argue that this situation was made possible by pre-existing conditions of legal exclusion and precarity.     

Setting the Agenda

Abstract

Foreign funding for women's non-governmental organizations (NGOs) during democratic transition plays a crucial role in shaping values and attitudes within civil society. Concepts of feminism, gender equality and the role of women in democratic politics are affected by the discourse established by foreign funders. In this article, the role of US and Nordic gender policies are examined in the Estonian context using a feminist constructivist framework. I explore the effects of neoliberal versus social-democratic gender policies and conclude that, while funding for women's NGOs serves to create a necessary discourse on women's equality, these policies may actually serve the funders' needs to gain geopolitical influence in the region.     

Multilevel network interventions: Goals,actions, and outcomes

COVID-19 has resulted in dramatic and widespread social network interventions across the globe, with public health measures such as distancing and isolation key epidemiological responses to minimize transmission. Because these measures affect social interactions between people, the networked structure of daily lives is changed. Such largescale changes to social structures, present simultaneously across many different societies and touching many different people, give renewed significance to the conceptualization of social network interventions. As social network researchers, we need a framework for understanding and describing network interventions consistent with the COVID-19 experience, one that builds on past work but able to cast interventions across a broad societal framework. In this theoretical paper, we extend the conceptualization of social network interventions in these directions. We follow Valente (2012) with a tripartite categorization of interventions but add a multilevel dimension to capture hierarchical aspects that are a key feature of any society and implicit in any network. This multilevel dimension distinguishes goals, actions, and outcomes at different levels, from individuals to the whole of the society. We illustrate this extended taxonomy with a range of COVID-19 public health measures of different types and at multiple levels, and then show how past network intervention research in other domains can also be framed in this way. We discuss what counts as an effective network, an effective intervention, plausible causality, and careful selection and evaluation, as central to a full theory of network interventions.     

The Cultural Politics of Childhood: Public Policies in Post‐authoritarian Chile

This article offers an interpretation of the cultural politics of childhood during the second decade of post‐authoritarian democracy in Chile (2001–2010), as sustained by the discourse of public policies in this area. I understand cultural politics as the combination of cultural contexts, social practices and political processes through which childhood is constructed in different societies and different times James and James (2008b). I develop a ‘textual’ analysis focusing on the discourse of the most recent official governmental policy document on childhood, which is still in force, as well as a ‘contextual’ analysis that examines the historical relationship between the state, public policies and childhood in different periods of Chile's history as a republic.     

The Class Politics of Alternative Food: Informing Public Health Policy and Remedying Health Inequality

The past decade has witnessed an interesting coupling between alternative ways to produce and consume food (farmers' markets, Consumer Supported Agriculture (CSA) shares, and urban gardens to name a few) and individual health‐seeking. While much of this activity rests on an ideological rhetoric of individual choice and “lifestyleism” strongly correlated with social class, there have also been a host of very different government and policy efforts aimed at improving poor food environments and the vulnerable populations that inhabit them in the name of public health. Efforts such as zoning against fast food franchises, placing stipulations on what benefit programs like Supplemental Nutrition Assistance Program (SNAP) can be used for, and taxing foods deemed unhealthy are sparking public debate because they cut to the heart of many American socio‐political debates: the tension between individual liberties and government intervention. Based on existing scholarship of alternative food, health, and bodies, and the author's insights gleaned from ethnographic research, this article sheds light on the potential ineffectiveness of such public health efforts despite positive – and often times class‐conscious – intentions. Such an acknowledgement raises critical questions about who benefits and who misses out in alternative food projects. While this article situates these questions squarely in the American context, it also highlights the need for other situated studies that emphasize other countries' particular political, cultural, and economic contexts that shape contemporary food systems, and their accompanying moral politics.     

The Coalition,austerity and mental health

In the United Kingdom, the Coalition government’s recent commitment to improving mental health provision masks the extent that their policies of austerity have already brought harm to those same services. Government-driven policies have led to significantly reduced funding within mental health, increasing pressure on a system that was already chronically under-resourced. Further, people who are experiencing mental distress, and mental health service users, have been especially vulnerable to the harms of the current austerity programme, including being at the sharp end of the assault on public services and welfare spending. This piece discusses the impact of austerity, exploring the effects of government policies and with a critical perspective of the dominant discourses around mental health. It argues that by exacerbating social inequality, government policies are also directly leading to worsening mental health in the United Kingdom.     

The Malawi 1964 cabinet crisis and its legacy of ‘perpetual regression of trust’ amongst contemporary Malawian politicians

Malawi's cabinet crisis was one of the most critical incidents in Malawi's political history. The crisis emanated from a disagreement between the Prime Minister and his six cabinet ministers over domestic, as well as foreign policies. The end result was that the six cabinet ministers resigned or were fired from government. While this article acknowledges that the link between the cabinet crisis and Dr Banda's leadership style during the one party era is undisputed, it argues that a further link between the crisis and contemporary Malawian politics has remained unexplored. The central argument of this article is that the cabinet crisis did not only determine the nature of political relations during the Banda era, but also that of contemporary Malawian politics in what may be identified as the legacy of ‘perpetual regression of trust’ among politicians.     

Neoliberal resource governance and counter-hegemonic social movement in Bangladesh

Bangladesh’s energy sector institutionalized neoliberal policies in the early 1990s after a decade long implementation of structural adjustment policies suggested by the World Bank. These policies strengthened the role of foreign private capital and reduced the role of public enterprises. In spite of the country’s success in exploring and developing petroleum resources, the World Bank pushed for policy reforms to reduce the role of state-owned companies. Bangladesh signed several production sharing contracts with multinational energy corporations during 1993–1998. This resulted in the development of a counter-hegemonic social movement, the National Committee. Its activists made the energy sector the most contested national policy domain. Its direct action programs and other mobilization tactics transformed Bangladesh’s public sphere vis-à-vis energy politics. The National Committee caused the government to reverse its decision in some cases, but is far from achieving its main goal: increasing the capability of national institutions to maintain full ownership in natural resource management. Notwithstanding this limitation, the National Committee is a fascinating case of a counter-movement in the Global South contesting neoliberal resource appropriation.     

Infant regulation during the pandemic: Associations with maternal response to the COVID-19 pandemic,well-being,and socio-emotional investment

In the transition to parenthood, the COVID-19 pandemic poses an additional strain on parental well-being. Confirmed infections or having to quarantine, as well as public health measures negatively affect parents and infants. Contrary to previous studies mainly focusing on the well-being of school-aged children and their parents during lockdown periods, the present study investigated how mothers of infants respond to the COVID-19 pandemic and whether this is related to maternal well-being, maternal socio-emotional investment, and infant regulation. Between April and June 2021, 206 mothers of infants (M_age = 7.14 months, SD_age = 3.75 months) reported on COVID-19 infections, their response to the COVID-19 pandemic, their well-being, socio-emotional investment, and their infant’s regulation. Exploratory factor analyses yielded five dimensions of maternal response to the COVID-19 pandemic: social distancing, worrying about the child, birth anxiety, distancing from the child, and information on COVID-19-related parenting behavior and support. These dimensions were related to mother-reported infant regulatory problems. Path analyses revealed paths via reduced maternal well-being and maternal socio-emotional investment. Maternal perceptions of infant regulatory problems are related to how the mothers respond to the COVID-19 pandemic. Better information about COVID-19-related parenting behavior and support might buffer against these effects.     

COVID-19, (im)mobilities and blockages: Re-thinking mobilities of migrant women in Northern Ireland

This article deals with the recent COVID-19 pandemic and how it has affected mobilities in Northern Ireland. Drawing on the findings of in-depth interviews with migrant women and elements of autoethnographic research, the author discusses how migrant women reshape their mobilities in the context of global pandemic. The article looks into how COVID-19 has reinforced the existing mobility regimes and how waiting has become an important part of migrant women strategies. To this end, it examines waiting as both passive and active condition. It then explores politics of mobility and transgressive powers involved in migrant women trajectories.     

From “nobody's clapping for us” to “bad moms”: COVID-19 and the circle of childcare in Canada

The COVID-19 pandemic has highlighted the importance of childcare to national economies in general and women's economic participation in particular, spurring renewed interest in childcare policy in many countries that have implemented lockdowns. This paper adopts a circle of care framework to analyzes how COVID-19 has affected paid childcare, unpaid childcare and other paid work, and the relationship between these sectors. Analysis is grounded in the lived experiences of parents and childcare educators, documented through 16 semi-structured interviews during the initial lockdown (March–June 2020) in British Columbia, Canada. Experiences from educators suggest their safety was not prioritized, and that their contributions were undervalued and went unrecognized. Mothers, who provided the majority of unpaid care, not only lost income due to care demands, but struggled to access necessities, with some reporting increased personal insecurity. Those attempting to work from home also experienced feelings of guilt and distress as they tried to manage the triple burden. Similarities of experiences across the circle of care suggest the COVID-19 childcare policy response in BC Canada downloaded care responsibilities on to women without corresponding recognition or support, causing women to absorb the costs of care work, with potential long-term negative effects on women's careers and well-being, as well as on the resilience of the circle of care. Pandemic recovery and preparedness policies that aim to promote gender equality must consider all sectors of the circle of care and the relationships between them.     

Incomplete Role Exit and the Alimony Reform Movement

This analysis explores men's role exit process from being married to divorced in the context of the alimony reform movement in the United States. Those considering potential role exit may face governmental policies that either support or oppose them in making these personal changes. In this case, mostly men want to leave their husband roles behind but legally imposed alimony, in their view, unfairly binds them to their former spouses. This analysis uses 182 narratives to map out how major collective action frames—based upon the highly valued, masculine concept of autonomy—are generated in this social movement. Overall, this research demonstrates the importance of both considering the operation of governmental policies in producing successful or incomplete role exit for individuals, and how these same individuals can respond using collective action frames drawn from privileged notions of masculinity as they aim for significant life change.