Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-12-01T14:44:27Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Versão para impressão.pdf: 1407646 bytes, checksum: 9afaf49d19c973fac29c7a5d9f519aeb (MD5) / Made available in DSpace on 2016-12-01T14:44:27Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Versão para impressão.pdf: 1407646 bytes, checksum: 9afaf49d19c973fac29c7a5d9f519aeb (MD5) Previous issue date: 2016-05-05 / Qual o efeito da capacidade local sobre a mortalidade infantil nos municípios brasileiros? Este trabalho analisa a capacidade local dos 5.570 municípios brasileiros na oferta de política de saúde e seu efeito sobre a variação da mortalidade infantil, a partir de duas dimensões: administrativa e Institucional. Dados do perfil dos municípios brasileiros do IBGE e dos indicadores Municipais do rol de Indicadores, Diretrizes, objetivos, metas e indicadores 2013 do DATASUS, são usados como medida de capacidade local. Como fator explicativo para a variação da mortalidade infantil são usadas nove variáveis distribuídas nas duas dimensões. Os dados foram analisados através de estatística descritiva e regressão linear múltipla pelo modelo dos Mínimos Quadrados Ordinários (MQO). Com o uso do modelo de regressão para a dimensão administrativa, os resultados apontam que quanto maior a proporção de estatutários, médicos e equipes de atenção básica menor a mortalidade infantil. Com o uso da regressão linear múltipla para a dimensão institucional, os resultados apontam que as variáveis Plano, Conselho e reuniões apresentaram o sinal esperado. Os resultados gerais indicam que os municípios com maior capacidade apresentam mortalidade infantil menor. / What is the effect of local capacity on infant mortality in Brazilian municipalities? This dissertation analyzes the local capacity of 5,570 Brazilian municipalities in health policy supply and its effect on the variation in infant mortality, from two dimensions: administrative and institutional. Data from IBGE’s “Profile of Brazilian Municipalities” and DATASUS’s 2013 municipal indicators list, guidelines, goals, targets, and indicators are used as a measure of local capacity. As an explanatory factor for the variation in infant mortality are used nine variables distributed in two dimensions. Data were analyzed using descriptive statistics and multiple linear regression model by ordinary least squares (OLS). With the use of the regression model for the administrative dimension, the results indicate that the higher the proportion of civil servants, doctors and basic care teams the smaller the child mortality. With the use of multiple linear regression for the institutional dimension, the results indicate that the variables Plan, Council, and meetings presented the expected sign. The overall results indicate that municipalities with greater capacity have lower infant mortality.

To a large extent, natural phenomenon like earthquakes, floods, lanslides and etc may seem &ldquo / natural events&rdquo / which are out of human control. In fact, the sociopolitical structure is the main cause of earth tremors which turn into disasters. What is notable and striking is that, because of institutional and social vulnerabilities and little or misguided efforts for disaster loss mitigation, natural events may turn into disasters resulting negative and devastating consequences. Institutional vulnerabilities connote a lack of local administrations&rsquo / capacity for disaster mitigation planning, furthermore awareness for accreting local stakeholders for disaster loss reduction. Social vulnerabilities, refers to miss-knowledge and lack of awareness for disasters in the society. In Turkey, it is hard to say that there has never been efforts for disaster loss reduction, whereas / the main focus of the state agencies has been on post-disaster emergency relief, literally wound healing for decades. Generally speaking, localities which experience a disaster may encounter significant losses in development, hence a significant decrease in local capacities which takes enormous resources to restore. The housing stock and urban fabric, which inherit an historical background weaved by missguided disaster policy that only focus on post-disaster emergency relief phase, pictures the extent of the problem in Turkey. In addition, both &ldquo / institutional errors which lead to underachievement in disaster policy and practice&rdquo / and &ldquo / opportunities for building robust and resilient forms of institutions&rdquo / come into local agenda. Errors, which might have been altered by long term and comprehensive modes of local planning for disasters, may lead to underachievement by local agents. To achieve such a model, we are in need to carry out qualitative and quantitative data collecting and analyzing techniques in different phases. The two analysis techniques are in-depth interviews (IDI) and drawing Concept Maps that will be conducted in the analyses process with local respondents selected by snowball technique.

Despite recent advances in the global electrification rates, increasing from 76% in 1990 to 85% in 2012, the United Nations goal of universal access to electricity by 2030 is still far from achieved, with an estimated 1.1 billion people still without access to electricity. Over half of these live in Sub-Saharan Africa, with a majority in rural areas and extreme poverty. Major challenges are inert with the current electrification path of centralized grid extension, leaving these people without power in decades to come. Microgrids, a decentralized power system consisting of solar power generation, energy storage and distribution technology, has been hailed as the only option to provide life improving and productivity inducing power for rural communities in Africa. However, despite recent hype and development in the sector, the diffusion of microgrids is still incremental due to a lack of viable large-scale operation, required for profitability. This is explained by targeting customers in remote rural areas with low ability to pay, and the task of delivering expensive technology and complex operations needed to manage and operate the grids. No industry blueprint or research on how to operate microgrids at scale or profitably exists. This thesis explores one blueprint, with the promise to increase profitability and allow for a more sustainable scaling. Local Capacity building is a decentralized approach by developing capacity directly in the local communities, through recruiting, skills development and training of people to be employed to operate and manage their local microgrids. The results consist of a framework outlining what local capacity building is, through research propositions that define the key components capturing the complete system of local capacity building is for scaling a microgrid business, along with the challenges and opportunities associated with scaling a business using local capacity building. It has been developed iteratively by application of an action research approach conducted on a small-scale Zambian Microgrid company facing radical growth. The researcher was immersed in the context, at the heart of this change, and in a participatory and interventionist fashion turning every stone to explore what local capacity building is, resulting in a robust study anchored in the field. Because of the contextually embedded nature of the data, this also means that the results are local. It is up to the reader to assess the applicability of the results in another context. The extensive results span multiple areas of the business, capturing the complexity of local capacity building, and contribute to knowledge on a holistic level on what local capacity building is. This blueprint was deemed viable to further develop in the small-scale Zambian microgrid company, specifically because of its potential to lower operating expenses and offer a more sustainable way to scale, and in extension diffuse microgrids in Africa. / Trots en positiv utveckling i tillgång till el globalt, ökandes från 76% år 1990, till 85% år 2012, så är Förenta Nationernas mål om universell tillgång till el till år 2030, långt ifrån att bli uppfyllt. 1.1 miljarder människor estimeras vara utan tillgång till el globalt, där över hälften av dessa bor i Sub-Saharanska Afrika, med majoriteten levandes på landsbygden och i extrem fattigdom. Stora utmaningar finns med innevarande elektrifierings strategin, som handlar om centraliserad elproduktion och distribution genom ett centralt elnät, detta kommer att lämna dessa människor utan el under lång tid framöver. Mikronät, ett decentraliserat energisystem, som kan producera och distribuera el, har lyfts fram som det bästa alternativet för att försörja livsförbättrande och produktivitetsökande elektricitet för samhällen på landsbygden i Afrika. Dock, trots nylig hype och utveckling i mikronät sektorn, så är spridningen av mikronät fortfarande inkrementell, beroende av en brist på genomförbarheten av att driva mikronät verksamheten i stor skala, vilket krävs för lönsamhet. Detta förklaras av den fundamentala utmaningen i att inrikta sig mot kunder i avlägsna områden, med en låg förmåga att betala, kombinerat med leveransen av dyr teknologi, och de komplex operativa strukturerna som krävs. Det finns ingen forskning eller blåkopia i industrin som visar hur man skulle kunna bedriva mikronäts verksamhets i stor skala, eller på ett lönsamt vis. Denna forskning undersöker en möjlig sådan blåkopia, med löftet att öka lönsamheten och möjliggöra en mer hållbar spridning. Utveckling av lokal kapacitet, är ett decentraliserat tillvägagångssätt för att utveckla kapacitet direkt i dessa avlägsna samhällen, genom rekrytering, färdighetsutveckling och utbildning av människor för att bli anställda för att sköta deras lokala mikronät. Resultaten i studien består av ett ramverk som visar vad utveckling av lokal kapacitet innebär, genom forskningsförslag som definierar vilka nyckelkomponenter som krävs för att skala upp en mikronäts verksamhet, tillsammans med utmaningar och möjligheter för att göra detta. Ramverket har utvecklats iterativt genom applicering av Action Research, utförd i ett småskaligt mikronät företag i Zambia som står inför en radikal expansion. Forskaren var fördjupad i företagskontexten, i hjärtat av förändringen, och på ett ingripande och deltagande sätt vänt på varenda sten för att utforska vad utveckling av lokal kapacitet är. Detta resulterade i en robust studie, förankrad i verkligheten. På grund av den kontextuellt inbäddade naturen av datan, så betyder detta även att resultaten är lokala. Det är upp till läsaren att bedöma till vilken grad resultaten kan appliceras i en annan kontext. De omfattande resultaten spänner över många olika områden i företaget, och lyckas fånga komplexiteten i vad utveckling av lokal kapacitet är. Blåkopian som utvecklades, bedömdes värdefull att utveckla vidare i företaget där studien gjorde, specifikt för dess potential att minska de operativa kostnaderna och erbjuda ett mer hållbart sätt att skala verksamheten, och i förlängningen, erbjuda ett mer hållbart sätt att sprida tillgång till el i Afrika.