Civil society in health politics under authoritarian Essay

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The footings “ civil society ” have long been linked with constructs such as “ societal capital ” and “ policy alteration ” . They are widely considered to be important factors in accomplishing participatory democracy taking to policy alteration through authorization from below. Many political scientists believe that civil society is a cardinal component to convey policy alteration by sabotaging autocratic governments and furthering democratic values at grassroots level. Many political militants and bookmans likewise have accepted the applicability of civil society as an indispensable constituent of societal organizing, creative activity of a strong societal capital, and the changing of policy. Strong civil society and policy alteration are hence reciprocally reenforcing, and are viewed as major subscribers to successful policy alteration.

In an autocratic context, civil society is typically assumed to be weak. The premise consequences from mensurating civil society with dependent variable ‘democratization ‘ . However, in a weak society with a strong authorities like Myanmar, communal self-help groups become important for people ‘s endurance when the province fails to supply sufficient public assistance services. These groups need a high degree of societal capital among their members to successfully aggregate the single involvements.

Myanmar is one of the longest and most inhibitory autocratic provinces in the universe. The long-dominant bequest of political repression has generated misgiving among citizens. Social capital, societal organizing and civic battle have seldom been portion of the general landscape. This state of affairs has resulted from the rigorous repression and barbarous penalties of consecutive military authoritiess in the state.

However, in contrast to the vision of ‘weak society and strong province ‘ under the autocratic government, the state of affairs in Myanmar offers a different position. Even though the authorities of Myanmar is regarded one of the most inhibitory governments in the universe, civil society groups have found infinites outside the authorities. The authorities ‘s peace-building with cultural rebellions and failure in public assistance sector have enabled civil society groups to come into being. Many associations emerged largely in the signifier of public assistance service suppliers. In the procedure of the “ outgrowth of civil society ” , the leader become an of import constituent for making the societal capital among the community by supplying chances for professional and personal webs, civic battle and association ranks by authorising within the civil society groups. As the societal capital among these civil society groups become stronger, they possess the bargaining power and acquire the opportunity to discourse with the province to convey the policy alteration in some cases. But the procedure is non much simple and there a batch of complexness among the province and civil society relationship to convey the policy alteration. And in that complexness, the leaders in these civil society organisations play a important function in authorising the community to make the ultimate end of policy alteration.

2. Literature Reappraisal

Literature on civil society, societal capital and societal scientific disciplines theories will be reviewed to gestate a theoretical model for this research.

The construct of civil society has travelled a long manner since the development of political idea from clip to clip in history. Contemporary classification of civil society may be found in three distinguishable, but reciprocally supportive, factors embracing associational life, the populace sphere, and the good society. Though there is a huge array of definition on civil society and the construct is elastic, most bookmans have shared the same position to some extent in qualifying civil society as a kingdom of societal groups standing between the province and the household. While civil society is characterized by un-coerced corporate action standing between province and household, the account and range of province, market and citizens are ever ill-defined and elastic.

Having considered these facets, civil society in this research will be defined as “ the non-ephemeral organisations of persons banded together for a common intent or intents to prosecute those involvements through group activities and by peaceable agencies ” .

Whereas the outgrowth and growing of civil society organisations are extremely dependent on political and societal forces, they are unequal to to the full work under swayers who have monopoly in economic, societal and political chances as a manner of commanding people ( Odora, 2008 ) .

However, experiences of civil society in autocratic or less-democratic provinces in Asia such as Myanmar, China, Vietnam, Cambodia and Philippines have called for the reconsideration of those premises. Particularly in Myanmar, they indicate that the communal organisations or local non-governmental organisations ( LNGOs ) have emerged in countries, such as public assistance, where the province is weak and supply some infinite, although limited, for an emergent populace sphere.

While civil society is non independent and strong plenty to convey about policy alteration, it can still lend to delegitimize the autocratic regulation and advance the involvements of the population, build societal capital that will be important for the policy alteration.

Still, most of the bing surveies of state-society dealingss consider the interactions between the province and the social groups show as a zero-sum game. But these surveies can non explicate the complexness of the dealingss. In contrast to that, the social groups are non homogeneous and there are still reciprocally authorising facet of state-society dealingss exist in Myanmar. And besides still possible to make the wellness policy alteration by community engagement, authorization, and human rights as basic attacks. Health policy alteration serve as of import basis for wellness public policy development of the new public wellness and the public wellness programmes at the local degree are developed and implemented harmonizing to the wellness policy.

3. Objective of the survey

There is no research data available on the function of civil society for altering of policy in an autocratic context, particularly with an accent on wellness policy towards HIV/AIDS attention and bar. As there is no official informations, the universe does non cognize much about the HIV/AIDS state of affairs or the engagement of civil society in the wellness policy alteration in Myanmar. By and large talking there is no function or infinite for civil society to make the protagonism and policy alteration under autocratic government. And besides in general sense, people regard that the wellness policy alteration is relied upon the medical, clinical or epidemiological expertness. In contrast to that even though Myanmar is ruled by one of the most inhibitory autocratic governments in the universe, and has had a military-backed authorities for the past 50 old ages, surprisingly there are over 40 local, international NGOs and UN bureaus every bit good as more than 100 civil society organisation ( CSO ) in the field of HIV/AIDS attention and support every bit good as bar within the state. Members of these civil society are working together to turn to the wellness societal job and manage to include in the wellness policy agenda puting even though the exact mechanism or procedure is still ill-defined and there is a batch of complexness among that procedure.

This survey will reply all these involvement of “ Role of civil society organisation in wellness policy alteration in autocratic context with instance survey towards Myanmar ” . While replying the chief research inquiry, this survey will besides convey the apprehension of the phenomena which all will lend to the better apprehension of state of affairs of complexness of province and civil society relationship:

1 ) How is the relationship, web and coordination mechanism between the civil society organisation and the province in related to HIV/AIDS issues?

2 ) How the civil society organisations initiate and mobilize the community?

3 ) How the civil society organisations empower the community to border their activities to include in wellness policy docket puting?

4 ) How the civil society organisations organize and create societal capital within the community to increase their dickering power?

5 ) Why these civil society organisations can successfully turn to the wellness societal jobs related to HIV/AIDS by authorising the community to include in the wellness policy agenda scenes of the provinces?

6 ) What are the success narratives and challenges that they faced?

7 ) Recommendation for manner forwards for better wellness policy doing under autocratic context

4. Methodology

a ) Overview

The survey is descriptive in nature since it attempts to obtain information sing the relationship between the civil society and the province as a current state of affairs of a certain societal phenomena. As this research aimed to place the function of the societal workers from the civil society organisation, the qualitative research attack is best suited to utilize as research attack and method that can non be observed or accommodated by studies or formal questionnaires. The civil society mission and vision, their networking and coordination procedure every bit good as their schemes and tactics for effectual societal job addressing and recommending the province to include in the wellness policy docket scene will be identified in this research. It will utilize a complementation of in-depth interviews, key-informant interviews, and personal observation. For the in-depth interviews, guide inquiries will refer to their work towards wellness societal policy docket scenes. On the other manus, usher inquiries for key-informant interviews chiefly affecting forces who have worked as managerial degree or cardinal focal individual for these civil society organisation to liaison with authorities functionaries will concentrate on: ( a. ) the apprehension of the state-society relationship, framing and organizing and making societal capital among their community, and how they mobilized the community and ( B. ) intercession schemes that they used to turn to the societal job to include in wellness policy docket puting. Interpretation will include the major penetrations gained from the analysis of the collected information.

B ) Research country

The survey will conducted in different geographical countries of the state Myanmar, including Yangon, Mandalay which are capital and largest metropolis and other four towns, Myitkyina, Lashio, Sittwe and Dawei which are from east, west, north and South of the state stand foring to different cultural groups country. In each country, there will be sub-area of metropolis degree, township degree and small town degree.

degree Celsius ) Sampling Design and Data Gathering Procedures

A purposive sampling along with snow ball trying process will be implemented in choosing the survey ‘s civil society organisation and sources. The proposed sampling design is described as the following sampling grid.

Rangoon

Mandalay

Myitkyina

Lashio

Dawei

Sittwe

City Level

7~12 resp*

7~12 resp*

7~12 resp*

7~12 resp*

7~12 resp*

7~12 resp*

Township Level

5~8 resp

5~8 resp

5~8 resp

5~8 resp

5~8 resp

5~8 resp

Village Level

3~5 resp

3~5 resp

3~5 resp

3~5 resp

3~5 resp

3~5 resp

Entire

15~20 resp

15~20 resp

15~20 resp

15~20 resp

15~20 resp

15~20 resp

Government functionaries ( National degree and regional degree )

10~20 respondents

Entire

100~140 respondents in entire

resp* = respondents

Contact individuals coming from identified civil society organisation chosen for the survey will assist ease the choice of respondents to be interviewed. A missive addressed to these individuals will be sent informing them of the aims of the survey and the research workers ‘ desire to carry on interviews. Once the respondents are identified, a missive informing them of the interview and the principle of the survey will be sent to them separately. The research workers will besides reach them via telephone or any other means a few hebdomads before the scheduled interview session to corroborate their handiness and to hold on a specified clip. Besides in the interim, the research worker will besides interview to the related authorities functionaries who are closely related and working with that civil society organisation in the national every bit good as in regional degree. All sources will be assured that their individualities will stay confidential and that the information collected will be used entirely for the survey.

vitamin D ) Instrumentality

Interview ushers, one for sources who are from civil society and the other for the authorities functionaries, will function as the chief informations aggregation tools of the research. The inquiries found in each interview usher are divided into specific classs that pertain to the survey ‘s identified research inquiries. In add-on, the research workers will try to examine the responses if necessary. The full session will be taped ( with the permission of the sources ) . Fringy notes ( by the interviewers ) will besides be taken during every interview session. These notes will besides function as portion of the research information and will be used for analysis and reading. A pretest of the instrument will be conducted in order to prove the effectivity and relevancy of the interview guide inquiries.

vitamin E ) Method of Data Analysis

As mentioned above, all interview Sessionss will be taped-recorded. The recorded interviews will be transcribed. The canned informations ( i.e. interview transcripts ) will be content analyzed utilizing the online qualitative package WeftQDA. WeftQDA is a package tool that assists in the analysis of textual informations such as interview transcripts, chat archives, journal texts, and field notes. It allows research workers to bring forth classs from the selected / marked parts of the transcripts. These classs may be in the signifier of subjects and penetrations gathered from the major findings of the survey.

degree Fahrenheit ) Methodological Limitations

The methodological restrictions the research workers expect to meet pertain to the nature of the subject itself and the restriction of in-depth interviews as a research tool. Due to the sensitive nature of the subject, the survey ‘s sources who are authorities functionaries may be hesitating and uncomfortable in replying the usher inquiries. Besides, the research tool to be used ( in-depth interviews ) may take respondents to falsify information through callback mistake, selective perceptual experiences, and the desire to delight the interviewers. The tedium of in-depth interviewing may besides do the respondents uncomfortable and tired, which may impact the dependability and cogency of their responses.

5. Significance

This research will lend to the literature on civil society and wellness political relations by analyzing their nature under a strong dictatorship. Despite the restrictions and restraints, the part of the thesis will be important to mainstream survey about Myanmar. With merely a few surveies available on wellness political relations inside the state and no survey about the relationship of civil society and province in wellness political relations so far, the thesis is aimed at lending to future survey and apprehension of what roles civil society dramas to construct opposition against an autocratic government in general through furthering societal capital at grassroots degrees to convey the wellness policy alteration.

Additionally, entree to Myanmar for foreign bookmans and research workers has ever been hard, and thereby, the findings of assorted surveies in the similar countries so far may necessitate to be testified or improved. This research will supply an chance to make full those spreads by offering an in-depth analysis of the civil society and wellness political relations among the citizens as the research worker, as a Myanmar citizen, may non needfully meet entree restraints.

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