Health is deemed central to a nation’s development. Accordingly, health care reform and expansion are key policy priorities in developing countries. Many such nations are now testing various methods of funding and delivering health care to local disadvantaged populations. Similarly, India launched the Rashtriya Swasthya Bima Yojana (RSBY) national health insurance programme for low-income groups in 2008. The RSBY intends preventing catastrophic health-related expenditure by improving recipients’ access to hospital-based care. This thesis is an in-depth qualitative evaluation of the RSBY in Delhi state. It examines the RSBY’s effectiveness in fulfilling its goals and meeting local health care needs. Walt and Gilson’s (1994) actors-content-process-context model informs the research design and an actor-centred “responsive” (Stake 1975) or “constructivist” approach guides data analysis. Three research questions are examined: (i). Why was a health insurance programme launched and why now? Why was this model favoured over alternate methods of service expansion? (ii). Is the RSBY delivered as intended? If not, why? (iii) How does the RSBY affect patients’ access to services? The findings are based on documentary sources, observation of implementation sites and activities and 164 semi-structured interviews with RSBY policymakers, insurers, NGOs, doctors, and patients. The results show improved access to curative and surgical care for RSBY patients. However, RSBY’s focus on hospitalisation and omission of primary and outpatient services had undesired negative effects. The lack of ambulatory facilities led RSBY patients to self-medicate or use dubious quality informal providers. By only allowing inpatient care, the RSBY also seemingly encouraged the substitution of outpatient care with costlier hospitalisations. In effect, the RSBY’s design contributed to cost increases and poor patient outcomes. While more funds and human resources were needed to improve RSBY implementation, the performance of frontline agencies could potentially improve through more stable, longer-term contracts. Similarly, modifying RSBY’s monetary incentives for doctors may lead to better service delivery by them. By evaluating the RSBY’s strong points and shortcomings, this thesis provides key lessons on strengthening policy design and health service delivery in developing countries. Thereby, it makes a broader contribution to understanding the determinants of successful policymaking.

Inter-governmental organisations (IGOs) are given mandates by states to perform particular tasks: from refugee protection to the management of migration to promoting development. As new global challenges arise, such as climate change, these organisations must decide whether to ignore them or change in response. But what drives inter-governmental organisations to move beyond their mandates, if it is not their member states? International Relations offers a limited account of if and how they will respond to new issue areas. Principal-agent theory treats IGOs as units with fixed preferences to expand and maximise their tasks and scope (Hawkins et al. 2006; Nielson and Tierney 2003; Pollack 2003). Meanwhile, sociological institutionalism argues that IOs are driven by a logic of appropriateness and staff will only support expansion if it fits coherently with their organisational identity and culture (Barnett and Coleman 2005). I build on these two theories and propose that IGO behaviour should be explained by organisational type. IGOs exist along a spectrum from normative to functional ideal-types. Normative IGOs have supervisory status over a body of international law, seek moral legitimacy and follow a logic of appropriateness. Functional IGOs are projectised organisations which seek pragmatic legitimacy and adopt a logic of consequences. I illustrate how IGO type interacts with the status of the new issue area to determine the timing, nature and extent of organisational change. I focus on the responses to climate change of three inter-governmental organisations: the United Nations High Commission for Refugees, a normative organisation; the International Organisation for Migration, a functional organisation; and the United Nations Development Programme, a hybrid organisation. IGO type has important implications for IR scholars and policy-makers as we look to these institutions to provide global solutions to global issues such as climate change, migration, refugees and development.

Thesis (MEdPsych)--Stellenbosch University, 2012. / Includes bibliography / ENGLISH ABSTRACT: According to the results of the Annual National Assessment (ANA) of 2011 in South African schools, approximately 53% of learners in grade 3 and 70% of learners in grade 6 did not reach a partially achieved level of reading. As a result of the reading difficulties, these learners have varying degrees of learning and behavioural difficulties and also experience psychological and emotional challenges. This figure indicates that a high number of people are parenting a child identified as having reading difficulties. Bronfenbrenner’s theory of the ecology of human development indicated the importance of interconnections between school, home, and community settings in order to foster children’s learning. Parents may be better supported and empowered to assist their child by collaboration among teachers and families. This collaboration may be strengthened by utilising knowledge gained from parents’ lived experiences of parenting a child identified as having reading difficulties. The primary research question guiding this phenomenological study involved understanding the experiences of parents with children identified as having reading difficulties. The study’s research methodology can be described as basic qualitative research which is embedded within an interpretive paradigm. Purposive sampling was used to select three parents as research participants. Three methods of data collection were employed, namely written reflective notes, structured individual interviews and observations. Furthermore, qualitative content analysis was used to analyse the data. The analysis revealed that four interconnected contexts emerged concerning parents’ lived experiences, namely their relationship with their identified child, their relationships with other family members, their interactions with teachers and the child’s school, and their perception of social support in raising their child. The study found that parents experienced a variety of dismaying emotions regarding their child’s reading difficulties and that parents adopted roles such as caretaker, motivator and advocate in order to obtain the intervention and educational services needed for their child. The findings of this study inform and encourage educators and other support personnel to support parents and promote collaboration with parents of children identified as having reading difficulties, potentially enabling those parents to better support their identified child. / AFRIKAANSE OPSOMMING: Na aanleiding van die uitslae van die Jaarlikse Nasionale Assessering (ANA) van 2011 in Suid- Afrikaanse skole, het ongeveer 53% van leerders in graad 3 en 70% van leerders in graad 6 nie ‘n gedeeltelik bereikte vlak van lees behaal nie. As gevolg van die struikelblokke met lees, ervaar hierdie leerders verskeie grade van leer- en gedragsuitdagings, asook sielkundige en emosionele uitdagings. Hierdie syfers dui aan dat ‘n beduidende hoeveelheid mense in die rol staan van die ouer van ‘n kind met leesstruikelblokke. Bronfenbrenner se teorie van die ekologie van menslike ontwikkeling dui op die belangrikheid van interkonneksies tussen die leerder se skool, tuiste en die konteks van sy gemeenskap vir die bevordering van leer. Ouers kan moontlik meer effektief ondersteun en bemagtig word om hul kind meer effektief te ondersteun, indien ‘n medewerking tussen ouers en onderwysers bewerkstellig kan word. Hierdie medewerking kan versterk word deur kennis aan te wend aangaande ouers se ervaringe in hul rol as die ouer van ‘n kind met leesstruikelblokke. Die navorsingsvraag wat hierdie fenomenologiese studie lei, handel oor ’n begrip van die ervaringe van ouers van kinders wat met leesstruikelblokke geïdentifiseer is. Die navorsingsmetodologie wat in hierdie studie gebruik is, kan beskryf word as basiese kwalitatiewe navorsing binne ’n interpretivistiese paradigma. ’n Doelgerigte steekproef is gebruik om drie ouers as deelnemers te identifiseer. Drie metodes van data insameling is gebruik, naamlik geskrewe, reflektiewe notas; gestruktureerde, individuele onderhoude en waarnemings. Verder is kwalitatiewe inhoudsanalise gebruik om die data te analiseer. Die data analise het aan die lig gebring dat vier kontekste wat telkens met mekaar verband hou, na vore gekom het rakende ouers se ervaringe as die ouer van ‘n kind met leesstruikelblokke, naamlik die ouers se verhouding met hul kind, die ouers se verhoudinge met ander lede van die gesin, die ouers se interaksies met die kind se onderwysers en skool asook die ouers se persepsie van die sosiale ondersteuning wat hulle ontvang in hul rol as ouers. Die bevindinge van hierdie studie het aangetoon dat ouers verskeie ontmoedigende emosies ervaar rakende hul kind se leesstruikelblokke en dat ouers in die rol van versorger, motiveerder en advokaat optree om sodoende die nodige intervensie en opvoedkundige dienste wat hul kind benodig, te bekom. Die bevindinge het ten doel om opvoeders en ander ondersteuningspersoneel in te lig en aan te moedig om ouers te ondersteun en medewerking tussen opvoeders en ouers van kinders met leesstruikelblokke te bevorder. Sodanige medewerking kan ouers in staat stel om hul kinders meer effektief te ondersteun.

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This study explores the concepts of vulnerability, agency, and actors with relation to the capability development and deprivation of women with physical disabilities in Lusaka, Zambia. Based in the human development paradigm and Sen and Nussbaum’s Capabilities Approach, it seeks to critically explore what impact being born, raised, and living as a woman with a physical disability in a developing country has on the development of capabilities. It also seeks to identify and analyze the involved processes, actors, and environmental factors. A main finding is that capability deprivation for women with physical disabilities is not simply caused by disability, or by gender, but by a multitude of factors. These include: the environment, social contexts, and relative poverty in which the women live; the particular cultural repertoires that surround them; and the actors with whom they interact. However, disability can, and often does, exacerbate the complex life situations in which the women find themselves.

It is increasingly acknowledged that the proper objective of government efforts towards economic development should be aimed at improvements beyond simple measures of growth, poverty and inequality towards richer measures of human well-being. Herein, the economic and non-economic quality of life, as well as the quantity of life, becomes important indicators. Economists and other social planners therefore need to develop more meaningful indicators of the quality of life. Objective and subjective indicators of the quality of life can be distinguished. For various reasons, this thesis will focus on the search for more meaningful objective indicators of the quality of life. One of the most wellknown objective indicators of quality of life is the Human Development Index (HDI). There is, however, a growing dissatisfaction with the HDI. In this thesis, two recent methodological advances in the measurement of quality of life are applied and combined and, in particular, in the measurement of the non-economic quality of life, to the sub-national quality of life in South Africa. As such, this thesis’ contribution is twofold. First, it investigates the extent to which the quality of life differs within a developing country, as opposed to most studies that focus on either inter-country differences in quality of life, or studies that focus only on spatial inequalities within countries using a restricted set of measures such as per capita income or poverty rates and headcounts. Secondly, this thesis applies a recent methodology proposed by McGillivray (2005) to isolate the non-economic (non-monetary) quality of life in various composite indices and to focus on the non-economic quality of life across 351 South African magisterial districts Indices for the non-economic quality of life are compiled for geographical quality, for demographic quality, and based on the human development index. Furthermore, given that composite indices used in the construction of measures of quality of life consist of weightings of multiple proxies, this thesis implements the method of Lubotsky and Wittenberg (2006) which proposed a new estimator for the case where multiple proxies are to be used for a single, unobserved variable such as quality of life. This thesis establishes that when the non-economic quality of life of the demographic index is considered, the top ten regions in 1001 were as follows: Pretoria, Johannesburg, Soweto, Port Elizabeth, Durban, Inanda, Pietermaritzburg, Wynberg, Mitchellsplain and Vanderbijlpark. It is important to note that, when interpreting these results, one should take caution since variables such as the number of people, number of households etc. is included in this index and as a region grows in population size the more negative consequences such as a higher crime rate can be associated with the particular region. The top ten regions in which to reside in 1004 as determined by the geography quality of life index were: Calvinia, Gordonia, Namaqualand, Kenhardt, Carnarvon, Ubombo, Williston, Hlabisa, Ceres and Ingwavuma. This geography index measures a region's natural beauty which, according to Wey (2000), contributes positively to one's perceived quality of life. Considering changes in non-economic quality of life indices between 1996 and 2004, the conclusion can he drawn that the South African government has been successful to a certain degree in addressing non-economic quality of life. Social policies such as health care, education, housing, water and sanitation appear to have had a positive effect on people's perceived non-economic quality of life in areas that were relatively deprived in 1996. / Thesis (Ph.D. (Economics))--North-West University, Potchefstroom Campus, 2007

The recent revival of debates concerning livestock development in Africa follows the more widespread acceptance of paradigm shifts within rangeland science, and maintaining pastoral mobility is now recognised as fundamental for the future survival of pastoralism and sustainability of dryland environments. However, in southern Africa communal pastoral drylands continue to be enclosed and dissected by large-scale barrier fences designed to control livestock diseases, thus protecting lucrative livestock export agreements. This interdisciplinary research examines the extent to which these veterinary cordon fences have changed people’s access to, and effective management of, natural resources in northern Botswana and how fence-restricted resource use by livestock, wildlife and people has changed the natural environment. Critical political ecology informed the approach, given its emphasis on socio-political and historical influences on resource access, mobility and user relationships. This enabled the biophysical effects of social changes to be investigated fully, thereby moving beyond a tradition of discipline-based studies often resulting in severely repressive rangeland policies. The research demonstrates how enclosure by veterinary cordon fences restricts patterns of resource access and mobility within pastoral drylands, with serious implications for both social and environmental sustainability. Enclosure increases the vulnerability of people to risks and natural hazards, while resource access constraints and pastoral adaptations to enclosure have favoured the increasing commercialisation of livestock production, thus obstructing pathways into pastoralism. While widespread environmental change in livestock areas cannot be attributed thus far to enclosure, the curtailment of wild migratory herbivores at the wildlife–livestock interface has caused some large-scale structural vegetation changes and there are indications that fence induced sedentarisation could be accentuating existing degradation trends. Given these changes, future rangeland policies in Africa should be aware of the social and environmental impacts associated with export-led disease management infrastructure and consider alternative, less intrusive, approaches to livestock development and disease control in extensive pastoral drylands.

The global water crisis has often been presented as a crisis of governance and attributed to various factors, including the slowness of institutional adjustments to rapid structural challenges such as demographic growth, resource degradation and economic difficulties (UNU-INWEH, 2012). Despite the rapid growth of cities around the world and a fast increase in the use of desalination for freshwater supply (WHO, 2011), the dynamics of institutional change in desalinated urban water governance have never been researched. This thesis investigates the drivers, barriers and counter-forces to a major institutional change - privatisation - in the desalinated water governance of the coastal cities of the Gulf Cooperation Council (GCC) region. Through the cases of public private partnerships (PPPs) in Abu Dhabi and Doha and the failed attempt to implement similar PPPs in Kuwait City, this research investigates the diverse forces that have led to the implementation of this new institutional arrangement in order to question - both empirically and theoretically - the literature’s general assumption that privatisation reforms in urban water services in the South arise from structural issues, e.g. a water crisis, an economic crisis and/or a governance crisis. The three main schools of comparative studies are used systematically to test hypotheses about causal relationships between selected variables. The structural approach is applied to examine the influences of the redistributive rentier state, oil price fluctuations and regional energy integration over the privatisation process. Adopting a Post-colonial perspective, the political culture approach is used to examine critically the contemporary influences of traditional cultural features, key local institutions and foreign cultural influences over the fluctuating roles of both the State and the markets in the local urban water supply since the late 19^th century. Finally, the rational agency theory is used to examine the role in the recent privatisation process of key political figures from the ruling families. This research demonstrates that the privatisation process of desalination units in Abu Dhabi and Doha was not driven by structural factors during the 2000s, a period of high oil prices, but was initiated in the 1990s and driven the following decade by the agency of a reforming elite wanting to privatize the water sector as part of a broader dynamic of construction of a neoliberal post-rentier economy – i.e. an intermediary political economic paradigm that aims to mediate the transition from rentierism to a fully liberalized economy. The political culture approach shows that these privatisations were facilitated by a gradual shift from pure rentierism towards a post-rentier form of neoliberalism in the political philosophy of liberal water technocrats on the one hand, and towards a regional trend of ‘pious neoliberalism’ (Atia, 2011) among practicing Sunni Muslims. Nevertheless, the enduring rentier mentality has constituted a strong counter-force to privatisation dynamics. The PPPs were implemented in Abu Dhabi and Doha because the local ruling elites situated the political bargaining within the tribal institutional milieus that they mastered completely through the control of the rent and related benefits. In Kuwait however, negotiations between the ruling elites and the leading political forces, the tribes and the opposition, were situated in a parliamentary institutional milieu that the ruling elite could not control and where the opposition and tribal MPs have opposed all reforms of the rentier ruling bargain. These findings illustrate that institutional changes in desalinated water governance are not neutrally driven by uncontrollable structural forces, but are the product of political bargaining between and among various rational political actors and their coalitions. This thesis also shows that in non-democratic or semi-democratic settings, the choice of a specific institutional milieu by the authorities is critical to the successful bargaining of institutional reforms, since it determines whether some key actors - along with structural factors (e.g. rent) and cultural factors (e.g. tribal influence) - will support the process or will be able to act against it.

Stable networks of cooperation, through which persons act under assumptions of reciprocity, promise-keeping and trust, are necessary for any society to flourish. These relationships have been described as “social capital”, defined as the norms and networks that enable collective action. Whilst study of social capital has generated much attention from those interested in its consequences for economic development and social unity, there remains a certain gap within the social sciences between homo economicus assumptions of self-motivated behaviour and manifestations of social capital. This invites analysis into the causes of social capital, which is the question taken up in this thesis. Asking what necessary conditions facilitate social capital’s emergence, this study analyses trustful relationships in urban Kenya and Tanzania. Urban living acts as a litmus test to trust relations and helps expose the necessary forces for social capital’s creation. Alongside this, the research sites of Kenya and Tanzania assisted in controlling for historical and cultural factors that may blur causal accounts of social capital. The two countries share similarities in their political, social and economic histories and, at the same time, exhibit diverging political emphases since independence and resulting levels of citizen-on-citizen trust. The country-level similarities and differences thus help contrast the lower levels of urban trust found in Kenya against the higher levels found in Tanzania, allowing in-depth examination of the conditions that support social capital’s emergence. Evidence is offered firstly through qualitative exploration of the formation of trustful relationships in economically competitive scenarios. Study of a single social network of plastic-bag sellers in Mwanza, Tanzania, reveals the importance of early anchors of trust as zones of reputation-indication. The comparative experiences of local market-sellers in Kisumu, Kenya, and Mwanza, Tanzania, support understanding higher levels of trust to pervade in Tanzania than in Kenya, and evaluate the influence of ethnic homogeneity for community solidarity. Interviews with business owners of Nairobi, Kenya, and Dar es Salaam, Tanzania, proceed to offer insights on alternative, normative dimensions that may help explain different levels of trust found amongst citizens. To measure the quantitative extent of trust and particular factors influential for its formation, “trust games” were deployed in Nairobi and Dar es Salaam. The experiments were engineered to test areas of common knowledge, specifically ethnicity and the “social virtue” of integrity. Engaging with common knowledge variables in this way offered for analysis areas of mutual understanding between citizens. Alongside confirming higher levels of trust in Tanzania than in Kenya, the games revealed how common knowledge of ethnicity and integrity bore influential effects on levels of trust that were country-specific. Whilst common knowledge of ethnicity tended to have a negative impact on levels of cooperation in Tanzania as compared to Kenya, the effect was the opposite for the social virtue of integrity. The thesis’ central argument is that congruence between citizens on what marks out a trustworthy person is a precondition for relationships of trust to emerge; some symmetry in the moral discourse surrounding agency, character and reputation is thus critical for bringing about the economic and political benefits associated with social capital.

This thesis presents a sub-national comparative analysis of the nexus between migration and development using the case of two disparate migrant communities (from the Upper East and Eastern regions of Ghana) in the UK. The aim is to examine how inherent socio-economic inequalities prior to emigration impact on emigrants’ migration patterns, experiences, transnational activities and, ultimately, development outcomes at the micro and meso levels in the sending country. I argue, in this thesis, that the focus by development economists and most migration researchers on national-level macro analysis, as well as ‘location specific’ or single-site sub-national analysis, of the centrality of remittances to the enhancement of development at ‘home’ masks important nuances that are revealed by a comparative sub-national analysis. This study uses a case study approach, whereby two migrant communities are investigated in detail within their pre-migration contexts. This allows for a deeper understanding of how transnational migration practices and/or processes are influenced by, and influence their context. It examines regional socio-economic inequalities and the interconnections between migration stage, spatial scales and local development. This is achieved through a fifteen-month fieldwork using multiple research methods (key-informant interviews, in-depth structured and semi-structured interviews, surveys, participant observation and library research) in order to corroborate and triangulate findings from different sources. The thesis takes a spatiotemporal perspective in the migration-development nexus debate. Respondents for this research include economic migrants and refugees/forced migrants. Among others, I conclude that globalisation and access to effective, yet relatively cheap, technological and communications facilities have bolstered individualistic migratory decision making thus reducing the centrality of the family or household as the unit of analysis in the causes and consequences of migration discourses. Overall, the thesis aims to contribute a new, broader, and more inclusive perspective to migration research by arguing that migration-development phenomena are better appreciated through a comprehensive approach that encompasses migrants and sending communities and underlines the relationship between the two within a sub-national context.