Humanitarian governance and the consequences of the state‐fragility discourse in the Democratic Republic of Congo's health sector

This paper examines how the discourse on state fragility affects the preferences of key actors in humanitarian governance for different types of health‐sector interventions in the Democratic Republic of Congo. It argues that, instead of focusing on the actual meaning of state fragility, attention should be paid to interactive processes around the discourse among stakeholders in the health sector. The lack of consensus on state fragility influences humanitarian governance, especially the perceptions of and interactions between the host government, donors, and international non‐governmental organisations. The latter have legitimised the persistence of vertical, emergency‐based interventions by emphasising state fragility, whereas state officials have preferred to assert political statehood and a higher degree of control. Nevertheless, they agree that donors’ financial contributions ensure the survival of the public health sector. Looking ahead, a policy coalition based on harmonised views about addressing fragility is necessary for effective engagement and the sustainability of interventions, but this is unlikely to happen any time soon.     

未按规定导向车道行驶行为干预方法研究

为保障信号交叉口的正常交通秩序,充分遏制机动车未按规定导向车道行驶行为,亟需探究该行为的影响因素及干预方法。以北京市内4个信号交叉口处共35 h的1 666条监控视频数据为基础,对未按规定导向车道行驶行为进行定义并将其分为9类,分别对频率较高的5类未按规定导向车道行驶行为构建二元Logit模型,以确定其关键影响因素,并据此提出干预方法。结果表明,排队车辆数、大车比例、时段、车流量、照明条件等因素会不同程度地影响5类未按规定导向车道行驶行为的发生概率,其中排队车辆数及时间因素影响最为显著。在此基础上,从交通工程设施及驾驶人安全意识角度,提出优化交叉口渠化设计及信号配时、采用智能标线、强化监管力度及完善交通管控设施、加强驾驶人安全教育4种未按规定导向车道行驶行为干预方法。     

预防事故的行为干预技术及应用

行为干预技术是近来国外一种颇为盛行,效果甚好的以“人”为中心的事故预防方法。概要介绍此技术的研究现状、理论依据及要点、应用情况和在我国开展应用研究的方案设计     

试论企业环境治理存在的若干问题

环境治理是贯彻环境保护法,保护环境的有效手段之一,也是必走之路。所以保护环境,走可持续发展之路,最终还得看环境治理的成效如何。本文对当前企业界环境治理所存在的问题进行了探讨,并提出了建议。     

灌溉管理改革的进展、特征及决定因素:黄河流域灌区的实证研究

论文采用两年的面板数据实证研究了我国黄河流域灌区灌溉管理改革的进展、特征及决定因素。研究结果表明,自20世纪90年代开始,黄河流域灌区灌溉管理改革取得了很大的进展,传统的集体管理已经逐步被承包管理和用水协会管理所取代,不同管理制度下农民参与的程度与管理的透明度都有所区别,政府的政策干预在促进灌溉管理改革上发挥了十分重要的作用,改革具有明显的政策导向性。在未来的灌溉管理改革中,政府部门应进一步出台相关鼓励改革政策,积极引导广大农民参与到改革的事业中,促进改革在更加广阔的农村地区的有效推进和良性发展。     

Road traffic injuries to foreigners in the People's Republic of China, 2000-2008

Introduction: China's rapid motorization has resulted in significant challenges in road safety. Method: Using official national statistics, this study examines road traffic injuries (RTIs) experienced by foreigners in China. The number of foreigners entering China has increased 2.4 times over the study period, from 10.16 million in 2000 to 24.33 million in 2008. Results: From 2000- 2008, the number of road traffic fatalities among foreigners similarly increased 2.5 fold, including 49 fatalities reported in 2008. Nonfatal RTIs during this same time frame increased by a magnitude of 1.8 (126 nonfatal injuries in 2000 to 223 in 2008). Conclusions: This study suggests that the total number of foreigners working or visiting China each year who suffer fatal and nonfatal road traffic injuries is relatively low. Impact on Industry: This study provided evidence suggesting that foreigners visiting or working in China face a relatively low risk of road traffic injuries.     

Improving construction site safety through leader-based verbal safety communication

Background

The construction industry is one of the most injury-prone industries, in which production is usually prioritized over safety in daily on-site communication. Workers have an informal and oral culture of risk, in which safety is rarely openly expressed. This paper tests the effect of increasing leader-based on-site verbal safety communication on the level of safety and safety climate at construction sites. Method: A pre-post intervention-control design with five construction work gangs is carried out. Foremen in two intervention groups are coached and given bi-weekly feedback about their daily verbal safety communications with their workers. Foremen-worker verbal safety exchanges (experience sampling method, n = 1,693 interviews), construction site safety level (correct vs. incorrect, n = 22,077 single observations), and safety climate (seven dimensions, n = 105 questionnaires) are measured over a period of up to 42 weeks. Results: Baseline measurements in the two intervention and three control groups reveal that foremen speak with their workers several times a day. Workers perceive safety as part of their verbal communication with their foremen in only 6-16% of exchanges, and the levels of safety at the sites range from 70-87% (correct observations). Measurements from baseline to follow-up in the two intervention groups reveal that safety communication between foremen and workers increases significantly in one of the groups (factor 7.1 increase), and a significant yet smaller increase is found when the two intervention groups are combined (factor 4.6). Significant increases in the level of safety are seen in both intervention groups (7% and 12% increases, respectively), particularly in regards to 'access ways' and 'railings and coverings' (39% and 84% increases, respectively). Increases in safety climate are seen in only one of the intervention groups with respect to their 'attention to safety.' No significant trend changes are seen in the three control groups on any of the three measures. Conclusions: Coaching construction site foremen to include safety in their daily verbal exchanges with workers has a significantly positive and lasting effect on the level of safety, which is a proximal estimate for work-related accidents. It is recommended that future studies include coaching and feedback at all organizational levels and for all involved parties in the construction process. Building client regulations could assign the task of coaching to the client appointed safety coordinators or a manager/supervisor, and studies should measure longitudinal effects of coaching by following foremen and their work gangs from site to site.     

Precarious work or sustainable livelihoods? Aligning Prestea's Programme with the development dialogue on artisanal and small‐scale mining

Alternative livelihoods programmes (ALPs) are extensively executed in mining communities, often as models of development dialogue on artisanal and small‐scale mining (ASM). This paper assesses whether Prestea's ALP aligns with the development dialogue on artisanal mining. The conceptual design of ALP in Ghana's Prestea is based on the notions of substitution, homogenous community, and impact scalability. This paper argues that the Prestea ALP is not aligned with the development dialogue on artisanal mining, and therefore it is difficult to understand the role and function of environmentally‐damaging behaviours within livelihood strategies. The paper contends that it would be appropriate to concentrate on improving the existing artisanal miners’ operation of those most susceptible to resource access restrictions. Further, it may be more prudent to utilize livelihood‐centered interventions that create strong connections with sustainable development as a way of creating regular community engagements. Additionally, this paper argues that the term for the intervention programme on artisanal mining should be replaced with the broader term ‘livelihood‐centered intervention’. The replacement of the term ‘ALP’ avoids the tacit belief that ALP can adequately replace artisanal mining operations. Livelihood‐centered intervention should not necessarily utilize alternative livelihoods as direct behavioural change instruments.     

新生代建筑工人不安全行为的诱发因素与干预对策研究

基于事故致因理论和社会交换理论,运用扎根理论研究方法,通过深度访谈从个体、组织和管理、环境三个层面识别出新生代建筑工人不安全行为的13个诱发因素,并运用专家打分法确定出诱发因素间的相互影响程度,综合运用DEMATEL-ISM方法构建了多层递阶结构模型,确定出诱发因素间的层次结构和作用机制,进而提出了新生代建筑工人不安全...     

Ergonomic Program Effectiveness: Ergonomic and Medical Intervention

The implementation of a successful ergonomic and medical intervention program designed to reduce the number and severity of injuries and illnesses and the associated levels of discomfort in the workplace is presented. Because of the recent activity concerning the on-again-off-again Occupational Safety and Health Administration (OSHA) Ergonomic Program Standard questions have been raised as to the value and effectiveness of an organization’s ergonomics program. In light of these concerns, the immense cost associated with work-related injury and illness, and the related pain and suffering associated with such injuries and illnesses, it is important to present a workable and effective ergonomic and medical intervention program. The results of this applied study demonstrate that through the application of an ergonomic and medical intervention program, workplace-related injuries and illnesses can be reduced or eliminated.