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1.
Ambio ; 52(12): 1968-1980, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37440111

RESUMO

Policymakers and scientists regard emerging circular initiatives as levers for transformations towards more sustainable food systems. However, it remains unclear how to determine the extent to which circular initiatives have transformative potential. That is, can these initiatives foster a transformation as a result of how they currently bring circularity into practice? In the transformation literature, the characteristics of transformative initiatives are conceptualised in a generic and abstract way. To address this gap, we develop a heuristic of five characteristics for potentially transformative circular agriculture initiatives, which we illustrate with examples of existing initiatives. The heuristic builds on the 'small wins' and circular agriculture literature. Initiatives that hold transformative potential contribute to circular agriculture principles with outcomes that are concrete, in-depth and both technological and social in nature. Additionally, these initiatives faced barriers and overcame them. The heuristic enables policymakers, who call for circular solutions, to identify truly transformative circular initiatives.


Assuntos
Agricultura , Tecnologia
2.
Int J Health Policy Manag ; 11(12): 2895-2906, 2022 12 19.
Artigo em Inglês | MEDLINE | ID: mdl-35490257

RESUMO

BACKGROUND: Integrating nutrition actions into service delivery in different policy sectors is an increasing concern. Nutrition literature recognizes the discrepancies existing between policies as adopted and actual service delivery. This study applies a street-level bureaucracy (SLB) perspective to understand frontline workers' practices that enact or impede nutrition integration in services and the conditions galvanizing them. METHODS: This qualitative exploratory study assesses the contextual conditions and practices of 45 frontline workers employed by the agriculture, health and community development departments in two Ugandan districts. RESULTS: Frontline workers incur different demands and resources arising at societal, organizational, and individual level. Hence, they adopt nine co-existing practices that ultimately shape nutrition service delivery. Nutrition integration is accomplished through: (1) ritualizing task performance; (2) bundling with established services; (3) scheduling services on a specific day; and (4) piggybacking on services in other domains. Disintegration results from (5) non-involvement and (6) shifting blame to other entities. Other practices display both integrative and disintegrative effects: (7) creaming off citizens; (8) down prioritization by fixating on a few nutrition actions; and (9) following the bureaucratic 'jobs worth'. Integrative practices are driven mostly by donors. CONCLUSION: Understanding frontline workers' practices is crucial for identifying policy solutions to sustain nutrition improvements. Sustaining services beyond timebound projects necessitates institutionalizing demands and resources within government systems. Interventions to facilitate effective nutrition service delivery should strengthen the integrative capacities of actors across different government levels. This includes investing in integrative leadership, facilitating frontline workers across sectors to provide nutrition services, and adjusting the nutrition monitoring systems to capture cross-sector data and support policy learning.


Assuntos
Atenção à Saúde , Governo , Humanos , Uganda , Pesquisa Qualitativa , Organizações
3.
Ambio ; 51(10): 2079-2090, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35320514

RESUMO

The transition towards a circular bioeconomy (CBE) in the European Union is not without contestation. In particular, research has highlighted potential trade-offs of the large-scale production of bio-resources, for instance with environmental quality goals. To date, however, it remains underexplored in the CBE literature how controversies develop throughout a transition process. To address this gap, this paper explores where controversies are situated in a transition, how they change throughout, and how they influence the transition process. First, we suggest that controversies can be situated on and between different system layers within a transition. Second, we offer an explanation of how controversies evolve, as actors confirm, integrate, disintegrate and polarize underlying storylines. Third, these controversies can have both productive and unproductive outcomes while they unfold throughout a transition. We illustrate this understanding with the example of biorefineries as CBE key technology and discuss a research agenda on controversies in sustainability transitions.


Assuntos
Desenvolvimento Econômico , União Europeia
4.
Health Policy Plan ; 36(5): 585-593, 2021 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-33709155

RESUMO

The quest for political commitment to reducing malnutrition in sub-Sahara Africa draws attention to the role of national parliamentarians. Whereas parliamentarians have the authority to ratify legislation, monitor policies and budgets and transform behaviour, to date little is known about how malnutrition is understood and debated in sub-Saharan African political arenas. This study addresses that gap by exploring how (mal)nutrition has been framed by parliamentarians in Uganda between 2001 and 2017. Applying framing theory we performed a qualitative content analysis of 131 Parliament Hansards transcripts to determine the different meanings of nutrition. Our analysis distinguishes seven co-occurring frames that entail different, sometimes competing, understandings of the drivers and possible solutions of malnutrition. The frames are: (i) the emergency nutrition frame, (ii) the chronic vulnerability frame, (iii) the school feeding frame, (iv) the disease-related frame, (v) the diversification frame, (vi) the overnutrition (among politicians) frame and (vii) the poverty and inequality frame. These frames are sponsored by different groups of parliamentarians, most notably politicians representing constituencies with high degrees of malnutrition, the president, some ministers and politicians in parliamentary forums concerned with children and women issues. Our analysis helps to understand why policy measures get prioritized or disregarded by policymakers. Overall, we show that frame sponsors prioritize short-term tangible solutions, such as food assistance and agricultural inputs, over longer term solutions. We suggest that a more comprehensive policy frame is prerequisite to developing a more effective governance approach to malnutrition in Uganda.


Assuntos
Desnutrição , África Subsaariana , Criança , Feminino , Humanos , Desnutrição/prevenção & controle , Estado Nutricional , Pobreza , Uganda
5.
Nat Food ; 2(8): 561-566, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37118163

RESUMO

A circular, bio-based economy could provide the pathway to a sustainable future. Here we present five ecological principles to guide biomass use towards a circular bioeconomy: safeguarding and regenerating the health of our (agro)ecosystems; avoiding non-essential products and the waste of essential ones; prioritizing biomass streams for basic human needs; utilizing and recycling by-products of (agro)ecosystems; and using renewable energy while minimizing overall energy use. Implementing these principles calls for a transformation of our current economic system, including fundamental changes to policies, technologies, organizations, social behaviour and markets.

6.
Int J Health Plann Manage ; 30(3): 285-306, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24285278

RESUMO

Since the 1990s, Tanzania has been implementing health sector reforms including decentralization of primary healthcare services to districts and users. The impact of the reforms on the access, quality and appropriateness of primary healthcare services from the viewpoint of users is, however, not clearly documented. This article draws on a gendered users' perspective to address the question of whether the delivery of gender-sensitive primary health services has improved after the reforms. The article is based on empirical data collected through a household survey, interviews, focus group discussions, case studies and analysis of secondary data in two rural districts in Tanzania. The analysis shows that the reforms have generated mixed effects: they have contributed to improving the availability of health facilities in some villages but have also reinforced inter-village inequalities. Men and women hold similar views on the perceived changes and appropriateness to women on a number of services. Gender inequalities are, however, reflected in the significantly low membership of female-headed households in the community health fund and their inability to pay the user fees and in the fact that women's reproductive and maternal health needs are as yet insufficiently addressed. Although over half of users are satisfied with the services, more women than men are dissatisfied. The reforms appear to have put much emphasis on building health infrastructure and less on quality issues as perceived by users.


Assuntos
Política , Atenção Primária à Saúde/organização & administração , Serviços de Saúde Rural/organização & administração , Atitude Frente a Saúde , Custo Compartilhado de Seguro , Honorários Médicos , Feminino , Reforma dos Serviços de Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Humanos , Entrevistas como Assunto , Masculino , Satisfação do Paciente , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/normas , Qualidade da Assistência à Saúde/organização & administração , Serviços de Saúde Rural/economia , Serviços de Saúde Rural/normas , Fatores Sexuais , Inquéritos e Questionários , Tanzânia
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