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- Author or Editor: Jennie Popay x
The qualitative research described in this article aims to explore the dynamics of routine public health practice and policy within two local health systems. Using a theoretical framework drawn from social science and management literatures on ‘communities of practice’ (Wenger, 1998), we seek to illuminate the values and ideas that shape the way in which public health practice and policy making is ‘done’ on a routine basis. In particular, we suggest that people's narratives about their daily work resonate with the concepts of engagement, peripheral participation and marginalisation used in the communities of practice literature.
In the context of systematic reviews, statistical meta-analysis of findings is not always possible. Where this is the case, or where a review of implementation evidence is required, narrative synthesis of data is typically undertaken. Drawing on recently developed guidance aimed at those undertaking data synthesis – and information on the implementation of domestic smoke detectors – we present findings from a demonstration of the tools and techniques that can be used in a narrative synthesis. The work demonstrates how this process can be made more transparent, and suggests that using the tools and techniques can improve the quality of narrative synthesis.
The pathways to vulnerability to debt and what works to reduce such vulnerability are poorly understood. To address this knowledge gap, we conducted an evidence review. Many low-income borrowers have little alternative but to resort to high interest lending. Developing ‘affordable’ lending alternatives has been a challenge. Policy-makers have advocated person-centred approaches (for example, financial education) despite little evidence supporting the efficacy of such behavioural measures. Arguably this has shifted the burden of social responsibility and risk for managing problem debt primarily onto borrowers. While better regulation of the credit industry is needed, ultimately policymakers need to look beyond market-based solutions.