The role of the voluntary,community and social enterprise sector in Early Help: Critical reflections from embedded social care research

The independent review of children's social care (2022) has proposed a radical reset of England's children's services, shifting a remote, assessment heavy system towards one that works alongside communities to help prevent statutory interventions. However, notions around the harnessing of community resources to deliver Early Help are often underpinned by assumptions regarding the voluntary, community and social enterprise (VCSE) sector and the ease with which such organizations can be integrated into preventative strategies. This paper reports findings from embedded research within a unitary authority in Southwest England during remodelling of its Early Help service to work more collaboratively with local VCSE organizations. The study generated data from ethnographic observations, semi-structured interviews and focus groups with 95 participants, including local parents, service providers, VCSE organizations and Council leaders. The findings illustrate that families value the compassionate, responsive and flexible support available within many VCSE settings. However, differences in practice cultures, regulatory pressures on statutory providers, the need to (re)build trust in communities and sensitivities around power-sharing and resourcing meant negotiating VCSE sector integration was fraught with complexities. Few studies have gained such privileged access to a Local Authority's remodelling of Early Help services, and this paper has significant insights for the debates surrounding the independent review of children's social care (2022) and its recommendation to bring services ‘closer to communities’.     

Breaking the Perverse Health-debt Cycle in Sri Lanka: Policy Options

This paper proposes a finite mixture model to examine how health adversities influence indebtedness of Sri Lankan households. After accounting for unobserved heterogeneity, our empirical analysis reveals that households headed by ill-health members and those with hospitalization are inevitably more vulnerable to indebtedness. The ill-health status of other working-age members also creates milder effects on household indebtedness. We confirm that the health-debt cycle is more severe for urban households, compared to their rural counterparts. The study is testimony to re-emphasizing the role of government in providing much-needed financial protection to vulnerable households and implementing differentiated-policy packages for urban and rural sectors in order to effectively break the health-debt cycle.     

Extending pension and savings scheme coverage to the informal sector: Kenya's Mbao Pension Plan

The Mbao Pension Plan is a voluntary individual account savings plan to which all workers in Kenya may contribute without regard to income or age. It is designed to provide a programme that is suitable for the unique nature of the informal sector and to encourage a savings culture for those workers. The key innovation is that low‐income workers can easily make small contributions at relatively low cost, considering the small contributions and small account balances. Participants can conveniently make contributions anytime and anywhere using their cell phones. This savings innovation is made possible by technological innovations that have reduced the costs of cell phones and airtime, and by the entrepreneurial innovation of mobile money. The plan is provided through private‐sector businesses.     

Can a Sector‐Wide Approach Underpin and Advance Universal Health Coverage?

Fragmented management approach makes the provision of comprehensive health care for achieving universal health coverage very unlikely. This article aims to explore the potential contribution of a systemic approach—the sector‐wide approach (SWAp)—to achieving universal health coverage (UHC), using the Mongolian context as an example. The paper describes UHC and factors that hinder its achievement in developing countries, based on the Mongolian experience. The analysis focuses on the root factors hindering the achievement of UHC and examines how these affect system and local capacity critical for achieving UHC. Two principally different approaches, a sector‐wide (holistic) approach and a standalone project (fragmented) approach are compared in terms of their contribution to the main indicators of achieving UHC. The current stage of the Mongolian health SWAp is identified and early rewards of a SWAp are presented. The paper proposes a SWAp as a potential approach to tackle these root factors to help in achieving UHC, because it is a promising instrument that promotes a systems‐strengthening and capacity‐building approach to enable effective coordination of standalone projects in alignment with the national priorities.     

Civil Organizations in Mexico: Recent Evolution and Prospects

This paper begins by identifying how, as a result of the confluence of a number of factors, civil organizations (COs) in Mexico have shown an exponential development in the past 15 years. However, it is argued that COs are suffering a fiscal crisis and, in some sense, an economic one, provoked by the political reaction of the government toward this growth. At the same time, there is no crisis of legitimacy; their increasing levels of social support suggests a trend in the reverse direction. However, the legitimacy attributable by the population to nonprofits seems to be due to the novelty of this sociopolitical actor in the context of a disappointment with more traditional ones including government and political parties—as opposed to an endorsement of their proven capacity or efficiency in solving the problems of development. To take advantage of what seems to be a golden opportunity for its positive development, in addition to changing the unfavorable economic environment, it is argued that the sector has to face the challenge of thinking in its long-term interest and making sure that it is positioned to act as capably efficient.     

South Africa: Anti-Apartheid NGOs in Transition

Under apartheid, there were an ever-increasing number of nongovernmental organizations (NGOs) concerned about challenging the South African state and furthering a nonracial democratic society. In the 1990s, with the transition to an African National Congress-led democratic government, these organizations underwent profound changes. This article describes the key dynamics of this process, outlines the challenges currently confronting the new NGO sector, and concludes that the prospects for progressive NGO work in dealing with the poor and marginalized are constrained by the prevailing neoliberal economic climate.     

Trade and jobs in Europe: The role of mode 5 service exports

Over the past two decades, EU employment supported by extra‐EU exports of goods and services has increased markedly, with a shift towards jobs supported by services exported as part of manufactured goods. The authors seek further insight into this trend through the full decomposition of trade flows using a multi‐regional input–output model and the World Input–Output Database for 40 countries and 35 industries over the period 1995–2011. Their findings call for reflection by policy‐makers regarding the four traditional modes of service supply under the General Agreement on Trade in Services with a view to adequately capturing this new reality in global trade.     

How was a national moving and handling people guideline intended to work? The underlying programme theory

In healthcare, moving and handling people (MHP) often cause musculoskeletal disorders. To prevent musculoskeletal disorders due to MHP, many national evidence-based guidelines have been developed. However, little is known about how these guidelines were intended to work, i.e. their ‘programme theory’, how implementation by intended users is influenced by contextual factors and mechanisms to produce outcomes. This paper identifies the programme theory of a national MHP guideline (MHPG) using thematic analysis of the MHPG document, three organisational planning documents, and interviews with MHPG developers. The analysis identified the intended users of the MHPG as health and safety managers and MHP coordinators. The programme theory comprised contextual factors, potentially hindering (e.g. budget constraints) or facilitating (e.g. changing demographics) implementation, being influenced by mechanisms mainly based on ethical (quality of care, evidence-based practices), and economic reasoning (reducing cost of MHP, return on investment) to reduce injuries caused by MHP – the intended outcome.     

Valores humanos en trabajadores de bajo nivel educativo en Natal (Brasil)

Resumen

Las investigaciones sobre valores humanos se han incrementado bajo la influencia de la teoría de los tipos motivacionales que abarca una tipología de valores y una estructura dinámica. En dicha perspectiva, se han desarrollado cuestionarios para la medición de los distintos tipos de valores, siendo uno de ellos el Portrait Values Questionnaire (PVQ). En Brasil existe la necesidad de contar con instrumentos de investigación útiles para segmentos de la población de bajo nivel educativo. En la presente investigación se aplicó el referido cuestionario a 474 trabajadores de sectores económicos en los que predomina un nivel educativo bajo. Para analizar las respuestas se aplicaron el análisis factorial (AF) y el smallest space analysis (SSA). A partir de los resultados del AF se identificó una estructura con cuatro factores—Pacifismo-hedónico, Poder, Religiosidad y Conformidad—mientras que gracias al SSA se identificaron siete tipos de valores: Poder-logro, Poder-estimulación, Autodirección, Hedonismo Religioso, Universalismo, Benevolencia y Conformidad. Los resultados revelaron que, entre las personas de bajo nivel formativo, las diferencias entre tipos de valores pierden en exactitud pero presentan nuevos sentidos.     

Formalization of Urban Poor Vendors and their Contribution to Tourism Development in Manila,Philippines

The growth of tourism and tourism development affects the urban poor both positively and negatively. Positively, they have more opportunities to find jobs in the tourism sector or increase their income when their jobs are related to tourism. They can also be the beneficiaries of pro-poor tourism projects. Negatively, they are viewed as an obstacle to tourism development where clean and modern images are sought. This study looks at park vendors (a type of urban poor) in Rizal Park, Manila, Philippines. This group is unique because it is not treated as a hindrance to tourism development and the vendors are considered as the beneficiaries of pro-poor tourism projects. They are active contributors to tourism development. When a government agency formalized their businesses, vendors' safety and pride increased. This study provides a case in which a shift from the informal sector to the formal sector contributed to the increased welfare of the urban poor. The shift was possible because of a national tourism drive generating favorable conditions, and the vendors' struggle to obtain the right to work in the park. In this paper, I discuss how the vendors achieved a legal status and show current conditions of their work and their relationship with a government agency after obtaining the right. Data for this study were collected between 2005 and 2008.