377 research outputs found

    Real acts, imagined landscapes: reflections on the discourses of land reform in South Africa after 1994

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    This paper discusses the discourses by which land reform policies in South Africa have been justified and criticized. Critical thought is needed about the underlying assumptions and frameworks informing policy and critique. While key aspects of populist, ‘Left’ and liberal ideologies helped mobilize support for land reform after 1994, they framed questions of equitable transformation and justice in ways that obscured the terrain of struggle rather than revealing it. The broad consensus on the legitimacy of land reform in the initial decade after 1994 was underpinned by narratives about redress and reconciliation that privileged reparative justice above distributive equity. It tended to obscure the complex trade-offs and impacts involved in implementation. Coherent policy-making was further undermined by simplistic oppositions between ’market’ and ‘rights-based’ approaches that often led to ill-targeted policies. Land and agrarian reform needs to be liberated from this symbolic burden. It should be informed by an understanding of the nature of inequality in South Africa and the contribution that agrarian change can make to reducing it.Web of Scienc

    Imprisonment and internment: Comparing penal facilities North and South

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    Recent references to the ‘warehouse prison’ in the United States and the prisión-depósito in Latin America seem to indicate that penal confinement in the western hemisphere has converged on a similar model. However, this article suggests otherwise. It contrasts penal facilities in North America and Latin America in terms of six interrelated aspects: regimentation; surveillance; isolation; supervision; accountability; and formalization. Quantitatively, control in North American penal facilities is assiduous (unceasing, persistent and intrusive), while in Latin America it is perfunctory (sporadic, indifferent and cursory). Qualitatively, North American penal facilities produce imprisonment (which enacts penal intervention through confinement), while in Latin America they produce internment (which enacts penal intervention through release). Closely entwined with this qualitative difference are distinct practices of judicial involvement in sentencing and penal supervision. Those practices, and the cultural and political factors that underpin them, represent an interesting starting point for the explanation of the contrasting nature of imprisonment and internment

    Policies to improve end-of-life decisions in Flemish hospitals: communication, training of health care providers and use of quality assessments

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    <p>Abstract</p> <p>Background</p> <p>The prevalence and implementation of institutional end-of-life policies has been comprehensively studied in Flanders, Belgium, a country where euthanasia was legalised in 2002. Developing end-of-life policies in hospitals is a first step towards improving the quality of medical decision-making at the end-of-life. Implementation of policies through quality assessments, communication and the training and education of health care providers is equally important in improving actual end-of-life practice. The aim of the present study is to report on the existence and nature of end-of-life policy implementation activities in Flemish acute hospitals.</p> <p>Methods</p> <p>A cross-sectional mail survey was sent to all acute hospitals (67 main campuses) in Flanders (Belgium). The questionnaire asked about hospital characteristics, the prevalence of policies on five types of end-of-life decisions: euthanasia, palliative sedation, alleviation of symptoms with possible life-shortening effect, do-not-resuscitate decision, and withdrawing or withholding of treatment, the internal and external communication of these policies, training and education on aspects of end-of-life care, and quality assessments of end-of-life care on patient and family level.</p> <p>Results</p> <p>The response rate was 55%. Results show that in 2007 written policies on most types of end-of-life decisions were widespread in acute hospitals (euthanasia: 97%, do-not-resuscitate decisions: 98%, palliative sedation: 79%). While standard communication of these policies to health care providers was between 71% and 91%, it was much lower to patients and/or family (between 17% and 50%). More than 60% of institutions trained and educated their caregivers in different aspects on end-of-life care. Assessment of the quality of these different aspects at patient and family level occurred in 25% to 61% of these hospitals.</p> <p>Conclusions</p> <p>Most Flemish acute hospitals have developed a policy on end-of-life practices. However, communication, training and the education of health care providers about these policies is not always provided, and quality assessment tools are used in less than half of the hospitals.</p

    ‘When we walk out, what was it all about?’: Views on new beginnings from within the International Criminal Tribunal for Rwanda

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    The 1994 United Nations Security Council resolution which created the International Criminal Tribunal for Rwanda (ICTR) foresaw it marking a ‘new beginning’, both locally (peace and reconciliation in Rwanda) and globally (strengthening the project of international criminal justice). Over time, those who spoke on behalf of the ICTR highlighted the strictly quantifiable (number of arrests, convictions) and the contributions to the global ‘new beginning’ for international criminal justice. Ethnographic fieldwork at the ICTR, however, revealed that lawyers and judges, enmeshed in the Tribunal's institutional order, held diverse views regarding local and global efficacy, refracted through the sense of power(lessness) that accompanied their respective institutional locations. Focusing on the attitude of judges and lawyers to the lack of indictments for members of the Rwandan Patriotic Army for alleged massacres in 1994 and accusations of ‘victor's justice’, this article distinguishes between the ICTR as a disembodied institution that did or did not mark local or global ‘new beginnings’, and the ICTR as a collection of situated persons negotiating their simultaneous empowerment and disempowerment

    Public health, conflict and human rights: toward a collaborative research agenda

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    Although epidemiology is increasingly contributing to policy debates on issues of conflict and human rights, its potential is still underutilized. As a result, this article calls for greater collaboration between public health researchers, conflict analysts and human rights monitors, with special emphasis on retrospective, population-based surveys. The article surveys relevant recent public health research, explains why collaboration is useful, and outlines possible future research scenarios, including those pertaining to the indirect and long-term consequences of conflict; human rights and security in conflict prone areas; and the link between human rights, conflict, and International Humanitarian Law
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