320 Politikwissenschaft
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Nicht erst seit Covid-19 sind die Wissens- und Kommunikationslücken sowie die Hierarchie zwischen Ärzt*innen und Patient*innen offensichtlich. Zusätzlich befinden sich kranke Menschen sowohl aufgrund ihrer Krankheit als auch aufgrund ihrer Abhängigkeit vom Gesundheitswesen in einer besonders verletzlichen Lage; Patient*innen sind ein paradigmatisches Beispiel für fragile epistemische Subjekte. Im vorliegenden Text wird zunächst skizziert inwieweit Patient*innen fragile epistemische Subjekte sind und welche Formen testimonialer und hermeneutischer Ungerechtigkeit im Gesundheitswesen besonders zum Tragen kommen. Danach wird ein besonderes Augenmerk auf die Idee gelegt, dass sogenannte „pathozentrische epistemische Ungerechtigkeiten“ durch bestimmte theoretische Vorstellungen von Gesundheit untermauert und reproduziert werden. Hierbei soll schlussendlich untersucht werden, inwieweit dieses Problem durch technische Mittel in der Medizin verstärkt oder geschwächt werden kann; so reproduzieren Algorithmen beispielsweise die vorhandenen Vorstellungen und Praktiken.
The legitimacy and effectiveness of international organizations are often linked directly to issues of representation—not only on their high-level governing boards and in top leadership but also within their staff. This article explores two key questions of bureaucratic representation in the critical cases of the International Monetary Fund and World Bank. First, we seek to unpack three essential dimensions of staff representation—nationality, education, and gender—to explain how representation may matter for international organizations. Second, we aim to describe the multiple dimensions of representation in the International Monetary Fund and the World Bank over the past twenty years by deploying a novel dataset on staff demographics, focusing on ranks with decision-making authority within the institutions. Our descriptive analysis reveals that the International Monetary Fund and the World Bank have made considerable efforts to diversify their bureaucracies. Nonetheless, representation remains uneven; for example, nationals from middle- and low-income countries, women, and staff without economics degrees from prominent US- or UK-based universities are less present in key leadership positions. These results may be well explained by the particular needs of the institutions’ technical mandates and limits in the supply of qualified staff and, as such, need not be seen as suboptimal. Nonetheless, perceived imbalances in representation may continue to pose external legitimation and operational challenges to the International Monetary Fund and the World Bank in a complex political environment where such multidimensional representation is important to sustaining the buy-in of donor and borrower countries alike. To this end, we recommend that the International Monetary Fund and the World Bank enhance their diversity and inclusion efforts by increasing transparency via reporting disaggregated data on workforce composition and introducing annual requirements to publish progress reports with management feedback to strengthen internal and external accountability.
Divided loyalties?
(2022)
Many operational International Organizations (IOs) rely on national staff when implementing projects in member states. However, fears persist that the loyalties of national IO staff may be divided when working in their home countries. The article studies differences in more than 50,000 procurement decisions taken in 1729 projects overseen by World Bank staff working as expatriates or in their home countries. The empirical results show that when staff work in their home countries, national suppliers' probability of winning procurement contracts increases. However, these increases are not driven by restricted procurement processes—that exclude competition—which are often seen as red flags for corruption. Instead, restricted procurement processes seem to be less likely when staff work in their home countries. These findings imply that national IO staff use their country-specific knowledge to increase the development effectiveness of procurement in line with the mandate of the World Bank.
Donors of development assistance for health typically provide funding for a range of disease focus areas, such as maternal health and child health, malaria, HIV/AIDS, and other infectious diseases. But funding for each disease category does not match closely its contribution to the disability and loss of life it causes and the cost-effectiveness of interventions. We argue that peer influences in the social construction of global health priorities contribute to explaining this misalignment. Aid policy-makers are embedded in a social environment encompassing other donors, health experts, advocacy groups, and international officials. This social environment influences the conceptual and normative frameworks of decision-makers, which in turn affect their funding priorities. Aid policy-makers are especially likely to emulate decisions on funding priorities taken by peers with whom they are most closely involved in the context of expert and advocacy networks. We draw on novel data on donor connectivity through health IGOs and health INGOs and assess the argument by applying spatial regression models to health aid disbursed globally between 1990 and 2017. The analysis provides strong empirical support for our argument that the involvement in overlapping expert and advocacy networks shapes funding priorities regarding disease categories and recipient countries in health aid.
Harmful side effects
(2022)
Governments have increasingly adopted laws restricting the activities of international non-governmental organizations INGOs within their borders. Such laws are often intended to curb the ability of critical INGOs to discover and communicate government failures and abuses to domestic and international audiences. They can also have the unintended effect of reducing the presence and activities of INGOs working on health issues, and depriving local health workers and organizations of access to resources, knowledge and other forms of support. This study assesses whether legislative restrictions on INGOs are associated with fewer health INGOs in a wide range of countries and with the ability of those countries to mitigate disability-adjusted life years lost because of twenty-one disease categories between 1993 and 2017. The findings indicate that restrictive legislation hampered efforts by civil society to lighten the global burden of disease and had adverse side effects on the health of citizens worldwide.
Das Zusammenwirken der Ortsbeiräte mit der Stadtverwaltung und der Stadtverordnetenversammlung
(2021)
Seit zwei Jahren arbeiten die Werkstätten der Wirtschaftsregion Lausitz an der Projektauswahl und -qualifizierung für die Strukturstärkungsmittel. Wir haben uns gefragt: Wie geht es Vertreter*innen aus Lausitzer Städten und Gemeinden auf diesem Neuland? Was brauchen sie, um der zentralen Rolle gerecht zu werden, die das Strukturstärkungsgesetz für sie vorgesehen hat? Und wo können wir als politische Vertreter*innen aktiv werden, um Hindernisse aus dem Weg zu räumen?
Dafür ist Prof. Dr. Franzke in den letzten Monaten mit Lausitzer*innen ins Gespräch gekommen. Der vorliegende Bericht soll – als Momentaufnahme – erste Antworten liefern. Wir stehen am Anfang eines langandauernden Transformationsprozesses. Auf manche Fragen gibt es noch keine Antworten und auf andere wird sich die Antwort im Laufe der Zeit womöglich ändern. Das ist auch in Ordnung. Denn in einem sich stetig wandelnden Prozess lernen wir, mit sich stetig wandelnden Antworten zu leben.
Land Brandenburg
(2021)
Das über 860 Jahre alte deutsche Land BB liegt im Nordosten Ds zwischen Elbe und Oder. Es umschließt die Bundeshauptstadt BE, die als Einheitsgemeinde zugleich ein eigenes Land bildet. Potsdam als Landeshauptstadt ist mit 176.000 E. die größte Stadt in BB. Mit 29.482 qkm (8,3 % von D) zählt die Mark zu den flächenreichsten Bundesländern.