Surveillance is critical for interrupting transmission of global epidemics. Research has highlighted gaps in the surveillance for tuberculosis that range from failure to collect real-time data to lack of standardization of data for informed decision-making at different levels of the health system. Our research aims to advance conceptual and methodological foundations for the development of a learning surveillance system for Tuberculosis, that involves systematic collection, analysis, interpretation, and feedback of outcome-specific data. It would concurrently involve the health care delivery system, public health laboratory, and epidemiologists. For our study, we systemically framed the cyber environment of TB surveillance as an ontology of the learning surveillance system. We validated the ontology by binary coding of dimensions and elements of the ontology with the metadata from an existing surveillance platform—GPMS TB Transportal. Results show GPMS TB Transportal collects a critical range of data for active case investigation and presumptive case screening for identifying and detecting confirmed TB cases. It is therefore targeted at assisting the Active Case Finding program. Building on the results, we demonstrate enhanced surveillance strategies for GPMS that are enumerated as pathways in the ontology. Our analysis reveals the scope for embedding learning surveillance pathways for digital applications in Direct Benefit Transfer, and Drug Resistance Treatment in National TB Elimination Programme in India. We discuss the possibilities of developing the transportal into a multi-level computer-aided decision support system for TB, using the innumerable pathways encapsulated in the ontology.
Susanna Ghosh Mitra looks into the ways power is negotiated and resisted within cities in India in the context of piped drinking water supply. Taking a World Bank-funded water privatization project in Hubli–Dharwar as a case study, she critically examines the regional- and local-level power dynamics underlying urban water management. The study uses the methodology of a discursive approach to policy processes and identifies the specific contexts in which power and politics is operating, together with the related discourses and representations of the environment through which people communicate. By seeing policy as a discourse, analytical attention is turned to the webs of power underlying the practices of different actors in the policy process. Development (2008) 51, 96–101. doi:10.1057/palgrave.development.1100466
The global governance literature is increasingly concerned with questions regarding the purpose of global governance and the sources of power in world politics. One strand of this debate centers on nongovernmental organizations and to what extent their role in global politics and policy processes is legitimate. This article uses Greenpeace India as an instructive case study to analyze the legitimacy problems facing international nongovernmental organizations (INGO s) campaigning on a global policy platform in the context of domestic politics. The article argues that the undertheorization of INGO s’ agency as global actors is likely to reproduce processes of structural delegitimation that maintain a discrepancy between two of their legitimacy constructs. This is exemplified in questions about their representativeness and restrictive regulatory frameworks that undermine their legality. This article proposes that developing a more nuanced empirical understanding of the endogenous and exogenous limits of INGO s’ power can help bridge the theoretical gap between their global and local agencies.
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