Search

The objetive of this paper is to determine the enabling conditions for exercising participatory budgets in Bogotá. An analysis of the citizen participation regulatory framework in Colombia is introduced in order to understand the existent conditions for the execution of democratic budgets. After, a diagnostic of the main national and international citizen participation programs is completed using Arnstein’s “participatory ladder”, highlighting the failures in promoting citizen participation and in the development of participatory budgets. Finally, the last chapter presents a proposal to synthetize conditions that will enable the development of citizen budgets as well as the lessons learnt from international and national cases. [ABSTRACT FROM AUTHOR]

Purpose. This paper aims to analyze the household financial burden and poverty impacts of cancer treatment in Vietnam. Methods. Under the “ASEAN CosTs in ONcology” study design, three major specialized cancer hospitals were employed to assemble the Vietnamese data. Factors of socioeconomic, direct, and indirect costs of healthcare were collected prospectively through both individual interviews and hospital financial records. Results. The rates of catastrophic expenditure based on the cut-off points of 20%, 30%, 40%, and 50% of household’s income were 82.6%, 73.7%, 64.7%, and 56.9%, respectively. 37.4% of the households with patient were impoverished by the treatment costs for cancer. The statistically significant correlates of the impoverishment problem were higher among older patients (40–60 years: 1.77, 95% CI 1.14–2.73; above 60 years: 1.75, 95% CI 1.03–2.98); poorer patients (less than 100% national income: 29, 95% CI 18.6–45.24; less than 200% national income: 2.89, 95% CI 1.69–4.93); patients who underwent surgery alone (receiving nonsurgery treatment: 2.46, 95% CI 1.32–4.59; receiving multiple treatments: 2.4, 95% CI 1.38–4.17). Conclusions. Lots of households were pushed into poverty due to their expenditure on cancer care; more actions are urgently needed to improve financial protection to the vulnerable groups. [ABSTRACT FROM AUTHOR]

This paper presents two different analytical approaches that may be useful in developing an understanding of developmental local government (DLG). DLG implies a significant commitment with respect to poverty relief at the local administrative level as well as strong emphasis on participation and accountability to communities. This paper attempts to apply Soft Systems Methodology (SSM) to clarify the activities that DLC implies for local authorities and focuses specifically on their ability to be developmental and to effectively impact upon poverty. An expected product of this approach will be the identification of specific indicators of (inter alia) poverty that may be used to monitor the effectiveness of local government from a constitutional and developmental perspective. Indicators may also be generated from the perspective of community needs and this paper reports on a case study which identifies the needs of a small community, Pniel, in the South African Western Cape, using a Multi- Criteria Decision Analysis approach. This approach allows for both the identification and prioritisation of issues from the perspective of the community. Further, it is suggested that the SSM approach can be used to provide a context within which community needs may be considered. This framework clarifies what it is that local government have the aims, powers and functions to perform. Viewing the community needs within this framework provides a mechanism for realistically linking the community needs to the local authority's budget. A process of ongoing monitoring and evaluation of DLG, using the two sets of indicators, can assist to focus the functioning of local government on effective poverty relief. [ABSTRACT FROM AUTHOR]