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The purpose of this paper is to provide an “inside” account of efforts to enhance the quality of care in a paediatric hospital department in Malawi.

The authors describe the problems they face as health workers in an overcrowded, under-resourced emergency departments in a low-income setting. Where it is helpful, the authors combine reports of their experience with reference to reports emanating from other African countries.

There is increased awareness of the need for a good health system to be able to provide quality care. The authors emphasise the importance of teamwork and the need for cross cutting activities that are not disease-centred or vertically driven. Task sharing and multi-tasking have helped fill the gaps left by inadequate staffing but specialists in emergency medicine are needed to advocate for the specialty and be role models in departments.

This paper is aimed at a broad audience of fellow clinicians, funders and policy makers, and those who have an interest in clinical governance in support of quality improvement in developing countries.

This is a firsthand account of efforts to enhance the quality of emergency care from a paediatric hospital department in Malawi.

Drawing on multi-sited ethnographic fieldwork conducted in rural Manitoba and throughout the Philippines with temporary foreign workers employed at a small inn and conference centre and their non-migrant kin, this chapter offers an introduction to and expansion of feminist engagements with social reproduction and global care chains. This chapter illustrates the importance of feminist analysis of migration trajectories and labour processes that fall outside of the conventional purview of gender and migration studies. To this end, it suggests that in addition to interrogating the conditions and rational under which reproduction comes to be articulated and experienced as labour, consideration of how divergent forms of labour also constitute and shape reproduction can provide significant insight into the social consequences of neoliberal capitalism, while revealing the ways in which the gendered and racialized parameters of reproductive and intimate labour come to be reproduced.

In the 1970s and 1980s, studies of the unpaid household and family labor of upper-class women linked this labor to class reproduction. In recent years, however, the topic of class has dropped out of analyses of unpaid labor, and such labor has been ignored in recent studies of elites. In this chapter, drawing primarily on 18 in-depth interviews with wealthy New York stay-at-home mothers, we look at what elite women’s unpaid labor consists of, highlighting previously untheorized consumption and lifestyle work; ask what it reproduces; and analyze how women themselves interpret and represent it. In the current historical moment, elite women face not only the cultural expectation that they will work for pay, but also the prominence of meritocracy as a mechanism of class legitimation in a diversified upper class. In this context, we argue, elite women’s unpaid labor serves to reproduce “meritocratic” dispositions of children rather than closed, homogenous elite communities, as identified in previous studies. Our respondents struggle to frame their activities as legitimate and productive work. In doing so, they not only resist longstanding stereotypes of “ladies who lunch” but also seek to justify and normalize their own class privileges, thus reproducing the same hegemonic discourses of work and worth that stigmatize their unpaid work.

Discussion of the 2016 electorate has centered on two poles: results of public opinion and voter surveys that attempt to tease out whether racial, cultural, or economic grievances were the prime drivers behind the Trump vote and analyses that tie major shifts in the political economy to consequential shifts in the voting behavior of certain demographic and geographic groups. Both approaches render invisible a major development since the 1970s that has been transforming the political, social, and economic landscape of wide swaths of people who do not reside in major urban areas or their prosperous suburban rings: the emergence and consolidation of the carceral state. This chapter sketches out some key contours of the carceral state that have been transforming the polity and economy for poor and working-class people, with a particular focus on rural areas and the declining Rust Belt. It is meant as a correction to the stilted portrait of these groups that congealed in the aftermath of the 2016 election, thanks to their pivotal contribution to Trump's victory. This chapter is not an alternative causal explanation that identifies the carceral state as the key factor in the 2016 election. Rather, it is a call to aggressively widen the analytical lens of studies of the carceral state, which have tended to focus on communities of color in urban areas.

This study addresses the importance of paid work for the autonomy of poor women in the Bolsa Família Programme (BFP), Brazil. The aim of this study is to consider the influence that BFP may have on women seeking paid work, by comparing the situation and the perceptions of women who receive Bolsa Família (BF) with those of women who fall within this same profile but are not included in the programme.

The aim of this study is to consider the influence that BFP may have on women seeking paid work, by comparing the situation and the perceptions of women who receive Bolsa Família (BF) with those of women who fall within this same profile but are not included in the programme. Data were produced from a case study, using a non-probability sample and structured individual interviews in a large city in the south of Brazil.

CCTs designed in the moulds of the BFP, despite its relevance for alleviating poverty, do not have the potential to empower women or for their autonomy, since they do not contribute towards tackling the barriers resulting from the interaction between paid and unpaid labour, and gender determinants in this interaction.

The methodology adopted, with content analysis, allows the collection of the research group participants’ experiences and perceptions, considering the specific nature of the material and symbolic context investigated. However, it does not allow for broad generalizations on the relation between CCT programmes and these women`s paid labour. Within the limits of the inferences produced by the content analysis, this study does enable the theories of ‘laziness’ as a risk resulting from social assistance to be dispelled.

Given these findings, the paper reiterates the importance of taking a critical view of the family when drafting development policies.

Healthcare innovations for bottom-of-pyramid populations face considerable risks and few economic incentives. Can entrepreneurial innovators provide new solutions for global health? This chapter examines how a technology enterprise built a collaborative network and supportive ecosystem making it possible to steer an innovation for TB patients through discovery, development, and delivery. Ecosystem resources were mobilized and upstream and downstream co-innovation risks were mitigated to commercialize a new diagnostic test. Detailed evidence on this innovation for TB care uses ecosystem analysis to clarify core issues in the context of joint value creation. The case study shows how resources from private and public partners can be leveraged and combined by the focal firm to build joint value and to lower execution, co-innovation, and adoption risks in healthcare ecosystems combating diseases of poverty.

WITH this issue we are commencing the twenty‐seventh year of our career as an independent Library Journal and trust that we shall carry on the tradition of our illustrious founder and continue to criticise or praise without fear or favour. During the past twelve months our editorial staff has successfully produced special numbers dealing with Bookbinding, Book Selection, Children's Departments, Classification, and Colonial Libraries. Judging by the correspondence we have received, our efforts have been greatly appreciated by the majority of our readers. Naturally we have not pleased everybody and we have even been dubbed the “little contemporary” in some quarters. However, we can point to an unbroken record of twenty‐six years' endeavour to serve the library profession and we ourselves are justly proud of the contemptible “little contemporary” that did not cease to appear even during the darkest hours of the dread war period.

The present study consists of managers and professionals in 26 countries including seven from Central and Eastern Europe. The purpose of this paper is to investigate whether culture dimensions predict country differences in the relationship between gender and organizational commitment. The study integrated theories of social learning, role adjustment and exchange that link commitment to organizational roles to explain such differences in gender effects. Findings indicate that an alternative modernities perspective on theories of gender and commitment is better warranted than is a traditional modernities perspective.

This study examined the relationship between gender and organizational commitment using primary data collected in 26 counties. The cross-level moderating effects of individualism, masculinity, uncertainty avoidance, power distance and restraint vs indulgence was examined using hierarchical linear modeling.

Organizational commitment is found to be higher among men than women in four countries (Australia, China, Hungary, Jamaica) and higher among women than men in two countries (Bulgaria and Romania). Results shows that large power distance, uncertainty avoidance, femininity (social goal emphasis) and restraint (vs indulgence) predict an association between being female and commitment. These all suggest limitations to the traditional modernity-based understanding of gender and the workplace.

This study is unique based on the three theories it integrates and because it tests the proposed hypothesis using a multi-level nested research design. Moreover, the results suggest a tension between an alternative modernities perspective on top-down governmental effects on commitment through exchange and bottom-up personal effects on commitment through social learning with role adjustment in an intermediate position.

The purpose of this paper is to investigate the impact of a dual medium/content context – the one offered by the online Twitter communication (medium-context) of reporting on elite sports (content-context) – on traditional conceptualizations of genderlect.

A quantitative content analysis, coding for a variety of traditional gendered language markers – was conducted on the tweets of male and female reporters who covered the men’s and women’s NCAA final four basketball tournaments.

Consistent with tenets of social role theory, the duel medium/content context of Twitter and sports produces several language patterns that frustrate attempts to categorize language markers according to traditional conceptualizations of genderlect and thus provides support for a redefinition of genderlect.

This paper’s findings suggest that people adapt their communication patterns to match the context in which they communicate. Whether adaptation takes place with conscious effort or as a natural byproduct of moving from one context to another remains to be discovered. Advice to female sports journalists on being vigilant against unwittingly undermining their credibility and perceived expertise is offered. This inquiry allows researchers to study sociology through sport.

This paper demonstrates that online environments can allow for traditional gender roles and expectations to be challenged and broken down, but some genderlect features appear tenacious and could undermine attempts to break down gender barriers.

If sport mirrors society, then the same communication adaptations that appear in the online environmental context of reporters’ tweets about sport should appear in other societal contexts.

Few studies have investigated differences in reporting by gender, and fewer have investigated differences in sports reporting by gender. Fewer, if any, have investigated differences in sports reporting by gender through Twitter.