Narrative policy

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  • The study of public policy, including the methods of policy analysis, has been among the most rapidly developing fi elds in the social sciences over the past several decades. Policy analysis emerged to both better understand the policymaking process and to suppy policy decision makers with reliable policy-relevant knowledge about pressing economic and social problems.

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  • If a picture is worth a thousand words, a good story is worth many columns of statistics. Stories present ideas, conflicts, and, sometimes, resolution. They have depth and dimension, drama and emotion, making them more memorable than data alone. This belief in the power of the story encouraged us—with support from the Kellogg Foundation—to start the Narrative Matters section of Health Affairs in 1999.

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  • Uganda has relevant health policies and regulations in place, many developed through a participatory multi-stakeholder process, including the recent HSSIP. Innovative policies that are currently under development include the Public-Private Partnership in Health Policy. The health sector has many actors including nongovernmental organizations (NGOs), civil society organizations, HDPs, and multiple government agencies beyond the MoH. A recently signed country “Compact” is a new mechanism for coordination in the health sector.

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  • The five instances of insurance fraud reflected in Table 10 resulted from individu- als who supplied fraudulent information on applications for term life policies. As set forth in FinCEN regulations, 22 an insurance company is not required to report in- stances of suspected insurance fraud unless the company has reason to believe that the false or fraudulent submission of information relates to money laundering or terrorist financing.

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  • The data revealed some potential trends in illicit activity. Some of the typologies evidenced in the narratives appeared very similar to classical examples of the money laundering stages of layering and integration. 1 For example, subjects sometimes used multiple cash equivalents (e.g., cashier’s checks and money orders) from differ- ent banks and money services businesses to make policy or annuity payments, and then cashed out the insurance products to potentially disguise the original source of the funds.

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  • The contents of each cell in Table 12 are simply (and only) a reflection of the contents of the equivalent cell in Table 10. Thus, for example, (re)training of former farm workers is a direct response to the reduction in agricultural employment associated with the Agri-centric narrative, and measures to strengthen entrepreneurship and IT aspects of human capital could be a response to the depletion issues caused by the Urban-Rural narrative in PRR regions. Two summary points may be derived from Table 12.

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  • As noted earlier, a territorial cohesion policy for rural areas which enables each region to develop its potential needs to take account of two kinds of regional conditions (both assets and challenges), those which are broadly associated with the interaction of the meta narratives of change and the type of region (and are therefor to some extent systematic in their distribution), and those which are more localised and unique. Only the first of these is discussed here, the second requires some form of regional audit of development assets.

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