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The politics of women's health: setting a global agenda.

The last decade has been marked by a rapid growth in the women's health movement around the world. There has been a marked shift in activities away from the developed countries, as campaigns increase in intensity in Africa, Asia, and Latin America. The practice of women's health politics has also become increasingly international with sustained and effective collaboration across the north-south divide. Both the goals of these campaigns and their methods vary with the circumstances of the women involved. But despite this diversity, common themes can be identified: reproductive self-determination; affordable, effective, and humane medical care; satisfaction of basic needs; a safe workplace; and freedom from violence.

Developed Countries↗

Boundaries, political systems and fertility in Europe.

"We propose considering cross-border discontinuities in the context of homogeneous regions, that is, focusing on the detection and explanation of significant levels of organization of space by societies [in Europe]....We attempt to isolate macro-structures, which will provide us with an intermediary or systemic explanation for the behaviour observed....Our preoccupation here is whether countries or political blocs constitute levels of spatial organization. We can pose the question this way: do different areas in a same country show behavioural patterns which are, on average, more similar than those of areas in different countries?...We shall examine the distribution of total fertility (TFRs) in 724 areas of Europe in 1980 and 1988."

Behavior↗

Migrants, workers and refugees: the political economy of population movements in the Middle East.

The author investigates causes and consequences of migratory movements in the Middle East. "Two factors--integration into the world labor market and the fragility of integration within the separate states--largely explain why conflicts in the Middle East have in recent years produced the greatest refugee flows of any region in the world.... The crisis of the secular nation-state in the Middle East will continue as states become either politically or economically more dependent on outside protection or assistance. The challenge by Islamist movements is also likely to undermine national cohesion by politicizing religious identity."

Demography↗

[Depopulation: science and politics].

"This paper is structured around four propositions about population decline: (1) discussions about population decline have been plagued with confusion about the very meaning of the topic, as well as about causes, consequences and policy measures; (2) the issue is closely tied to political ideologies and cultural values; (3) demographic data and methods, and some prominent demographers, have played central roles in the debate; (4) the future of fertility is even murkier than usual, and therefore the legitimacy of concerns about population decline is not obvious." (SUMMARY IN ENG AND SPA)

Culture↗

International migrations to and from Zimbabwe and the influence of political changes on population movements, 1965-1987.

"This article suggests that the special case of [international migration in] southern African countries (Namibia, South Africa and Zimbabwe), in which the majority of permanent movers have historically been whites of European origin, requires that greater attention should be given to the politico-structural context of voluntary international migrations [as compared to economic motivation]. Statistical data on international migrations to and from Zimbabwe during the past quarter of a century are used to demonstrate that the temporal magnitude and spatial patterns of population movements are best explained by reference to the changing political, rather than economic, conditions within the country."

Africa↗

[Family, fertility, and income distribution: is there a reason for political activities?].

"State interventionism in the family...is usually justified as a necessary correction of allocative and/or distributive distortions. A critical analysis of this argument, however, reveals three related aspects: 1) A changed regenerative behaviour is often less the result of inefficient inter-family decisions; rather it results from an efficient reaction to changed economic and political conditions. 2) Optimal inter-family decisions can be prevented by imperfect capital markets and interventionism of the welfare state. 3) A receding rate of fertility leads probably not only to a more even inter- and intra-family distribution of income, but also influences the inter-generational distribution in a positive way." (SUMMARY IN ENG)

Behavior↗

[The influence of politically determined wage rates on migration between Germany's new and old states].

"This paper investigates the influence of politically determined wage rates on migration between Germany's new and old states. Apart from their direct influence on expected income and hence on migration, nominal wages affect migration indirectly by the unemployment they generate. Under reasonable assumptions the relation between nominal wages and migration is negative. The long-run influence of wages on capital accumulation and hence employment opportunities emphasizes that wage policy can be used either to control the long-run population stock or to stop migration immediately. That latter requires instantaneous wage-rate adjustments and initial wage-rate undershooting." (SUMMARY IN ENG)

Demography↗

International Covenant on Civil and Political Rights.

The following are countries that have ratified the International Covenant on Civil and Political Rights since 1983: 1) Argentina, 8 August 1986; 2) Cameroon, 27 June 1984; 3) Congo, 5 October 1983; 4) Equatorial Guinea, 25 September 1987; 5) Luxembourg, 18 August 1983; 6) Niger, 7 March 1986; 7) Philippines, 23 October 1986; 8) San Marino, 18 October 1985; 9) Sudan, 18 March 1986; 10) Togo, 24 May 1984; 11) Democratic Yemen, 9 February 1987; and 12) Zambia, 10 April 1984.

Developing Countries↗

Optional Protocol to the 1966 International Covenant on Civil and Political Rights.

The following countries have ratified the Optional Protocol to the 1966 International Covenant on Civil and Political Rights since 1983: 1) Argentina, 8 August 1986; 2) Austria, 10 December 1987; 3) Cameroon, 27 June 1984; 4) Congo, 5 October 1983; 5) Equatorial Guinea, 25 September 1987; 6) France, 17 February 1984; 7) Gambia, 9 June 1988; 8) Hungary, 7 September 1988; 9) Luxembourg, 18 August 1983; 10) Niger, 7 March 1986; 11) San Marino, 18 October 1985; 12) Spain, 25 January 1985; 13) Togo, 30 March 1988; and 14) Zambia, 10 April 1984.

Human Rights↗

Politics of resistance and accommodation: managing refugee and immigrant movements in the post-Cold War era.

"In recent years, the refugee and immigrant phenomena have unmistakably come to the fore. Enormous political, social, and technological changes, transformations, and numerous ethnic conflicts trigger mass movements of people in search of ¿better' and ¿safer' places.... Refugee and immigrant movements have both resistant (disruptive) and accommodative (recuperative) effects on a range of relations and institutions--community, citizenship, democracy, and welfare--that lie at the heart of a stable and secure national governance in the West. Responses to refugee and immigrant movements are thus significant in their implications for national polities and their governance in the future."

Acculturation↗

[Illegal immigrant workers in France: an institutional and political approach].

"The authors study the phenomenon of illegal immigration in France. After a brief outline of its present situation and dimension, they analyse the political significance of illegal manpower, arriving especially from Africa, Spain and Portugal. "Particular attention is given to government policies oriented at curbing the entry of illegal migrants." (summary in ENG)

Demography↗

Political issues in internal medicine in Europe.

What will be the future of Internal Medicine in Europe? Because of rapidly growing concerns regarding the position of Internal Medicine in many European countries, the European Federation of Internal Medicine has established a working group to analyze the situation. Being well aware of the variation of working practices in the different countries, the members of the group used an "all-European" approach to answer the following questions: Are there problems for Internal Medicine, what problems and why? Why do the health care systems of the European countries need Internal Medicine? Why do the patients need Internal Medicine? What needs to be done? Internal Medicine is the modern, clinical and scientific medical discipline taking care of adult patients with one or more complex, acute or chronic illnesses. Internal Medicine is the cornerstone of integrated health care delivery service that is needed today. Decision-makers in politics and hospitals, insurers, journalists and the general public need a better understanding of what Internal Medicine can offer to the health care system and to the individual patient.

Europe↗

The politics of birth control.

By the time Senate subcommittee hearings on the "population crisis" ended in 1968, a sizeable consensus had begun to emerge favoring government support of voluntary family planning programs at home and abroad. The goal to develop a national family planning program was easier to set than to accomplish, however, and there have been no lack of difficult questions to haggle over in the past 20 years. Beginning with the Johnson administration, the executive branch of government has tended to favor block-grant funding of family planning services, while Congress has insisted on categorical funding. Conflict has also existed over financial eligibility for government-supported services, over whether teenagers and unmarried women should be served in publicly supported clinics and over which services should be included in the definition of family planning. The Reagan administration has exacerbated the conflicts with attempts to redefine family planning by placing primary emphasis on natural methods and abstinence for those who wish to prevent pregnancy and attempts to deny funding to both domestic and foreign programs that support access to abortion. While future government support for family planning programs does not seem seriously threatened, funding has not grown in 15 years, once the effects of inflation are taken into account, and most programs have had to limit eligibility to survive. The Bush administration is unlikely to be as confrontational as the Reagan administration on the subject of family planning, but the political reality is that conflict can be expected to continue.

Abortion, Legal↗

[Genesis and political background of "Sonderaktion Krakau" 6 XI 1939].

The decision to imprison Cracow's University professors on November 6, 1939 was made in connection with the establishment of the so-called General Government, as a second stage of German security police action in nazi-occupied Poland to ensure German rule also over Central and Southern Poland. By this way Sonderaktion Krakau (Special Action Cracow)--as continuation of politische Flurbereinigung (political cleaning up) started in German occupied Western Poland in September 1939--was a part of a second wave of persecution directed against the Polish societies' social classes indicated by Nazi leaders and chiefs of German security police as Poland's leadership, a wave of persecution now, since the end of October 1939, enlarged on Central and Southern Poland. The imprisonment of the Cracow Professors subsequently marked the perspective, that Poland's scientific and academic institutions as a whole would be destroyed, so that in future no Polish scientists, intellectuals and university people even would have the possibility to do scientific work and to have subsistence from doing this kind of work. As a consequence, Poland's intellectuals and university-trained people as a social class in future would disappear indefinitely, and the people of Poland, deprived of intellectual leadership, would be transformed into a mass of dependend lower-class working people, so that the Nazi leaders mournfull future-scenario for their rule in German occupied Central and Eastern Europe would become reality. By this way the imprisonment of the Cracow Professors on November 6, 1939 was the first step to realize Nazi future plans concerning Central and Eastern Europe.

Concentration Camps↗

Plasticity, political economy, and physical growth status of Guatemala Maya children living in the United States.

Migration of Maya refugees to the United States since the late 1970s affords the opportunity to study the consequences of life in a new environment on the growth of Maya children. The children of this study live in Indiantown, Florida, and Los Angeles, California. Maya children between 4 and 14 years old (n = 240) were measured for height, weight, fatness, and muscularity. Overall, compared with reference data for the United States, the Maya children are, on average, healthy and well nourished. They are taller and heavier and carry more fat and muscle mass than Maya children living in a village in Guatemala. However, they are shorter, on average, than children of black, Mexican-American, and white ethnicity living in Indiantown. Children of Maya immigrants born in the United States tend to be taller than immigrant children born in Guatemala or Mexico. Families that invest economic and social resources in their children have taller children. More economic successful families have taller children. Migration theory and political economy theory from the social sciences are combined with plasticity theory and life history theory (parental investment) from biology to interpret these data.

Black or African American↗

The politics of the health district reform in the Republic of Benin.

The analysis of health policy reform focuses mostly on the contents of reforms. Walt and Gilson (1994) draw attention to the fact that the environmental context as well as the actors involved are of crucial importance to the process of policy adoption. This paper describes and analyses the process of adoption of the new concept of so-called 'sanitary zones' in the Republic of Benin as part of the health sector reform. The analysis of the reform is based on the examination of documents and interviews carried out in Benin in February 1997. The main findings show that the reasons for the specific policy choice do not emerge clearly. The main problems identified are: the role of the hospital, the incongruous administration, resistance against the reform and the question whether the government actually has the political will to change. Possible solutions to these constraints are offered in the conclusion.

Benin↗

Political-economic and professionalistic barriers to community control of mental health services: a commentary on Nassi.

Nassi (1978) described the limits of community control in community mental health centers. This problem can be further understood by exploring the growth of professional dominance and psychiatric expansionism in the 1960s. One consequence was a 'social movement' ideology which psychologized political and economic phenomena, while actually opposing any effective mobilization for community control. Professionals have largely remained unaware and/or unresponsive to these tendencies. Likewise, they have failed to grasp the system of chaos which characterizes mental health policy in the U. S. Mental health care is increasingly falling under professional medical control, State-sponsored rationalization and efficiency planning, and private-profit concerns such as insurance companies and nursing homes. In this way, professionalism and capitalism coincide in their efforts to further their own efforts, while stemming community control in favor of social control.

Community Mental Health Services↗

Galton and the birth of differential psychology and eugenics: social, political, and economic forces.

The social, political, and economic forces operative in nineteenth-century Britain are briefly described. This permits tracing the birth of both the scientific study of individual differences and the field of eugenics to the infrastructure of society at that time. The distinction is made between the normative doctrine of individualism and the factual study of individual differences. It is argued that democratic--liberal--capitalistic--individualism, in part, conditioned the beginning of differential psychology and eugenics. In this process, Galton's liberal views concerning individual freedom and opportunity for full development became transformed into their dialectic--totalitarian--collectivism--a vision of an ideal state which did not come into being. It is paradoxically concluded that those same social forces which helped bring about the birth of differential psychology and the entailing eugenics ideology prevented the latter from being accepted and implemented.

Economics↗