山西省稷山县农村公共卫生事业述评(1949～1984年)——以太阳村(公社)为重点考察对象

山西省稷山县太阳村(公社)是集体化时代闻名全国的卫生红旗单位,其公共卫生工作及合作医疗制度建设成绩斐然,具有明显的典型意义和时代特征。不过,这种农村公共卫生事业是建立在计划经济体制和高度集中的政治体制以及较低医疗保障水平基础上的,并与历次政治运动关系密切。改革开放后,经济体制逐渐向市场经济过渡,稷山县公共卫生事业因难以适应新的社会经济体制而最终走向了衰落,但其经验和教训可为今后创新农村公共卫生事业、建立新型合作医疗体系提供有益的借鉴。     

Improving Sanitation in the Slums of Mumbai: An Analysis of Human Rights-Based Approaches for NGOs

Human rights-based approaches (HRBAs) can challenge the underlying structures and power relations that perpetuate poverty. They have thus emerged in the development field as a prominent instrument for addressing development issues. Access to clean water and sanitation are now internationally acknowledged as human rights, and have become a stand-alone Sustainable Development Goal of the international community’s commitment to international development. This paper analyses the potential use of HRBAs by local Non-Governmental Organisations (NGOs) working on sanitation issues in slums in Mumbai. It is argued that it is more productive for local NGOs to build (i) partnerships with duty-bearers (in this case the state and the Municipal Corporation of Greater Mumbai) and (ii) the capacity of rights-holders, in particular women, than to rely on litigation strategies to create momentum for change. HRBAs are more useful as a political tool for NGOs for establishing good working relationships with government agencies rather than as a legal instrument, which can be counter-productive to the poverty reduction objectives of NGOs.     

清代太湖流域的环境与卫生——以外国人的游程与感觉为中心

太湖流域是一个独立的地文系统,自唐宋以来的经济开发和商业化发展,使这里的民生显得异样繁荣。地方史料中的绝大多数,谈论的都是这里的高额赋税负担和内部经济生活的多样化及地区差异,对于民众生活的环境与卫生问题,直接性的详细记载极少。清代中后期外国人在这一地域内的众多游记和日记,于这方面却有颇为细致的描述,侧重点大多在河流环境、建筑居住、城镇街道景观和饮食卫生等问题,负面性的评述占据了大多数。这一当中固然有太平天国战乱后的影响内容,也有中国人的许多常态生活习惯,更带有外国人的猎奇与鄙薄的眼光,但是在总体上都可反映出中国人长期并不真正重视的环境问题及相对淡漠的卫生观念。而所谓"近代化"的理论推导,大多仅限于1843年开埠后沿江滨海重要城市的一些证据,其实并不符合太湖流域广泛城乡的实际生活。     

民国时期国人对公共卫生建设的认识

民国时期国人对公共卫生建设的认识是：一、从防治疫病、保障民族健康、发展社会经济、提高国家地位与声誉等角度认识到公共卫生建设重要性;二、从国情与公共卫生建设内部要素的关联性提出了公共卫生建设的方针,并从公共卫生的性质与应办事项的角度对公共卫生建设的目的和内容进行了阐述;三、认识到当时进行公共建设在社会经济、卫生观念、政治组织、人才与科学技术等方面存在的困难因素;四、从提倡西医、卫生教育、人才培养、卫生经费、卫生技术与设备、社会建设同步性、社会共同参与性、国际合作等方面阐述了从事公共卫生建设的方法和手段。这些认识虽有局限性,但也具有积极的历史作用与现实借鉴意义。     

Financialisation through Microfinance: Civil Society and Market-Building in India

Abstract

Microfinance does not reduce poverty, but it does successfully construct economic relations between owners of capital and borrowers of capital, allowing surpluses to accumulate through finance. It does so by drawing on the agency of financialised civil society actors who facilitate financialisation by working around the state to build new markets in finance and other goods. This article understands financialisation as the expansion of the frontier of financial accumulation. Microfinance is shown to achieve this expansion by establishing credit-based linkages between owners and borrowers of capital, allowing surplus accumulation to take place via the credit relation. Underlying this material relationship, there is also a level at which financialisation motivates and pressures civil society actors to bring microfinance to the poor. By becoming financialised agents themselves, civil society organisations act as conduits for an expansion of financial markets and the construction of new market relations for other goods. A case study of microfinance for water and sanitation in India shows in detail how this construction of markets via civil society works in practice, highlighting the pressures and opportunities presented by microfinance as a vehicle for building markets.     

The Poolitical City: “Seeing Sanitation” and Making the Urban Political in Cape Town

In an urbanizing world, the inequalities of infrastructure are increasingly politicized in ways that reconstitute the urban political. A key site here is the politicization of human waste. The centrality of sanitation to urban life means that its politicization is always more than just service delivery. It is vital to the production of the urban political itself. The ways in which sanitation is seen by different actors is a basis for understanding its relation to the political. We chart Cape Town's contemporary sanitation syndrome, its condition of crisis, and the remarkable politicization of toilets and human waste in the city's townships and informal settlements in recent years. We identify four tactics—poolitical tactics—that politicize not just sanitation but Cape Town itself: poo protests, auditing, sabotage, and blockages. We evaluate these tactics, consider what is at stake, and chart possibilities for a more just urban future.     

Infrastructural Discontent in the Sanitary City: Waste,Revolt, and Repression in Cairo

In this article, I examine the relationship between waste, revolt, and repression in Cairo's sanitation system from the early 20^th century to the present. I coin the term infrastructural discontent in the sanitary city to describe how discontent slowly accretes around Cairo's sanitation system and becomes a powerful force in the city's politics—a force that can be mobilised for popular revolt and state repression. I detail three expressions of infrastructural discontent in Cairo's sanitation system, paying careful attention to the deeply related mundane and spectacular productions of these expressions. Tracing the formation of infrastructural discontent in the sanitary city, I show how resistance and repression are produced and contested in material infrastructural relations which contain the accretions of long‐standing struggles over colonialism, development, and uneven urbanisation.     

Medicalising menstruation: a feminist critique of the political economy of menstrual hygiene management in South Asia

Women's use of water differs from men in essentially one aspect: in cleansing the body of menstrual blood. The pledge of the water, sanitation and hygiene (WASH) sector to place ‘women at the centre’ of development has in recent years, therefore, come to focus on menstruation. International development agencies have begun to push the agenda of menstrual hygiene management (MHM), but their use of a medical approach requires critical rethinking. This article argues that through MHM lessons, menstruation is medicalised to construct new and repressive expectations of normality for the female body. A medical construction also poorly accommodates the natural biological process of menstruation within the gamut of existing sociocultural practices. Consequently, menstruation becomes associated with the perceived need for not only sanitisation of the female body of the rural poor, but also to turn it into a working body that is able to ceaselessly and ‘normally’ perform its productive and reproductive chores. I note that the success of medicalisation relies upon the separation of the body from its purported waste, the menstrual blood. Once menstruation is confined to a pathological condition, treatable only by public agents such as doctors and commercially produced goods such as sanitary napkins, a defining essence of womanhood is thereby dissociated from the female body.     

Blinded like a state? Urban sanitation,improvement and high modernism in contemporary Myanmar

This article explores urban sanitation in the city of Mandalay, upper Myanmar, as an entry point to better understand the issue of improvement in the country in the current era of political change. Based upon qualitative data gathered in Mandalay between 2015 and 2018, the article focuses on the state's ways of seeing urban improvement after 2016, when the National League for Democracy government led by Daw Aung San Suu Kyi took office. The article builds upon James Scott's work on statecraft to frame the analysis, and it uses this framework to argue that a localized form of authoritarian high modernism is emerging and shaping urban improvement in Mandalay today. The case is noteworthy as high modernism in Mandalay is not associated with attempts to render the city more legible; on the contrary improvement seems to be carried out by a state unwilling, or unable, to see and thus being blinded. The article develops this argument to make a twofold contribution, to discussions on statecraft and the “failure of development” in contemporary Myanmar from the perspective of political geography; and to debates on states' ways of seeing and the practice of improvement in postcolonial contexts.