The devastating effects of putting structural adjustment into operation can still be felt all over Africa. And yet it has guided economic development theory and practice for a very long time. Finally, there is also the possibility that contending circuits of information flow can lead to entrenched competition between groups in ways that undermine dialogue or collaboration.
To do so, we must first have a deeper understanding of the nature of these open models. The demotix.com blog post illustrate several implications of working with complexity and open models. Shared understanding of goals and dialogue become central characteristics of many open models, in particular those involving high levels of participation. Working in complex spaces requires emergent responses that are informed by reflexivity and learning. Experimentation and research is needed to find what works and what doesn’t in different contexts. When seeking solutions, it is helpful to include a diversity of data, views, and ways of knowing.
Actors are not equally placed to influence the outcomes of such negotiations, and understanding how people’s positioning affects their access to and influence on these outcomes is central to understanding how meaning has been constructed within the partnership. Beyond this, the study has noted how, frequently, meanings that appear to be shared may be institutionalized or enacted in vastly different ways , and thus may lead to very different outcomes. This suggests the possibility that taking an approach of seeking more inclusiveness within a particular space may, in fact, limit the potential for participation from those working within epistemic cultures that privilege adherence to more standardized measures of quality. It also represents a considerable challenge for initiatives seeking to promote sharing across disciplinary or epistemic boundaries, as archetypes of practice are rarely compared or discussed within this sharing, and yet are often poorly understood from one community to another. As in most federal systems, intellectual property is constitutionally within the exclusive legislative list of the federal government of Nigeria. Given the diversity of the purposes for and participants in IP training programs, it would be naïve to believe that this paper can proscribe the key to better pedagogy with respect to IP and development.
This new global economic model implied new challenges for development. This, according to Castells, could lead to a race for the bottom in social and economic policy as localities competed for capital investment. But capital could just as quickly depart again, leaving people behind to suffer their fate.
When the commitment from government toward a national rollout grew, it became clear that such a rollout had to include research organizations as key stakeholders, many of which had existing treatment programs; iDART became part of the rollout as a consequence of early involvement with research sites. This shift brought increased complexity at some sites when the government began to require formal tender and procurement processes. Meanwhile sites funded by PEPFAR were required to provide specific motivation for using software not developed in the United States. The software had to be flexible enough to allow for different dispensing models, depending on the setup of each clinic. Models included simple onsite dispensing (one month’s supply of drugs), multi-month dispensing for patients with good adherence levels, and down-referral dispensing, in which packages made at a central pharmacy would be collected by patients from a nurse at a local clinic. The software had to support the core functions of dispensing to HIV-positive patients, but was not initially a fully fledged stock management system.
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