Geographic information system‐based evaluation of spatial accessibility to maternal health facilities in Siaya County,Kenya

Maternal mortality is a major problem in middle‐income and low‐income countries, and the availability and accessibility of healthcare facilities offering safe delivery is important in averting maternal deaths. Siaya County, in Kenya, has one of the highest maternal mortality rates in the country—far more than the national average. This study aimed to evaluate geographic access to health facilities offering delivery services in Siaya County. A mixed‐methods approach incorporating geographic information system analysis and individual data from semi‐structured interviews was used to derive travel time maps to facilities using different travel scenarios: AccessMod5 and ArcGIS were used for these tasks. The derived maps were then linked to georeferenced household survey data in a multilevel logistic regression model in R to predict the probability of expectant women delivering in a health facility. Based on the derived travel times, 26 per cent (13,140) and 67 per cent (32,074) of the estimated 46,332 pregnant women could reach any facility within one and two hours, respectively, while walking with the percentage falling to seven per cent (3,415) and 20 per cent (8,845) when considering referral facilities. Motorised transport significantly increased coverage. The findings revealed that the predicted probability of a pregnant woman delivering in a health facility ranged between 0.14 and 0.86. Significant differences existed in access levels with transportation‐based interventions significantly increasing coverage. The derived maps can help health policy planners identify underserved areas and monitor future reductions in inequalities. This work has theoretical implications for conceptualising healthcare accessibility besides advancing the literature on mixed methodologies.     

Sustainability transformations in the balance: exploring Swedish initiatives challenging the corporate food regime

ABSTRACT

This paper explores to what extent organic initiatives that go beyond mainstream organic (so-called Organic 3.0) can challenge the corporate food regime and how they can push the food system towards sustainability transformations. We depart from the assumption that individual initiatives may differ in their potential to influence the corporate food regime and that this potential can be assessed by examining traits linked to reformist, progressive or radical food regime/food movement trends that they may possess. Rather than establishing a dichotomy between niche and food regime or categorizing Organic 3.0 initiatives within one of these trends, we explore the nuances in niche–regime relationships within the food system from a multi-level perspective, using the cases of two Organic 3.0 initiatives in Sweden. The results show that relations between these initiatives and the food regime share key characteristics, but also differ in important respects. While a reformist strategy facilitates niche growth, progressive and radical approaches are more likely to challenge the regime. The choice of approach in both cases involves trade-offs between growth and organic values. We conclude that one of the primary roles of Organic 3.0 initiatives may be to illustrate the viability of alternative models.     

The fallen hero: masculinity,shame and farmer suicide in Australia

The drought-stricken Australian rural landscape, cultures of farming masculinity and an economy of value, moral worth and pride form a complex matrix of discourses that shape subjective dynamics that render suicide a possibility for distressed farmers. However, the centrality of a ‘mental health’ perspective and reified notions of ‘stoicism’ within this discursive field operate to exclude consideration of the ways in which cultural identity is linked to emotions. To illuminate and explore complex connections between subjectivity, moral worth and affect in relation to understanding farmer suicide, this article draws on theory and literature on agrarian discourses of masculine subjectivity and shame to analyze empirical data from interviews with farmers during times of environmental, social and economic crisis. The idealized notion of the farming man as ‘Aussie battler’ emerges from romantic agrarian mythology in which pride and self-worth are vested in traditional values of hard work, struggle and self-sacrifice. However, the structural context of agriculture, as it is shaped by the political economy of neoliberalism, threatens farm economic viability and is eroding the pride, self-worth and masculine identity of farmers. The article suggests that the notion of the ‘fallen hero’ captures a discursive shift of a masculinity ‘undone’, a regress from the powerful position of masculine subjectivity imbued with pride to one of shame that is of central importance to understanding how suicide emerges as a possibility for farmers.     

Pollen, phytoliths, and other microscopic plant remains in underwater archaeology

Materials and methods for the recovery and analysis of microscopic plant remains in underwater archaeology. This article explores formation of underwater sites, preservation and potential contamination of botanical remains, sampling techniques, benefits of sampling and searching for microscopic remains including pollen, phytoliths, cystoliths, starch grains, epidermal tissue, and cellulose fibre, and conservation and archiving of archaeobotanical samples. Materials such as ship's caulking, surrounding sediment matrices, bilge sediments, and organic remains found inside various types of cargo containers can contain microscopic plant remains that become botanical fingerprints used to identify cargoes, ship's foods, onshore vegetation, location of a ship's home port, and plants used to make rope, basketry, and matting.     

Balancing Costs and Benefits of Collaboration in an Ecology of Games

The growth of collaborative approaches to governance has resulted in increasingly complex policy and management landscapes, where actors are presented with ever‐increasing numbers of decision‐making venues they can participate in and actors they can collaborate with. Given that actors face constraints on their capacity to manage actor and venue relationships in such polycentric governance systems, we assume the marginal benefit of yet another relationship should begin to diminish at some level of engagement. Furthermore, we hypothesize that such capacity limitations are not static, but decrease as actors learn, develop skills, and formulate strategies for how to navigate complex polycentric systems more effectively. Drawing on the Ecology of Games framework, this article investigates two Swedish collaborative governance initiatives where a multitude of actors came together to address a range of different, but interrelated, policy issues and management tasks. The empirical findings suggest that actors’ capacities to successfully navigate polycentric governance arrangements increase as they gain experience and develop their networking skills. Our findings imply there is a need to balance increased complexity in polycentric systems with increased capacity, otherwise the overall effect of an ever‐increasing number of venues and actors could be collaborative fatigue and decreased abilities to address diverse governance challenges.